Factors Influencing Nurses’ Ethical Decision-Making Regarding End-of-Life Care (생애말기 환자를 돌보는 간호사의 윤리적 의사결정에 미치는 영향요인)

Doo Ree Kim (김두리); Eun Kyoung Han (한은경); SANGHEE KIM (김상희); TAE WHA LEE (이태화); 김경남

doi:10.35301/ksme.2014.17.1.34

Factors Influencing Nurses’ Ethical Decision-Making Regarding End-of-Life Care

Korean Journal of Medical Ethics
Abbr : 의료윤리
2014, 17(1), pp.34-47
DOI : 10.35301/ksme.2014.17.1.34
Publisher : The Korean Society For Medical Ethics
Research Area : Medicine and Pharmacy > General Medicine
Published : April 30, 2014

Doo Ree Kim ¹, Eun Kyoung Han ¹, SANGHEE KIM ¹, TAE WHA LEE ¹, 김경남 ²

¹연세대학교
²분당서울대병원

Accredited

ABSTRACT

The ethical decision-making abilities of nurses are essential in enhancing the quality of life and death for patients and their family members. The purpose of this study was to describe the extent of nurses’ ethicaldecision-making abilities regarding end-of-life (EOL) care and to identify the factors that influence nurses’ ethical decisions. A cross-sectional descriptive survey was applied at two university-affiliated hospitals in South Korea using self-reported questionnaires concerning knowledge, attitudes, and ethicaldecision-making procedures regarding EOL care. A total of 192 nurses participated in the survey. Data were collected in December 2012 and analyzed with descriptive statistics, a Pearson correlation coefficient, and multiple regressions. Nurses’ ethical decision-making abilities regarding EOL care was positively correlated with nurses’ knowledge (r=0.27, p<0.001) but there was no correlation between attitudes (r=0.14, p=0.062). Knowledge and job satisfaction explained 25.3% of variance in nurses’ moralpractice as the result of ethical decision-making. The findings of this study suggest that it is necessary for nurses who care for EOL patients to improve their knowledge and positive attitudes in order to enhancetheir competency in ethical decision-making.

KEYWORDS

end of life care knowledge, end of life care attitudes, ethical decision making, job satisfication

Citation status

* References for papers published after 2023 are currently being built.

[journal] Meraviglia MG / 2003 / Nurses' needs for education on cancer and end-of-life care / J Contin Educ Nurs 34(3) : 122~127

[journal] 박현주 / 2004 / 간호사의 윤리적 딜레마와 대처유형 / 한국간호교육학회지 10(1) : 75~83

[journal] 한성숙 / 2001 / 심폐소생술금지에 대한 간호사의 인식 및 태도 / 간호행정학회지 7(3) : 403~414

[journal] 한성숙 / 2005 / Doctor’s and Nurses’ Perception and Experiences of DNR / 간호행정학회지 / 간호행정학회 11(3) : 255~264

[journal] Hopkinson JB / 2005 / Everyday death: how do nurses cope with caring for dying people in hospital? / Int J Nurs Stud 42(2) : 125~133

[thesis] 여성희 / 2007 / 중환자실 간호사가 경험하는 윤리적 딜레마 / 석사 / 한양대학교 임상간호정보대학원

[thesis] Zablow RJ / 1985 / Preparing students for the moral dimension of professional nursing practice: a protocol for nurse educators / 박사 / Columbia University

[journal] 조계화 / 2010 / Predictive Factors Affecting the Preferences for Care Near the End of Life among Nurses and Physicians / 한국의료윤리학회지 / 한국의료윤리학회 13(4) : 305~320

[thesis] 구태희 / 2002 / 임상간호사의 윤리적 가치관,의사결정과정 참여도 및 직무만족도에 관한 연구 / 석사 / 대구가톨릭대학교 대학원

[journal] 한성숙 / 1995 / 간호윤리교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과 / 간호행정학회지 1(2) : 268~284

[journal] 이원희 / 2004 / 간호윤리교육과 연구의 동향 / 간호학 탐구 13(1) : 24~34

[thesis] 윤영주 / 2009 / 호스피스 요원의 죽음에 대한 태도와 소진과의 관계 / 석사 / 한양대학교 행정·자치대학원

[journal] 박현주 / 2005 / Concepts Analysis of Ethical Dilemma / 간호행정학회지 / 간호행정학회 11(2) : 185~194

[journal] 이광자 / 2011 / Relationships between Nurses' Ethical Dilemma, Coping Types, Job Satisfaction and Turnover Intention in Korea / 임상간호연구 / 병원간호사회 17(1) : 1~15

