• 동서간호학연구지
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• 제23권1호
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• pp.1-8
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• 2017

Purpose: This study aimed to provide basic data of nursing student's knowledge and attitudes towards the withdrawal of life-sustaining treatment. Methods: Nursing students from two universities in J province participated in this study. The descriptive statistics, t-test, one-way ANOVA, Scheffe test and Pearson's correlation coefficient were used to analyse the data. Results: The nursing students' knowledge of the withdrawal of life-sustaining treatment was 7.42 out of 16. The participants' attitude toward the withdrawal of life-sustaining treatment was 50.03 out of 95 which was 2.64 in its mean rating. Regarding their knowledge of the withdrawal of life-sustaining treatment, nursing students whose family members experienced the life-sustaining treatment had significantly higher knowledge than those students whose not (p<.001). Those participants who support patients or their families' right to decide the withdrawal of life-sustaining treatment had positive attitude toward the withdrawal of life-sustaining treatment (p=.007). In addition, the knowledge of and attitude toward the withdrawal of life-sustaining treatment showed significant correlations (r=.639, p<.001). Conclusion: The findings of this study suggest that systematic and professional education is needed for nursing students to equip positive attitude toward the withdrawal of life-sustaining treatment in nursing practice.

• 융합정보논문지
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• 제10권12호
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• pp.226-235
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• 2020

본 연구는 간호대학생들의 연명치료중단 태도에 영향을 미치는 융합적인 요인들을 파악하기 위하여 시도하였다. 연구대상은 4년제 일개 간호대학에 재학중인 간호대학생 139명이였으며 측정 도구는 좋은 죽음에 대한 인식, 죽음 태도, 연명치료 중단 태도에 관한 문항으로 구성되었다. 좋은 죽음에 대한 인식, 죽음 태도, 연명치료중단 태도 정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 연명치료중단 태도에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 연명치료중단 태도는 좋은 죽음에 대한 인식정도와 유의한 정적상관성이 있는 것으로 나타났다(r=.312, p=.000). 다중회귀분석결과 좋은 죽음에 대한 인식(β=.312, p=.000)이 통계적으로 유의미한 영향을 주는 것으로 확인되어 연명치료 중단 태도의 8.5%를 설명하였다. 본 연구 결과는 간호대학생들의 연명치료 중단에 대한 긍정적인 태도 함양을 도모하기 위한 교육 프로그램 개발에 기여할 수 있을 것이다.

• Child Health Nursing Research
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• 제23권3호
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• pp.292-299
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• 2017

Purpose: This study was done to analyze nursing students' attitudes to life-sustaining treatment by measuring their awareness of biomedical ethics and resulting attitude toward withdrawal of life-sustaining treatment. Methods: This study was a descriptive research to assess the level of nursing students' awareness of biomedical ethics, attitude toward withdrawal of life-sustaining treatment, and correlations between these variables. After the nursing students signed a consent form they were assessed. Data collection was done from September 1 to October 25, 2016, and analyzed using SPSS 23.0 WIM Program. Results: There was a negative correlation and significant difference between nursing students' awareness of biomedical ethics and attitude toward withdrawal of life-sustaining treatment. There was a significant correlation among attitude toward withdrawal of life-sustaining treatment and medical ethics, mortality ethics. Conclusion: The findings in the study indicate that it is necessary to provide nursing students with easy access to continuous education to help them establish an acceptable view of withdrawal of life-sustaining treatment.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.76-84
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• 2019

본 연구는 간호대학생의 도덕적 자아개념, 윤리적 가치관, 연명치료중단 태도 정도를 확인하고 연명치료중단 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상은 G시에 위치한 2개 대학 간호학과 학생 296명으로, 자료수집을 위한 설문조사는 2017년 6월 12일부터 6월 23일까지 실시하였다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였다. 간호대학생의 도덕적 자아개념은 3.48±0.33점, 윤리적 가치관은 3.50±0.37점, 연명치료중단 태도는 3.13±0.43점이었다. 대상자의 일반적 특성에 따른 연명치료중단 태도는 학년(F=3.21, p=.024), 임상실습(t=2.06, p=.040), 간호윤리교육(t=2.98, p=.003)에 따라 유의한 차이가 있었다. 연명치료중단 태도는 도덕적 자아개념(r=-.14, p=.017) 및 윤리적 가치관(r=-.42, p<.001)과 유의한 음의 상관관계가 있었다. 간호대학생의 연명치료중단 태도에 영향을 미치는 요인은 윤리적 가치관(β=-.43, p=<.001), 간호윤리교육(β=.14, p=.010) 순이었으며 이들 예측요인들의 설명력은 22.5%로 나타났다(F=42.09, p<.001). 본 연구결과를 바탕으로 간호대학생의 연명치료중단 태도에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구와 연명치료중단에 대한 긍정적 태도 형성을 위해 공리주의적 가치관을 함양할 수 있는 체계적인 교육 프로그램 개발이 요구된다.

