• 여성건강간호학회지
• /
• 제30권1호
• /
• pp.67-78
• /
• 2024

Purpose: The present study investigated experiences of traumatic perinatal events, the provision of related education, and educational needs of nurses working in the labor and delivery room (LDR). Methods: Nurses working in the LDRs of six institutions and two nurse portal sites were invited to participate in the survey, delivered on paper or online. The data were collected from October 1 to November 25, 2022. Data from 129 nurses were analyzed using frequency, the chi-square test, the Fisher exact test, the t-test, and analysis of variance. Results: Virtually all participants (98.6%) reported having experienced at least one traumatic perinatal event (dystocia, postpartum hemorrhage, neonatal congenital anomalies, severe maternal or neonatal injury, stillbirth, and maternal or neonatal death) while working in the LDR. The most shocking traumatic perinatal event experienced was the maternal or neonatal death (40.3%), but 24.8% of participants did not recall ever receiving education on the topic. About 63% of participants experienced traumatic perinatal events within a year of working in the LDR. The average score for education needs regarding traumatic perinatal events was 3.67±0.37 out of 4, and participants preferred simulation education as the most effective educational method. Conclusion: Since most of the participants had experienced various traumatic perinatal events in the early stages of working in the LDR and expressed a high level of need for education on traumatic perinatal events, it is necessary to provide more effective stimulation education programs in the early period of work in the LDR.

• Journal of Hospice and Palliative Care
• /
• 제18권2호
• /
• pp.97-104
• /
• 2015

목적: 성격유형에 따라 죽음을 받아들이는 태도가 다름을 알아보고 이를 통해 차별화된 호스피스 프로그램의 필요성을 강조하고자 본 연구를 수행하였다. 방법: 성격유형은 한국판 MBTI 성격유형검사 Form G를 사용하였고, 죽음에 대한 태도를 평가하기 위해 5점 척도를 이용한 26개 문항의 설문지 조사를 통해 자료를 모았다. 결과: 조사 대상자 100명 중에서 ESFP 성격유형이 제일 많았고(20%), 성격유형에 따른 죽음에 대한 준비과정이 의미있게 차이가 있었다. 4가지 성격유형 선호경향 지표에 따른 죽음에 대한 태도는 외향형(E), 사고형(T), 판단형(J) 경향이 높을수록 적극적이었고, SN지표에 따른 차이는 보이지 않았다. 결론: 성격유형에 따라 죽음인지에 대한 태도가 의미 있게 차이가 있었다. 따라서, 성격유형에 따른 호스피스 프로그램의 다양화가 요구된다.

• 임상간호연구
• /
• 제28권3호
• /
• pp.289-298
• /
• 2022

Purpose: Nursing stress on life-sustaining treatment of nurses is a significant contributing factor to nursing care performance and patient care outcomes. We need to investigate the factors associated with nursing stress on life-sustaining treatment in hospital settings. The purpose of this descriptive study was to examine the relationship of role perception of life-sustaining treatment and good death perception with nursing stress on life-sustaining treatment among nurses in hospital settings. Methods: Using a cross-sectional study design, we recruited nurses at a hospital located in a metropolitan city in Korea. The nurses completed structured questionnaire questions which were composed of well-validated questionnaires. Descriptive statistics and hierarchical multiple regression model were utilized for data analysis. Results: A total of 205 nurses participated in the study (female 93.2%; aged 20~29 years 63.0%; single status 78.5%). In the hierarchical multiple regression model, there was a significant positive relationship between role perception of life-sustaining treatment and nursing stress on life-sustaining treatment (β=.27, p<.001). Higher education level and working at a ward setting were also significantly related to nursing stress on life-sustaining treatment (β=.13, p<.046 for education level; β=.22, p=.001 for work setting). However, there was no relationship between good death perception and nursing stress on life-sustaining treatment. Conclusion: Education programs to reduce nursing stress on life-sustaining treatment are needed to develop for nurses who have higher role perception of life-sustaining treatment with higher education level working at ward settings in hospitals.

