Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
권호 표지

Attitudes towards Euthanasia among Physicians and Nurses

의사와 간호사의 안락사에 대한 태도

Kim, Sook-Nam
김숙남

  • Published : 2009.09.30

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Abstract

Purpose: The purpose of the study was to investigate the attitudes of physicians and nurses toward euthanasia. Methods:The participants were 276 physicians and nurses working at general hospitals. Data was collected in October and November 2008. The measurement tool used was Attitudes Toward Euthanasia by Wasserman, Clair, & Ritchey (2005). The data was analyzed according to descriptive statistics, t-test, and one-way ANOVA with the SPSS/WIN 14.0 program. Results: The highest score item was 'when a patient needs euthanasia in the process of dying, a doctor can help the patient die by removing a device to continue his life'. The lowest score item for physicians was 'when a patient's pain is severe, a doctor can administer an excessive dose to bring the patient's life to an end'. The lowest score item for nurses was 'when it is judged that a patient doesn't have the possibility to recover, a doctor can administer an excessive dose to bring the patient's life to an end'. Conclusion: Physicians and nurses should be encouraged to treat moral issues about patients in the terminal stages more sensitively by emphasizing the dignity of life and establishing an compassionate attitude toward euthanasia.

Keywords

References

  1. Ahn, H. R., & Park, O. H. (1996). An exploratory study of the factors affecting awareness toward euthanasia of a community's residents. J Korean Acad Psychiatr Ment Health Nurs, 5(2), 83-107.
  2. Anderson, J. G., & Caddel, D. P. (1993). Attitudes of medical professionals toward euthansia, Soc Sci Med, 37, 105-114. https://doi.org/10.1016/0277-9536(93)90323-V
  3. Beauchamp, T. L., & Tom, L. (1994). Contemporary issues in bioethics. Belmont, CA: Wadsworth.
  4. Choi, C. M. (1993). Development of medicine and bioethic. Korean J Med Educ, 5(1), 27-30.
  5. Choi, Y. S., Kim, J. W., Lee, Y. M., Shin, S. W., Lee, T. H., & Hong, M. H. (1998). Doctor's attitude to ethical issues in the dying patients. J Hosp Palliat Care, 3, 25-32.
  6. Choi, Y. S., Shin, J. M., Lee, Y. M., Lee, T. H., Hong, M. H., Kim, J. S., et al. (1996). The college students' attitude toward terminal care and euthanasia. Korean J Hosp Palliat Care, 2(1), 16-22.
  7. Chung, H. K., Kim, K. H., Yeun, E. J., Ryu, E. J., Yeoum, S. G., Chung, Y. G., et al. (1999). A study on the subjectivity about death. J Korean Acad Psychiatr Ment Health Nurs, 8(1), 5-16.
  8. Cohen, J., Marcoux, I., Bilsen, J., Deboosere, P., Wal, G. V., & Deliens, L. (2006). European public acceptance of euthanasia: Socio-demographic and cultural factors associated with the acceptance of euthanasia in 33 european countries. Soc Sci Med, 63, 743-756. https://doi.org/10.1016/j.socscimed.2006.01.026
  9. Davis, A. J., Philips, L., Drought, T. S., Sellin, S., Ronsman, K., & Hershber, A. K. (2005). Nurse's attitude toward active euthanasia. Nurs Outlook, 43, 174-179. https://doi.org/10.1016/S0029-6554(05)80026-0
  10. Decesare, M. A. (2000). Public attitudes toward euthanasia and suicide for terminally ill persons. Soc Biol, 47, 264-276.
  11. Dickinson, D. E., Lancaster, C. F., Clark, D., Ahmedzai, S. H., & Noble, W. (2002). U. K. Physicians toward active voluntary euthanasia and physician-assisted suicide in south California and Washington. Omega, 36(3), 201-218.
  12. Doyle, D., Hanks, G., Cherny, N., & Calman, K. (2004). Oxford textbook of palliative medicine (3rd ed.). New York: Oxfrod University Press.
  13. Fried, T. R., Stein, M. D., Sullivan, P. S., & Brock, D. W. (1993). Limits of patient autonomy. Arch Intern Med, 153, 722-728. https://doi.org/10.1001/archinte.153.6.722
  14. Hong, M. S. (2000). A study on attitude of nurses toward euthanasia. J Korean Acad Community Health Nurs, 14(2), 446-463.
  15. Kim, A. K. (2002). The study of attitude to passive euthanasia among Korean nurses. J Korean Acad Fundam Nurs, 9(1), 76-85.
  16. Kim, S. H., & Lee, H. R. (2003). General population's view on euthanasia. Korean J Hosp Palliat Care, 6(2), 133-143.
  17. Koo, Y. M. (2005). Death: Bioethical approach. Ulsan: University Press.
  18. Kumaş, G., Oztunc, G., & Alparslan, Z. N. (2007). Intensive care unit nurses' opinions about euthanasia. Nurs Ethics, 14(5), 637-650. https://doi.org/10.1177/0969733007075889
  19. Lee, J. W. (2007). A survey on the ethical problems with euthanasia-focus on the physician-assisted suicide. Philosophy Inquiry, 21, 155-188.
  20. Lee, K. S. (2001). A study on the near death experience. J Korean Acad Psychiatr Ment Health Nurs, 10(3), 368-374.
  21. Lynn, J., Teno, J. M., & Philips, R. S. (1997). Perceptions by family members of the dying experience and seriously ill patients. Ann Intern Med, 126, 97-106. https://doi.org/10.7326/0003-4819-126-2-199701150-00001
  22. Nam, M. Y., Lee, S. C., Seh, Y. S., Kim, D. H., & Shin, D. H. (1995). Attitudes of physicians toward passive euthanasia. J Korean Acad Fam Med, 16(12), 874-879.
  23. Ryynanen, O. P., Myllykangas, M., Viren, M., & Heino, H. (2002). Attitudes towards euthanasia among physicians, nurses and the general public in Finland. Public Health, 116, 322-331. https://doi.org/10.1016/S0033-3506(02)00556-5
  24. Sung, M. H., Jeon, J. C., & Mo, H. J. (2007). Nurse's perceptions and attitudes toward euthanasia. J Korean Oncol Nurs, 7(2), 140-149.
  25. Verpoort, C., Gastmans, C., Bal, N. D., & Casterle, B. D. (2004). Nurse's attitudes to euthanasia: A review of the literature. Nurs Ethics, 11(4), 349-365. https://doi.org/10.1191/0969733004ne708oa
  26. Wasserman, J., Clair, J. M., & Ritchey, F. J. (2005). A scale to assess attitudes toward euthanasia. Omega, 51(3), 229-237.
  27. Weiss, G. L. (1996). Attitudes of college students about physician assisted suicide: The influence of life experiences, religiosity, and belief in autonomy. Death Stud, 20, 587-599. https://doi.org/10.1080/07481189608252764
  28. Yun, Y. H., Lee, Y. S., Nam, S. Y., Chae, Y. M., Heo, D. S., Lee, S. W., et al. (2004). Public attitudes toward dying with dignity and hospice palliative care. Korean J Hosp Palliat Care, 7(1), 17-28.