$\require{mediawiki-texvc}$

연합인증

연합인증 가입 기관의 연구자들은 소속기관의 인증정보(ID와 암호)를 이용해 다른 대학, 연구기관, 서비스 공급자의 다양한 온라인 자원과 연구 데이터를 이용할 수 있습니다.

이는 여행자가 자국에서 발행 받은 여권으로 세계 각국을 자유롭게 여행할 수 있는 것과 같습니다.

연합인증으로 이용이 가능한 서비스는 NTIS, DataON, Edison, Kafe, Webinar 등이 있습니다.

한번의 인증절차만으로 연합인증 가입 서비스에 추가 로그인 없이 이용이 가능합니다.

다만, 연합인증을 위해서는 최초 1회만 인증 절차가 필요합니다. (회원이 아닐 경우 회원 가입이 필요합니다.)

연합인증 절차는 다음과 같습니다.

최초이용시에는
ScienceON에 로그인 → 연합인증 서비스 접속 → 로그인 (본인 확인 또는 회원가입) → 서비스 이용

그 이후에는
ScienceON 로그인 → 연합인증 서비스 접속 → 서비스 이용

연합인증을 활용하시면 KISTI가 제공하는 다양한 서비스를 편리하게 이용하실 수 있습니다.

The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying 원문보기

Journal of hospice and palliative care, v.24 no.1, 2021년, pp.56 - 65  

Yi, Mi Joung (Department of Nursing, Saekyung University)

Abstract AI-Helper 아이콘AI-Helper

Purpose: Nurses' acceptance of patient deaths enables them to practice holistic end-of-life care and pursue positive living. The place where most deaths occur in Korea has changed from home to medical institutions, making it necessary to understand the process through which nurses who practice end-o...

