간호대학생과 의과대학생의 임종돌봄 실습 후 죽음 정서의 의미

A Meaning of Death through Emotional Expression about Death after Nursing and Medical Students' End-of-Life Care Practice

  • 조계화 (대구가톨릭대학교 간호대학)
  • Jo, Kae-Hwa (College of Nursing, Catholic University of Daegu)
  • 투고 : 2010.04.19
  • 심사 : 2010.06.20
  • 발행 : 2010.06.30

초록

Purpose: The purpose of this study was to understand the meaning of death experienced by medical and nursing students through end-of-life care practice. Methods: Data were collected by in-depth interviews with twelve (six nursing and six medical) students. Conventional qualitative content analysis was used to analyze the data. Results: This findings were analyzed in three areas: 'feeling from the word of death', 'color association of death', and 'relation between life and death'. Results were three major themes and sixteen categories from the analysis. Three major themes include 'reality of uncertain death', 'have to leave, and 'new perception about death'. Sixteen categories include 'being well', 'fear', 'unknown', 'boundless', 'being with', 'out of sight', 'new start', 'go back to', 'place going by itself', 'place to meet with', 'being transformed', 'a sense of futility', 'the same point', 'a different point', 'continuous line', and 'a crossroad'. Conclusion: The findings suggest a number of themes that nursing and medical students reported about the end of life experiences that could be explored as a way of improving end of life care.

키워드

참고문헌

  1. Armour, M. (2003). Meaning making in the aftermath of homicide. Death Studies, 27, 519-540. https://doi.org/10.1080/07481180302884
  2. Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90-113.
  3. Downe-Wamboldt, B. (1992). Content analysis: Method, application, and issues. Health Care for Women International, 13(3), 313-321. https://doi.org/10.1080/07399339209516006
  4. Gamino, L. A., & Sewell, K. W. (2004). Meaning constructs as predictors of bereavement adjustment: A report from the scott and white grief study. Death Studies, 28, 397-421. https://doi.org/10.1080/07481180490437536
  5. Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  6. Inumiya, Y. (2005). A study on relationship of bioethics and views of life and death in adolescence. Koran Journal of Social and Personality Psychology, 19(1), 85-108.
  7. Jo, K. H., Doorenbos, A. Z., & An, G. J . (2009). Effect of an endof- life care education program among Korean nurses. Journal of Hospice and Palliative Nursing, 11(4), 230-238. https://doi.org/10.1097/NJH.0b013e3181aada60
  8. Jo, K. H., & Lee, H. J . (2008). Relationship between self-efficacy, depression, level of satisfaction and death attitude of college students. Journal of Korean Academy of Nursing, 38(2), 74-83.
  9. Jo, K. H., Lee, H. J ., & Lee, Y. J . (2005). Types of students' death attitudes majoring in human service area: Q-methodological approach. Journal of Korean Academy of Nursing, 35(5), 829-841.
  10. Jo, K. H., Lee, H. J ., & Lee, Y. J . (2006). Development of an evaluation instrument for subjects related to death. Journal of Korean Academy of Nursing, 36(1), 74-83.
  11. Jo, K. H., Lee, H. J ., & Lee, Y. J . (2007). Development and application of online education on death. Journal of Korean Academy of Nursing, 37(4), 442-452.
  12. Kim, C. J ., Lee, W. H., Kim, S. S., Yoo, H. R., Han, S. H., Kim, G. Y., et al. (1997). The effect on the preseptorship on clinical education of nursing students. Journal of Korean Nursing, 36(4), 100-109.
  13. Kim, H. D. (2005). A study on time and space in "a study of death" of Park. Sang-lyung. Critical Literature, 21, 189- 216.
  14. Kim, Y. K., J o, K. H., & Kim, Y. K. (2005). The meaning of death seen by nursing students through art works. Journal of Korean Academy of Adult Nursing, 17(4), 602-611.
  15. Kingma, R. (1994). Revising death education. Nurse Educator, 19(5), 15-15. https://doi.org/10.1097/00006223-199409000-00014
  16. Lee, H. J ., J o, K. H., Chee, K. H., & Lee, Y. J . (2008). The perception of good death among human service students in South Korea: A Q-methodological approach. Death Studies, 32 (9), 229-237.
  17. Lee, K. H., Kim, H. S., Na, C., Kwon, H. J ., Kim, S. H., & Min, B. K. (1983). A study on the death awareness among health care personnels. Journal of RIMSK, 15(3), 174-186.
  18. Lee, S. A., & Chun, B. K. (2007). The influence of physical selfdescription to psychological well-being among university's students. The Korean Journal of Sports Science, 16(4), 341-350.
  19. Lee, Y. J ., J o, K. H, & Lee, H. J . (2005). Effects of significant other's death on high-touch major students. The Korean Journal of Youth Counseling, 13(1), 113-124.
  20. Lim, H. W. (2005). The metaphorical extension of light and color in Korean. Discourse and Cognition, 12(3), 101-119.
  21. Mallory, J . L. (2003). The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. Journal of Professional Nursing, 19(5), 305-312. https://doi.org/10.1016/S8755-7223(03)00094-2
  22. Matzo, M. L., Sherman, D. W., Lo, K., Egan, K. A., Grant, M., & Rhome, A. (2003). Strategies for teaching loss, grief, and bereavement. Nurse Educator, 28(2), 71-76. https://doi.org/10.1097/00006223-200303000-00009
  23. Morse, J. M., & Field, P. A. (1995). Qualitative research methods for health professionals. London: Chapman & Hall.
  24. Min, Y. K. (2005). Evaluation on suicidal risk factors and suicidal thought of college students. Journal of Student Guidance, 31, 31-52.
  25. Park, I. J . (2000). Color symbolism in Korean culture. Papers of Pusan University of Foreign Studies, 20, 183-204.
  26. Rabow, M., Gargani, J ., & Cooke, M. (2007). Do I say: Curricular discordance in medical school end-of-life care education. Journal of Palliative Medicine, 10 (3), 759-769. https://doi.org/10.1089/jpm.2006.0190
  27. Skovholt, T. M. (2001). The resilient practitioner. New York: Allyn and Bacon.
  28. von Gunten, C. F. (1996). Why I do what do. In L. Blank (Ed.), Caring for the dying: Identification and promotion of physician competency-educational resource and personal narratives. Philadelphia: American Board of Internal Medicine.
  29. Williams, C. M., Wilson, C. C., & Olsen, C. H. (2005). Dying, death, and medical education: Student voices. Journal of Palliative Medicine, 8 (2), 372-381. https://doi.org/10.1089/jpm.2005.8.372
  30. Yoon, M. O. (2009). Effect of a death preparing education program on death anxiety and meaning of life in volunteers. The Korean Journal of Hospice and Palliative Care, 12(4), 199-208.