DOI QR코드

DOI QR Code

Convergence Factors Influencing Attitude Toward Advance Directive in Healthcare Workers

의료종사자의 사전의료의향서에 대한 태도에 미치는 융합적 영향요인

  • Jeong, Eun (Department of Nursing, Gwangyang Health Sciences University) ;
  • Jung, Mi-Ra (Department of Nursing, Hanyeong College University)
  • 정은 (광양보건대학교 간호학과) ;
  • 정미라 (한영대학교 간호학과)
  • Received : 2019.09.06
  • Accepted : 2019.10.20
  • Published : 2019.10.28

Abstract

This study was a descriptive study to investigate the effects of healthcare workers' consciousness of biomedical ethics, recognition of good death, and self-esteem on attitude toward advance directive. Participants in this study were 292 healthcare workers in the three general hospitals located Y city. The data were collected from April 2 to April 23, 2019 and analyzed descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression using the SPSS Win. 22.0 program. The result of the multiple regression indicates the intention to awareness regarding advance directives, intention to execute advance directives, time to complete advance directives and recognition of good death predict 23.5% (F=12.39, P=.000) of attitudes toward advance directives. Therefore, it is necessary to develop a program to establish attitudes toward advance directives by providing education on recognition of good death of healthcare workers.

본 연구는 의료종사자의 생명의료윤리 의식, 좋은 죽음 인식과 자아존중감이 사전의료의향서에 대한 태도에 미치는 영향요인을 살펴보고자 수행되었다. 본 연구의 참여자는 Y시에 있는 3개 종합병원에 근무하는 의료종사자 292명을 대상으로 하였다. 자료수집은 2019년 4월 2일부터 4월 23일까지 실시하였고, 자료분석은 SPSS Statistics 22.0 프로그램을 이용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient, multiple regression을 하였다. 다중 회귀분석 결과 사전의료의향서에 대한 태도에 영향을 미치는 요인은 사전의료의향서 인식, 사전의료의향서 작성여부, 사전의료의향서 작성 시기, 좋은 죽음 인식이었으며 이들의 설명력은 23.5%(F=12.39, P=.000)로 나타났다. 본 연구결과를 바탕으로 의료종사자의 좋은 죽음 인식에 대한 교육을 제공함으로써 사전의료의향서에 대한 올바른 태도확립을 위한 중재 프로그램 개발이 필요할 것으로 생각된다.

