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KMID : 0856920120150010018
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Journal of Hospice and Palliative Care
2012 Volume.15 No. 1 p.18 ~ p.29
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Types of Perception toward End-of-Life Medical Decision-making of Clinical Nurses: Q-Methodological Approach
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Jo Kae-Hwa
Kim Yeon-Ja
Sohn Ki-Cheul
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Abstract
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Purpose: We analyzed how clinical nurses in Korea perceive terminally ill patients’ medical decision-making.
Methods: The Q-methodology which analyzes the subjectivity of each item was used. We selected 34 Q-statements among those provided by each of 37 subjects and grouped them into a shape of normal distribution using a 9 point scale. The collected data were analyzed using a QUANL PC program.
Results: Four types of perception toward medical decision-making were identified. Type I focuses on patient participation, and Type II emphasizes the role of health professionals. Type III is characterized by an open-minded culture toward death, and Type IV values the role of family members.
Conclusion: The results of this study indicate the need for development of a multi-disciplinary curriculum medical decision-making and death for medical and nursing students.
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KEYWORD
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Nurses, Perception, Medicine, Decision making, Methods
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