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이화간호과학연구소> Health & Nursing (구 간호과학)> 요양병원 간호사의 영적안녕과 죽음에 대한 태도가 호스피스 인식에 미치는 영향

KCI후보

요양병원 간호사의 영적안녕과 죽음에 대한 태도가 호스피스 인식에 미치는 영향

The Influence of Spiritual Well-being, Attitude Toward Death and Hospice Perception in Nurse Working in Long-term Care Hospitals

문주희 ( Juhui Moon ) , 박경숙 ( Kyoungsuk Park ) , 강석경 ( Seokkyung Kang ) , 정은숙 ( Eunsook Jeoung )
  • : 이화간호과학연구소
  • : Health & Nursing (구 간호과학) 32권2호
  • : 연속간행물
  • : 2020년 11월
  • : 9-17(9pages)
Health & Nursing (구 간호과학)

DOI


목차

Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 연구결과
Ⅳ. 논의
Ⅴ. 결론 및 제언
References

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초록 보기

Purpose: This study was conducted to evaluate the spiritual well-being, attitude toward death and hospice perception among nurse working in long-term care hospitals, as well as to identify the relationships between variables and examine factors influencing their hospice perception. Methods: Data were collected using a self-reported questionnaire completed by 152 at nurse working in long-term care hospitals eight long-term care hospital from october 15, 2019 to november 20, 2019. Data were analyzed using descriptive analysis, t-test, Pearson’s correlation coefficients and stepwise multiple regression with the SPSS 22.0 program. Results: Hospice perception among attitude toward death nurse working in long-term care hospitals were significantly correlated with spiritual well-being(r=.24, p=.002) and attitude toward death(r=.25, p=.002). spiritual well-being among attitude toward death was significantly correlated(r=.25, p<.001). The significant predictors of the hospice perception in nurse working in long-term care hospitals were position system (β=0.25, p<.001) and attitude toward death (β=0.20, p<.001), the experience of death close relatives (β=-0.20, p<.001). These variables explained 15.1% in total of hospice perception. Conclusion: Overall, these findings suggest that the hospice perception education program, including spiritual well-being and attitude toward death is necessary to enhance the positive hospice perception among nurse working in long-term care hospitals.

UCI(KEPA)

I410-ECN-0102-2021-500-001249211

간행물정보

  • : 의약학분야  > 간호학
  • : KCI후보
  • :
  • : 반년간
  • :
  • : 2586-0283
  • : 학술지
  • : 연속간행물
  • : 1989-2022
  • : 393


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34권2호(2022년 11월) 수록논문
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KCI후보

1간호사의 하부요로증상 유병률: 체계적 문헌고찰

저자 : Ziqian Wang

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 1-10 (10 pages)

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Purpose: The purpose of the study was to conduct a systematic literature review to understand the prevalence of lower urinary tract symptoms among nurses. Methods: The systematic literature review was conducted as described in the systematic literature review manual on prevalence and incidence from the Joanna Briggs Institute. In order to evaluate the methodological quality of the literature, the Critical Appraisal Checklist for Studies Reporting Prevalence Data tool was used. Results: A total of 14 lower urinary tract symptoms were identified: daytime frequency, urgency, nocturia, incontinence, stress incontinence, urge incontinence, complex urinary incontinence, overactive bladder syndrome, urinary hesitation, abdominal pressure voiding, hepatic colic, weak urination, urgency, and diurnal points. The prevalence varied from 1.5% to 64.2%. Conclusion: The prevalence of lower urinary tract symptoms among nurses was found to be high overall, confirming the severity of the prevalence of lower urinary tract symptoms among nurses.

KCI후보

2간호사의 비판적 사고성향과 간호근무환경이 투약안전 역량에 미치는 영향

저자 : 홍지혜 ( Ji-hye Hong )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 11-21 (11 pages)

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Purpose: The purpose of this study was to examine the impact of nurses' critical thinking disposition and nursing practice environment on medication safety competency. Methods: A total of 189 nurses who directly performed medication administration at a tertiary referral hospital in Seoul volunteered to participate in this study. Data collection was conducted using online surveys and was analyzed through technical statistics, t-test, one-way ANOVA, Scheffē test, Pearson's correlation coefficient, and multiple linear regression. Results: The results revealed that both critical thinking disposition (β=0.498, p<.001) and nursing practice environment (β=0.212, p=.001) were significant predictive factors of medication safety competency. Conclusion: Critical thinking disposition and nursing practice environment were important factors affecting medication safety competency. Therefore, in order to increase critical thinking disposition, it is necessary to develop various teaching methods and apply them in nurse education programs as a way to indirectly improve medication safety competency. In addition, in terms of nursing practice environment, hospitals will need to improve working conditions and provide sufficient material support to maintain nursing workforce. Likewise, it is necessary to prepare and implement a nursing policy to increase the nursing workforce.

