Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Influence of Moral Behavior, Biomedical Ethics Consciousness, and Death Attitudes on Hospice Awareness in Nursing Freshman

간호학과 1학년의 도덕적 행동, 생명의료윤리 의식, 죽음 태도가 호스피스 인식에 미치는 영향

  • Received : 2020.11.02
  • Accepted : 2021.01.20
  • Published : 2021.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to provide basic data for developing hospice intervention strategies that can enhance hospice care perception plus attitude toward death of nursing students by grasping the factors affecting the perception of first grade students. Data were collected from 185 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Hospice care perception was correlated to moral behavior (r=.22, p=.002) and biomedical ethics consciousness (r=.29, p<.001). The most influential factor on the subjects' hospice care perception was biomedical ethics consciousness (β=.224, p=.012), followed by high financial competence of parents (β=.187, p=.027). The explanatory power was 11.5%. Therefore, systematic programs that can enhance moral behavior and biomedical ethics consciousness are necessary to promote awareness of hospice care. Also, the following data can be utilized as basic data to help develop hospice education programs.

본 연구는 간호학과 1학년을 대상으로 호스피스 인식에 미치는 영향을 파악하여 간호대학생의 호스피스 인식과 죽음에 대한 태도를 향상시킬 수 있는 호스피스완화 간호중재 및 전략을 위한 기초자료를 제공하고자 시도되었다. G도에 소재한 J대학 간호학과 185명을 대상으로 자료수집 하였다. IBM SPSS WIN/25.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 호스피스 인식은 도덕적 행동(r=.22, p=.002), 생명의료윤리 의식(r=.29, p<.001)과 상관관계가 있었다. 대상자의 호스피스 인식에 가장 영향을 미치는 요인은 생명의료윤리 의식(β=.224, p=.012), 그 다음으로, 부모님의 경제력(상)(β=.187, p=.027) 순이었다. 설명력은 11.5%이었다. 본 연구결과를 토대로 호스피스 인식 제고를 위한 대학생활 동안 도덕적 행동과 생명의료윤리 의식을 향상시킬 수 있도록 체계적인 프로그램이 필요하며, 호스피스 교육 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

