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간호대학생의 좋은 죽음 인식, 자아존중감, 연명치료 중단에 대한 태도가 생명의료윤리 의식에 미치는 영향

Effect of good death cognition, self esteem, attitude toward withdrawal of life-sustaining treatment on the consciousness of biomedical ethics of nursing students

  • 박효진 (경남정보대학교 간호학과) ;
  • 양현주 (창신대학교 간호학과) ;
  • 변은경 (경남정보대학교 간호학과)
  • 투고 : 2021.06.02
  • 심사 : 2021.07.28
  • 발행 : 2021.08.31

초록

본 연구는 간호대학생을 대상으로 좋은 죽음 인식, 자아존중감, 연명치료 중단에 대한 태도가 생명의료윤리 의식에 미치는 영향을 확인하기 위해 시도되었다. 연구참여자는 B시의 간호대학생 154명을 대상으로 하였다. 자료분석은 SPSS 22.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 대상자의 생명의료윤리 의식은 2.87±0.26점이었고, 일반적 특성에 따른 생명의료윤리 의식의 차이를 분석한 결과 종교(t=-2.90, p=.004)에서 유의한 차이를 나타냈다. 연구대상자의 생명의료윤리 의식은 좋은 죽음 인식(r=.27, p=.001), 자아존중감(r=.36, p<.001)과는 정적상관관계를, 연명치료 중단에 대한 태도(r=-.27, p<.001)와는 부적상관관계를 나타냈다. 대상자의 생명의료윤리 의식에 영향을 미치는 요인은 좋은 죽음 인식(β=.26, p<.001), 자아존중감(β=.29, p<.001), 연명치료 중단에 대한 태도(β=-.30, p<.001), 종교(β=.20, p=.004)로 나타났고, 설명력은 28.7%로 나타났다. 본 연구결과를 통하여 간호대학생을 대상으로 생명의료윤리 의식에 영향을 미치는 요인을 확인하기 위한 반복연구가 필요하다.

The purpose of this study was to investigate the effect of good death recognition, self-esteem, attitude toward withdrawal of life-sustaining treatmenton the consciousness of biomedical ethics in nursing students. Data were collected from 154 nursing students in B city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 22.0. The degree of consciousness of biomedical ethics in nursing students was 2.87±0.26. There were significant differences in consciousness of biomedical ethics with respect to religion(t=-2.90, p=.004). There was positive correlation between consciousness of biomedical ethics and good death recognition(r=.27, p=.001), self-esteem(r=.36, p<.001), negative correlation between consciousness of biomedical ethics and attitude toward withdrawal of life-sustaining treatment(r=-.29, p<.001). The factors affecting consciousness of biomedical ethics of the study subjects were good death recognition(β=.26, p<.001), self-esteem(β=.29, p<.001), attitude toward withdrawal of life-sustaining treatment(β=-.30, p<.001), religion(β=-.20, p=.004), with an explanatory power of 28.7%. Through this research requires the fellow study to determine the factors affecting consciousness of biomedical ethics of nursing students.