KCI후보

3임상 간호사의 팀워크, 의사소통, 셀프리더십이 조직몰입에 미치는 영향

저자 : 안정인 ( An Jung In ) , 김경아 ( Kim Kyung Ah )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 23-31 (9 pages)

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Purpose: This study was performed to gather basic data for measures to increase the efficiency of nursing work by measuring the levels of teamwork, communication, self-leadership, and organizational commitment of nurses and identifying the effects on organizational commitment. Methods: The subjects were 155 nurses with more than one year of experience at Incheon City I Medical Center. The collected data were statistically processed using the SPSS/WIN 26.0 statistical program and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression analysis. Results: Organizational commitment showed a significant difference according to age, clinical experience, and position. Organizational commitment was positively correlated with self-leadership (r=.69, p<.001), communication (r=.59, p<.001), and teamwork (r=.49, p<.001). These same factors influenced organizational commitment [self-leadership (β=.47, p<.001), communication (β=.20, p=.013), and teamwork (β=.17, p=.014)], with an explanatory power of 51.3%. Conclusion: In this study, teamwork, communication, and self-leadership were identified as important factors to increase organizational commitment of nurses. Therefore, it is necessary to develop a program that can increase nurse competency and to introduce a nurse management system that can operate it efficiently.

KCI후보

4노인 당뇨병 환자의 치료지시 불이행에 대한 개념분석

저자 : 양혜린 ( Helin Yang ) , 이세미 ( Semi Lee )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 33-40 (8 pages)

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Purpose: The purpose of this study was to conceptually analyze non-compliance in elderly diabetic patients and its specific attributes. Method: Walker and Avant's process of concept analysis was used. We searched databases using the keywords 'older diabetes', 'patient compliance', and 'treatment non-compliance'. Result: The attributes of non-compliance in elderly diabetic patients were identified as follows: 1) Non-compliance with medication therapy, 2) Non-compliance with lifestyle therapy, and 3) Hospital visit non-compliance. The antecedents of non-compliance in elderly diabetic patients were as follows: 1) Lack of knowledge, 2) Low self-efficacy, and 3) Low social support. The consequences of non-compliance were: 1) Blood sugar control problems and 2) Diabetic complications. Conclusion: This concept analysis defined non-compliance in elderly diabetic patients based on theoretical evidence. The findings of this study will contribute to developing systematic programs to increase compliance in elderly diabetic patients.

KCI후보

5간호사의 전문직자율성의 개념분석

저자 : 박소현 ( Sohyeon Park ) , 조도란 ( Doran Jo )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 41-50 (10 pages)

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Purpose: This study sought conceptual understanding of professional autonomy in nursing science. The underlying ideas and properties of professional autonomy in nursing were analyzed and compared with definitions used in diverse individual studies. Methods: Concepts were analyzed using the conceptual method of Walker & Avant. Results: Four attributes of nurses' professional autonomy were identified: job performance, effective communication, decision-making, and responsibility. The leading factors were 'nursing education and clinical experience from 4 years of nursing school,' 'critical thinking,' and 'insight.' The result factors of this study were 'personal growth,' 'self-leadership,' and 'patient safety'. Conclusion: Professional autonomy as defined in this study is completion of education and training based on the professional knowledge and responsibility of nurses, which support rational decision-making through smooth communication in the performance of nursing tasks.