Keywords

References

  1. S. Y. Kim, S. S. Hur, B. H. Kim. (2014). Study of subjective view on the meaning of well-dying held by medical practitioners and nursing students: Based on Q-methodology. Korean Journal of Hospice and Palliative Care, 17(1), 10-17. DOI : 10.14475/kjhpc.2014.17.1.10
  2. M. K. Cho. (2013). A comparative study on the consciousness of bio-medical ethics of nursing and non-nursing students. Journal of Digital Convergence, 11(4), 311-320. https://doi.org/10.14400/JDPM.2013.11.4.311
  3. M. H. Lim, & C. S. Park. (2014). Factors affecting the consciousness of biomedical ethics of nursing students. Journal of the Korea Academia-Industrial cooperation Society, 15(7), 4423-4431. DOI : 10.5762/KAIS.2014.15.7.4423
  4. M. Y. Moon, & A. H. Jaung. (2012). Correlation between the nursing practice and consciousness of biomedical ethics of nursing students. Journal of the Korean Bioethics Association, 13(2), 49-62.
  5. M. S. Kim. (2015). Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students. Journal of Korean Academic Society of Nursing Education, 21(3), 382-392. DOI : 10.5977/jkasne.2015.21.3.382
  6. S. J. Lee. (2001). A study of the relationship between multiple intelligences and prosocial behavior of children. Master's Thesis, Sookmyung Women's University.
  7. K. H. Jo, & Y. J. Kim. (2013). The Impact of Nurses' Attitude toward Dignified Death and MoralSensitivity on Their End-of-Life Care Performance. The Korean Journal of Hospice and Palliative Care, 16(4), 223-231. DOI :10.14475/kjhpc.2013.16.4.223
  8. M. S. Yoo, & K. C. Shon. (2011). Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral judgement of nursing students. Journal of the Korean Bioethics Association, 12(2), 61-76.
  9. Y. H. Kim, Y. S. Yoo, O. H. Cho. (2013). Nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. The Korean Journal of Hospice and Palliative Care, 16(1), 1-9. https://doi.org/10.14475/kjhpc.2013.16.1.001
  10. Y. J. Lee, & Y. S. Kim. (2017). Nursing student's euthanasia and DNR perception and attitude according to completion of bioethics education. Journal of Health Informatics and Statistics, 45(1), 100-112. DOI : 10.21032/jhis.2020.45.1.100
  11. Y. J. Lee, G. H. Jo, & H. J. Lee. (2005). Effects of significant other's death on high-touch major students. Korean Journal of Youth Counseling, 13, 113-24.
  12. Y. J. No, S. S. Han, S. H. Ahn, & C. G. Kim. (1994). Hospice and Death, Seoul: Hyeonmunsa.
  13. N. J. Je, M. R. Park. (2020). The effects of nursing college students' moral self, moral behavior, self-control, empathy, and interpersonal competence on nursing professionalism in age of convergence. Journal of Digital Convergence, 18(8), 361-370. DOI : 10.14400/JDC.2020.18.8.361
  14. M. Y. Kim, M. Y. Mun. (2018). Impact of biomedical ethics awareness and ethical values in nursing student on their attitudes towards DNR. The Korean Journal of Hospice and Palliative Care, 21(4), 115-123. DOI : 10.14475/kjhpc.2018.21.4.115
  15. G. M. Edo. R. C. Monforte. H. A. Aradilla, & S. J. Tomas. (2015). Death attitude and positive coping in spanish nursing undergraduate: A cross- sectional and correlational study. Journal of Clinical Nursing, 24(17-18), 2429-2438. https://doi.org/10.1111/jocn.12813
  16. J. G. Kim, S. M. Oh, E. Y. Cheon, & J. H. Yoo. (2016). Factors influencing the attitude toward death in college nursing student. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 676-683. DOI : 10.5762/KAIS.2016.17.1.676
  17. Y. E. Lee, E. A. Choi, & K. E. Lee. (2015). Spiritual well-being, attitude to death and perception of hospice care in college students. The Korean Journal of Hospice and Palliative Care, 18(4), 294-305. DOI : 10.14475/kjhpc.2015.18.4.294
  18. F. Faul, E. Erdfelder, A. Buchner, & A. G. Lang. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods. 41(4), 1149-1160, DOI : 10.3758/BRM.41.4.1149
  19. S. Y. Park. (2017). Development and Validation of the College Life Adjustment Instrument for Nursing Students. Doctor's Dissertation, Dankook University.
  20. S. J. Lee. (2001). A Study of the Relationship between Multiple Intelligences and Prosocial Behavior of Children. Master's Thesis, Sookmyung Women's University.
  21. S. J. Kwon. (2003). A Study on the Consciousness of Biomedical Ethics of the Nursing Students and Medical Students. Master's Thesis, Keimyung University.
  22. Y. J. Lee, & I. O. Moon. (2015). Development and testing of the short form biomedical ethics scale. Global Health Nursing, 5(2), 67-77.
  23. S. C. Park. (1992). A Study on the death orientation of hospice volunteers. Journal of Korean Academy of Nursing, 22, 68-80.
  24. M. S Kim, C. S. Lee, & H. C. Kim. (2007). The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. Journal Korean Oncology Nursing, 7(2), 131-139.
  25. K. A. Choi. (2011) Perception of Hospice and Attitude to Death of the Adults in a Local Area. Master's Thesis, Kosin University.
  26. M. O. Suh. (2007). The pathways to moral behavior in an undergraduates: Based on the rest's four component model. Korean Journal of Educational Research, 45(3), 25-51. UCI : G704-000614.2007.45.3.009
  27. G. H. Song. (2013). Analysis of the Structural Relationship among Moral Self, Self-Control, Empathy, and Moral Behavior of University Students. Doctor's Dissertation, Dong-A University.
  28. M. R. Park, & N. J. Je. (2018). The difference of biomedical ethics consciousness, related knowledge, awareness, and attitude of nursing college students according to the completion of biomedical ethics education. Journal of the Korea Academia-Industrial cooperation Society, 19(11), 137-147. DOI : 10.5762/KAIS.2018.19.11.137
  29. S. H. Kim, & M. H. Lee. (2017). The influence of moral sensitivity of emergency medical technology students on biomedical ethics. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(3), 757-764. DOI : 10.14257/AJMAHS.2017.03.18.
  30. H. Y. Jung, & K. I. Jung. (2012) A study on the consciousness of biomedical ethics of freshmen nursing students. The Korean Journal of Health Service Management 6(4), 37-48. DOI : 10.12811/kshsm.2012.6.4.037
  31. Y. J. Jung. (2019). The Effect of Nursing student's Knowledge of Life-Sustaining Treatment plan, Consciousness of Biomedical Ethics, Perception of Hospice on the attitude toward Withdrawal Life-Sustaining Treatment. Master's Thesis, Kosin University.
  32. Y. S. Kim. (2014). Attitude of death, perception on hospice and attitudes of DNR by nursing students in an area. The Korean Journal of Health Service Management, 8(3), 219-228. DOI : 10.12811/kshsm.2014.8.3.219
  33. S. H. Kim, & D. H. Kim. (2011). Nursing students` attitude to death, death-related education experience and educational needs. The Journal of Korean Academic Society of Nursing Education, 17(3), 407-415.
  34. S. O. Kim. (2018). Attitude to death and hospiece perception in nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(4), 691-700. DOI : 10.21742/AJMAHS.2018.04.11
  35. M. S. Kim. (2019). Perception on hospice and attitude to death for university students. The journal of Convergence on Culture Technology, 5(4), 115-121.
  36. Y. E. Lee, E. A. Choi, & K. E. Lee. (2015). Spiritual welling-being, attitude to death and perception of hospice care in college students. The Korean Journal of Hospice and Palliative Care, 18(4), 294-305. DOI : 10.14475/kjhpc.2015.18.4.294
  37. M. Y. Ham, S. H. Lim, & S. J. Ko. (2017). Effect of hospice education including a death preparing education program on perception of death, attitude of death and terminal care attitude among nursing students. Korean Association for Learner-centered Curriculum and Instruction, 17(9), 361-380. DOI : 10.22251/jlcci.2017.17.9.361
  38. S. N. Kim, H. J. Kim, & S. O. Choi. (2011) Effects of a hospice and palliative care education program including meaning in life on attitudes toward end-of-life care and meaning in life among nursing college students. The Journal of Korean Academic Society of Nursing Education, 17(3), 454-463. https://doi.org/10.5977/JKASNE.2011.17.3.454