임상간호사의 임종간호태도와 영적건강이 임종간호스트레스에 미치는 영향 = The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress

국문 초록 (Abstract)

목적: 본 연구는 임상간호사의 임종간호태도와 영적건강이 임종간호 스트레스에 영향을 미치는 요인을 파악하기 위한 조사연구이다. 방법: G 광역시 일 종합병원에 종사하는 근무하는 238명의 간호사를 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였다. 결과: 임상간호사의 임종간호스트레스에 영향을 미치는 요인은 임종간호태도, 영적건강, 결혼유무, 총 임상경력 순이었으며, 임종간호태도와 영적건강이 좋을수록, 기혼일수록, 총 임상경력이 높을수록 임종간호스트레스가 낮게 나타났다. 이들 변수들은 임종간호스트레스에 대하여 52.3%의 설명력을 나타냈다. 결론: 이상의 결과로 임상간호사의 임종간호스트레스의 가장 중요한 요인으로는 임종간호태도로 나타났다. 따라서 간호사의 임종간호스트레스를 효과적으로 대처하고 완화시키기 위해 임종간호태도와 영적건강을 증진시킬 수 있는 교육적 중재프로그램 개발이 필요하다.

다국어 초록 (Multilingual Abstract)

Purpose: This descriptive study is aimed at understanding how clinical nurses' terminal care attitude and spiritual health affect their terminal care stress. Methods: Data were collected from self-reported questionnaire filled by 238 nurses at a general hospital in G Metropolitan City. Results: The study showed that nurses' attitudes toward terminal care, spiritual health, marital status, and clinical experience largely affect their terminal care stress. In particular, the higher they scored on terminal care attitudes, the lower they scored on terminal care stress. These variables accounted for 52.3% of the total variance. Conclusion: The study shows terminal care attitude is an important factor for terminal care stress perceived by clinical nurses. Therefore, it is necessary to develop an educational intervention program to improve nurses' terminal care attitudes and spiritual health, which in turn would lower their terminal care stress or help them effectively cope with it.

참고문헌 (Reference)

1 신은주, "죽음준비교육 프로그램이 간호학생의 생의 의미, 죽음 불안 및 임종간호 태도에 미치는 영향" 대한한방신경정신과학회 22 (22): 65-74, 2011

2 김은심, "죽음교육 프로그램이 간호 대학생의 죽음불안과 임종간호태도에 미치는 영향" 한국호스피스완화의료학회 8 (8): 163-172, 2005

3 이명선, "임종환자를 돌보는 병원간호사의 경험: 감정에 충실하면서 자신 추스르기" 한국간호과학회 33 (33): 553-561, 2003

4 김숙남, "의미요법이 포함된 호스피스·완화 간호교육이 간호대학생의 임종간호태도와 생의 의미에 미치는 효과" 한국간호교육학회 17 (17): 456-465, 2011

5 태영숙, "유방암 환자의 치료단계에 따른 영적건강과 피로" 성인간호학회 24 (24): 659-667, 2012

6 태영숙, "여성암 환자의 영적건강 영향요인" 성인간호학회 20 (20): 719-730, 2008

7 김정희, "암병동 간호사의 임종간호 스트레스와인지 및 교육요구도" 한국호스피스완화의료학회 15 (15): 205-211, 2012

8 이향련, "암병동 간호사와 일반병동 간호사의 임종간호에 대한 스트레스와 대처방법 비교 연구" 대한종양간호학회 7 (7): 26-35, 2007

9 우영화, "간호사의 죽음불안과 임종간호스트레스 및 임종간호수행" 한국호스피스완화의료학회 16 (16): 33-41, 2013

10 Kim JH, "The job stress, perception, and training needs on the end-of-life care among cancer unit nurses" Yonsei Univ. 2009

11 Mallory JL, "The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students" 19 : 305-312, 2003

12 Frommelt KH, "The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families" 8 : 37-43, 1991

13 Jun JS, "Spiritual well-being, attitude towards death and perception of hospice among nurses" Busan Catholic Univ. 2013

14 Hansen L, "Nurses'perceptions of end-of-life care after multiple interventions for improvement" 18 : 263-271, 2009

15 Paloutzian RF, "Loneliness : a sourcebook of current theory, research, and therapy" John Wiley & Sons 224-236, 1982

16 Chi KA, "Influence of spiritual health, mental health and death orientation on the nurse’s attitude toward hospice" Daejeon Univ. 2004

17 Chi KA, "Factors influencing nurse’s attitude toward hospice" 14 : 285-291, 2005

18 Cho YC, "Emergency nurses’ perception of death and terminal care attitude" Ajou Univ. 2011

19 Backer BA, "Death and dying :Understanding and care" Delmar 1994

20 Lee KO, "Correlation between the self-esteem, spiritual wellbeing, depression, and quality of life in nurses caring of cancer patients" 31 : 85-99, 2006

21 Lee H, "Correlation among spiritual health, mental health and maturation of Christian belief" 3 : 1-11, 2003

22 Yoon YA, "Clinical nurses’ perception of death and end of life care stress" Kyungpook Univ. 2010

23 National Cancer Center, Ministry of Health & Welfare, "Cancer facts & figures 2011"

24 Braun M, "Associations between oncology nurses’ attitudes toward death and caring for dying patients" 37 : E43-E49, 2010

25 Ryu HJ, "Affect of spiritual health, mental health and perception of death on the nurse’s quality of life" Hanyang Univ. 2007

26 Stewart AE, "A survey of professionals’training and experiences in delivering death notifications" 24 : 611-613, 2000

27 Kim JH, "A study on understanding and attitude to the dying patients of nursing students and nurses" 4 : 5-16, 1992

28 Chung SY, "A study on terminal care stress and terminal care performance of ICU nurse" Hanyang Univ. 2013

29 Cho IH, "A study on recognition of cancer patient - focused on nurses and doctors" 2 : 58-74, 2001

30 Noh SS, "A study on death perception, terminal care attitude, and terminal care performance of clinical nurses caring for cancer patients" Sungkyunkwan Univ. 2010

31 Lee YO, "A study of cancer unit nurses’ stress from bereavement support" Kyunghee Univ. 2004