KCI후보

6미얀마 보건의료체계: 분권화(Decentralization)를 통한 회복탄력성(Resilience) 향상

저자 : 리청 ( Cheng Li )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 51-59 (9 pages)

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Purpose: To assess the resilience and decentralization of the healthcare system in Myanmar, especially under the recent Covid-19 and civil disobedience movement contexts. Methods: Literature published in between 2015 to 2022 available in PubMed and GoogleScholar, reports of government and organizations, and news and social media were screened and reviewed. The WHO Six Building Blocks were adapted as a framework. Results: Though the healthcare system of Myanmar has shown the fundamental ingredients needed for resilience, the current system failed to implement its resilience capacity under recent events. The system is highly centralized and the public healthcare system apart from the civil community healthcare system officially dominates healthcare functions both domestically and globally, while the later system plays an important role in healthcare service delivery. Unfortunately, these two systems are currently parallel and have shown little efficiency in terms of collaboration. Nursing is significantly influenced and faces difficulties in developing itself under such a healthcare system. Conclusion: Decentralization of the healthcare system can be the main priority towards strengthening the healthcare system in Myanmar, and nursing leadership can play a part in both the conflict and collaboration of public and civil healthcare systems.

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1유도분만 사전교육이 산모의 분만경험, 상태 불안 및 분만 통증에 미치는 영향

저자 : 강보영 ( Boyoung Kang )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 32권 2호 발행 연도 : 2020 페이지 : pp. 1-8 (8 pages)

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Purpose: The purpose of this study was to investigate the effects of childbirth education on induction of labor to mothers on their childbirth experience, state anxiety, and labor pain. Methods: The study was designed as a quasi-experimental study in the non-equivalent control group non-synchronized design. Data were collected from January to August, 2018, and were analyzed using X2-test, Fisher's exact test, independent t-test, and Mann-Whitney U test. Results: The childbirth education prior to induction of labor provided to mothers scheduled to have it in the present study had no effects on their childbirth experience perception, state anxiety and labor pain. Conclusion: Childbirth education on induction of labor provided to mothers had no effects on their labor pain, state anxiety and childbirth experience perception. This is believed to be due to differences in the method and frequency of childbirth education, and it is necessary to consider the appropriate methods and contents of education for induced labor in order to alleviate the positive childbirth experience of induced labor mothers and their state anxiety and labor pain.

KCI후보

2요양병원 간호사의 영적안녕과 죽음에 대한 태도가 호스피스 인식에 미치는 영향

저자 : 문주희 ( Juhui Moon ) , 박경숙 ( Kyoungsuk Park ) , 강석경 ( Seokkyung Kang ) , 정은숙 ( Eunsook Jeoung )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 32권 2호 발행 연도 : 2020 페이지 : pp. 9-17 (9 pages)

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Purpose: This study was conducted to evaluate the spiritual well-being, attitude toward death and hospice perception among nurse working in long-term care hospitals, as well as to identify the relationships between variables and examine factors influencing their hospice perception. Methods: Data were collected using a self-reported questionnaire completed by 152 at nurse working in long-term care hospitals eight long-term care hospital from october 15, 2019 to november 20, 2019. Data were analyzed using descriptive analysis, t-test, Pearson's correlation coefficients and stepwise multiple regression with the SPSS 22.0 program. Results: Hospice perception among attitude toward death nurse working in long-term care hospitals were significantly correlated with spiritual well-being(r=.24, p=.002) and attitude toward death(r=.25, p=.002). spiritual well-being among attitude toward death was significantly correlated(r=.25, p<.001). The significant predictors of the hospice perception in nurse working in long-term care hospitals were position system (β=0.25, p<.001) and attitude toward death (β=0.20, p<.001), the experience of death close relatives (β=-0.20, p<.001). These variables explained 15.1% in total of hospice perception. Conclusion: Overall, these findings suggest that the hospice perception education program, including spiritual well-being and attitude toward death is necessary to enhance the positive hospice perception among nurse working in long-term care hospitals.

KCI후보

3간호대학생의 시험불안, 문제음주, 우울, 수면의 질의 관계 -고카페인 음료 섭취를 중심으로-

저자 : 한정진 ( Jungjin Han ) , 김세민 ( Semin Kim ) , 전혜리 ( Hyeri Chun ) , 유지호 ( Jiho Yu )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 32권 2호 발행 연도 : 2020 페이지 : pp. 19-28 (10 pages)

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Purpose: The purpose of this study was to investigate the test anxiety, problematic drinking, depression, and quality of sleep between high caffeine drink intake and non-intake group and identify factors influencing the quality of sleep among nursing students. Methods: The design of this study was a descriptive correlational study. 180 participants of 1th to 4thgrade nursing students completed the questionnaire. Data were analyzed by the SPSS/WIN22.0 using descriptive statistics, independent t-test, chi-square test, ANOVA, Pearson's correlation and multiple regression. Results: The mean scores of test anxiety, problematic drinking, depression, and quality of sleep in the high caffeine drink intake group were significantly high compared to those of the non-intake group. Sleep quality showed a positive correlation with test anxiety and problematic drinking. High caffeine drink intake and problematic drinking were the influential factors predicting quality of sleep. Conclusion: This implies that health education and policies on managing sleep quality and intake of high caffeine drinks should be essential to promote the health of nursing students.

