• Journal of Oriental Neuropsychiatry
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• v.22 no.3
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• pp.65-74
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• 2011

Objectives : This study aims to examine the effects of death education program on meaning in life, death anxiety and attitude toward nursing care of the dying patients among nursing students. Methods : Subjects were 155 nursing students of the K college. Before and after the intervention, students responded a questionnaire developed to measure meaning in life, death anxiety and attitude toward nursing care of the dying patients. To analyse the data, Cronbach's ${\alpha}$, t-test, and paired t-test were used with an SPSS 12.0 program. Results : 1. Meaning in life and attitude toward nursing care of the dying patients levels significantly increased, death anxiety levels significantly decreased. 2. Meaning in life levels increased significantly in the 20-24 age group, female, first grade, no religion, no death experience of relatives. 3. Death anxiety levels decreased significantly in the 20-24 age group, female, no religion, no death experience of relatives, but increased significantly in a buddhist group. 4. Attitude toward nursing care of the dying patients levels increased significantly in the 20-24 age group, female, first grade, won buddhist, no death experience of relatives. Conclusions : This study, through the above result, shows that the death education program can be an effective nursing education to improve meaning in life and attitude toward nursing care of the dying patients and to decrease death anxiety. These results suggest that the death education program will be helpful for recognizing the values of themselves and their current lives and improving their nursing intervention care of the dying patients.

• Journal of East-West Nursing Research
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• v.25 no.2
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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.

• Journal of Hospice and Palliative Care
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• v.4 no.1
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• pp.57-67
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• 2001

Purpose : The purpose of this study was to identify attitudes of hospice volunteers toward care of for terminally ill patients. Method : This was a descriptive study with a sample of 84 adults who were registered for a hospice volunteer education program at Severence Hospice Center. The Frommelt (FATCOD) scale on attitudes toward the care of the dying (Cronbach alpha=.778) and an open ended questions on "what if you only have 6 months to live" were used to collect the data. The data was analyzed using SPSS/W and content analysis. Results : 1) The hospice volunteers were mostly female, with an average age of 45 years, half of them were college graduates and their religious preference was Protestant. 2) The participants of this study demonstrated positive attitudes to care for the dying which is in coherence with hospice philosophy and principles. However they indicated difficulties in maintaining close relationships with people who are dying, and in communicating and sharing, and encouraging those who are dying to express their feelings. In the open ended questions, they identified that their most important issues would be guilt feelings toward their children, family concerns, and the burden of unfinished business in their lives. They also identified the fear of pain in the dying process and fear of the afterlife. The care they would like to receive was to have peace of mind, have a good listener, spiritual counselling, and pain relief and to be respected as a human being. The source of strength would be faith in God and they would like to overcome their of dying. The FATCOD scale has limitation in describing and identifying the need and attitude toward the care of the dying revisions were made. Conclusion : We all are the potential clients for the hospice rare. In a hospice volunteer education program, communication and interpersonal skill are essential. The fear of dying, afterlife, concerns about family with children, and human dignity are major concerns in hospice and palliative care.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.10
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• pp.4471-4477
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• 2012

The purpose of this study was to evaluate the recognition of well-dying, change to attitude toward the old and meaning of life through pre/post hospice education program of care worker trainees. This study is a quasi-experimental research using one group pretest-posttest design. The subjects of the study were 80 care worker trainees in T city and S city. The data were analyzed by SPSS/WIN 17.0 program. considering these results, The recognition of well-dying, The attitude toward the old and meaning of life were significantly different between pre/post program. This study is need systematic and continuousness of hospice education program for curriculum change to attitude toward the old and improvement of care worker.

• Journal of Industrial Convergence
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• v.18 no.6
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• pp.51-59
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• 2020

Although the life-sustaining treatment decision law is in effect, health care worker have many difficulties in determining life-sustaining treatment. Therefore, the relationship between the awareness of well-dying(WD), the attitude toward withdrawal of life-sustaining treatment(AWLST), and the attitude toward euthanasia(AE) for nursing students who will take care of dying patients in the future will be analyzed and used as basic data for bioethics classes. The study period was from April 1 to May 6, 2018, and a survey was conducted on 288 nursing students in D City. As a result of the study, WD was found to have positive (+) correlations with AWLST and AE, while AWLST was positive (+) with active and passive euthanasia. As nurses are expected to experience many ethical conflicts in the life-sustaining treatment process, it is necessary to receive education related to well-dying awareness, bioethics education, and life-sustaining treatment during the nursing student period.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.63-71
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• 2017

In today's society interest in beautiful death is rising. This study investigated the perception of death and well-dying-terminal care attitude-of nursing students and determined the factors that influence their attitude on terminal care and beautiful death. Data was collected from 319 baccalaureate nursing students in S-City, Kyunggido, in Korea using a self-reported questionnaire. The collected data was analyzed by t-test, ANOVA, Person's correlation coefficients, and multiple stepwise regression, using WIN SPSS 18.0 program. There were significant differences in terminal care attitude of subjects in accordance with the experience of hospice education (F=2.53, p=.012), experience with the death of close acquaintances (F=3.37, p=.001), and perceived health status (F=5.37 p=.005). There was a positive correlation between perception of death and well-dying (r=.23, p<.001), and the relationship between well-dying and terminal care attitudes was also statistically significant (r=.22, p<.001). Factors that influence the attitude on terminal care were well-dying (${\beta}=.19$) and experience with the death of close acquaintances (${\beta}=.16$). It is necessary to develop an education program for nursing students to promote positive attitudes toward the perception of death and well-dying, as well as toward terminal care.

