The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Factors Influencing Attitude Toward Advance Directive in Nursing Students

간호대학생의 사전의료의향서에 대한 태도 영향 요인

  • 김희정 (대구가톨릭대학교 간호대학)
  • Received : 2019.01.16
  • Accepted : 2019.05.10
  • Published : 2019.05.31
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Abstract

Purpose: The purpose of this study was to identify nursing students' knowledge and attitude toward advance directives and factors influencing the attitude. Methods: A cross-sectional survey design was used and 196 nursing students participated in the study. Data were collected from July 1 to August 30, 2018 using a structured questionnaire which included biomedical ethics, awareness of good death, knowledge and attitude toward advance directives. Data were analyzed using SPSS/WIN 25.0 program with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The mean score of biomedical ethics, awareness of good death, knowledge and attitude toward advance directives were $2.88{\pm}0.59$, $3.18{\pm}0.48$, $7.68{\pm}31.32$, $31.00{\pm}3.09$. Factors influencing the attitude toward advance directives were awareness of good death (${\beta}=.28$, p<.001), intention of writing their advance directives (${\beta}=.19$, p=.006), the knowledge related to advance directives (${\beta}=.15$, p=.029). A total of 14% of attitude toward advance directives was explained by awareness of good death, the knowledge related to advance directives, and ntention of writing their advance directives. Conclusion: The findings of the study indicate that it is necessary to provide a systemic education program regarding advance directives for nursing students in order to provide knowledge related to advance directives and to help them establish positive attitudes toward advance directives.

Keywords

Table 1. Differences in Knowledge and Attitude toward AD according to Characteristics of Subjects

HGHOBN_2019_v25n2_227_t0001.png 이미지

Table 2. Level of Knowledge and Attitude toward AD, Consciousness of Biomedical ethics and Awareness of Good Death

HGHOBN_2019_v25n2_227_t0002.png 이미지

Table 3. Correlations among Knowledge and Attitude toward AD, Consciousness of Biomedical ethics and Awareness of Good Death

