Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Good Death awareness and Spiritual Well-being on Elderly Nursing Performance of Geriatric Hospital Nursing providers

요양병원 간호제공자의 좋은 죽음인식, 영적안녕이 노인간호수행에 미치는 영향

  • Song, Eun-Haeng (Department of Family Nursing Center, Daeshin Medical) ;
  • Lee, Hye-Kyung (Department of Nursing Science, Kongju National University)
  • Received : 2019.08.28
  • Accepted : 2019.09.28
  • Published : 2019.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the good death awareness, spiritual well-being, and elderly nursing performance of geriatric hospital nursing providers, and the factors affecting the elderly nursing performance. The subjects were collected from 176 nursing providers in 5 Geriatric hospitals located in D, S, and C provinces. Collected data were analyzed by means, standard deviation, t-test, ANOVA, pearson correlation, and multiple regression analysis using spss 22.0. The result showed that good death awareness was 3.15 out of 4 points, spiritual well-being was 4.11 out of 6 points, and 4.15 out of 5 points for elderly nursing performance. There was a positive correlation between the elderly care performance and good death awareness (r=.19, p=.011) and spiritual well-being (r=.23, p=.002). The factors affecting the performance of elderly nursing were good death perception(${\beta}=.18$, p=.015) and spiritual well-being(${\beta}=.18$, p=.013). Based on the results of this study, it is necessary to develop an intervention program that considers good death and spiritual well-being in order to improve the elderly nursing care performance of geriatric hospital Nursing providers.

본 연구의 목적은 요양병원 간호제공자의 좋은 죽음인식, 영적안녕, 노인간호수행 정도를 파악하고 노인간호수행에 미치는 영향요인을 파악하기 위함이다. 연구대상은 D광역시, S시, C도에 위치한 요양병원 5곳의 간호제공자 176명을 대상으로 구조화된 설문지를 이용하여 자료 수집하였다. 수집된 자료는 SPSS 22.0을 이용하여 평균, 표준편차, t-test, ANOVA, Pearson correlation, 다중회귀분석을 통해 분석하였다. 연구결과 좋은 죽음인식은 평균점수 4점 만점에 3.15점, 영적안녕은 6점 만점에 4.11점, 노인간호수 행 정도는 5점 만점에 4.15점으로 나타났다. 노인간호수행과 좋은 죽음인식(r=0.19, p=.011), 영적안녕(r=0.23, p=.002)과의 관계는 정적 상관관계가 있었다. 노인간호수행에 영향을 미치는 요인으로 좋은 죽음인식(${\beta}=.18$, p=.015) 영적안녕(${\beta}=.18$, p=.013)순 이었다. 본 연구결과를 바탕으로 요양병원 간호제공자의 노인간호수행 향상을 위하여 좋은 죽음인식, 영적안녕을 고려한 중재프로그램 개발이 필요하다.

