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A Study on Attitudes of Nutsing Students towards Hospice Care

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KMID : 0386619920140010103
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Abstract

The purpose of this study is to identify attitudes of nursing students toward giving care to the dying patients and to provide information available in teaching Hospice care.
The subjects for this study were 303 nursing students of R Junior College of Nursing in Seoul.
The data were collected through questionnaires from Nov. 12 to Nov. 17, 1990, and were analyzed by computer progrom (S¡¤P¡¤S¡¤S) using frequency, qui-square test.
The results of this study are as follows:
1. In response to the question of what is associated with death, 42.0% of the total respondents replied affirmatively, saying death would be ¡¯like-spirit¡¯ (12.9%), ¡¯eternal repose¡¯ (12.2%), ¡¯natural phenomenon¡¯ (11.9%), and ¡¯life after death¡¯
(4.3%). 58.8% responded negatively, saying it would be a ¡¯void¡¯ (22.8%), ¡¯fear¡¯ 912.5%), ¡¯end¡¯ (12.2%).
The data seem to indicate that the majority of nursing students hold a negative view of death.
2. In response to the question about the meaning of death, 28.1% of the total respondents felt that death is an end of life but one¡¯s spirit still survives. And 19.8% felt it is the last stage of one¡¯s life.
3. Among the factors that have influence on the thought of death, "My view of religion" in religious group (36.6%) and "My own thinking and meditation" in non-religious group (45.0%) occupied the first place respectively.
It shows statistically significant difference between them (p<.001).
4. In the attitude toward death 98.0% of the respondents have ever thought of their own death, and 82.8% of them have had the experience of talking with other persons about death.
5. 76.9% of the respondents replied that religion had a lot of effects on their attitude and thought of death, and 47.2% of the respondents believed in existence of life after death.
6. Of the total respondents, 49.7% had had the experience of caring for dying patients. In spite of a natural inclination to avoid hardship, 62.7% replied that they wanted to care for patients who were dying.
7. In the response to the question of whether or not the patient beyond recovery should be informed of his (or her) dearth, 60.1% of the respondents answered "We should let him be informed of his death."
Howere when the students were asked whether they want to be told about the fact of dying, when they themselves were in a critical condition, most respondents (86.5%) replied that they wanted to be told of it.
8. In the response to the medical treatment for hopeless patients, 46.0% of the respondents felt that "only analgesic should be given for their easy death." 13.3% responded; they should "do their best to the end."
There was no remarkable difference between religious group and non-religious group (p>.05).
9. In the response to question of how the family cope with the patient who has stong possibility of death, "do not express their feeling openly to the patient" was 59.4%.
10. About the question of what is to be involved in the plan of dying patient care, 45.0% of the respondents replied that "they should spend much time, if possible, with a patients, listening to him." 18.9% of the respondents said they should
"offer spiritual care". The major recommendation of the very study is that courses on death or dying should be developed in the nursing curriculum, in order to help nursing students clarify their own attitudes. Also needs clinical experiments in Hospice or Hospice unit in hospital.
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