Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Knowledge, Confidence, and Learning Needs Regarding Advance Directives among Hospital Nurses

상급종합병원 간호사의 사전연명의료의향서에 대한 지식, 자신감 및 교육요구도

  • Jang, Nan-Soon (Medical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Park, Hae-Sook (Surgical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Kim, Mi-Ra (Medical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Lee, Joo-Yeon (Medical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Cho, Yeo-Won (Surgical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Kim, Kyoung-Mi (Medical Intensive Care Unit, Chung-Ang University Hospital) ;
  • Son, Youn-Jung (Red Cross College of Nursing, Chung-Ang University)
  • 장난순 (중앙대학교 병원 내과계 중환자실) ;
  • 박해숙 (중앙대학교 병원 외과계 중환자실) ;
  • 김미라 (중앙대학교 병원 내과계 중환자실) ;
  • 이주연 (중앙대학교 병원 내과계 중환자실) ;
  • 조여원 (중앙대학교 병원 외과계 중환자실) ;
  • 김경미 (중앙대학교 병원 내과계 중환자실) ;
  • 손연정 (중앙대학교 적십자간호대학)
  • Received : 2018.01.02
  • Accepted : 2018.01.30
  • Published : 2018.02.28
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Abstract

Purpose : Nurses' knowledge regarding advance directives may affect their administration of and confidence towards end of life care. This study aimed to describe the relationships of knowledge, confidence, and learning needs with advance directives among hospital nurses. Method : This cross-sectional study was performed at a tertiary university hospital in Seoul between September 25 and October 14, 2017. Convenience sampling was used to recruit nurses who provided bedside care and had at least 1 year of clinical experience. We used a validated self-report questionnaire. Results : The mean score of knowledge, confidence and learning needs were $5.00{\pm}1.73$, $29.81{\pm}7.52$, and $64.54{\pm}8.48$ respectively. Hospital nurses' knowledge, confidence and learning needs were significantly different according to age, job position, educational level and perceived advance directives. Knowledge regarding advance directives was significantly associated with confidence (r = .27, p < .001) and learning needs (r = .16, p = .005). Conclusion : Knowledge regarding advance directives was relatively low compared to the findings of previous studies. Therefore, nurses should be knowledgeable and encouraged to initiate advance directives. It is necessary to develop a standardized educational program regarding advance directives based on Korean cultures.

Keywords

References

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