Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
권호 표지
DOI QR코드

DOI QR Code

A Study of Intensive Care Unit Nurses' Understanding of the Meaning of Death, Death Anxiety, Death Concern and Respect for Life

중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 관한 연구

  • Received : 2012.11.19
  • Accepted : 2013.04.25
  • Published : 2013.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: We investigated how intensive care unit (ICU) nurses understand the meaning of death, death anxiety, death concern and respect for life. Methods: From November 2009 through February 2010, a survey was conducted on 230 nurses working at the ICU of 10 general hospitals located in Seoul and Gyeonggi province. Participants were asked to answer a questionnaire consisted of 67 questions under four categories of the meaning of death, death anxiety, death concern and respect for life. Results: Participants scored 4.27 points on their understanding of the meaning of death, 4.43 on death anxiety, 4.12 on death concern and 4.18 on respect for life. Participants' meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' positive meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' negative meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' death anxiety was positively correlated with death concern and negatively with respect for life. Participants' death concern was negatively correlated with respect for life. Conclusion: Compared with nurses who served at ICU for a long time, nurses with less ICU experience scored lower on the meaning of death and respect for life, while they presented high anxiety and concern about death. A training course may help nurses develop their view on the meaning of death, which in turn would enhance their performance in caring dying patients.

목적: 본 연구는 중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 대해 조사하여 중환자실 간호사의 죽음에 대한 올바른 인식확립을 위한 교육프로그램 개발을 위한 기초를 마련하고자 실시한 서술적 조사연구이다. 방법: 수도권 소재 10개 종합병원 중환자실 근무 간호사 중 연구 목적을 이해하고 참여에 서면동의한 자를 대상으로 2009년 11월부터 2010년 2월까지 3개월간 자료를 수집하여 최종 230부를 분석에 사용하였다. 본 연구에서 사용한 도구는 Inumiya(2002)가 개발한 사생관척도 중 죽음의미, 죽음불안, 죽음관여도, 생명존중의 4개요인 총 67문항으로 구성되었다. 자료 분석은 SPSS WIN 12.0 프로그램을 이용하여 서술통계, ANOVA, Pearson's 상관계수를 확인하였다. 결과: 대상자의 죽음의미 이해 정도는 7점 만점에 평균 4.27점이었고, 죽음의 긍정적 의미(평균 4.18점)보다 부정적 의미(평균 4.38점)에 대한 이해가 더 높았다. 죽음불안은 평균 4.43점, 죽음관여도는 평균 4.12점, 생명존중의지는 평균 4.18점이었다. 죽음의미는 죽음불안, 죽음관여도와 부적 상관관계를 보였고, 죽음의 긍정적 의미와 부정적 의미, 생명존중의지와 정적 상관관계를 보였다. 죽음불안은 죽음관여도와 정적 상관관계를 보였고, 생명존중의지와 부적 상관관계를 보였다. 죽음관여도는 생명존중의지와 부적 상관관계를 보였다. 결론: 본 연구결과 중환자실 신규간호사는 경력간호사에 비해 죽음의미 이해 정도가 낮고, 죽음불안과 죽음관여도가 높으며 생명존중의지가 낮으므로, 죽음에 대한 자신의 견해를 정립하여 임종환자 및 가족을 간호하는 역할수행에 도움을 줄 수 있는 교육프로그램 개발이 필요하다고 생각된다.

