• 재활간호학회지
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• 제18권1호
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• pp.11-19
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• 2015

Purpose: The purpose of this study was to identify the perception on hospice, attitudes toward death and needs of hospice care between the patients with cancer and family. Methods: This study used descriptive research design. The participants were 118 patients with cancer hospitalized and 118 family caregivers of patients with cancer. The data collected by questionnaires from October to December, 2013. Results: There was significant difference in perception on hospice (recognition of hospice term and definition of hospice) and needs of hospice care between patients and family. Among the categories of the needs, 'medical needs' was the highest in patients and 'emotional care' was the highest in family. But there was no significant difference in attitudes toward death. There correlation between attitudes toward death and needs of hospice care was significant only in patients. Conclusion: Hospice care must be provided considering the death attitudes and needs of patients with cancer and family based on the understanding of perception on hospice, attitudes toward death of the patients with cancer and family.

• 가정간호학회지
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• 제23권1호
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• pp.90-99
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• 2016

Purpose: The purpose of this study was to examine the influences of emotional intelligence and attitudes about death on hospice volunteers' perception of life as meaningful. Methods: In this study, 232 hospice volunteers who were serving at 3 university hospitals and 7 general hospitals for 6 months or longer. Data were collected using self-report questionnaires from January 20 to February 15, 2016. Data were analyzed using descriptive statistics, independent-tests, one way ANOVAs, Pearson's correlation coefficients, and multiple regression analyses with SPSS 21.0. Results: Hospice volunteers' perception of life as meaningful was positively correlated with their attitudes toward death and emotional intelligence. The significant predictors of perception of meaning were emotional intelligence, attitudes toward death, religion and perceived health status. These variables explained 41.0% of the variance in hospice volunteers' perception of life as meaningful. Conclusion: These results suggest that hospice volunteers perceptions of life as meaningful can be changed positively by increasing emotional intelligence and positive attitudes about death.

• Journal of Hospice and Palliative Care
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• 제7권1호
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• pp.29-36
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• 2004

목적: 임종환자의 죽음에 대한 인식태도는 그들의 남은 삶의 기간동안 겪게 될 고통이나 삶의 질을 결정하게 되는 중요한 요소로써 간호제공자의 그것에 의해 영향을 받게 된다. 그러나 이제까지의 연구들은 주로 대상자에만 초점을 두어 진행을 해왔기 때문에 본 연구에서는 간호제공자 입장에서의 죽음에 대한 인식태도를 파악해 보고자 간호대학생들을 대상으로 죽음에 대한 인식태도를 파악하고자 하였으며 또한 죽음에 대한 인식태도가 영적안녕 상태와 관계가 있는지를 규명하고자 하였다. 방법: 2003년 5월부터 6월 사이 일 대학 간호학생 197명을 대상으로 설문조사를 실시하였다. 죽음에 대한 인식태도와 영적안녕 상태를 파악하기 위한 구조화된 설문지를 사용하였으며, 총 191부를 수거하여 이 중 응답이 누락되지 않은 175부를 자료분석에 사용하였다. 대상자의 일반적 특성 및 죽음인식에 대한 태도와 영적안녕 상태는 기술적 통계를 사용해 분석하였으며, 일반적 특성에 따른 죽음인식태도와 영적안녕 상태는 t-test, ANOVA를 사용해 분석하였고, 죽음에 대한 인식태도와 영적안녕 상태의 관계분석에는 Pearson's correlation을 사용하였다. 결과: 연구대상자의 영적안녕 상태는 $50.9943{\pm}10.7235$이며, 종교와 경제활동 유무에 따른 영적안녕 상태에서 집단 간에 통계적으로 유의한 차이를 보였다. 죽음에 대한 인식태도는 $20.4914{\pm}2.6280$이었으며, 성별과 연령에 따라 통계적으로 집단간 유의한 차이를 보이는 것으로 나타났다. 대상자들의 죽음에 대한 태도와 영적안녕 상태 간에는 유의한 순상관관계가 있는 것으로 나타났다(r=.261, P=.000). 결론: 본 연구를 통해서 간호대학생의 영적안녕 상태와 죽음에 대한 인식태도 간에 상호관련성이 있음이 밝혀졌다. 이는 임종과정을 경험하는 대상자들의 죽음에 대한 인식태도에 간호제공자의 죽음에 대한 인식태도가 중요한 영향을 미친다는 기존의 연구결과와 더불어 고려해본다면 영적간호 교육에서 대상자 뿐만 아니라 간호제공자의 영적안녕 상태와 죽음에 대해 인식하는 태도 또한 교육내용에서 중요하게 다뤄져 할 부분임을 시사하는 바라고 여겨진다.

