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Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students

Journal of Hospice and Palliative Care 2021³â 24±Ç 1È£ p.36 ~ 45
KMID : 0856920210240010036
¹Ú¿µ¹Ì ( Park Young-Mi ) - Kyung Hee University Medical Center Department of Nursing

³²±ÝÈñ ( Nam Keum-Hee ) - Kosin University College of Nursing
¹èÁÖÈñ ( Bae Joo-Hee ) - Kyungnam College of Information and Technology Department of Nursing

Abstract

Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.

Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson¡¯s correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.

Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P£¼0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P £¼0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).

Conclusion: Based on the results of this study, improving nursing college students¡¯ Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.
KeyWords

Students, Nursing, Nurse¡¯s role, Terminal care, Advance care planning, Knowledge, Attitude
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