Keywords

References

  1. Kang ES, Song HH, Suh YA. Attitude on death and hospice of hospital personnels. J Korean Acad Psychiatr Ment Health Nurs 1998;7:60-80.
  2. Lee HJ. A study on nurse's attitude toward death and hospice [master's thesis]. Busan: Dong-A Univ.; 2002. Korean.
  3. Lee MY. Responses of nurses and patients about spiritual care. J Cathol Med Coll 1983;36:339-348.
  4. Ro YJ, Han SS, Ahn SH, Kim CG. Hospice & death. Seoul: Hyunmoon;1997.
  5. Pincus L. Death and the family. IB Lee, Trans. Seoul:Kohyangsungwon; 1979.
  6. Chun SC, Kim CJ, Choi OS, Yoo JS, Jun KA. Attitudes of nursing student and nurses towards death and the dying patient. J Nurs Sci 1976;1:117-146.
  7. Kim HR. A study on the attitudes toward the death of nurses who experienced nursing the dying patients [master's thesis]. Seoul: Kyung Hee Univ.; 1995. Korean.
  8. Kim SE. The relationship between intensive care unit nurses' death perception and terminal care performance [master's thesis]. Suwon: Ajou Univ.; 2011. Korean.
  9. Lee KH, Kwon HJ. An analytical study on the major obstacles in nursing care for the dying patients. Off J Res Sci Korea 1983; 15:99-107.
  10. Lee WH, Lee YJ. Hospice volunteer's perception of death. Korean J Hosp Palliat Care 1999;2:101-108.
  11. Cha YR. A study on the nurses' attitude to death in Koreacentering on university hospital in Jeollabuckdo province [master's thesis]. Iksan: Wonkwang Univ.; 2006. Korean.
  12. Ryoo KJ. A study on the attitudes toward death - for nursing care of the terminally III. J Nurs Acad Soc 1974;4:162-178. https://doi.org/10.4040/jnas.1974.4.1.162
  13. Im DS. A study on nursing profession and attitudes toward death of nurses [master's thesis]. Suwon: Ajou Univ.; 2004. Korean.
  14. Eo DY. Nurse's death anxiety and attitude concerning hospice care [master's thesis]. Busan: Catholic Univ. of Busan.; 2010. Korean.
  15. Park SJ. A study on the degree of death orientation and terminal care performance of nurses. J Korean Acad Fundam Nurs 1996;3: 285-297.
  16. Yoon YA. Clinical nurses' perception of death and end of life care stress [master's thesis]. Daegu: Kyungpook National Univ.; 2010. Korean.
  17. Park YE. Correlation between spiritual well-being and attitude to death in hospice nurses [master's thesis]. Busan: Catholic Univ. of Busan.; 2011. Korean.
  18. Cho YC. Emergency nurses' perception of death and terminal care attitude [master's thesis]. Suwon: Ajou Univ.; 2011. Korean.
  19. Noh SS. A study on death perception, terminal care attitude, and terminal care performance of clinical nurses caring for cancer patients [master's thesis]. Seoul: Sungkyunkwan Univ.; 2010. Korean.
  20. Kim MJ. A study on intensive care unit nurses' perception of and attitude towards death [master's thesis]. Seoul: Kyunghee Univ.; 2007. Korean.
  21. Jeon MH. Recognition among nurses and doctors about the death in ER & ICU [master's thesis]. Seoul: Hanyang Univ.; 2008. Korean.
  22. Ham KS. Nurses' Experience of caring for dying children in the Pediatric Intensive Care Unit. Seoul: Hanyang Univ.; 2008. Korean.
  23. Inumiya Y. A study on development of a view of life and death scale and relationships among its elements [dissertation]. Seoul: Korea Univ.; 2002. Korean.
  24. Chang MR. Attitudes toward death in the aged [master's thesis]. Seoul: Ewha Woman's Univ.; 1981. Korean.
  25. Kim JW. Death and life (a study about christian death understanding) [master's thesis]. Seoul: Catholic Univ.; 1982. Korean.
  26. Kim SY. A study on the leisure life satisfaction of the elderly in the urban areas [master's thesis]. Seoul: Sookmyung Women's Univ.; 2000. Korean.
  27. Ahn HR. Determinants of the attitude toward death in the aged of the C city and death education program development. J Korean Acad Psychiatr Ment Health Nurs 1999;8:44-68.
  28. Park SC. A study on the death orientation of hospice volunteers. J Korean Acad Nurs 1992;22:68-80.
  29. Chi KA. Influence of spiritual health, mental health and death orientation on the nurse's attitude toward hospice [master's thesis]. Daejeon: Daejeon Univ.; 2004. Korean.
  30. Ryu HJ. Affect of spiritual health, mental health and perception of death on the nurse's quality of life [master's thesis]. Seoul: Hanyang Univ.; 2007. Korean.
  31. Choi YY. A study on the recognition and preparation for death in elderly [master's thesis]. Seoul: Hanyang Univ.; 2008. Korean.
  32. Suh HK. The relationships among life satisfaction, locus of control, death anxiety as perceived by Korean and American older adults using selected personal demographic variables [dissertation]. Ohio: Ohio state Univ.; 1987. English.
  33. Han MJ. Developmental study of death anxiety according to coping style, locus of control and self-esteem [dissertation]. Seoul: Seoul Women's Univ.; 2001. Korean.
  34. Yang HC. A study on death anxiety of elderly according to internal-external locus of control and perceived social support [master's thesis]. Seoul: Ewha Woman's Univ.; 1991. Korean.
  35. Woo YW. A study on death anxiety, terminal care stress and terminal care performance of nurses [mater's thesis]. Seoul: Chungang Univ.; 2012.
  36. Kim SN, Choi SO, Lee JJ, Shin KI. Effects of death education program on attitude to death and meaning in life among university students. J Korean Soc Health Educ Promot 2005;22:141-153.
  37. Park JE. The effects of death education on the emotion, cognition and behavior of the elderly. J Soc Work Pract 2009;8:79-109.
  38. Kim SH, Kim DH. Nursing students' attitude to death, death-related education experience and educational needs. J Korean Acad Soc Nurs Edu 2011;17:407-415.
  39. Han SO. The ethical attitude related to DNR and attitude to death in a tertiary hospital nurses [master's thesis]. Ulsan: Ulsan Univ.; 2010. Korean.
  40. Kim HK, Nam EM, Lee KE, Lee SN. Awareness and attitude change after end-of-life care education for medical students. Korean J Hosp Palliat Care 2012;15:30-35.

