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Nurses' Knowledge of and Attitudes toward Pediatric Palliative Care of Korea

간호사의 소아청소년 호스피스완화의료에 대한 지식 및 태도

  • Kang, Kyung-Ah (Department of Nursing, Sahmyook University) ;
  • Kim, Hyun Sook (Department of Social Welfare, Korea National University of Transportation) ;
  • Kwon, So-Hi (College of Nursing, Kyungpook National University) ;
  • Nam, Mi Jung (Department of Nursing, Daejeon Health Sciences College) ;
  • Bang, Kyung-Sook (College of Nursing, Seoul National University) ;
  • Yu, Su Jeong (Department of Nursing, Sangji University) ;
  • Jung, Yun (Department of Nursing, Kyungdong University) ;
  • Choi, Sung Eun (Hospice & Palliative Care Center, Pohang Sunlin Medical Center) ;
  • Chung, Bok-Yae (College of Nursing, Kyungpook National University)
  • 강경아 (삼육대학교 간호학과) ;
  • 김현숙 (한국교통대학교 사회복지학과) ;
  • 권소희 (경북대학교 간호대학) ;
  • 남미정 (대전보건대학교 간호학과) ;
  • 방경숙 (서울대학교 간호대학) ;
  • 유수정 (상지대학교 간호학과) ;
  • 정연 (경동대학교 간호학과) ;
  • 최성은 (포항선린병원 완화의료센터) ;
  • 정복례 (경북대학교 간호대학)
  • Received : 2014.10.02
  • Accepted : 2014.11.28
  • Published : 2014.12.01

Abstract

Purpose: The aim of this research was to explore nurses' knowledge of and attitudes toward pediatric palliative care (PPC) in Korea. Methods: A descriptive cross-sectional design was used. A total of 196 participants were recruited from the ELNEC-PPC course held in Seoul, Korea. All participants completed a 20-item survey questionnaire which assessed knowledge of and attitudes toward PPC using a 7-point Likert scale. Results: Nurses' knowledge of PPC correlated with their educational level and work experience in the pediatric unit and hospice care unit. The work experience in the pediatric unit, career length in PPC and completion of palliative education course made differences in the attitudes toward PPC. Married nurses scored significantly higher on the parental rights in determining palliative care service for their child, and nurses with master's degree or higher showed a higher level of understanding of and attitudes toward the differences between PPC and adult palliative care. Conclusion: The factors influencing nurses' knowledge of and attitudes toward PPC need be considered to develop a pediatric palliative training program.

목적: 본 연구는 말기아동 간호에 대한 교육자를 위한 교육프로그램인 ELNEC-PPC에 참여한 간호사의 소아청소년 호스피스완화의료(PPC)에 대한 지식 및 태도를 확인하기 위하여 수행되었다. 방법: 2012년 ELNEC-PPC 교육자를 위한 교육과정에 등록한 간호사 중 연구참여에 동의하고 서명날인 후 설문조사에 응답한 총 196명의 자료를 분석하였으며, 소아청소년 호스피스완화의료에 대한 지식과 태도는 20문항의 7점 척도로 측정하였다. 결과: 학력수준과 소아과병동 및 호스피스 근무경험에 따라 PPC에 대한 지식 정도에 차이가 있었다. 소아과 근무경험, PPC 경력 및 교육경험 이수 정도에 따라 소아 호스피스완화의료 태도에 차이가 있었으며, 기혼 간호사는 자녀의 완화의료서비스 결정에 대한 보호자의 권리에 대해 더 긍정적이었으며, 석사 이상군은 PPC에 대한 지식과 태도 정도가 높았다. 결론: PPC에 대한 간호사의 지식 및 태도를 높이기 위해서는 일반간호사를 대상으로 하여 표준화된 교육이 필요하다.

Keywords

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