• 한국응급구조학회지
• /
• 제19권2호
• /
• pp.71-82
• /
• 2015

Purpose: This study aimed to investigate paramedic students' awareness and attitude toward a do not resuscitate (DNR) order and death. Methods: This research was conducted among 421 students from the Department of Emergency Medical Technology in a 4-year college located in the Chungcheong and Daejeon districts, from May 14 to 22, 2014. Data were analyzed by using IBM SPSS 21.0. Results: The mean level of attitude toward death was 2.17. The paramedic students with clinical experience showed a positive attitude toward death, of whom 72.0% answered that a DNR order is necessary. The mean level of attitude toward DNR was 2.88. The paramedic students with clinical experience showed a positive attitude toward a DNR order. They indicated that sanctity of life should be respected rather than extending ineffective treatment and that patients' decisions on DNR should be respected. The students who had more knowledge about DNR and felt the necessity of DNR had a positive attitude about death and DNR. Conclusion: Paramedic students need systematic education for proper recognition and values establishment about death and DNR.

• 대한간호학회지
• /
• 제45권6호
• /
• pp.802-811
• /
• 2015

Purpose: The purpose of this study was to test and validate a model to predict living and brain death organ donation intention in nursing students. The conceptual model was based on the theory planned behavior. Methods: Quota sampling methodology was used to recruit 921 nursing students from all over the country and data collection was done from October 1 to December 20, 2013. Results: The model fit indices for the hypothetical model were suitable for the recommended level. Knowledge, attitude, subjective norm and perceived behavioral control explained 40.2% and 40.1% respectively for both living and brain death organ donation intention. Subjective norm was the most direct influential factor for organ donation intention. Knowledge had significant direct effect on attitude and indirect effect on subjective norm and perceived behavioral control. These effects were higher in brain death organ donation intention than in living donation intention. Conclusion: The overall findings of this study suggest the need to develop systematic education programs to increases knowledge about brain death organ donation. The development, application, and evaluation of intervention programs are required to improve subjective norm.

• Annals of Clinical Neurophysiology
• /
• 제19권2호
• /
• pp.118-124
• /
• 2017

Electroencephalography (EEG) is frequently used to assist the diagnosis of brain death. However, to date there have been no guidelines in terms of EEG criteria for determining brain death in Korea, despite EEG being mandatory. The purpose of this review is to provide an update on the evidence and controversies with regarding to the utilization of EEG for determining brain death and to serve as a cornerstone for the development of future guidelines. To determine brain death, electrocerebral inactivity (ECI) should be demonstrated on EEG at a sensitivity of $2{\mu}V/mm$ using double-distance electrodes spaced 10 centimeters or more apart from each other for at least 30 minutes, with intense somatosensory or audiovisual stimuli. ECI should be also verified by checking the integrity of the system. Additional monitoring is needed if extracerebral potentials cannot be eliminated. Interpreting EEG at high sensitivities, which is required for the diagnosis of brain death, can pose a diagnostic challenge. Furthermore, EEG is affected by physiologic variables and drugs. However, no consensus exists as to the minimal requirements for blood pressure, oxygen saturation, and body temperature during the EEG recording itself, the minimal time for observation after the brain injury or rewarming from hypothermia, and how to determine brain death when the findings of ECI is equivocal. Therefore, there is a strong need to establish detailed guidelines for performing EEG to determine brain death.

• 디지털융복합연구
• /
• 제17권11호
• /
• pp.427-434
• /
• 2019

이 연구의 목적은 간호대학생의 생명존중의지에 영향을 미치는 요인을 조사하고 간호대학생을 위한 효과적인 생명윤리 교육프로그램을 개발하는 데 도움이 되는 기초 자료로 활용하고자 하는 것이다. 442 명의 간호대학생을 대상으로 조사연구를 시행하였으며, 분석방법은 t-test, ANOVA, Pearson correlation coefficients, and Multiple regression을 이용하였다. 결과는 생명존중의지에 영향을 미치는 요소들이 죽음의 의미, 죽음의 불안, 죽음의 관여도라는 것을 보여 주었고, 이 세 요인의 생명존중의지에 대한 설명은 43.6%였다. 따라서 간호대학생들은 죽음의 의미에 대한 이해를 향상시켜 죽음의 의미를 이해하고, 죽음의 불안을 줄여야한다. 또한 긍정적 죽음의미 형성을 통해 간호학생의 생명존중의지 향상을 기대할 수 있을 것이며, 궁극적으로 죽음을 맞이하는 환자에게 진정한 도움을 줄 수 있는 간호사로 성장할 것이라고 사료된다.

