간호대학생의 생명의료윤리의식, 품위 있는 죽음에 대한 태도 및 사전연명의료의향서에 대한 태도
Biomedical Ethics Awareness and Attitudes toward Dignified Death and Advance Directives among Nursing Students
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: This study aimed conducted to investigate biomedical ethics awareness and attitudes toward dignified death and advance directives among nursing students. Methods: Data were collected through structured questionnaires from 222 nursing students with clinical practice experience, from November 7 to 23, 2015. Data were analyzed by independent t-tests, one-way ANOVA, Kruskal-Wallis test, and Pearson's correlation coefficients using SPSS WIN 22.0. Results: The scores for biomedical ethics awareness and attitudes toward dignified death were 2.89 and 3.15, respectively. Regarding attitudes toward advance directives (ADs), most students agreed with writing ADs. The main reason given for writing ADs is “I want to receive my treatment of choice.” As for the range and explanation method for ADs, 45.7% of participants responded, “do not know well.” Regarding willingness toward life sustaining treatment, “only pain control, no life sustaining treatment” was indicated by 83.4% and, “all information about symptoms and prognosis” by 91.9% of participants. For willingness to write ADs, 70.0% of participants responded “yes.” Conclusion: Curriculum for nursing ethics should be included in clinical training courses to improve related courses and provide an opportunity to deal with practical problems, such as biomedical ethics, death with dignity, and ADs.
Abstract
Purpose: This study aimed conducted to investigate biomedical ethics awareness and attitudes toward dignified death and advance directives among nursing students. Methods: Data were collected through structured questionnaires from 222 nursing students with clinical practice experience, from November 7 to 23, 2015. Data were analyzed by independent t-tests, one-way ANOVA, Kruskal-Wallis test, and Pearson's correlation coefficients using SPSS WIN 22.0. Results: The scores for biomedical ethics awareness and attitudes toward dignified death were 2.89 and 3.15, respectively. Regarding attitudes toward advance directives (ADs), most students agreed with writing ADs. The main reason given for writing ADs is “I want to receive my treatment of choice.” As for the range and explanation method for ADs, 45.7% of participants responded, “do not know well.” Regarding willingness toward life sustaining treatment, “only pain control, no life sustaining treatment” was indicated by 83.4% and, “all information about symptoms and prognosis” by 91.9% of participants. For willingness to write ADs, 70.0% of participants responded “yes.” Conclusion: Curriculum for nursing ethics should be included in clinical training courses to improve related courses and provide an opportunity to deal with practical problems, such as biomedical ethics, death with dignity, and ADs.
참고문헌 (30)
- 장난순, "상급종합병원 간호사의 사전연명의료의향서에 대한 지식, 자신감 및 교육요구도", 중환자간호학회지, 11(1), pp.35~45 (2018), 한국중환자간호학회
- 이영규, "사전의료의향서", 법학논총, 34(4), pp.293~318 (2017), 법학연구소[DOI]
- 유명숙, "간호대학생의 생명의료윤리의식, 도덕적 민감성 및 도덕 판단력에 관한 간호윤리교육의 효과", 생명윤리, 12(2), pp.61~78 (2011), 한국생명윤리학회
- 정유리, "간호학생의 생명의료윤리의식 영향 요인", 한국간호교육학회지, 23(4), pp.389~397 (2017), 한국간호교육학회[DOI]
- 노윤구, "간호대학생의 도덕판단력과 윤리적 의사결정 및 실습에서 경험한 윤리적 딜레마", 한국산학기술학회논문지, 14(6), pp.2915~2925 (2013), 한국산학기술학회[DOI]