Keywords

References

  1. Statistics Korea. 2018 Elderly statistics. http://kostat.go.kr/portal/korea/kor_nw/
  2. Ministry of Health and Welfare. 2017 Geriatric Survey Report. (2017)
  3. Statistics Korea. Life expectancy (life expectancy at age 0) and life expectancy (excluding health); 2016 Life table Internet]. Daejeon [cited 2017. Dec 5] Available From: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758
  4. B. R. Joung, H. O. Park, "Nurses' Death Perception and Terminal Care Performance in Long-term Care Hospital", Keimyung Journal of Nursing Science Vol.20, No.1 pp.1-12, (2016).
  5. Statistics Korea. Status of Care Institutions by City [Internet]. Daejeon [cited 2019. July 22] Available From: http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&vw_cd=MT_ZTITLE&list_id=354_MT_DTITLE&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  6. S.M. Kim, S.H. Jeong, M. H, Lee, H. K. Kim, " Importance, Performance and Rates of Nurse Performance of Nursing Interventions in Long-term Care Hospitals", Journal of Korean Academy of Nursing Administration, Vol.23, No.4 pp. 359-372, (2017). https://doi.org/10.11111/jkana.2017.23.4.359
  7. Ministry of Health and Welfare. (2014). 2014 17th Health Insurance Policy Review Committee [Internet]. Sejeong [cited 2014 Oct 21], Available From: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=306036
  8. Statistics Korea. 2016 Care Hospital Manpower Status (Nurse and Others) [Internet]. Daejeon [cited 2016 Feb 5] Available From: http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA4A&vw_cd=MT_ZTITLE&list_id=354_MT_DTITLE&conn_path=F0&path=
  9. M. S. An, K. J. Lee, "Awareness of Good Death and Attitudes toward Terminal Care among Geriatric Hospital Nurses", Korean Journal of Hospital Palliat Care Vol. 17, No. 3 pp. 122-133,(2014). http://dx.doi.org/10.14475/kjhpc.2014.17.3.122
  10. I .J. Seo, "Meaning of Life for Hospital Nurses in Korea", Catholic University of Pusan. pp. 44, (2011).
  11. Kasuh H. Education to prepare for death, p218, Muneumsa Publishers, (1998).
  12. G. J. Lee, K. H. Hwang, J. R. Ra, J. A. Hong, C. S. Park, "Concept Analysis Good Death", Research Institute for Hospice/Palliative Care, Vol. 10, pp.23-39, (2006)
  13. Y. S. Yoo, S. S. Han, J. U. Hong, S. M. Lee, M. J. Seo, C. S. Park, "Spiritual Care and Spiritual Wellness of Hospice Team Members", Journal Korean Academy Fundamentals of Nursing, Vol.13, No. 2 pp.285-293,(2006).
  14. M. I. Vachon, "Meaning Spirituality and Wellness in Cancer Survivors", Seminars in Oncology Nursing, Vol. 24 No. 3 pp. 218-225, (2008) https://doi.org/10.1016/j.soncn.2008.05.010
  15. Vaughan, F. The inward arc: Healing and wholeness in psychotherapy and spirituality. Boston: New. Science Library. (1985).
  16. Ruth. H. Folta, "Spiritual care: The role of Christian medical and Christian nurses, hyeonmunsa, Publishers, p.349, (1995).
  17. H. E. Kim, "Nurses' Knowledge and Attitude of the Elderly, and Performance on Elderly Care", Unpublished master's thesis, Catholic University, p.70, (2009).
  18. M. Bourbonniere, N. E. Strumpf, "Enhancing geriatric nursing competencies for RNs in nursing homes", Research in Gerontological Nursing. Vol. 1 No. 3, pp.171-175, (2008) https://doi.org/10.3928/00220124-20091301-02
  19. E. H. Lee, "The Analysis of Nurses' Knowledge, Attitude, Experience and Care Performance for the Elderly", Unpublished master's thesis, Chung Ang University, p.89, (2012).
  20. S. S. Noh, C. K. Lee, Y. H. Sung, "Predictors of Terminal Care Performance of Clinical Nurses for Cancer Patients", Journal of Korean Critical Care Nursing Vol.9, No.2 pp.61-70, (2016).
  21. H. J. Shin, "The Influence of Performance of Terminal Care on Professionalism and Good Death Awareness in Clinical Nurses", Unpublished master's thesis, Chungju National University, p.65, (2012)
  22. H. S. Kim, " End-of-life Care Stress, Spiritual Well-being and Burnout among Critical Care Nurses", Unpublished master's thesis, Catholic University, p.33, (2014).
  23. M. H. Sung, "Effects of spiritual well-being on spiritual nursing intervention", Journal of Korean oncology nursing, Vol. 9, No.1 pp.15-22, (2009)
  24. Schwartz CE, Mazor K, Rogers J, Ma Y, Reed G, "Validation of a new measure of concept of a good death", Journal of Palliative Medicine, Vol. 6, No. 4, pp.575-584.(2003). https://doi.org/10.1089/109662103768253687
  25. Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and quality of life. In L. A. Peplau, D. Perlman (Eds.), Loneliness: A cource book of current theory, research & therapy, NY: John Wiley & Sones.
  26. S. D. Cheung, J. B. Lee, H. B. Park, J. S. Kim, D.S. Bai, K. H. Lee, J. K. Sagong, C. J. Song, J. W. Bai, "A Study on Reliability and Validity of the Korean Version of Spiritual Well Being Scale", Journal of Korean Neuropsychiatry Assoc, Vol 40, No 2, pp. 230-242, (2001).
  27. H. S. Jeong, "Recognition towards Good death among Physicians and Nurses in an area", Unpublished master's thesis, Catholic University of Pusan, p.53, (2010).
  28. L. J. Lee, H. S. Park, "Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals", Korean Journal of Hospice and Palliative Care, Vol. 20, No. 1, pp.37-45, (2017) https://doi.org/10.14475/kjhpc.2017.20.1.37
  29. J. Y. Han, "Perception of Good Death and Attitudes toward Death between ER Nurses and Coroners", Korean journal of hospice and palliative care, Vol. 18 No. 1, 2015년, pp.16-24, (2015). https://doi.org/10.14475/kjhpc.2015.18.1.16
  30. J. H. Yang, S. R. Shin, "A study of Relationship between Death Perception, Spiritual Well Being and Terminal Care Stress of Geriatric Hospital Nurses", Journal of the Korea Academia-Industrial cooperation Society Vol. 17, No. 6 pp. 510-520, (2016). https://doi.org/10.5762/KAIS.2016.17.6.510
  31. S. J. Shin, M. H. Choi, " A Study for The Spiritual Well-being and The Spiritual Nursing Care of Nurses", Nursing Science Research Institute Dept. of Nursing College of Medicine Chung-Ang University, Vol. 8. No.1 pp.15-26, (2004).
  32. M. O. Yoon, "The Spiritual Well-Being and the Spiritual Nursing Care of Nurses for Cancer Patients", Korean journal of hospice and palliative care, Vol. 12 No.2 pp.72-79, (2009). https://doi.org/10.14475/kjhpc.2009.12.2.72
  33. S. S. Lim, "A Study of Spiritual Well-being and the Spiritual Nursing care of Nurses", Unpublished master's thesis, Han-yang University, p.63, (2009).
  34. H. M. Chochinov, B. J. Cann, "Intervention to enhance the spiritual aspects of dying", Journal of Palliative Medicine, Vol. 8 No. 1 pp.103-115, (2005). https://doi.org/10.1089/jpm.2005.8.s-103
  35. S. H. Lee. "Spiritual Well-being and Nursing Performance of Clinical Nurses", Unpublished master's thesis, Hanyang University, p.66, (2009).
  36. J. S. Jun, "Spiritual well-being, Attitude towards Death and Perception of Hospice among Nurses", Unpublished master's thesis, Catholic University of Pusan, p.55, (2014).