주제어

AI 본문요약
AI-Helper 아이콘 AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

제안 방법

  • 2018. Each interview session was conducted at the time and location of the interviewee’s choosing, lasted between 1 and 2 hours, and was digitally recorded. Interview sessions began with an open question, “Please tell me about your experience of dying patients.
  • Sandelowski [10]. First, the participants of this study were selected among nurses who had experienced deaths of patients in different clinical environments to establish the truth value. In the data collection phase, the researcher strived to reach actual truth by conducting theoretical sampling, wherein observations were sampled based on the information obtained from the analysis until the data reached theoretical saturation.
  • First, the participants of this study were selected among nurses who had experienced deaths of patients in different clinical environments to establish the truth value. In the data collection phase, the researcher strived to reach actual truth by conducting theoretical sampling, wherein observations were sampled based on the information obtained from the analysis until the data reached theoretical saturation. While analyzing the recorded transcripts from interview sessions, it was verified whether the concepts, categories, and results aligned with participants’ experiences through phone calls and e-mails.
  • The qualitative data were analyzed cyclically, through open coding, axial coding, and selective coding. In the in-depth analysis of the collected data, memos, charts, and tables were used to facilitate theoretical conclu- sions.
  • In the open coding process, the raw data acquired from the participants were analyzed in varying units, words, lines, sentences, paragraphs, or statements as a whole, and then sub-categories, categories, and specific concepts were created through a theoretical comparative analysis. Based on the questions arising from comparisons between events the next participant was selected and the qualitative analysis contin- ued.
  • In this study, we aimed to identify the methods that nurses use to face the issues that arise from accepting the death of their patients, and then to develop practical theories to understand and describe the process of acceptance, to ensure healthy acceptance of death and patients’ dying process and to provide high-quality end-of-life care. This study is expected to provide basic resources for developing intervention techniques to aid nurses in accepting patient deaths.
  • Participants were also made aware that reports on the study would be prepared without divulging any personal information, and that all audio recordings and their transcription would be destroyed after reporting the results of the study. Participants were asked to sign a consent form after listening to all explanations, and recording and transcription of interview sessions were done by the researcher. To prevent exposure of recorded data and transcribed data, an identification number was assigned, and the data were stored in a computer locked with a password and a locked drawer.
  • The researcher then observed the non-verbal cues of participants, such as complexion, tone, and behaviors, and recorded them during the interview sessions on site. The contents of the interview sessions were transcribed from an electronic recording by the researcher, and then analyzed. Following the one-on-one in-depth interview sessions, two or three additional interviews were conducted through telephone and e-mail.
  • An ongoing comparative analysis of the qualitative data was conducted to determine when theoretical saturation had been reached. The qualitative data were analyzed cyclically, through open coding, axial coding, and selective coding. In the in-depth analysis of the collected data, memos, charts, and tables were used to facilitate theoretical conclu- sions.
  • ” The researcher then posed semi-structured questions such as “Were there any changes in your thoughts and behaviors after experiencing the death of a patient?” and elicited perspectives on the process of accepting patient deaths with questions like “How did you personally view your patient’s death? Please describe the process.” The researcher attentively listened to the stories told by participants during the interview sessions and showed empathy to encourage a more detailed description. The researcher then observed the non-verbal cues of participants, such as complexion, tone, and behaviors, and recorded them during the interview sessions on site.
  • Fourthly, the researcher acknowledged prior understanding and assumptions on the matters of interest, and recorded them before the beginning of the study to establish neutrality. The researcher strived to achieve a neutral perspective without bias throughout the research process to prevent prior understanding and assumptions from affecting the results of the research, through regular critical reflection on research practices.
  • ” The researcher attentively listened to the stories told by participants during the interview sessions and showed empathy to encourage a more detailed description. The researcher then observed the non-verbal cues of participants, such as complexion, tone, and behaviors, and recorded them during the interview sessions on site. The contents of the interview sessions were transcribed from an electronic recording by the researcher, and then analyzed.
  • The results of the study were supported by three non-participating nurses who indicated that they understood the concepts related to acceptance of patient death, that they had accepted the death of their patients, and that the findings of the study aligned with their experi- ences. Thirdly, the researcher conducted the study on the basis of an understanding of the philosophical background and the proper procedures of the grounded theory approach to ensure consistency in the research. Two qualitative research specialists (professors in the school of nursing) were asked whether the entire process of the study and derivation of the results aligned with the grounded theory method suggested by Strauss and Corbin [8], and they agreed that the study was conducted through appropriate procedures.
  • Based on the questions arising from comparisons between events the next participant was selected and the qualitative analysis contin- ued. Through axial coding, organic connections were identified between structures and processes, in order to understand the essence of fundamental societal processes and to discover the epicenter of the phenomenon and its dynamics. The basis of hypothesis building was established by connecting a category (phenomenon, or basic social process) with conditions, behaviors, interactions, and outcome categories through the axial coding process.

대상 데이터

  • There were 11 participants of this study. Ten were women, one was a man, and they worked in Seoul, Gangwon Province, Gyeonggi Province, and Jeollanam Province in Korea. The participants ranged in age between their 20s and 60s, with an average age of 46 years.
  • The data in this study were collected in one-on-one in depth interview sessions conducted by the researcher during the 6-month period from August 2017 to February 2018. Each interview session was conducted at the time and location of the interviewee’s choosing, lasted between 1 and 2 hours, and was digitally recorded.
  • There were 11 participants of this study. Ten were women, one was a man, and they worked in Seoul, Gangwon Province, Gyeonggi Province, and Jeollanam Province in Korea.
본문요약 정보가 도움이 되었나요?

참고문헌 (23)

  1. 1 Statistics Korea c2020 2019 birth and death statistics [Internet] Statistics Korea Daejeon Available from: http://kostat.go.kr/portal/korea/kor_nw/1/2/1/index.board?bmode=read&bSeq=&aSeq=380865&pageNo=3&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt= . cited 2020 Mar 26 

  2. 2 Brosche TA 2003 Death, dying, and the ICU nurse Dimens Crit Care Nurs 22 173 9 10.1097/00003465-200307000-00006 12893994 

  3. 3 Brunelli T 2005 A concept analysis: the grieving process for nurses Nurs Forum 40 123 8 10.1111/j.1744-6198.2005.00024.x 16371122 