• 보건교육건강증진학회지
• /
• 제28권2호
• /
• pp.109-123
• /
• 2011

Objectives: The purpose of the present study was to explore the relationships between views on suicide, death, and life and lifetime suicidal attempts in the Korean context. Methods: Multiple logistic regression model was tested using data from Korean General Social Survey of 2009. We utilized the nationally representative survey data obtained via multistage stratified area probability sampling design from 1,599 respondents aged ${\geq}18$ years. Results: The proportion of lifetime suicidal attempts was 12.1% of entire sample in Korea. Some components of views on suicide and death influenced significantly on lifetime suicidal attempts after adjusting for demographic and health-related factors. The positive view on suicide(OR=0.76, 95% CI: 0.62-0.94), the naturalistic view on afterlife(OR=0.37, 95% CI: 0.67-0.99) and death concern(OR=0.67, 95% CI: 0.55-0.83) were risk factors of lifetime suicidal attempts. In contrast, the social responsibility view on suicide(OR=1.17, 95% CI: 1.00-1.37) and the transcendental view on afterlife(OR=1.25, 95% CI: 1.02-1.54) lowered the risk. Conclusions: Practical implications of the findings were discussed exploring policy evidences to screen high risk groups out and to reframe educational programs for suicide prevention. Strategic health messages need to be developed and transmitted for prevention of suicide.

• Journal of Hospice and Palliative Care
• /
• 제2권1호
• /
• pp.46-53
• /
• 1999

The purpose of this case study is to explore the difference of hospice care and the efficiency of hospice education, by comparing the care of the nurse, the volunteer and the minister who have been trained by the Hospice Education Program. The index of common hospice care delivered by cases is that 1) the physical problems (pain, physical discomfort, incontinece, nausea, vomiting etc.) 2) the family problems(family support, change of family function, inefficiency, preparing the death of family) 3) the psychiatric problems(grief and sadness of death, anxiety, fear, helplessness). The case of volunteer and minister is different with the hospice care by nurse, because it is some what related to Christian's base. The index of care by the volunteer and minister is pertaining to social support and spiritual support for family and dying patient. In conclusion, for the wholistic hospice care, we need the hospice caregiver who have diverse background and expert in knowledge of various dimension. For that, it is necessary to build and develop hospice education program as a team apprach, which indudes a systematic expertizing items for care in consideration of caregiver's background.

• Journal of Hospice and Palliative Care
• /
• 제17권3호
• /
• pp.161-169
• /
• 2014

목적: 본 연구는 "병원 실습 중 간호대학생의 환자의 죽음에 대한 첫 경험은 어떠한가?"라는 질문을 통해 실습 중 간호대학생이 직면하는 환자의 죽음에 대한 경험을 포괄적이고 심층적으로 파악하고자 실시되었다. 방법: 본 연구는 2012년 1월 27일로부터 시작하여 2012년 3월 6일까지 양산시 부산대학교 간호학과 4학년에 재학 중인 여학생으로, 병원실습 중 환자의 죽음을 처음 경험한 실습생들 8명에게 실시되었다. 연구방법은 Colaizzi의 현상학적 연구 방법이 이용되었다. 결과: 17개의 주제, 15개의 주제묶음과 8개의 범주가 도출되었다. 8개의 범주는 '피하고 싶은 죽음현실', '무력감', '건강회복의 기대감에서 공포로', '죽음의 다양한 해석', '간호학의 한계', '간호사 부족에 대한 원망', '갈증의 증폭', '성장의 계기'이다. 결론: 간호대학생들은 환자의 죽음에 대한 첫 경험 과정에서 다양한 감정을 경험하고, 임종간호를 감당하고 있는 간호사의 모습을 미래의 간호사라는 자신의 입장에서 해석해가고 있었다. 이와 동시에 그들은 죽음을 간호의 영역으로 받아들이고, 공부하고 익혀나가는 성장의 노력을 하고 있었다. 따라서, 본 연구의 결과를 통해 죽음관련 내용이 간호대학 교육과정에 꼭 포함되어야 함을 알 수 있었고, 이는 신규간호사 시기에 큰 부담이 되고 있는 임종간호의 스트레스를 줄여서 업무 적응을 높이고, 이직 의도를 낮추는데 긍정적 영향을 미칠 것이다.