- 조계화, "간호사의 품위 있는 죽음태도와 도덕적 민감성 정도가 임종간호수행에 미치는 영향", Journal of Hospice and Palliative Care, 16(4), pp.223~231 (2013), 한국호스피스완화의료학회
- A.Z. Doorenbos, "Dignified dying: phenomenon and actions among nurses in India", International Nursing Review, 53(1), pp.28~33 (2006), Wiley[DOI]
- 김보배, "연명의료결정법의 한계를 극복하기 위한대리인 지정제도 도입방안 모색", 한국의료윤리학회지, 21(2), pp.95~113 (2018), 한국의료윤리학회[DOI]
- Genevieve N Thompson, "Dignity-based approaches in the care of terminally ill patients", Current Opinion in Supportive and Palliative Care, 2(1), pp.49~53 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Sudore RL, "Effect of the PREPARE website vs an easy-to-read advance directive on advance care planning documentation and engagement among veterans: a randomized clinical trial", JAMA Internal Medicine, 177(8), pp.1102~1109 (2017)[DOI]
- 김은영, "간호대학생의 연명치료중단 지식과 태도에 관한 연구", 동서간호학연구지, 23(1), pp.1~8 (2017), 동서간호학연구소
- 고정미, "일개 여자대학교 학생의 사전의사결정서 작성의향에 영향을 미치는 요인에 관한 연구", 기본간호학회지, 20(1), pp.46~55 (2013), 기본간호학회
- 조영희, "융합 시대의 임상실습 전 간호대학생의 생명의료윤리의식에 대한 영향요인 확인", 한국융합학회논문지, 8(10), pp.359~369 (2017), 한국융합학회[DOI]
- 이윤정, "생명윤리교육 이수 여부에 따른 간호대학생의 죽음 인식, 죽음 태도, 생명의료윤리 의식의 차이", 생명윤리, 18(2), pp.95~109 (2017), 한국생명윤리학회
- 조계화, "한국 성인의 품위 있는 죽음 측정도구 개발 및 평가", Journal of Korean Academy of Nursing, 41(3), pp.313~324 (2011), 한국간호과학회
- Frederick Erickson, "Taught Cognitive learning in its Immediate Environments: A Neglected Topic in the Anthropology of Education", Anthropology & Education Quarterly, 13(2), pp.149~180 (1982), Wiley[DOI]
- Akira Akabayashi, "Perspectives on advance directives in Japanese society: A population-based questionnaire survey", BMC Medical Ethics, 4(1) (2003), Springer Nature[DOI]
- Yun, ES., "Knowledge, experience, attitudes and preferences toward advance directives among patients and their family members who are visiting the general hospital", Master, pp.2009
- Samuel Gorovitz, "Bioethics and Social Responsibility", Monist, 60(1), pp.3~15 (1977), Oxford University Press (OUP)[DOI]
- Kwon SJ, "A study on the consciousness of biomedical ethics of the nursing students and medical students", Master, pp.2003
- 조계화, "일개 도시주민의 품위 있는 죽음 태도에대한 예측 요인", Journal of Hospice and Palliative Care, 15(4), pp.193~204 (2012), 한국호스피스완화의료학회
- 이영은, "대학생의 영적안녕과 죽음에 대한 태도 및 호스피스 인식", Journal of Hospice and Palliative Care, 18(4), pp.294~305 (2015), 한국호스피스완화의료학회[DOI]
- 김미옥, "보건의료계열 대학생의 생명의료윤리의식, 도덕적 자아개념 및 자아존중감", 한국의료윤리학회지, 18(4), pp.478~490 (2015), 한국의료윤리학회[DOI]
- 문미영, "간호대학생의 임상실습 및 생명의료 윤리의식과의 관련성 조사 연구", 생명윤리, 13(2), pp.49~62 (2012), 한국생명윤리학회
- 전현숙, "간호대학생과 비 간호대학생의 생명의료윤리 의식", 기본간호학회지, 18(3), pp.401~410 (2011), 기본간호학회
- 최은정, "간호대학생의 생명의료윤리 의식, 좋은 죽음 인식, 자아존중감이 연명치료 중단에 대한 태도에 미치는 영향", 한국산학기술학회논문지, 19(5), pp.275~284 (2018), 한국산학기술학회[DOI]
- 김영희, "간호대학생의 말기환자에 대한생명의료윤리 인식과 죽음에 대한 태도", Journal of Hospice and Palliative Care, 16(1), pp.1~9 (2013), 한국호스피스완화의료학회
- Kim SB, "Knowledge to interruption of life-sustaining treatment and advance directives in nursing students", Master, pp.2011
- Jo KH, "Nursing interventions to promote dignified dying in South Korea", International Journal of Palliative Nursing, 17(8), pp.392~397 (2011)
- Kim MY, "Survey on Korean nurses’ attitude towards advance directives and end of life decision making", Journal of Korean Critical Care Nursing, 3(2), pp.77~90 (2010)