• Journal of Korean Academy of Nursing Administration
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• v.7 no.2
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• pp.237-251
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• 2001

It is important for nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses for the effective management of them. The purpose of this Phenomenological study was to explore the lived experience of nursing care for the dying patients in clinical nurses and identify the meaning and structure of their lived experience. This study was conducted from 1 of June, 2000 to 1 of November, 2000. Data were collected with several in-depth interviews until data were fully saturated, from 1 of June, 2000 to 10 of September, 2000. The Subjects were five nurses who had more than three-year job experience in caring for dying patients, three protestant christians and two atheists, one married and four unmarried persons. The range of their age was from 28 to 36. Data were analysed by the Colaizzi's methodology. Ten themes were extracted from fifty-one fomulated-meanings. Fomulated-meanings were extracted from the restatements and the significant-statements which were deriven from the raw data. Finally ten themes took form of five structures. Five structures of 'The lived experience of nursing care for the dying patients in clinical nurses' were : 1. Experiencing guilty feeling and anger due to their and other's manneristic and ignored attitude toward dying patients 2. Feeling heartily the necessity of the education of hospice care because of their incompetence due to lack of knowledge of hospice care 3. Recognizing the human rights of dying patient's thinking themselves and their families 4. Felling satisfaction with their nursing accomplishments and reflecting their life through nursing care of the dying patients 5. Experiencing low self-respect due to the other's negative perspective toward their job The results of the study would give useful information to nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses and establish adequate strategies to support them.

• Journal of the Korean Applied Science and Technology
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• v.37 no.5
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• pp.1430-1440
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• 2020

The purpose of this study was to identify relationships between the awareness of well-dying, advance directives knowledge and attitude, according to patient's terminal care experience among nursing students. Participants were 321 nursing students, selected from 3 universities located in Gyeonggi-do, Chungcheong-do, Jeolla-do and data were collected using self-reported questionnaires. Data were analyzed using the SPSS/WIN 25.0 program, with descriptive statistics x²-test, t-test, ANOVA, Scheffe' test, Pearson's correlation coefficient. There was a significant difference in advance directives attitude among nursing students with experience of patient's terminal care or no experience of patient's terminal care (t=3.011, p<.003). In addition, the awareness of well-dying (r=.194, p=.008) and advance directives knowledge (r=.201, p=.006) were positively correlated with advance directives attitude in nursing students with experience of patient's terminal care, whereas advance directives attitude was positively correlated with the awareness of well-dying (r=.189, p=.029) in nursing students with no experience of patient's terminal care. This study suggests that there is a need for the development of systematic education programs to improve a positive attitude toward advance directives and awareness of well-dying of nursing college students.

• Perspectives in Nursing Science
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• v.12 no.2
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• pp.94-105
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• 2015

Purpose: The study purpose was to describe critical care nurses' attitudes toward hospice and palliative care and their related factors. Methods: In this cross-sectional descriptive study, 175 critical care nurses who worked at a general hospital in Seoul participated via self-report survey. The Frommelt Attitude Toward Care of the Dying Scale was used to measure their attitudes, and a palliative care quiz for nursing was used to measure their knowledge about hospice and palliative care. Results: Education level, duration of nursing employment, duration of critical care nursing employment, and knowledge about hospice and palliative care were significantly associated with nurses' attitudes. In the multiple regression analysis, education level, and duration of nursing employment were significant predictors of nurses' attitudes. Conclusion: These findings suggest that education programs to improve nurses' knowledge about hospice and palliative care should be developed. These will help critical care nurses obtain a positive attitude toward hospice and palliative care.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.3
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• pp.251-262
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• 2022

Purpose: The purpose of this study was to identify the extent to which in-hospital-based home health nurses' perceptions and anxiety about death following terminal care, affects their attitudes toward terminal care. Methods: The subjects were 128 advanced practice nurses working in hospital-based facilities for home health care, located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from May 3, 2019, to June 3, 2019, using structured questionnaires, on terminal care and related variables based on the literature. Data were analyzed by performing the Student's t-test, one-way ANOVA, Pearson's correlation, and multivariable stepwise regression using the SPSS Version 25.0 program. Results: The scores of the attitudes toward terminal care of home health care nurses was 3.25 points out of a possible 4 points. Factors affecting nurses' attitudes toward terminal care were their concern about death(β=0.45, p<0.001), religion(β=-0.26, p=0.001) and the anxiety of others about dying(β=-0.23, p=0.003), which explained 32.0% of the observed variance concerning the factors affecting nurses' attitudes toward terminal care. Conclusion: Through this study, concern about death, anxiety about how other people process dying, and religion, were found to be associated factors. The more concerned the nurses were about death and the less their anxiety about how others process dying, the better the home health care nurses' attitude toward implementing terminal care.