한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제34권2호
  • /
  • Pages.211-224
  • /
  • 2020
  • /
  • 1226-0290(pISSN)
  • /
  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

간호대학생의 죽음태도, 죽음불안 및 사전연명의료의향서에 관한 지식

Death Attitude, Death Anxiety and Knowledge toward Advance Directives among Nursing Students

  • 추인희 (부산가톨릭대학교 간호학과) ;
  • 김은하 (부산가톨릭대학교 간호학과)
  • Choo, In Hee (College of Nursing, Catholic University of Pusan) ;
  • Kim, Eunha (College of Nursing, Catholic University of Pusan)
  • 투고 : 2020.04.29
  • 심사 : 2020.07.24
  • 발행 : 2020.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to investigate death attitude, death anxiety, and knowledge toward advance directives of nursing students. Method: Participants were 157 nursing undergraduates in Korea. The students responded to a self-reporting questionnaire that included demographics, Death Attitude Profile-Revised (DAP-R), Revised Death Anxiety Scale (RDAS), and knowledge toward advance directives. The data collection period was December, 9-13, 2019. Data were analyzed by descriptive test, independent t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS/WIN 23.0. Results: The mean scores for death attitude, death anxiety, and knowledge toward advance directives were 2.70±0.58, 2.45±0.49, and 7.94±2.04, respectively. Knowledge toward advance directives was significantly different according to age, grade, and experience of end-of-life care education. Death attitude was significantly associated with death anxiety (r=. 27, p<.001). Conclusion: Knowledge toward advance directive was relatively low compared to the findings of previous studies. Therefore, nursing colleges need to include legal and institutional aspects when writing written letters on advance directive, death attitude, and ethical approaches to death anxiety.

