본문 바로가기
KERD
논문KCI 등재

임종간호 태도에 영향을 미치는 융합적인 요인분석

Convergence Analysis of the Factors Influencing Terminal Care Attitude

0

조회

0

다운로드

24

인용

0

참고문헌

키워드

주제분류학제간연구

초록

본 연구는 임종간호 태도에 영향을 미치는 요인들을 파악하기 위하여 시도하였다. 연구 대상은 종합병원에 근무하고 있는 간호사 190명이였으며 측정 도구는 죽음에 대한 인식, 죽음불안, 임종간호 스트레스, 죽음에 대한 태도, 소진, 임종간호 태도에 관한 문항으로 구성되었다. 죽음에 대한 인식, 죽음불안, 임종간호 스트레스, 죽음에 대한 태도, 소진, 임종간호 태도정도는 기술통계로 분석하였고 제 변수들 간의 상관관계는 Pearson correlation coefficients, 임종간호 태도에 영향을 미치는 요인은 다중 선형 회귀분석(Multiple linear regression)을 적용하였다. 임종간호 태도는 죽음에 대한 인식, 임종간호 스트레스와 유의한 정적상관성이 있는 것으로 나타났으며 죽음 불안, 죽음에 대한 태도, 소진과는 유의한 부적 상관성이 있는 것으로 나타났다. 죽음에 대한 인식, 죽음 불안, 임종간호 스트레스, 죽음에 대한 태도 등이 유의미한 영향을 주는 것으로 나타나 임종간호 태도의 32.7%를 설명하였다. 본 연구 결과를 토대로 실제적인 임종간호 교육프로그램 개발에 활용할 수 있을 것이다.

Abstract

Objectives: The purpose of the study was to identify factors influencing on nurses’ Terminal Care Attitude. Methods: A sample of convenience of 190 nurses. Instrument included perception of death, death anxiety, terminal care stress, death attitude, burnout, terminal care attitude. Results: A significant positive correlation was found among terminal care attitude, perception of death, terminal care stress. In addition, a significant negative correlation was found among terminal care attitude, death anxiety, death attitude, burnout. Perception of death, death anxiety, terminal care stress & death attitude were significant predictive variables. This variables accounted for 32.7% of the variance in terminal care attitude. Conclusions: Based on the Findings of this study, it can be used to develop educational programs for Terminal Care.

참고문헌 (59)