• 수산해양교육연구
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• 제25권6호
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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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• 제18권1호
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• pp.16-24
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• 2015

목적: 본 연구는 검시관과 응급실 간호사들의 좋은 죽음에 대한 인식과 죽음에 대한 태도를 알아보기 위한 서술적 조사연구이다. 방법: 본 연구는 전국의 검시관 44명과 일개 광역시의 응급실 간호사 56명을 대상으로 실시하였으며, 자료수집기간은 2010년 10월 1일부터 2011년 2월 28일까지 실시되었다. 결과: 좋은 죽음에 대한 대상자 전체의 평균은 4점 만점에 2.98점이었으며 응급실 간호사는 2.95점, 검시관은 3.01점으로 검시관이 다소 높았으나 통계적으로 유의한 차이는 없는 것으로 나타났다. 죽음에 대한 태도에서는 대상자 전체 평균은 4점 만점에 2.72점으로 나타났으며 응급실 간호사는 2.61점, 검시관은 2.87점으로 검시관이 높았으나 통계적으로 유의한 차이는 없는 것으로 나타났다. 일반적 특성에 따른 좋은 죽음에 대한 인식과 죽음의 태도에서는 응급실간호사와 검시관 간의 유의한 차이가 없는 것으로 나타났다. 결론: 본 연구의 결과에서 검시관과 응급실 간호사가 인지하는 좋은 죽음과 죽음의 태도에 유의한 차이가 없는 것을 확인함으로써 죽음을 직면하는 상황보다는 죽음을 받아들이는 태도가 중요함을 확인하였으며, 죽음관련 교육에 대한 대상자의 높은 요구를 충족시키기 위해 죽음관련 교육의 기회를 확대하고 일회성이 아닌 연속적인 죽음관련 교육이 필요하다.

• 호스피스학술지
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• 제7권2호
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• pp.15-25
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• 2007

The purpose of this study was to survey the hospital staff's perception of hospice and death and thereby, suggest the ways to help them have a mature attitude towards and a better understanding of death through an effective education on hospice. For this purpose, this study was designed to provide some data useful for the hospital staff not experienced in facing the dying patients to handle the desperate situation skillfully and engage themselves more effectively in their hospice services. For this study, the researcher conducted a questionnaire survey for the staff of 'C' hospital in Seoul about their hospice philosophy, attitudes towards hospice and perception of death for the period from February, 2006 to March, 2006. A total of 751 subjects responded effectively to the survey. The data collected were analyzed using the SF55 11.0 for ANOVA and T-test in order to test the relationships among subjects' perception of death, their demographic variables, their health condition, their hospice philosophy formed from their experiences of patients' death and hospice services and their attitudes towards hospice. Besides, the correlations among their hospice philosophy, perception of death and attitudes towards hospice were tested. The results of this study can be summarized as follows; First, as a result of testing the relationships among subjects' experiences of health consulting. their experiences of patients' death and hospice and their hospice philosophy, it was confirmed that their experiences of health and death consulting and their experiences of having been educated were relevant. Second, it was found that such variables as health condition, death, experience of hospice and attitude towards hospice were not significantly correlated with each other. Third, as a consequence of testing the relationships among health condition, death, experience of hospice and perception of death, it was disclosed that only the physical health condition was significant. Fourth, it was confirmed that subjects' hospice philosophy, perception of death and attitudes towards hospice were at the usual level on average. Fifth, hospice philosophy, perception of death and attitudes towards hospice were found correlated significantly with each other. Sixth, as a result of the stepwise variable adjustment for such variables as hospice philosophy, perception of death, attitudes towards hospice, it was found that the adjusted r-square value was 0.347 when departments, experience of having been requested by dying patient for consulting, experience of having been educated on hospice, religion and marital status were set as independent variables. And the estimated value of each variable was found significant. Seventh, as a consequence of conducting the multiple regression analysis by setting 'religion' as significant independent variable, it was found that the estimated value of physical health condition was not significant statistically. This, as a result of the simple regression analysis for 'religion' only, its explanatory power was found .197, while its adjusted r-square value was 0.20. Eight, it was found that subjects' attitude towards hospice was significantly correlated with such variables of experience of patient's or relative's death, experience of having been requested for consulting about death, gender, marital status and departments. As a result of the multiple regression analysis and the subsequent stepwise adjustment for this variable, it was found that only 'experience of having been requested for consulting' had some explanatory power: its adjusted r-square value was 0.089. As discussed above, this study tested the correlations among various variables including hospital staff's attitude towards hospice and perception of death and thereby, provided for the data useful for their education on hospice. This study may be significant in that it proved that it would be essential to educate hospital staff on hospice for more effective care of hospice patients and their family members at hospital.

• 대한통합의학회지
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• 제5권4호
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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.

• 동서간호학연구지
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• 제28권1호
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• pp.49-56
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• 2022

Purpose: This study was conducted to identify the factors affecting the attitudes toward brain death organ donation among nurses and doctors in an operating room. Methods: A descriptive research was used. The participants included 90 nurses and 30 doctors who had experience of operating organ transplantation for brain death organ donation. Data were collected from March 12 to May 23, 2020 in the one tertiary general hospital. The outcome measures were perception and attitude of death and attitude towards brain death organ donation. Results: Attitudes toward brain death organ donation was influenced by type of occupation, intention of organ donation and attitude toward death. In addition, the explanatory power of the total variance was 52.1%. Conclusions: Based on the results, it is necessary to prepare an intervention to improve awareness of the brain death and the brain death organ donation.

• 의학교육논단
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• 제20권3호
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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.

• 중환자간호학회지
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• 제12권2호
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• pp.39-49
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• 2019

Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses' perceptions of life-sustaining treatment decisions and "a good death" affect attitudes toward terminal care. Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program). Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of "a good death") were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (${\beta}=.20$, p =.035), a sense of closeness(${\beta}=.19$, p =.041), and the perception of a life-sustaining treatment decision (${\beta}=.22$, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj $R^2=.140$). Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of "a good death" and perceptions of life-sustaining treatment decisions.