• 한국노년학
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• v.29 no.1
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• pp.51-69
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• 2009

The purpose of this study was to identify the effects of death education on attitudes toward death and depression for older adults. A death education program consisted of needs of death education, alternatives for dignity on death, not ending death(I, II), hospice(I, II), and 9 patterns of death(I, II, III). Participants in this study were 38 older adults aged 60 years or older. Attitudes toward death and depression scales for Korean elders were employed. The data collection and intervention were performed from January to June, 2008. The subjects participated in a death education program for 1 time per week during 10 weeks. The data were analyzed with t-test, and Pearson correlation coefficients with SPSS/Window 14.0. After the intervention, the subjects showed significant difference in attitudes toward death compared to that of pre-intervention. The subjects after the intervention showed no statistical differences in change of depression compared to that of pre-intervention. Also, attitudes toward death were negatively related with depression both before and after interventions, but the change of relation was not significant. The findings of this study contributed to extend the base of program developments on death education enhancing attitudes toward death among Korean older adults.

• Journal of the Korea Convergence Society
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• v.11 no.12
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• pp.439-449
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• 2020

This study aimed to identify factors influencing the preferences for end-of-life (EOL) care among undergraduate nursing students. In this cross-sectional study, data were collected from December 2017 to February 2018. This study included 217 undergraduate nursing students. Factors influencing the preference for 'autonomous physiological decision-making' were the following: education level(by grade), having biomedical education, attitude towards death, and attitude towards life-sustaining treatments (LSTs). Preference for 'decision-making by healthcare professionals' was related to having a religion. Factors influencing the preference for 'spirituality' were education level, having a religion, and academic major satisfaction. Preference for 'pain control' was associated with education level, experience with dying patients, bad self-rated health, attitude towards death, and attitude towards LSTs. The study findings suggest that education regarding LSTs, EOL care, and EOL decision-making in nursing curricula is essential.

• Research in Community and Public Health Nursing
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• v.18 no.3
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• pp.400-409
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• 2007

Purpose: This study was performed to investigate the level of subjective health status, religiosity and the fear of death of the elderly and to identify the relationships among them. Methods: This study was a cross-sectional descriptive study using a questionnaire. Fear of Death Scale that was made by Loo & Shea (1996) and translated and revised by Kim(2003) was used to measure the fear of death. The data was analyzed using SPSS. Results: The subject was 128 community dwelling elders who had a religion. Of the respondents, 50% felt 'not healthy', and 69.5% was moderately religious. The mean score of FODS was 3.18 (out of 5). The mean score of each subcategory of FODS was as follows: Death anxiety about the death of self was 3.00. Death anxiety about the dying of self was 3.18. Death anxiety about the death of others was 3.31 and death anxiety about the dying of others was 3.23. There was a statistically significance correlation between the level of religiosity and FODS (F=3.29, p= .040). Conclusion: Health professionals may make efforts to learn about healthy attitudes toward death and aid for the elderly and to comfort them. Death education programs are needed for the elderly.

• The Journal of the Korea Contents Association
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• v.17 no.1
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• pp.507-521
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• 2017

Purpose: The purpose of this study is to examine the relationship between attitude toward death among Korean hostess (room salon/bar) in Busan and their suicide-related factors. Methods: The questionnaires were administrated to 120 Korean hostess. The questionnaires consist of 7 major concepts: death as liberation, death as natural phenomenon, fear of death, avoidance of thought about death, fear for the impact of death on family, frequency of thought of death, their capacities to resist suicidal impulses. Results: Interestingly, satisfaction for hostess working in room salons with their monthly incomes was negatively correlated with frequency of thought of death and was positively related to their capacities to resist suicidal impulse. Moreover, in terms of the factors influencing 'their capacities to resist suicidal impulse', for hostess working in room salons, 'fear for the impact of death on family,' and 'satisfaction with their monthly income' were found to significantly influence 'their capacities to resist suicidal impulses'. However, for hostess working at bars, 'death as liberation' was found to be the only one factor showing significant effect on 'their capacities to resist suicidal impulses'. Conclusion: For hostess working in room salons, their perceived monetary reward seems to affect their attitudes toward death and suicide-related thoughts. Understanding a person's attitudes toward death can be another way to help people in a difficult situation to prevent them from carrying out the worst.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.4
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• pp.57-66
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• 2017

Purpose : The current study objective was to determine the attitudes of nursing students to death, perception of end-of life care, and perceptions of educational training needs in relation to the provision of end-of life care, and to apply the results to the development of an efficient and effective education program in this regard. Method : Data collection was carried out between March and April 2017, and was achieved through the administration of a questionnaire to 124 caregivers working in a nursing home in C. A self-report instrument was used to measure nursing attitudes to death, perceptions of end-of-life care, and perceptions of educational training needs in relation to the provision of end-of-life care. The collected data were analyzed using SPSS(R) Statistics for Windows(R)(version 21.0), and were calculated was whole numbers, percentages, $mean{\pm}standard$ deviation, and Pearson's correlation coefficient. Results : The average scores obtained were 2.85 out of a maximum of 4.00, 2.14 out of 4.00, and 2.42 out of 4.00, for attitudes to death, perceptions of end-of-life, and perceptions of educational training needs in relation to the provision of end-of-life care, respectively. A positive correlation was found between attitudes to death and perceptions of end-of-life care, and a negative correlation was found between perceptions of end-of-life care and educational training needs in relation to the provision of end-of-life care. Conclusion : The development and implementation of an educational program is necessary to ensure positive attitudes to death in nursing students and improve their perceptions about end-of-life care. Further research is also warranted to determine the impact of such a program in this regard.

