KMID : 1221920190120020039
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Journal of Korean Critical Care Nursing 2019 Volume.12 No. 2 p.39 ~ p.49
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Effect of the Awareness of a Good Death and Perceptions of Life-sustaining Treatment Decisions on Attitudes of Intensive Care Nurses toward Terminal Care
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Kang Ji-Hye
Lee Yun-Mi Lee Hyeon-Ju
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Abstract
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Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses¡¯ perceptions of life-sustaining treatment decisions and ¡°a good death¡± affect attitudes toward terminal care.
Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the Scheffe test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program).
Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of ¡°a good death¡±) were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (¥â =.20, p =.035), a sense of closeness(¥â =.19, p =.041), and the perception of a lifesustaining treatment decision (¥â =.22, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj R2=.140).
Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of ¡°a good death¡± and perceptions of life-sustaining treatment decisions.
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KEYWORD
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Intensive care unit, Death, Terminal care, Attitude
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