• 제목/요약/키워드: 임종 간호

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호스피스 간호시 말기 암환자의 임종 현상 연구 -독립형 호스피스 센타를 중심으로- (A Study of the Experience of Patients with Terminal Cancer Who are in an Independent Hospice Center)

  • 김분한;탁영란;전미영
    • 대한간호학회지
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    • 제26권3호
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    • pp.668-677
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    • 1996
  • This study is a phenomenological study done to promote understanding of the dying process in patients with terminal cancer who were in an independent hospice center. The purpose of study was to explore and understand indepth information on the dying process in order to provide data for holistic hospice care in nursing and to give insights in to practical applications in the nursing care In-depth interviewing was done from may, through November, 1995 with 11 patient with cancer who were being cared for at K Hospice Care Center. Experiences in the dying process were discussed as they expressed feelings about death including (a) feeling of isolation because family members try to hide the diagnosis of cancer. (b) hopelessness, (c) guilt, anger, and hostility, (d) suffering from pain, (e) fear of death. However, subjects did not deny death itself and were developing peace of mind and acceptance of death through religion.

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암 환자를 돌보는 간호사의 임종간호 스트레스, 공감역량 및 직무만족도의 관계 (The Relationship between End-of-Life Care Stress, Compassionate Competence and Job Satisfaction amomg Nurses Caring for Cancer Patients)

  • 송지민;조명주
    • 근관절건강학회지
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    • 제30권2호
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    • pp.111-119
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    • 2023
  • Purpose: The purpose of this study was to describe end-of-life care stress, compassionate competence, and job satisfaction among nurses caring for cancer patients and to identify the relationship between variables. Methods: The participants comprised 141 nurses at the D cancer center in Busan metropolitan city. Data were collected from October 14 to the 31, 2022. The data were analyzed using the SPSS/WIN 29.0 program. Results: There was a significantly positive correlation between a participnat's job satisfaction and compassionate competence (r=.45, p<.001), and end-of-life care stress (r=.42, p<.001). Conclusion: Compassionate competence and end-of-life care experience among nurses caring for cancer patients are factors that influence job satisfaction. A program that can improve compassionate competence should be developed to improve job satisfaction.

중환자실 간호사의 죽음에 대한 인식, 임종간호 스트레스 및 임종간호 태도에 관한 연구 (Intensive Care Unit Nurses' Death Perception, End of Life Stress and End of Life Nursing Attitudes)

  • 김세라;노미진;문경은;조희주;박영;이남주;이순행;심미영
    • 임상간호연구
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    • 제24권2호
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    • pp.255-262
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    • 2018
  • Purpose: This study aimed to identify the view of life and death among ICU nurses and to analyze the problems related to end-of-life care in the current ICUs. Methods: A descriptive study design was used. The participants were 975 nurses working in the intensive care units of 16 general hospitals. Using a descriptive survey design, data were collected from August to December in 2016 and were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: As a result of a correlation analysis of the data, Death perception had a significant positive correlation with EOL of nursing attitudes(r=.100, p=.002), and negative correlation with EOL stress care(r=-.221, p=<.001). The regression model explained for individual characteristics in the model, age(${\beta}=.126$, p<.001) and death perception(${\beta}=.182$, p<.001), Satisfaction of the EOL care(${\beta}=.173$, p<.001), Healing training needs on the EOL(${\beta}=-.144$, p<.001) were the most influential factors for EOL stress. Conclusion: Results reveal that ICU nurses have a moderate level of EOL stress, and that individual, age, death perception, Satisfaction of the EOL care, Healing traning needs on the EOL relevant in ICU nurses' EOL stress. Programs or interventions to reduce EOL stress and to should be developed taking into account these multidimensional factors.

일 종합병원 간호사의 영성과 임종간호태도와의 관계에서 공감역량의 매개효과 (The Mediating Effect of Compassionate Competence on the Relationship between Nurses' Spirituality and Attitude toward Care of Dying Patients)

  • 김은희;임영미
    • 동서간호학연구지
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    • 제25권2호
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    • pp.166-173
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    • 2019
  • Purpose: The purpose of this study was to identify the mediating effect of compassionate competence on the relationship between nurses' spirituality and attitude toward care of dying patients. Methods: A cross-sectional correlational research design was conducted. The total subjects were 172 nurses at one general hospital in Gangwon-do. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple regression analysis. Results: Compassionate competence showed the mediating effect (${\beta}=.19$, p=.025) on the relationship between nurses' vertical spirituality and attitudes toward care of dying patients. However, no mediating effect of compassionate competence on the relationship between nurses' horizontal spirituality and attitudes toward care of dying patients was found. Conclusions: Based on the findings of this study, development of training programs with a focus on spirituality and compassionate competence was highly recommended to improve and maintain nurses' positive attitudes toward caring of the dying patients.

요양병원 간호사의 죽음에 대한 태도, 호스피스완화의료인식이 임종간호 스트레스에 미치는 영향 (Influence of Nurses' Attitude toward Death and Perception of Hospice and Palliative Care on their Terminal Care Stress in Long-term Care Hospitals)

  • 손연주;김경아
    • 가정∙방문간호학회지
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    • 제28권3호
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    • pp.256-265
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    • 2021
  • Purpose: This study examined the effects of nurses' attitude toward death and their perception of hospice and palliative care on their terminal care stress in long-term care hospitals (LCHs). Methods: Participants included 127 nurses from 6 Incheon LCHs. Data were collected between July and August, 2020. Self-report questionnaires were administered to collect data on their general characteristics, terminal care stress, attitude toward death, and perception of hospice and palliative care. Data analysis included descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression using the SPSS 23.0 statistical program. Results: Nurses' terminal care stress was affected by their attitude toward death (𝛽=.30, p<.001) and perception of hospice and palliative care (𝛽=.28, p=.002) with an explanatory power of 21.6%. Conclusion: Terminal care stress was significantly associated with their attitude toward death and perception of hospice and palliative care. Therefore, educating nurses in LCHs about death and hospice and palliative care is essential to manage their terminal care stress effectively.

요양병원 간호사의 임종간호수행 구조모형 (A Structural Equation Model of Terminal Care Performance for Long-term Care Hospital Nurses)

  • 임귀연;최소영
    • 한국보건간호학회지
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    • 제37권2호
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    • pp.275-289
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    • 2023
  • Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

간호사의 안락사와 임종 간호에 대한 의미분석 (The Study of Meaning in Euthanasia and Hospiece Nursing among Nurses)

  • 김애경;박계선
    • 기본간호학회지
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    • 제7권3호
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    • pp.379-390
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    • 2000
  • Euthanasia have received considerable attention recentely in medical literature, public discussion, and proposed state legislation. Almost all the discussion in this area has focused on the role of physicians. However, nurse may be in special position to understand the wishes of patients and to act on this understanding. Purpose of this study is to identity the meaning of euthanasia in terminal ill patients on the nurses' veiw. Forcused interveiw design was used to data collection The data were analyzed by semantic analysis, and analysis of the data resulted in identification of 14 categories representing the meaning of euthanasia. 1. The meaning of supported euthanasia is 'free of suffering', 'difficulty of economic status', 'right of patient and family', 'dignity of death', 'organ transplant', 'social legislation'. 2. The meaning of opposited euthanasia is 'artificial death', 'value of life', 'uncertainity', 'guilt feeling' 3. The meaning of care in terminalily ill patients is 'avoidance', 'powerlessness'. 'apathy'. 'passive attitude'. The policy debate about professional roles in action that end of lives of patients must be extended nurses. Nurses must take an active role in discussion and definition of acceptable practice at the end of life.

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