• Journal of Fisheries and Marine Sciences Education
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• v.25 no.6
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• pp.1294-1305
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• 2013

The aim of this study was to identify the attitude of nursing students' toward death using Q-methodology and to obtain baseline data to improve nursing students' education program on death. Twenty-nine participants at a college classified 40 Q-statements on a one to nine scale. The resultant Q-sort was a matrix representing the participant's operant subjectivity on the issue under consideration. The results of above procedures were analyzed by PQ Method. The results revealed that there are three types of perception about nursing students' attitudes toward the death. The categories were labeled positive-perspective, pain-avoid and preparation-deficiency. Positive-perspective individuals have a positive sense of their life and death. Thus, they would not fear death, believing in an after-life world, while being positive towards donation of intestines after death. Pain-avoid individuals hope life and death without pain. Preparation-deficiency individuals are unprepared to die. In conclusion, this study discovers three types of the perception about nursing students' attitudes toward the perception of death. By identifying the nature of each of these types, this study can be useful to develop efficient strategies for education program on death.

• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.136-144
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• 2016

Purpose: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. Methods: Using convenience sampling, we recruited 218 nurses who had at least six-month work experience in one of the six general hospitals with 500 or more beds in Seoul, Busan, and Gyeongsang province. All participants understood the purpose of the study and agreed to take part in the study. The research tools used included the Concept of Good Death Measure (CoGD), the measurement tool for attitudes towards withdrawal of meaningless life-sustaining treatment (WoMLST), and the measurement tool for attitudes towards euthanasia. Data were analyzed using an Independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS 21 for Windows. Results: Nurses had normal levels on CoGD, WoMLST, and attitudes towards euthanasia. Nurses' CoGD, WoMLST, and euthanasia scores significantly differed depending on their education level, working period, and the importance of religion to them. A negative correlation was found between the CoGD and WoMLST scores, and WoMLST and euthanasia scores were positively correlated. Conclusion: Nurses should be trained to deal with ethical issues that may arise while caring for terminal patients. It is necessary for nurses to understand the concepts related to CoGD, WoMLST, and euthanasia, and to promote bioethics education with focus on decision-making and problem-solving ability in ethically conflicting situations.

• The Journal of Korean Academic Society of Nursing Education
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• v.14 no.2
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• pp.216-223
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• 2008

Purpose: The purpose of this study was to discover attitudes toward organ donation in brain dead donors and nursing ethical values of staff nurses. Method: The subjects were 196 nurses with direct patient care in a university hospital. Data collection was carried out for one month in September, 2008 using structured questionnaire. The data were analyzed using frequency, percentage, mean and standards deviation, ANOVA and Pearson's Correlation with SPSS program. Result: The mean score of a positive attitude toward organ donation in brain dead donors was 3.59 points, and a negative attitude score was 3.02 points. The mean score of nursing ethical value was 3.05 points. The age and the length of career had a reverse correlation with a negative attitude toward organ donation. Nursing ethical values had a positive correlation with a negative attitude toward organ donation. Conclusion: It is necessary to increase understanding and recognition of brain death organs donation in the nurses who participate in direct patient care so as to help facilitate organ donation.

• Journal of muscle and joint health
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• v.27 no.3
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• pp.229-237
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• 2020

Purpose: This paper aims to clarify the concept of well-dying in the sociocultural context of Korea. Methods: Walker and Avant's method was chosen for the concept analysis. Through a literature review of 36 papers, the attributes and definition of well-dying were derived. Results: The literature revealed that in Korean society, well-dying is defined as the process of actively preparing for death throughout life. The attributes of the concept are a reflection on death, death acceptance, searching for meaning, transcendence, advance decision-making, and sharing values with family. The motivation for thinking about death, the hope of dying with dignity, and the Korean cultural view of death precede the concept, followed by dying with dignity, personal and family happiness, and improved quality of life and death. Conclusion: This study may lead to the unification of concept use based on mutual understanding, thus enabling effective communication in research, education, and clinical settings. This can be the rationale for the development of tools and educational programs as well as establishing policies related to well-dying in Korea.

• Korean Medical Education Review
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• v.20 no.3
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• pp.150-155
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• 2018

End-of-life care competencies have been perceived as important and essential, so it has been suggested that end-of-life care be studied in undergraduate medical education. However, end-of-life care curriculum has mostly focused on acquisition of knowledge and skills rather than attitudes. Therefore, we aimed to explore whether education about death affects medical students' attitudes towards care for dying patients and perception of death anxiety, meaning in life, and self-esteem. A total of 15 first- or second-year medical students were surveyed with questionnaires before and after completing a 6-week death education course. Paired data analysis showed that participants' attitudes towards caring for terminally ill patients and their caregivers improved significantly (t=-2.84, p=0.013) with an effect size of 0.73. In contrast, no significant changes were found in death anxiety, meaning in life, or self-esteem. All participants agreed that formal teaching about death and dying must be encouraged in medical schools. Our results suggest that death education may positively influence attitudes towards end-of-life care. Although replication with larger samples is necessary, this preliminary finding may support the importance of developmentally appropriate end-of-life care education in medical schools.