"임상간호사의 좋은 죽음에 대한 인식, 생명의료윤리의식, 도덕적 민감성이 사전연명의료의향서에 대한 태도에 미치는 영향"

Abstract

Purpose: This study was a descriptive study to investigate the effects of nurse’ good death recognition, consciousness of bioethics, and moral sensitivity on attitudes toward advance directives. Methods: The study was performed at a university hospital in Incheon between July 10 and 20, 2019. Convenience sampling was used to recruit 176 clinical nurses. Data were collected through self-report questionnaires. Results: The perception of good death was 3.10±0.31, consciousness of biomedical ethics was 2.87±0.21, moral sensitivity was 5.10±0.53 and attitude toward advance directives was 2.88±0.28. Attitude toward advance directives were positively correlated with perception of good death (r=.33, p=.001), consciousness of biomedical ethics (r=.14, p=.077), moral sensitivity (r=.32, p=.001). In the results of analyzing the factors having effects on the attitude toward advance directives, the age (β=.44, p=.006), value of advance directives (β=.20, p=.005), perception of good death (β=.21, p=.004), moral sensitiity (β=.15, p=.034), euthanasia (β=-.16, p=.047) and the explanatory power of regression model was 32.3% (F=7.20, p<.001) Conclusion: It would be necessary to develop the systematic educational programs that could positively improve the attitude toward advance directives by establishing the perception of good death, and increasing the consciousness of biomedical ethics and moral sensitivity of nurses.