  4. 4 Kondo M 2011 Shi Wo Mitoritsuzukeru Kango Shi No Hitan Katei Inochi Ni Shomen Kara Mukiau Koto Niyotte Motarasareru Kuno He No Taio Kazamashobo Tokyo 63 

  5. 5 Yi GH 2009 Death acceptance and religion in the case of Koreans Survey Research 10 131 56 

  6. 6 Zimmermann C 2012 Acceptance of dying: a discourse analysis of palliative care literature Soc Sci Med 75 217 24 10.1016/j.socscimed.2012.02.047 22513246 

  7. 7 Yi MJ Lee JS 2016 Concept analysis of nurses’ acceptance of patient deaths Korean J Hosp Palliat Care 19 34 44 

  8. 8 Strauss AL Corbin JM 2001 Basics of qualitative research : grounded theory procedures and techniques. Shin KR, translator Hyunmoon Seoul 

  9. 9 Zheng R Lee SF Bloomer MJ 2016 How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis Int J of Nurs Stud 53 320 30 10.1016/j.ijnurstu.2015.09.013 26493131 

  10. 10 Sandelowski M 1986 The problem of rigor in qualitative research ANS Adv Nurs Sci 8 27 37 10.1097/00012272-199312000-00002 3083765 

  11. 11 Lee EY 2015 A study on the meaning of love, empathy as the basis of hospice philosophy Journal of The Society of Philosophical Studies 51 106 42 

  12. 12 Kubler-Ross E 2018 On death and dying. Lee J, translator Cheongmi Seoul 

  13. 13 Overton BL Cottone RR 2016 Anticipatory grief: a family systems approach Fam J Alex Va 24 430 2 

  14. 14 Kastenbaum R c2001 Death, society, and human experience 7th ed Allyn and Bacon Boston 

  15. 15 Cheon SY 2003 The modern way of understanding and communication of death: In case of medical institutions Korean Journal of Sociology 37 171 200 

  16. 16 Meier EA Gallegos JV Thomas LP Depp CA Irwin SA Jeste DV 2016 Defining a good death (successful dying): Literature review and a call for research and public dialogue Am J Geriatr Psychiatry 24 261 71 10.1016/j.jagp.2016.01.135 26976293 

  17. 17 Kondo M Nagata H 2015 Nurses’ involvement in patients’ dying and death: Scale development and validation Omega (Westport) 70 278 300 26036056 

  18. 18 Coombs MA Meyer EC 2016 Tending to everyday and BIG conversations in teaching and practice Intensiv Crit Care Nurs 33 3 4 10.1016/j.iccn.2016.02.004 26949160 

  19. 19 Falkenburg JL Tibboel D Ganzevoot RR Gischler SJ van Dijk M 2018 The importance of parental connectedness and relationships with healthcare professionals in end-of-life care in the PICU Pediatr Crit Care Med 19 157 63 10.1097/PCC.0000000000001440 29329163 

  20. 20 Zheng R Lee SF Bloomer MJ 2018 How nurses cope with patient death: A systematic review and qualitative meta-syntheses J Clin Nurs 27 e39 e49 28748639 

  21. 21 Tedeschi RG Calhoun LG 1996 The posttraumatic growth inventory: Measuring the positive legacy of trauma J Trauma Stress 9 455 71 10.1007/BF02103658 8827649 

  22. 22 Taku K Iimura S McDiarmid L 2018 Ceiling effects and floor effects of the posttraumatic growth inventory J Child and Fam Stud 27 387 97 

  23. 23 Han GA 2016 Prediction model for post-traumatic growth (PTG) among emergency room nurses [Dissertation] The Graduate School of Hanyang Univ. Seoul Korean 

관련 콘텐츠

오픈액세스(OA) 유형

GOLD

오픈액세스 학술지에 출판된 논문

이 논문과 함께 이용한 콘텐츠

저작권 관리 안내
섹션별 컨텐츠 바로가기

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

AI-Helper 아이콘
AI-Helper
안녕하세요, AI-Helper입니다. 좌측 "선택된 텍스트"에서 텍스트를 선택하여 요약, 번역, 용어설명을 실행하세요.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.

선택된 텍스트

맨위로