Cited by

  1. Death Perceptions, Death Anxiety, and Attitudes to Death in Oncology Nurses vol.13, pp.4, 2013, https://doi.org/10.5388/aon.2013.13.4.265
  2. A Study on Ethical Attitude to DNR and Terminal Care Performance of Hospital Nurse vol.3, pp.2, 2015, https://doi.org/10.15205/kschs.2015.3.2.361
  3. Factors Influencing Performance of End-of-life Care by ICU Nurses vol.25, pp.4, 2016, https://doi.org/10.12934/jkpmhn.2016.25.4.327
  4. Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals vol.20, pp.1, 2017, https://doi.org/10.14475/kjhpc.2017.20.1.37
  5. Mediating Effects of Empathy and Resilience on the Relationship between Terminal Care Stress and Performance for Nurses in a Tertiary Hospital vol.20, pp.4, 2017, https://doi.org/10.14475/kjhpc.2017.20.4.253
  6. The Farsi translation, reliability and validity of the Death Concern Scale vol.40, pp.2, 2018, https://doi.org/10.1590/2237-6089-2017-0078
  7. 노인요양병원 간호사의 죽음 인식, 영적 안녕과 임종간호 스트레스의 관계 연구 vol.17, pp.6, 2013, https://doi.org/10.5762/kais.2016.17.6.510
  8. 신생아중환자실 간호사의 완화간호에 대한 지식과 태도 및 죽음에 대한 인식 간의 관계 vol.22, pp.4, 2013, https://doi.org/10.4094/chnr.2016.22.4.257
  9. 보건계열 대학생들의 죽음인식에 대한 태도 vol.15, pp.5, 2013, https://doi.org/10.14400/jdc.2017.15.5.241
  10. 근무형태별 간호사의 스트레스와 불안 조사: 타액 코티솔과 자가보고 척도를 이용한 탐색적 연구 vol.19, pp.3, 2013, https://doi.org/10.7586/jkbns.2017.19.3.206
  11. 중환자실 간호사의 죽음에 대한 인식, 임종간호 스트레스 및 임종간호 태도에 관한 연구 vol.24, pp.2, 2013, https://doi.org/10.22650/jkcnr.2018.24.2.255
  12. 중환자실 간호사의 죽음 인식, 임종간호 태도, 정신건강이 임종간호 스트레스에 미치는 영향 vol.25, pp.3, 2013, https://doi.org/10.22650/jkcnr.2019.25.3.323
  13. 중환자실 간호사의 좋은 죽음과 연명의료결정에 대한 인식이 임종간호태도에 미치는 영향 vol.12, pp.2, 2013, https://doi.org/10.34250/jkccn.2019.12.2.39
  14. Factors Influencing Respect for Life and Will of Korean Nursing Students vol.17, pp.11, 2013, https://doi.org/10.14400/jdc.2019.17.11.427
  15. 한국 간호대학생의 생명존중의지에 영향을 미치는 요인 vol.5, pp.4, 2013, https://doi.org/10.17703/jcct.2019.5.4.243
  16. 신규간호사의 죽음불안, 임종간호 스트레스가 직무만족도에 미치는 영향 vol.28, pp.4, 2013, https://doi.org/10.5807/kjohn.2019.28.4.230
  17. 사별가족의 가족 탄력성, 사회적지지, 죽음인식, 죽음의 질이 사별 적응에 미치는 영향 vol.17, pp.12, 2013, https://doi.org/10.14400/jdc.2019.17.12.271
  18. 간호사의 임종간호 태도에 미치는 영향요인 vol.13, pp.1, 2013, https://doi.org/10.34250/jkccn.2020.13.1.76
  19. 요양병원간호사의 죽음인식, 임종간호스트레스와 임종간호수행간의 관계 조사 vol.23, pp.1, 2013, https://doi.org/10.14695/kjsos.2020.23.1.79
  20. Critical Care Nurses’ Perceptions of Parenteral and Enteral Nutrition at the End-of-Life in South Korea vol.35, pp.2, 2013, https://doi.org/10.1177/0825859719863811
  21. 예비노인의 사전연명의료의향서 작성 여부에 따른 죽음불안과 품위있는 죽음태도의 차이 vol.34, pp.2, 2013, https://doi.org/10.5932/jkphn.2020.34.2.251
  22. The Effects of Nurses' Knowledge of Withdrawal of Life-Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment vol.23, pp.3, 2020, https://doi.org/10.14475/kjhpc.2020.23.3.114
  23. 임상실습을 경험한 의과대학생과 일반대학생의 생사관과 영적안녕에 대한 비교연구 vol.20, pp.11, 2013, https://doi.org/10.5392/jkca.2020.20.11.501