The purpose of this study is to investigate nurses' attitude toward death and their performance of hospice care and identify the relationship between the two. For this purpose, the author surveyed 214 nurses from two university hospitals in Seoul and a local university hospital in Gangwon-do. Resear...
The purpose of this study is to investigate nurses' attitude toward death and their performance of hospice care and identify the relationship between the two. For this purpose, the author surveyed 214 nurses from two university hospitals in Seoul and a local university hospital in Gangwon-do. Research tools used were Death Scale developed by Thorson & Powell (1988) and translated by Park Seok-chun (1992), and Hospice Care Performance Scale developed by Park Sun-ju (1996). Collected data were analyzed through frequency, mean values, percentages, t-test, ANOVA and Pearson's correlation coefficient, and the results of this study are as follows. 1. The age of the subject was 28.6 on the average, and 76.6% of the subjects were unmarried. The percentage of subjects with religion (51.4%) was similar to that of those without (48.6%). The average clinical experience was 5 years and 6 months, and 43% of the subjects had clinical experience less than 3 years. The largest number of subjects were working at intensive care units (42.1%), and next at surgical wards (35%) and medical wards (22.9%). As for experience in hospice care, 48.1% of the subjects attended deathbed once or twice and 51.9% many times. What the subjects thought important in hospice care were psychological care (71%), physical care (50.0%) and spiritual care (36.9%). 2. The nurses' attitude toward death was measured minimum 1.31 points, maximum 3.48, and 2.54 on the average, and their performance of hospice care measured minimum 1.45points, maximum 3.32, and 2.38 on the average. As for the performance of hospice care by area, the score of psychological care was 2.71 points, physical care 2.68 and spiritual care 1.55. 3. Attitude toward death was not significantly different according to subjects' general characteristics, but those who found comfort in religion took more positive attitude toward death than those who did not. 4. The performance of hospice care was significantly different according to subjects' general characteristic such as marital status (t = .534, p = .024), clinical experience (F = 5.536, p = .005), department (F = 19.187, p = .000), current position (t = .401, p = .002) and experience in hospice care (t = .095, p = .000). That is, the performance of hospice care was higher in married subjects than unmarried ones, in those working at intensive care units than those at general wards, in charge nurses than ordinary nurses, and in those with many experiences in hospice care than those without. Subjects with 6-year or longer clinical experience showed higher performance than those with clinical experience less than 6 years. 5. As for the performance of hospice care by area according to subjects' general characteristics, the performance of physical care was significantly different in subjects with children (t = .833, p = .033), those with 6-year or longer clinical experience (F =5.099, p = .007), those working at intensive care units (F = 27.335, p = .000) and those with many experiences in hospice care (t = .125, p = .000). The performance of psychological care was significantly different according to marital status (t = .611, p =.017), having children or not (t = .516, p = .002), department (F = 3.283, p = .039), current position (t = .698, p = .038) and experience in hospice care (t = .526, p =.000), and the performance of spiritual care was significantly different according to marital status (t = .837, p = .040), having children or not (t = .447, p = .022), clinical experience (F = 3.107, p = .047), department (F = 9.095, p = .000), current position (t= .485, p = .000) and experience in hospice care (t = .005, p = .001). 6. No correlation was found between attitude toward death and the performance of hospice care (r = -.088, p = .201). In addition, the performance of hospice care by area was not related to the degree of positiveness in attitude toward death.
The purpose of this study is to investigate nurses' attitude toward death and their performance of hospice care and identify the relationship between the two. For this purpose, the author surveyed 214 nurses from two university hospitals in Seoul and a local university hospital in Gangwon-do. Research tools used were Death Scale developed by Thorson & Powell (1988) and translated by Park Seok-chun (1992), and Hospice Care Performance Scale developed by Park Sun-ju (1996). Collected data were analyzed through frequency, mean values, percentages, t-test, ANOVA and Pearson's correlation coefficient, and the results of this study are as follows. 1. The age of the subject was 28.6 on the average, and 76.6% of the subjects were unmarried. The percentage of subjects with religion (51.4%) was similar to that of those without (48.6%). The average clinical experience was 5 years and 6 months, and 43% of the subjects had clinical experience less than 3 years. The largest number of subjects were working at intensive care units (42.1%), and next at surgical wards (35%) and medical wards (22.9%). As for experience in hospice care, 48.1% of the subjects attended deathbed once or twice and 51.9% many times. What the subjects thought important in hospice care were psychological care (71%), physical care (50.0%) and spiritual care (36.9%). 2. The nurses' attitude toward death was measured minimum 1.31 points, maximum 3.48, and 2.54 on the average, and their performance of hospice care measured minimum 1.45points, maximum 3.32, and 2.38 on the average. As for the performance of hospice care by area, the score of psychological care was 2.71 points, physical care 2.68 and spiritual care 1.55. 3. Attitude toward death was not significantly different according to subjects' general characteristics, but those who found comfort in religion took more positive attitude toward death than those who did not. 4. The performance of hospice care was significantly different according to subjects' general characteristic such as marital status (t = .534, p = .024), clinical experience (F = 5.536, p = .005), department (F = 19.187, p = .000), current position (t = .401, p = .002) and experience in hospice care (t = .095, p = .000). That is, the performance of hospice care was higher in married subjects than unmarried ones, in those working at intensive care units than those at general wards, in charge nurses than ordinary nurses, and in those with many experiences in hospice care than those without. Subjects with 6-year or longer clinical experience showed higher performance than those with clinical experience less than 6 years. 5. As for the performance of hospice care by area according to subjects' general characteristics, the performance of physical care was significantly different in subjects with children (t = .833, p = .033), those with 6-year or longer clinical experience (F =5.099, p = .007), those working at intensive care units (F = 27.335, p = .000) and those with many experiences in hospice care (t = .125, p = .000). The performance of psychological care was significantly different according to marital status (t = .611, p =.017), having children or not (t = .516, p = .002), department (F = 3.283, p = .039), current position (t = .698, p = .038) and experience in hospice care (t = .526, p =.000), and the performance of spiritual care was significantly different according to marital status (t = .837, p = .040), having children or not (t = .447, p = .022), clinical experience (F = 3.107, p = .047), department (F = 9.095, p = .000), current position (t= .485, p = .000) and experience in hospice care (t = .005, p = .001). 6. No correlation was found between attitude toward death and the performance of hospice care (r = -.088, p = .201). In addition, the performance of hospice care by area was not related to the degree of positiveness in attitude toward death.
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