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The Mediating Effect of Compassionate Competence on the Relationship between Nurses¡¯ Spirituality and Attitude toward Care of Dying Patients

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KMID : 0869520190250020166
±èÀºÈñ ( Kim Eun-Hee ) - ¿øÁÖ¼¼ºê¶õ½º±âµ¶º´¿ø

ÀÓ¿µ¹Ì ( Lim Young-Mi ) - ¿¬¼¼´ëÇб³ ¿øÁÖÀÇ°ú´ëÇÐ °£È£Çаú

Abstract

º» ¿¬±¸´Â ÀÏ ´ëÇÐ º´¿ø °£È£»çÀÇ ¿µ¼º°ú ÀÓÁ¾°£È£ÅµµÀÇ °ü°è¿¡¼­ °ø°¨¿ª·®ÀÇ ¸Å°³È¿°ú¸¦ ÆľÇÇϱâ À§ÇØ ½ÃµµµÈ ¼­¼úÀû Á¶»ç¿¬±¸ÀÌ´Ù. ¿¬±¸ ´ë»óÀÚ´Â W½Ã¿¡ ¼ÒÀçÇÑ Y´ëÇÐ º´¿ø º´µ¿ÁßȯÀÚ½Ç ÀÀ±Þ½Ç °£È£»ç 172¸íÀ» ´ë»óÀ¸·Î ÇÏ¿´´Ù. ¿¬±¸µµ±¸·Î ¿µ¼ºÀº Howden(1992)ÀÇ ¿µ¼º ôµµ¿Í ¿Àº¹ÀÚ¿Í °­°æ¾Æ(2000)ÀÇ ¿µ¼º ôµµ¸¦ ¼öÁ¤ º¸¿ÏÇÑ ¿µ¼º ôµµ(¹ÚÇöÁØ, 2003)¸¦ »ç¿ëÇÏ¿´À¸¸ç °ø°¨¿ª·®Àº ÀÌ¿µÁø (2014)ÀÌ °³¹ßÇÑ µµ±¸¸¦ »ç¿ëÇÏ¿´°í ÀÓÁ¾°£È£Åµµ´Â Frommelt(1991)ÀÇ ¡®Frommelt Attitudes toward Care of the Dying Scale(FATCOD)¡¯¸¦ ¹ø¾ÈÇÑ Á¶ÇýÁø°ú ±èÀº½É(2005)ÀÇ ¡®ÀÓÁ¾°£È£Åµµ¡¯ µµ±¸¸¦ »ç¿ëÇÏ¿´´Ù. ¼öÁýµÈ ÀÚ·á ºÐ¼®Àº ¼­¼úÀû Åë°è¿Í Â÷ÀÌ°ËÁ¤, ÀÏ¿öºÐ»êºÐ¼®, »çÈĺм®, »ó°ü°ü°èºÐ¼®, ´ÙÁßȸ±ÍºÐ¼®À» »ç¿ëÇÏ¿© ºÐ¼®ÇÏ¿´´Ù. ´ÙÁßȸ±ÍºÐ¼®À» ÅëÇÑ ¸Å°³È¿°ú ºÐ¼® °á°ú ¼öÁ÷Àû ¿µ¼º°ú ÀÓÁ¾°£È£ÅµµÀÇ °ü°è¿¡¼­ °ø°¨¿ª·®ÀÌ ¿ÏÀü¸Å°³È¿°ú°¡ ÀÖ¾úÀ¸³ª ¼öÇüÀû ¿µ¼ºÀº ¸Å°³È¿°ú°¡ ¾ø´Â °ÍÀ¸·Î È®ÀεǾú´Ù. º» ¿¬±¸¿¡¼­´Â ¿µ¼º, °ø°¨¿ª·®, ÀÓÁ¾°£È£Åµµ¿¡¼­ÀÇ »ó°ü°ü°è»Ó ¾Æ´Ï¶ó ¿µ¼º°ú ÀÓÁ¾°£È£ÅµµÀÇ °ü°è¿¡¼­ °ø°¨¿ª·®ÀÇ ¿ÏÀü¸Å°³È¿°ú°¡ ÀÖ´Â °ÍÀ¸·Î ±Ô¸íµÇ¾î °£È£»çÀÇ °ø°¨¿ª·® ÁõÁøÀÌ ¿µ¼ºÀ» Çâ»ó½ÃÅ°°í ÀÓÁ¾°£È£Åµµ¸¦ ±àÁ¤ÀûÀ¸·Î Çâ»ó½ÃÅ°´Âµ¥ Áß¿äÇÔÀ» ¾Ë ¼ö ÀÖ¾ú´Ù.

Purpose: The purpose of this study was to identify the mediating effect of compassionate competence on the relationship between nurses¡¯ spirituality and attitude toward care of dying patients.

Methods: A cross-sectional correlational research design was conducted. The total subjects were 172 nurses at one general hospital in Gangwon-do. Data were collected using self-report questionnaires and analyzed using t-test, one-way ANOVA, Scheffe¡¯s test, Pearson¡¯s correlation coefficients, and multiple regression analysis.

Results: Compassionate competence showed the mediating effect (¥â=.198, p=.025) on the relationship between nurses¡¯ vertical spirituality and attitudes toward care of dying patients. However, no mediating effect of compassionate competence on the relationship between nurses¡¯ horizontal spirituality and attitudes toward care of dying patients was found.
Conclusions: Based on the findings of this study, development of training programs with a focus on spirituality and compassionate competence was highly recommended to improve and maintain nurses¡¯ positive attitudes toward caring of the dying patients.
KeyWords
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Nurses, Spirituality, Compassionate competence, Attitude toward of the dying
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