[journal] 양야기 / 2006 / 일 종합병원 간호사의 윤리적 딜레마와 직무만족도 관계 / 간호과학논집 11(1) : 109~120

[journal] 김용순 / 1999 / 윤리적 딜레마상황에서의 간호사의 도덕적 의사결정 / 한국의료윤리학회지 2(1) : 159~176

[journal] 김현경 / 2003 / 윤리적 딜레마 사례에 대한 간호사의 의사결정 분석 / 간호행정학회지 9(3) : 459~480

[journal] Ross MM / 1996 / The palliative care quiz for nursing(PCQN) : the development of an instrument to measure nurses' knowledge of palliative care / J Adv Nurs 23(1) : 126~137

[journal] Kim HS / 2011 / The effect of an end-of-life nursing education consortium course on nurses' knowledge of hospice and palliative care in Korea / J Hosp Palliat Nurs 13(4) : 222~229

[journal] Choi M / 2012 / Nurses' knowledge about end-of-life care: where are we? / J Contin Educ Nurs 43(8) : 379~384

[journal] Frommelt KH / 1991 / The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families / Am J Hosp Palliat Care 8(5) : 37~43

[journal] 이원희 / 2001 / Hospice volunteer's Attitude Toward Care of the Dying / 한국호스피스완화의료학회지 / 한국호스피스완화의료학회 4(1) : 57~67

[journal] Kim SH / 2011 / Development and initial psychometric evaluation of nurses' ethical decision making around end-of-life-care scale in Korea / J Hosp Palliat Nurs 13(2) : 97~105

[journal] 지경애 / 2005 / 간호사의 호스피스 태도에 영향을 미치는 요인 / 정신간호학회지 14(3) : 285~291

[journal] Dunn KS / 2005 / Nursing experience and the care of dying patients / Oncology Nurs Forum 32(1) : 97~104

[journal] Feudtner C / 2007 / Collaborative communication in pediatric palliative care : a foundation for problem-solving and decision-making / Pediatric Clin North Am 54(5) : 583~607

[book] 한성숙 / 2004 / 간호윤리학 / 대한간호협회 출판부 : 360~402

[journal] Wagner N / 1996 / Ethical dilemmas experienced by hospital and community nurses: an Israeli survey / Nurs Ethics 3(4) : 294~304

[journal] 박현주 / 2009 / Ethical Dilemma of Nurses / 간호행정학회지 / 간호행정학회 15(1) : 128~135

[journal] Oberle K / 2001 / Doctors' and nurses' perceptions of ethical problems in end-of-life decisions / J Adv Nurs 33(6) : 707~715

[journal] Erlen JA / 1997 / Critical care nurses, ethical decision-making and stress / J Adv Nurs 26(5) : 953~961

[journal] Gold C / 1995 / Ethical dilemmas in the lived experience of nursing practice / Nurs Ethics 2(2) : 131~142

[journal] 김혜숙 / 2009 / Analysis of Nursing Students' Knowledge, Attitude and Ability to Perform Cardiopulmonary Resuscitation / 기본간호학회지 / 기본간호학회 16(4) : 430~437

[journal] 김정남 / 2009 / 노인전문병원 간호사의 노인에 대한 지식, 태도 및 간호 실천과의 관계 / 계명대학교 간호과학 13(1) : 39~50

[journal] 윤숙희 / 2009 / The Relations of Nurses' Job Stress and Knowledge, Attitude and Care Behavior for Elderly Patients / 간호행정학회지 / 간호행정학회 15(4) : 593~600

[journal] Grady C / 2008 / Does ethics education influence the moral action of practicing nurses and social workers? / Am J Bioeth 8(4) : 4~11

[journal] 최희정 / 1997 / 환자 간호에 대한 간호사의 의사결정 내용과 특성 및 의사결정 장애요인에 관한 분석 / 대한간호학회지 29(4) : 880~891

[journal] Klingensmith ME / 2008 / Teaching ethics in surgical training programs using a case-based format / J Surg Educ 65(2) : 126~128

[journal] Ulrich C / 2007 / Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States / Soc Sci Med 65(8) : 1708~1719

[journal] 한성숙 / 2005 / 간호사들이 임상에서 경험하는 도덕적 고뇌 / 생명윤리학회지 6(2) : 31~47

[journal] 박진희 / 2009 / The Present Status and Future Directions of Nursing Ethics Education / 한국의료윤리학회지 / 한국의료윤리학회 12(3) : 251~260

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Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

Factors Influencing Nurses’ Ethical Decision-Making Regarding End-of-Life Care

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* References for papers published after 2023 are currently being built.

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

Factors Influencing Nurses’ Ethical Decision-Making Regarding End-of-Life Care

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