HGHOBN_2019_v25n2_227_t0003.png 이미지

Table 4. Influencing Factors on the Attitude toward AD

HGHOBN_2019_v25n2_227_t0004.png 이미지

References

  1. Adams, J. A., Bailey, D. E., Anderson R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 1-15.
  2. An, M. S., & Lee, K. J. (2014). Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. Korean Journal of Hospice and Palliative Care, 17(3), 122-133. https://doi.org/10.14475/kjhpc.2014.17.3.122
  3. Calvin, A. O., & Clark, A. P. (2002). How are you facilitating advance directives in your clinical nurse specialist practice?. Clinical Nurse Specialist, 16(6), 93-294. https://doi.org/10.1097/00002800-200203000-00012
  4. Cho, J. S. (2018). Perception of hospice, knowledge and attitude toward advance directives in health care workers (Unpublished master's thesis). Catholic university of Pusan, Pusan.
  5. Cho, Y. K. (2017). The influencing factors on practice nurses' attitude for advanced Directives (Unpublished master's thesis). Keimyung University, Daegu.
  6. Choi, E. J., & Jeong, H.S. (2018). The effect of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on the attitude toward withdrawal of life-sustaining treatment. Journal of the Korea Academia-Industrial Cooperation Society, 19(5), 275-284. https://doi.org/10.5762/KAIS.2018.19.5.275
  7. Hong, S. W., & Kim, S. M. (2013). Knowledge regarding advance directives among community-dwelling elderly. The Journal of Korean Academic Society of Nursing Education, 19(3), 330-340. https://doi.org/10.5977/jkasne.2013.19.3.330
  8. Hwang, B. D., Choi, R., & Park, J. Y. (2014). Medical personnel's awareness and attitudes which affects to writing advanced medical directives. Health and Social Science, 37, 25-47.
  9. Jang, N. S., Park, H. S., Kim, M. R., Lee, J. Y., Cho, Y. W., Kim, K. M., et al.,. (2018). Knowledge, confidence, and learning needs regarding advance directives among hospital nurses. Journal of Korean Critical Care Nursing, 11(1), 35-45.
  10. Je, N. J., & Hwa, J. S. (2018). Factors influencing withdrawal of life-sustaining treatment in tertiary general hospital workers - Knowledge and attitude of organ donation and transplantation, awareness of death, knowledge and perception of hospice palliative care. The Korean Journal of Hospice and Palliative Care, 21(3), 92-103. https://doi.org/10.14475/kjhpc.2018.21.3.92
  11. Jeong, H. S. (2010). Recognition towards Good death among Physicians and Nurses in an area (Unpublished master's thesis). Catholic University of Pusan, Pusan.
  12. Jezewski, M, Brown, J, Wu, Y, Meeker, M. A., Feng, J. Y., & Bu, X. (2005). Oncology nurses' knowledge, attitudes, and experiences regarding advance directives. Oncology Nursing Forum, 32(2), 319-327. https://doi.org/10.1188/05.ONF.319-327
  13. Kim, G. M., Sung, K. S., & Kim E. J. (2017). Awareness of nursing students' biomedical ethics and attitudes toward withdrawal of life-sustaining treatment. Child Health Nursing Research, 23(3), 292-299. https://doi.org/10.4094/chnr.2017.23.3.292
  14. Kim, M. Y., & Kim, G. S. (2010). Korean nurses' attitude towards advance directives and end of life decision making. Journal of Korean Critical Care Nursing, 3(2), 77-90.
  15. Kim, S. H. (2010). Awareness and attitudes toward advance directives among Korean adults. Journal of Korean Academy of Fundamentals of Nursing, 17(4), 450-459.
  16. Kim, S. M., Kim. G. S., Lee. I. S., & Kim. S. I. (2013). Perception towards advance directives, hospice-palliative care, life-sustaining treatment among the middle aged adults. Korean Journal of Social Welfare Research, 37, 21-44.
  17. Ko, C. M., & Koh, C. (2013). Willingness to write advance directives and related factors among women university students. Journal of Korean Academy of Fundamental Nursing, 20(1), 46-55. https://doi.org/10.7739/jkafn.2013.20.1.46
  18. Kwon, S. J. (2003). Study on the consciousness of biomedical ethics of the nursing students and medical students (Unpublished master's thesis). Keimyung University, Daegu.
  19. Lee, G. J., Hwang, K. H., Ra, J. R., Hong, J. A., & Park, C. S. (2006). Concept analysis of good death. Journal of Hospice Education Research, 10, 23-39.
  20. Lee, Y. S. (1990). A study of the ethical values of Korean nurses. The Journal of Nurses Academic Society, 20(2), 249-270. https://doi.org/10.4040/jnas.1990.20.2.249
  21. Lipson, A. R., Hausman, A. J., Higgins, P. A., & Burant, C. J. (2004). Knowledge, attitudes, and predictors of advance directive discussions of registered nurses. Western Journal of Nursing Research, 26(7), 784-796. https://doi.org/10.1177/0193945904266528
  22. Olick, R. S. (2012). Defining features of advance directives in law and clinical practice. Chest, 141(1), 232-238. https://doi.org/10.1378/chest.11-1520
  23. Park, J. A., & Jung, D. Y. (2013). The comparing perception of advance directives in one general hospital doctors and nurses. Korean Society of Nursing Science, 25(2), 25-33.
  24. Park, J. W., & Song, J. A. (2013) Knowledge, experience and preference on advance directives among community and facility dwelling elderly. Journal of the Korean Gerontological Society, 33(3), 581-600.
  25. Ryan, D., & Jezewski, M. A. (2012). Knowledge, attitudes, experiences, and confidence of nurses in completing advance directives: A systematic synthesis of three studies. Journal of Nursing Research, 20(2), 131-41. https://doi.org/10.1097/jnr.0b013e318256095f
  26. Scherer, Y, Jezewski, M. A., Graves, B., Wu, Y., & Bu, X. (2006). Advance directives and end of-life decision making: Survey of critical care nurses' knowledge, attitude, and experience. Critical Care Nurse, 26(4), 30-34. https://doi.org/10.4037/ccn2006.26.4.30
  27. Schwartz, C. E., Mazor, K., Rogers, J., Ma, Y., & Reed, G. (2003). Validation of a new measure of concept of a good death. Journal of Palliative Medicine, 6(4), 575-584. https://doi.org/10.1089/109662103768253687
  28. Statistics Korea. (2018, Decmber 12). 2017 Population and Housing Census. Retrieved from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv
  29. Sun, D. S., Chun, Y. J., Lee, J. H., Gil, S. H., Shim, B. Y., Lee, O. K., J., et al. (2009). Recognition of advance directives by advanced cancer patients and medical doctors in hospice care ward. Korean Journal of Hospice and Palliative Care, 12(1), 20-26. https://doi.org/10.14475/kjhpc.2009.12.1.20
  30. Yoon, Y. J. (2018). Influencing factors of clinical nurses' moral sensitivity and perception of death on the attitudes toward advance directives (Unpublished master's thesis). Kyungpook National University, Daegu.

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