Keywords

References

  1. National Agency for Management of Life-Sustaining Treatment. (2019). What is an advance directives. Name of Web Site. http://www.lst.go.kr
  2. National Agency for Management of Life-Sustaining Treatment. (2019). News letter . https://www.lst.go.kr/comm/newsDetail.do?pgNo=1&cate=&searchOption=0&searchText=&bno=1149
  3. H. J. Cheon. (2018). Nurses' perception of good death and attitude toward advance directive. Catholic National University, Pusan.
  4. J. A. Park & D. Y. Jung. (2013). The comparing perception of advance directives in one general hospital doctors and nurses. Research Institute of Nursing Science, Ewha, 25(2), 25-33.
  5. D. S. Heo. (2008). Withdrawing life-sustaining: Focus of the medical approach. The Korean Journal of Medicine, 75(2), 689-688.
  6. S. M. Kim, S. W. Hong, Y. Eum & S. J. Koh. (2012). Prerequisite for korean advance directives: From the view of healthcare providers. Journal of Korean academy of nursing, 42(4), 486-495. DOI : 10.4040/jkan.2012.42.4.486
  7. B. H. Kong. (2001). Biomedical ethics and nursing. The Chung-Ang Journal of Nursing. 5(1), 79-88.
  8. K. J. Lee & Y. S. Yeon. (2011). Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in korea. Journal of Korean Clinical Nursing Research. 17(1), 1-15.
  9. S. Y. Kim, S. S. Hur & B. H. Kim. (2014). Study of subjective view on the meaning of well-dying held by medical practitioners and nursing students: Based on Q-methodology. Korean Journal of Hospice and Palliative Care, 17(1), 10-17. https://doi.org/10.14475/kjhpc.2014.17.1.10
  10. G. J. Lee, K. H. Hwang, C, S. Park, J. R. Ra & J. A. Hong. (2006). Concept analysis of good death. Korean Journal of Hospice and Palliative Care, 10(1), 23-29.
  11. E. J. Choi & H. S. Jeong. (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. DOI : 10.5762/KAIS.2018.19.5.275
  12. M. S. Kwon & J. Y. Hong. (2019). Perception of good death and knowledge, attitude for advanced directives of nursing students. Journal of learner centered curriculum and instruction, 19(3), 825-843. DOI : 10.22251/jlcci.2019.19.3.825
  13. H. H. Hwang. (2017). Perceived well dying, knowledge and attitude toward advance directives in older patients with chronic heart disease. Hanyang National University, Seoul.
  14. M. Rogenberg. (1995). Society and the adolescent self-image. princeton New Jersey: Princeton University press. 1995.
  15. H. S. Kim & S. R. Shin. (2017). The influence of social support among community dwelling elderly and their attitude towards the withdrawal of life-sustaining treatment: A mediating effect of self-esteem. Korean Journal of Adult Nursing. 29(4), 373-381. DOI : 10.7475/kjan.2017.29.4.373
  16. M. R. Jung & E. Jeong. (2019). Effects of perception on hospice, self-esteem, knowledge on advance directives in nursing student on attitudes toward advance directives. Journal of Digital Convergence, 17(7), 255-264. DOI : 10.14400/JDC.2019.17.7.255
  17. H. J. Kim, M. S. Son & I. S. Kang. (2019). Nurses' knowledge, attitudes, experience, and confidence toward advance directives. Global Health and Nursing, 9(1), 19-27. DOI : 10.35144/ghn.2019.9.1.19
  18. Y. S. Lee. (1990). A study of the ethical values of korean nurses. Journal of Korean academy of nursing, 20(2), 249-270.
  19. S. Y. Kwon. (2003). A study on consciousness of bioethics of the nursing students and medical students. Keimyung National University, Daegu.
  20. C. E. Schwartz, K. Mazor, J. Rogers, Y. Ma & G. Reed. (2003). Validation of a new measure of concept of a good death. Journal of Palliative Medicine, 6(4), 575-584. DOI : 10.1089/109662103768253687
  21. H. S. Jeong. (2010). Recognition towards good death among physicians and nurses in an area. Catholic National University, Pusan.
  22. B. J. Jon. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11(4), 107-129.
  23. M. T. Nolan & M. Bruder. (1997). Patients' attitudes toward advance directives and end-of-life treatment decisions. Nursing Outlook, 45(5), 204-209. https://doi.org/10.1016/S0029-6554(97)90066-X
  24. H. L. Lee & Y. H. Park. (2014). Attitudes toward advance directives of older adults using senior centers. Journal of Korean Gerontological Nursing, 16(2), 160-169. DOI : 10.17079/jkgn.2015.17.1.29
  25. E. Y. Choi. (2018). Consciousness of biomedical ethics and professionalism among general hospital nurses. Journal of the Convergence on Culture Technology, 4(4), 249-259. DOI : 10.17703/JCCT.2018.4.4.249
  26. E. H. Kim, E. J. Lee & S. J. Hong. (2010). Attitude on biomedical ethics in a tertiary hospital nurses. Korean Journal of Medical Ethics, 13(3), 243-254. DOI : 10.35301/ksme.2010.13.3.243
  27. M. S. Yoo & H. S. Park. (2010). Effects of nursing ethics education on bioethics awareness and critical thinking dispositions of nurses. Bioethics, 11(1), 51-60.
  28. E. S. Choi. (2015). Nurses' awareness of biomedical ethics and their attitude toward withdrawal of life-sustaining treatment. Gangneung-Wonju National University, Wonju.
  29. G. S. Jeong. (2017). The influencing factor of consciousness of biomedical ethics, moral sensitivity and critical thinking disposition on the code of nurses ethics of nursing student. Journal of the Korea Academia-Industrial cooperation Society, 18(11), 544-555. DOI : 10.5762/KAIS.2017.18.11.544
  30. Korea institute for health and social affairs. (2019). Survey on abortion (2018). https://www.kihasa.re.kr/web/news/report/view.do?pageIndex=6&keyField=&key=&menuId=20&tid=51&bid=79&division=&ano=10778
  31. J. Y. Han. (2015). Perception of good death and attitudes toward death between ER nurses and coroners. Korean Journal of Hospice and Palliative Care, 18(1), 16-24. DOI : 10.14475/kjhpc.2015.18.1.16
  32. Y. H. Cho & S. R. Shu. (2017). Awareness of the good death and attitude toward death among nursing students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(1), 597-607. DOI : 10.14257/AJMAHS.2017.01.62
  33. J. H. Kang, Y. M. Lee & H. J. Lee. (2019). Effect of the awareness of a good death and perceptions of life-sustaining treatment decisions on attitudes of intensive care nurses toward terminal care. Journal of Korean Critical Care Nursing, 12(2), 39-49. DOI : 10.34250/jkccn.2019.12.2.39
  34. K. H. Kim, K. D. Kim, H. S. Byun & B. Y. Chung. (2010). Spiritual well-Being, self esteem, and attitude to death among nursing students. Asian Oncology Nursing, 10(1), 1-9.
  35. H. J. Kim. (2019). Factors influencing attitude toward advance directive in nursing students. The Journal of Korean Academic Society of Nursing Education, 25(2), 227-237. DOI : 10.5977/jkasne.2019.25.2.227
  36. K. H. Jo, Y. J. Kim & K. C. Sohn. (2012). Types of perception toward end-of-life medical decision-making of clinical nurses: Q-methodological approach. Korean Journal of Hospice and Palliative Care, 15(1), 18-29. https://doi.org/10.14475/kjhpc.2012.15.1.18
  37. I. H. Kwon. (2018). Comparison on awareness of good death and knowledge and attitude of advance directives of nursing students and non-nursing students in universities. Kosin National University, Pusan.
  38. H. D. Song, S. Y. Ahn, Y. H. Kim, H. J. Hwang, S. H. Lee & K. H. Kim. (2018). A study on the well-dying recognition and decision of death before and after education among eniversity students. Journal of the Korea Academia-Industrial cooperation Society, 19(1), 300-310. DOI : 10.5762/KAIS.2018.19.1.300