  1. Y. A. Choi, "Study on the Recognition and Preparation for Death in Elderly", 석사, pp.2008
  2. B. Becker, "Death and Dying Understanding and Care" (1994), Delmar Pub. Inc
  3. 우영화, "간호사의 죽음불안과 임종간호스트레스 및 임종간호수행", 한국호스피스완화의료학회지, 16(1), pp.33~41 (2013), 한국호스피스완화의료학회
  4. T. Sasahara, "Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan", Palliative Medicine, 17(6), pp.520~526 (2003)
  5. S. H. Yeo, "Ethical dilemmas of Nurses in the Intensive Care Unit", 석사, pp.2007
  6. K. A. Chi, "Influence of Spiritual Health, Mental Health and Death Orientation on the Nurse’s Attitude Toward Hospice", 석사, pp.2003
  7. H. J. Lee, "A Study on Nurse’s Attitude Toward Death and Hospice", 석사, pp.2002
  8. H. J. Cho, "The Effect of the Death Education Program on the Death Anxiety and Attitudes Toward Nursing Care of the Dying Patients of Nursing Students", 석사, pp.2004
  9. Y. R. Cha, "A Study on the Nurses’ Attitude to death in Korea – Centering on university Hospital in Jeollabuckdo Province", 석사, pp.2006
  10. M. Braun, "Associations between oncology nurses’ attitudes toward death and caring for dying patients", Oncology Nursing Forum, 37(1), pp.43~49 (2010)
  11. F. J. Shih, "Death and Help Expected from Nurses when Dying", Nursing Ethics, 13(4), pp.360~375 (2006)
  12. 조계화, "말기의 의료적 의사결정에 관한 임상간호사의 갈등경험", 성인간호학회지, 22(5), pp.488~498 (2010), 성인간호학회
  13. 김숙남, "간호사의 죽음불안과 영성", 한국간호교육학회지, 16(1), pp.101~110 (2010), 한국간호교육학회
  14. Y. J, "A Study on the Nurse’s Perception and Attitude on Death and Hospice", 석사, pp.2004
  15. L. A. Rooda, "Nurses’ attitudes toward death and caring for dying patients", Oncology Nursing Forum, 26(10), pp.1683~1687 (1999)
  16. A. K. Kim, "The Study of Attitude to Passive Euthanasia among Korean Nurses", Journal of Korean academy of fundamentals of nursing, 9(1), pp.76~85 (2002)
  17. E. J. Kim, "Factors Influencing Nurses’ Attitude of End Of Life Care – With Nurses in Internal Medicine Department and intensive Care Unit as Subjects-", 석사, pp.2012
  18. J. B. Hopkinson, "Everyday death: how do nurses cope with caring for dying people in hospital", International Journal of Nursing Studies, 42(2), pp.125~133 (2005)
  19. B. H. Kim, "The effect of education of hospice care toward Death", Research Institute of Nursing Science, 2(2), pp.60~65 (1997)
  20. M. S. Han, "An Analysis of Cancer Care Unit Nurses’ Perception of Death", 석사, pp.1998
  21. M. A. Kim, "The Perception of Death to Life Style, Quality of Life, Spiritual Health in Adult", 석사, pp.2006
  22. L. Collett, "Fear of death and the fear of dying", The Journal of Psychology, 72, pp.179~181 (1969)
  23. H. K. Suh, "Attitude of Korean Old Adult Concerning Death Anxiety", Journal of the Korea Gerontological Society, 7(1), pp.39~60 (1987)
  24. Y. O. Lee, "A Study of Cancer Unit Nurses’Stress from Bereavement Support", 석사, pp.2004
  25. P. Wong, "Death Anxiety Handbook Research, Instrumentation, and Application: Death Attitude Profile-Revised: A multidimensional measure of attitudes toward death" (1994), Taylor and Francis
  26. H. Kim, "Attitudes toward Death and End-of-life Care among Nurses in Nursing Homes", 석사, pp.2013
  27. A. M. Pines, "Burnout:From Tedium to Personal Growth" (1981), MacMillian Publishing Co. Inc
  28. E. H. Peek, "A study of the correlation between burnout and job satisfaction levels among nurses", 석사, pp.1983
  29. K. H. M. Frommelt, "The effects of death education on nurses’ attitudes toward caring for terminally ill persons and their families", American Journal of Hospice & Palliative Care, 8(5), pp.37~43 (1991)
  30. Y. C. Cho, "Emergency Nurses’ Perception of Death and Terminal Care Attitude", 석사, pp.2011
  31. S. S. Noh, "A Study on Death Perception, Terminal Care Attitude, and Terminal Care Performance of Clinical Nurses Caring for Cancer Patients", 석사, pp.2010
  32. Y. A. Yoon, "Clinical Nurses’ Perception of death and End of life care stress", 석사, pp.2009
  33. H. J. Ryu, "Affect of Spiritual Health, Mental Health and Perception of Death on the Nurse’s Quality of Life", 석사, pp.2007
  34. B. R. Kim, "Influencing Factors of Attitude on Terminal Care among Care Helpers in Long-Term Care Facilities", 석사, pp.2013
  35. K. K. Kim, "Nurses’ Job Stress, Perception to Death and Terminal Care Attitude", 석사, pp.2014
  36. D. Y. Eo, "Nurses’ death anxiety and attitude concerning hospice care", 석사, pp.2010
  37. E. M. Hong, "Death Perceptions, Death Anxiety, and Attitudes to Death in Oncology Nurses", 석사, pp.2013
  38. H. R. Kim, "Attitude towards Death, Stress and Attitude on the Terminal Care among Medical Ward Nurses with Terminal Experience", 석사, pp.2014
  39. S. I. Ji, "Factors which Affect Nurses’ Stress from Terminal Care", 석사, pp.2012
  40. Y. H. Woo, "A study on death anxiety, terminal care stress and terminal care performance of nurses", 석사, pp.2012
  41. 이향련, "암병동 간호사와 일반병동 간호사의 임종간호에 대한 스트레스와 대처방법 비교 연구", Asian Oncology Nursing, 7(1), pp.26~35 (2007), 대한종양간호학회
  42. J. H, "The Job Stress, Perception, and Training Needs on the End-of-Life Care among Cancer Unit Nurses", 석사, pp.2009
  43. A. E. Stewart, "A Survey of professionals’ training and experiences in delivering death notifications", Death Studies, 24(7), pp.611~631 (2000)
  44. M. J. Kim, "Relationship among Spiritual Well-being, Work Stress and Burnout of Nurses in Oncology Unit", 석사, pp.2005
  45. L. J. Lee, "Thanatology" (2011), Hakjisa
  46. J. P. Quenot, "Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices", Intensive Care Medicine, 38(1), pp.55~61 (2012)
  47. H. S. Kim, "End-of-Life Care Stress, Spiritual Well-Being and Burnout among Critical Care Nurses", pp.2014
  48. 김경진, "암 병원 간호사의 영성, 죽음불안 및 소진", 한국호스피스완화의료학회지, 16(4), pp.264~273 (2013), 한국호스피스완화의료학회
  49. 신미혜, "암환자 간호사의 소진 영향요인 분석*", Asian Oncology Nursing, 3(1), pp.75~84 (2003), 대한종양간호학회
  50. 조계화, "말기 암 환자를 간호하는 간호사의 고통경험 척도개발", Journal of Korean Academy of Nursing, 32(2), pp.243~253 (2002), 한국간호과학회
  51. D. A. Alexander, "Stress and difficulties in dealing with the terminal patient", Journal of Palliative Care, 6(3), pp.28~33 (1990)
  52. H. O. Kim, "The Association among Job Stress, Job Satisfaction and Burnout of the Clinical Nurses in Some Large-sized Hospitals", 석사, pp.2004
  53. H. S. Kim, "Correlation between Job Stress and Burnout in Hospice Nurses", 석사, pp.2011
  54. M. Matsui, "Nurses’ and care workers’ attitudes toward death and caring for dying older adults in Japan", International Journal of Palliative Nursing, 16(12), pp.593~598 (2010)
  55. J. L. Mallory, "The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students", Journal of Professional Nursing, 19(5), pp.305~312 (2003)
  56. K. H. M. Frommelt, "Attitudes toward care of the terminally ill: an educational intervention", American Journal of Hospice & Palliative Care, 20(1), pp.13~22 (2003)
  57. E. M. Wessel, "Home care and hospice nurses’ attitudes toward death and caring for the dying: effects of palliative care education", Journal of Hospice & Palliative Nursing, 7(4), pp.212~218 (2005)
  58. K. M Detering, "The impact of advance care planning on end of life care in elderly patients: randomised controlled trial", BMJ, 340(mar23 1), pp.c1345~c1345 (2010), BMJ[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (17건)