키워드

참고문헌

  1. J.S. Yang, and M.J. Koo, "Bioethics education in the university: centering to the case Daegu university", Journal of the Korean Bioethics Association, Vol. 10, No. 1, pp. 1-16, 2009.
  2. S.H. Ahn, "Quantitative analysis of ethics research within the Korean nursing community", Korean Journal of Medical Ethics, Vol. 12, No. 3, pp. 261-274, 2009. DOI: https://doi.org/10.35301/ksme.2009.12.3.261
  3. K.Y. Park, "Organ transplantation and biomedical ethics", Korean Journal of Medical Ethics Education, Vol. 3, No. 1, pp. 13-24, 2000.
  4. Y.S. Kim, "Study on the comparison of consciousness on ethics between clinical nurses and student nurses", Master's Thesis, Gyeonsang National University, Jinju, 2000.
  5. M.L. Olsen, K.M. Swetz, and P.S. Mueller, "Ethical decision making with end-of-life care: palliative sedation and withholding or withdrawing life-sustaining treatment", Mayo Clinic Proceedings, Vol. 85, No. 10, pp. 949-954, 2010. DOI: https://doi.org/10.4065/mcp.2010.0201
  6. G.E. Watkinson, "A study of the perception and experiences of critical care nurses in caring for potential and actual organ donors: implications for nurses education", Journal of Advanced Nursing, Vol. 22, No. 5, pp. 929-940, 1995. DOI: http://doi.org/10.1111/j.1365-2648.1995.tb02645.x
  7. J.A. Yang, "Factors influencing attitude toward withdrawal of life-sustaining treatment among nursing students", Journal of Convergence for Information Technology, Vol. 10, No. 12, pp. 226-235, 2020. DOI: https://dx.doi.org/10.22156/CS4SMB.2020.10.12.226
  8. H.C. Kim, "The attitude of death among adolescents", Master's Thesis, Yonsei University, Seoul, 2006.
  9. F.J. Shih, M.L. Gau, Y.S. Lin, S.J. Pong, and H.R. Lin, "Death and help expected from nurses when dying", Nursing Ethics, Vol. 13, No. 4, pp. 360-375, 2006. DOI: https://doi.org/10.1191/0969733006ne881oa
  10. E.K. Byun, H.R. Choi, A.L. Choi, N.M. Kim, K.H. Hong, and H.S. Kim, "An investigative research on the attitudes of intensive care unit nurses and families on terminating life support", Journal of the Korean Clinical Nursing Research, Vol. 9, No. 1, pp. 112-124, 2003.
  11. E.J. Choi, and H.S. Jeong, "The effect of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on the attitude toward withdrawal of life-sustaining treatment", Journal of the Korean Academia-Industrial cooperation Society, Vol. 19, No. 5, pp. 275-284, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.5.275
  12. GJ. Lee, K.H. Hwang, J.R. Ra, J.A. Hong, and C.S. Park, "Concept analysis of good death", Journal of Research Institute for Hospice & Palliative Care, Vol. 10, pp. 23-39, 2006.
  13. M. Rosenberg, "Society and the adolescent self-image", Princeton University Press, Priceton NJ, 1965. DOI: https://doi.org/10.1515/9781400876136
  14. H.S. Kim, and S.R. Shin, "The influence of social support among community dwelling elderly and their attitude towards the withdrawal of life-sustaining treatment: a mediating effect self-esteem", The Journal of Korean Academic Society of Adult Nursing, Vol. 29, No. 4, pp. 373-381, 2017. DOI: https://dx.doi.org/10.7475/kjan.2017.29.4.373
  15. Y.H. Kwon, "Factors Affecting the consciousness of biomedical ethics of the nursing students", Journal of Korean Academic of Public Heath Nursing, Vol. 23, No. 2, pp. 262-272, 2009.
  16. E.A. Kim, H.Y. Park, and S.E. Choi, "The influence of moral sensitivity and critical thinking dispositions on biomedical ethics awareness of nursing students", Korean Journal of Medical Ethics, Vol. 17, No. 2, pp. 144-158, 2014. DOI: https://dx.doi.org/10.35301/ksme.2014.17.2.144
  17. M.S. Kim, "Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students", Journal of Korean Academic Society of the Nursing Education, Vol. 21, No. 3, pp. 382-392, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.3.382
  18. J.H. Bae, "Biomedical ethics awareness and its related factors in nursing students", Journal of the Korea Entertainment Industry Association, Vol. 12, No. 1, pp. 271-278, 2018. DOI: http://doi.org/10.21184/jkeia.2018.1.12.1.271
  19. K.A. Kim, and G.S. Jeong, "Effects of biomedical ethics education on moral sensitivity, critical thinking and biomedical ethics awareness of nursing students", Journal of the Korean Academia -Industrial cooperation Society, Vol. 20, No. 2, pp. 240-249, 2019. DOI: http://doi.org/10.5762/KAIS.2019.20.2.240
  20. C.E. Schwartz, K. Major, J. Rogers, M.A. Yunshen, and G. Reed, "Validation of a new measure of concept of a good death", Journal of Palliative Medicine, Vol. 6, No. 4, pp. 575-584, 2003. DOI: https://doi.org/10.1089/109662103768253687
  21. H.S. Jeong, "Recognition towards good death among physicians and nurses in an area", Master's Thesis, Catholic University of Pusan, Busan, 2000.
  22. B.J. Jeon, "Self-esteem: a test of its measurability", Yonsei Nonchong, Vol. 11, No. 1, pp. 107-130, 1974.
  23. G.S. Park, "The study of consciousness of euthanasia among health professionals: Q-methodological appoach, Master's Thesis, Dankook University, Seoul, 2000.
  24. Y.S. Lee, "A study of the ethical values of Korean nurses", The Journal of Nurses Academic Society, Vol. 20, No. 2, pp. 249-270, 1990. DOI: https://doi.org/10.4040/jnas.1990.20.2.249
  25. S.J. Kwon, "A study on consciousness of bioethics of the nursing students and medical students", The Master's Thesis, Keimyung University, Daegu, 2003.
  26. K.N. Kim, E.H. Kang, and M.Y. Kim, "Factors influencing on the attitude toward withdrawal of life-sustaining treatment of nursing college students", Journal of the Korean Academia-Industrial cooperation Society, Vol. 20, No. 3, pp. 429-437, 2019. DOI: http://doi.org/10.5762/KAIS.2019.20.3.429
  27. Y.M. Jang, and E.K. Ahn, "The effects of moral sensitivity, biomedical ethics awareness on attitudes toward withdrawal of life-sustaining treatment of nursing students", Journal of Industrial Covergence, Vol. 17, No. 2, pp. 53-61, 2019. DOI: https://doi.org/10.22678/JIC.2019.17.2.053
  28. S.Y. Park, and K.Y. Park, "Correlation study of characteristics of bio-medical ethics and self-esteem for undergraduate students", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 255-144, 2015. DOI: https://dx.doi.org/10.15207/JKCS.2015.6.6.255
  29. Y.H. Park, "Factors affecting life respect and will of Korean nursing students", The Journal of Convergence on Culture Technology, Vol. 5, No. 1, pp. 243-249, 2019. DOI: https://dx.doi.org/10.17703/JCCT.2019.5.4.243
  30. S.N. Kim, and H.J. Kim, "Recognition of good death, attitude towards the withdrawal of life-sustaining treatment and attitude towards euthanasia in nurses", Journal of Research Institute for Hospice & Palliative Care, Vol. 19, No. 2, pp. 136-144, 2016. DOI: https://doi.org/10.14475/kjhpc.2016.19.2.136
  31. E. Hong, M. Jun, E.S. Park, and E. Ryu, "Death perceptions attitude towards death, and attitude to death in oncology nurses", Asian Oncology Nursing, Vol. 13, No. 4, pp. 265-272, 2013. DOI: https://doi.org/10.5388/aon.2013.13.4.265