KCI후보

4임상간호사의 좋은 죽음에 대한 인식, 생명의료윤리의식, 도덕적 민감성이 사전연명의료의향서에 대한 태도에 미치는 영향

저자 : 김희숙 ( Heesook Kim ) , 김경아 ( Kyungah Kim )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 32권 2호 발행 연도 : 2020 페이지 : pp. 29-38 (10 pages)

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Purpose: This study was a descriptive study to investigate the effects of nurse' good death recognition, consciousness of bioethics, and moral sensitivity on attitudes toward advance directives. Methods: The study was performed at a university hospital in Incheon between July 10 and 20, 2019. Convenience sampling was used to recruit 176 clinical nurses. Data were collected through self-report questionnaires. Results: The perception of good death was 3.10±0.31, consciousness of biomedical ethics was 2.87±0.21, moral sensitivity was 5.10±0.53 and attitude toward advance directives was 2.88±0.28. Attitude toward advance directives were positively correlated with perception of good death (r=.33, p=.001), consciousness of biomedical ethics (r=.14, p=.077), moral sensitivity (r=.32, p=.001). In the results of analyzing the factors having effects on the attitude toward advance directives, the age (β=.44, p=.006), value of advance directives (β=.20, p=.005), perception of good death (β=.21, p=.004), moral sensitiity (β=.15, p=.034), euthanasia (β=-.16, p=.047) and the explanatory power of regression model was 32.3% (F=7.20, p<.001) Conclusion: It would be necessary to develop the systematic educational programs that could positively improve the attitude toward advance directives by establishing the perception of good death, and increasing the consciousness of biomedical ethics and moral sensitivity of nurses.

KCI후보

5노인 중심의 지역사회 통합 돌봄에서의 간호사의 역할-체계적 문헌고찰-

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Purpose: The purpose of this study was to analyze the role of nurses in elderly-centered community integration care and the effectiveness of intervention programs through systematic literature review and to consider foreign community care policies. Methods: Based on databases such as CINAHL, PubMed, Web of Science, ProQuest, and Scoupus, search terms included 'community integrated care', 'aged', 'case management', and 'nursing role' between 2010 and 2019. Eleven published articles from 148 screened articles met the inclusion criteria. Results: First, the role of nurse was a care coordinator based on person-centered and integrated care in the primary care setting. Second, the effects of program showed conflicting outcome but there was no clinical significance in the quality of life. Third, developed countries have a policy to help facilitate the link between health care and home services, and national policies are specific so that policies can be realized. Conclusion: This study suggest that education and support should be supported at the national level so that nurses, as care coordinators, can perform an evaluation through understanding and education on a comprehensive assessment tool, draw up care plans with elderly and families, arrange and coordinate services according to the plan, and cooperate with multidisciplinary teams.

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Purpose: The objective of this study is to investigate the association of Self-Monitoring of Blood glucose(SMBG), utilization of SMBG and glycemic control, hypoglycemia in patients with type 2 diabetes. Methods: A survey was conducted from November 2013 to May 2014 of 210 type 2 diabetic patients performing SMBG. Data on practice for SMBG, utilization of SMBG, self-reported episodes of hypoglycemia, and HbA1c values were obtained by questionnaires and laboratory assessments. Results: According to the data, 32.7% of patients had the complication, 38.1% of them were being treated with insulin. In frequency of blood glucose testing, 61.4% of patients monitored it less than 6 times per week. Exercise and insulin dose was frequently controlled by the result of SMBG. And three items of adjusting of oral agents dosage and records of blood glucose level and utilization of SMBG record in hospital visit were low. There were no statistically significant correlations between SMBG and glycemic control. Conclusion: In order to improve the patient's glycemic control, it is not enough just perform SMBG. It is suggested that self-regulation by result of SMBG and communication with medical staff should be accompanied.

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