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KMID : 0856920200230030114
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Journal of Hospice and Palliative Care
2020 Volume.23 No. 3 p.114 ~ p.125
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The Effects of Nurses’ Knowledge of Withdrawal of Life- Sustaining Treatment, Death Anxiety, Perceptions of Hospice on Their Attitudes toward Withdrawal of Life-Sustaining Treatment
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Lee Young-Eun
Jung Yu-Jin
Jang Yoo-Na
Jeong Hyo-Eun
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Abstract
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Purpose: This descriptive study investigated the effects of nurses’ knowledge of withdrawal of life-sustaining treatment, death anxiety, and perceptions of hospice care on their attitudes toward withdrawal of life-sustaining treatment.
Methods: Data were collected from 262 nurses at tertiary hospitals, general hospitals, or primary hospitals in Busan, Korea, and statistically analyzed using the t-test, analysis of variance, the Scheffe test, Pearson correlation coefficients, and hierarchical regression analysis.
Results: The participants’ scores were 3.68±0.45 (out of 5) for attitudes toward withdrawal of life-sustaining treatment, 0.65± 0.15 (out of 1) for knowledge of withdrawal of life-sustaining treatment, 2.61±0.26 (out of 4) for death anxiety, and 4.06±0.43 (out of 5) for perceptions of hospice care. Furthermore, knowledge of withdrawal of life-sustaining treatment and perceptions of hospice care showed positive correlations with attitudes toward withdrawal of life-sustaining treatment, while death anxiety showed a negative correlation. The most significant factors influencing attitudes toward withdrawal of life-sustaining treatment were perceptions of hospice care, followed by having experienced caring for patients who withdrew life-sustaining treatment, death anxiety, having a spouse, and ethical values, and the overall explanatory power was 43.0%.
Conclusion: This study showed that perceptions of hospice were an important factor influencing nurses’ attitudes toward withdrawal of life-sustaining treatment. Therefore, it is necessary to develop and validate educational intervention programs that can improve perceptions of hospice care.
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KEYWORD
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Nurses, Hospice care, Anxiety, Attitude, Terminal care
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