키워드

참고문헌

  1. Black, K. (2007). Health care professionals’ death attitudes, experiences, and advance directives communication behavior. Death Studies, 31, 563-572. https://dx.doi.org/10.1080/07481180701356993
  2. Cho, Y. S., & Chung, B. Y. (2016). Influencing factors on the death attitude of nursing students. Korean Parent Child Health Journal, 19(1), 33-44.
  3. Edo-Gual, M., Toms-Sbado, J., Bardallo-Porras, D., & Monforte-Royo, C. (2014). The impact of death and dying on nursing students: An explanatory model. Journal of Clinical Nursing, 23, 3501-3512. http://dx.doi.org/10.1111/jocn.12602
  4. Hall, N. A., & Grant, M. (2014). Completing advance directives as a learning activity:Effect on nursing students’ confidence. Journal of Hospice & Palliative Nursing, 16(3), 150-157. http://dx.doi.org/10.1097/NJH.0000000000000031
  5. Holms, N., Millingan, S., & Kydd, A. (2014). A study of the lived experiences of registered nurses who have provided end-of-life care within an intensive care unit. International Journal of Palliative Nursing, 20(11), 549-556. https://doi.org/10.12968/ijpn.2014.20.11.549
  6. Jang, N. S., Park, H. S., Kim, M. R., Lee, J. Y., Cho, Y. W., Kim, K. M., et al. (2018). Knowledge, confidence and learning needs regarding advance directives among hospital nurses. Journal of Korean Critical Care Nursing, 11(1), 35-45.
  7. Kim, H. (2013). Attitudes toward death and end-of-life care among nurses in nursing home. Unpublished doctoral dissertation. Seoul National University, Seoul.
  8. Kim, S. H., & Kim, D. H. (2011). Nursing students’ attitude to death, death-related education experience and educational needs. The Journal of Korean Academic Society of Nursing Education, 17(3), 405-413 https://dx.doi.org/10.5977/JKASNE.2011.17.3.405
  9. Kim, S. Y., & Lee, J. I. (2013). Self-transcendence, spiritual well-being, and death anxiety of the elderly. Journal of Korean public health nursing, 27(3), 480-489. http://dx.doi.org/10.5932/JKPHN.2013.27.3.480
  10. Kwon, I. H. (2018). Comparison on awareness of good death and knowledge and attitude of advance directives of nursing students and non-nursing students in universities. Unpublished master's thesis. Koshin University, Busan.
  11. Lee, H. J., Ha, J. H., & Yun, J. (2019). Nursing students’ knowledge, attitude to advance medical directives and ethics values. Journal of Korean Academy of Nursing Administration, 25(4), 282-291. https://dx.doi.org/10.11111/jkana.2019.25.4.282
  12. Lee, M. S., & Choi, H. J. (2016). Factors influencing death anxiety in elderly patients in long-term care hospitals. Journal of Korean Gerontological Nursing, 18(3), 138-146. https://doi.org/10.17079/jkgn.2016.18.3.138
  13. Lee, J. I. (2012). Factors influencing death anxiety in the middle aged. Journal of Korean Public Health Nursing, 26(3), 572-580. http://dx.doi.org/10.5932/JKPHN.2012.26.3.572
  14. Lee, S. W., Lee, S. Y., Lee, Y. W., Kuwano. N., Ando, M., Hayashi, M., et al. (2012). Comparison of attitudes toward death among nursing students from South Korea, Japan and Indonesia. The Korean Journal of Hospice and Palliative Care, 15(4), 212-221. https://dx.doi.org/10.14475/kjhpc.201.15.4.212
  15. Lee, Y. E., Choi, E. J., & Park, J. S. (2012). Effects of hospice and palliative care education on knowledge of hospice and palliative care and attitude toward death in nursing students. Journal of Korean public health nursing, 26(2), 280-288. http://dx.doi.org/10.5932/JKPHN.2012.26.2.280
  16. Lim, S. J., & Song, S. H. (2012). Effects of death attitude on death anxiety. The Korean Contents Society, 12(5), 243-255. https://doi.org/10.5392/JKCA.2012.12.05.243
  17. Ministry of Government Legislation. (2016, February). Act on Hospice-palliative Care and Life-sustaining Treatment Decision-making. Retrieved February 15, 2020, from http://www.law.go.kr/lsInfoP.do?lsiSeq=180823#0000
  18. Oh, M. N., & Choi, W. S. (2005). A study on self-esteem, death anxiety and depression of the elderly in home and facilities. Journal of the Korean Home Economics Association, 43(3), 105-118.
  19. Osterlind, J., Prahl, C., Westin, L., Strang, S., Bergh, I., Henoch, I., et al. (2016). Nursing students’ perceptions of caring for dying people, after one year in nursing school. Nursing Education Today, 41, 12-16. https://doi.org/10.1016/j.nedt. 2016.03.016
  20. Park, J. A., Lee, J. H., Park, C. K., & Lee, Y. J. (2018). Factors influencing death anxiety of nursing students. Journal of the Korean Data & Information Science Society. 29(5), 1227-1242. http://dx.doi.org/10.7465/jkdi.2018.29.5.1227
  21. Park, Y. S., & Kim, J. H. (2017). Influence of attitude to death and resilience on terminal care attitude among Korean nursing students. The Journal of Korean Academic Society of Nursing Education, 23(1), 37-47. http://dx.doi.org/10.5977/jkasne.2017.23.1.37
  22. Ranse, K., Ranse, J., & Pelkowitz, M. (2018). Third-year nursing students’ lived experience of caring for the dying: A hermeneutic phenomenological approach. Contemporary Nurse, 54(2), 160-170. https://dx.doi.org/10.1080/10376178.2018.1461572
  23. Razban, F., Iranmanesh, S., Aliabadi, H. E., & Forouzi, M. A. (2016). Critical care nurses' attitude towards life-sustaining treatments in South East Iran. World Journal of Emergency Medicine, 7(1), 59-64. http://dx.doi.org/10.5847/wjem.j.1920-8642.2016.01.011
  24. Sahin, M., Demirkiran, F., & Adana, F. (2016). Nursing students’ death anxiety influencing factors and request of caring for dying people. Journal of Psychiatric Nursing, 7(3), 135-141. http://dx.doi.org/10.5505/phd.2016.66588
  25. Seo, Y. M., & Shin, S. J. (2019). The relationship among attitudes toward the withdrawal of life-sustaining treatment, death anxiety, and death acceptance among hospitalized elderly cancer patients. Asian Oncology of Nursing, 19(3), 142-149. https://doi.org/10.5388/aon.2019.19.3.142
  26. Statistics Korea (2019, November). Preliminary results of birth and death statistics in 2018. Retrieved April 20, 2020, from http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=377606&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=.
  27. Thorson, J. A., & Powell, F. C. (1994). A revised death anxiety scale, In R. A. Neimeyer (Eds.), Death Anxiety Handbook: Research, Instrumentation, and Application (pp. 31-43), Washington, DC: Taylor & Francis.
  28. Tuzer, H., Kirca, K., & Ozveren, H. (2020). Investigation of nursing students' attitudes toward death and their perceptions of spirituality and spiritual care. Journal of Religion and Health, 59, 2177-2190. https://doi.org/10.1007/s10943-020-01004-9
  29. Wong, P. T. P., Reker, G., & Gesser, G. (1994). The death attitude profile-revised (DAP-R): a multidimensional measure of attitude towards death. In R. A. Neimeyer (Eds.), Death anxiety handbook: research, instrument and application (pp. 121-148). Washington, DC: Taylor & Francis.
  30. Yu, E. Y., Yang, Y. J., & Jung, E. Y. (2017). Attitudes toward death awareness among department of health university students. Journal of Digital Convergence, 15(5), 241-251. https://dx.doi.org/10.14400/JDC.2017.15.5.241