• Journal of Hospice and Palliative Care
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• 제23권3호
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• pp.114-125
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• 2020

Purpose: This descriptive study investigated the effects of nurses' knowledge of withdrawal of life-sustaining treatment, death anxiety, and perceptions of hospice care on their attitudes toward withdrawal of life-sustaining treatment. Methods: Data were collected from 262 nurses at tertiary hospitals, general hospitals, or primary hospitals in Busan, Korea, and statistically analyzed using the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression analysis. Results: The participants' scores were 3.68±0.45 (out of 5) for attitudes toward withdrawal of life-sustaining treatment, 0.65±0.15 (out of 1) for knowledge of withdrawal of life-sustaining treatment, 2.61±0.26 (out of 4) for death anxiety, and 4.06±0.43 (out of 5) for perceptions of hospice care. Furthermore, knowledge of withdrawal of life-sustaining treatment and perceptions of hospice care showed positive correlations with attitudes toward withdrawal of life-sustaining treatment, while death anxiety showed a negative correlation. The most significant factors influencing attitudes toward withdrawal of life-sustaining treatment were perceptions of hospice care, followed by having experienced caring for patients who withdrew life-sustaining treatment, death anxiety, having a spouse, and ethical values, and the overall explanatory power was 43.0%. Conclusion: This study showed that perceptions of hospice were an important factor influencing nurses' attitudes toward withdrawal of life-sustaining treatment. Therefore, it is necessary to develop and validate educational intervention programs that can improve perceptions of hospice care.

• 한국컴퓨터정보학회논문지
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• 제23권12호
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• pp.171-177
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• 2018

Purpose : This study is conducted to research the attitude of social workers toward withdrawing life sustaining treatment and compare and analyze the different types of their attitudes. Methods : Research design of this study is Q methodology approach. The study population is 23 social workers. Q sample to investigate the attitude of social workers toward withdrawing life sustaining treatment included 30 statements. After listening to the purpose and method of the study, the 23 social workers agreed to fill out a survey asking sociodemographic information and have been forced to be distributed in 9 scale Q-sample. Results : The collected data was processed through QUANL PC program, sorted into 3 types as followings. The first type was 'the pursuit of quality of life' that the quality of life is more important than the length of life, the second 'choosing to withdraw life sustaining treatment' that they want to write or encourage family to write advanced directive, the third 'withholding life sustaining treatment' regardless of the cost. Conclusion : In conclusion, the social workers attitudes toward withdrawing life sustaining treatment were grouped as three different types, the first type was 'the pursuit of quality of life', the second 'choosing to withdraw life sustaining treatment', the third 'withholding life sustaining treatment'.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.539-547
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• 2021

본 연구는 암환자의 사전연명의료의향서 지식, 좋은 죽음 인식이 연명의료중단 태도에 미치는 영향을 파악하여 암환자의 연명의료중단의 자기결정 활성화를 위한 간호 중재프로그램 개발 기초 자료를 제공하고자 시행되었다. 외래 또는 입원치료를 받는 성인 암환자 167명을 대상으로, 2019년 9월 15일부터 2020년 3월 30일까지 자료수집을 하였다. 수집된 자료의 통계분석은 SPSS 21.0을 이용하여 평균과 표준편차, t-test, ANOVA, Pearson 상관계수, 다중회귀분석으로 하였다. 연구결과, 대상자의 사전연명의료의향서 지식은 1점 만점에 0.74±0.21점, 좋은 죽음 인식은 4점 만점에 2.87±0.42점, 연명의료중단 태도는 5점 만점에 3.46±0.49점이었다. 본 연구결과 연명의료중단 태도는 사전연명의료의향서 지식, 좋은 죽음 인식과 정적 상관관계로 나타났으며, 영향을 미치는 변인은 사전연명의료의향서 지식, 좋은 죽음인식, 가족과 연명의료중단 논의 여부로 나타났고, 설명력은 16.0%이었다(F=10.355, p<.001). 따라서, 암환자의 연명의료중단 태도 향상을 위해 사전연명의료의향서 지식 및 좋은 죽음 인식을 높일 수 있는 프로그램 개발이 필요하며, 가족과 환자의 사전 논의에 도움을 줄 수 있는 중재 방안이 필요하다.

• 임상간호연구
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• 제16권3호
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• pp.85-98
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• 2010

Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.

• Journal of Hospice and Palliative Care
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• 제24권1호
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• pp.36-45
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• 2021

Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies. Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used. Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055). Conclusion: Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.

• 산업융합연구
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• 제18권6호
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• pp.51-59
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• 2020

본 연구는 간호대학생을 대상으로 웰다잉에 대한 인식과 연명치료중단의 태도 및 안락사에 대한 태도 간의 관계를 알아보고자 시도되었다. 연구 기간은 2018년 4월 1일부터 5월 6일까지로 D광역시에 소재한 간호학과의 288명의 간호대학생을 대상으로 조사를 실시하였다. 연구결과 웰다잉에 대한 인식은 연명치료중단의 태도와 적극적 안락사, 소극적 안락사와 정(+)의 상관관계로, 연명치료중단의 태도는 적극적 안락사, 소극적 안락사와 정(+)의 상관관계로 나타났다. 간호사는 연명치료과정에서 많은 윤리적 갈등을 경험할 것으로 예상되는 바 간호대학생 시기에 웰다잉에 대한 인식, 생명윤리교육을 받는 것이 필요하고 교육프로그램의 개발과 효과평가가 요구된다.