한국과 중국 간호대학생의 죽음에 대한 의식

이진숙,최화숙,Li, Zhen-Shu,Choe, Wha-Sook 한국호스피스협회 2008 호스피스 학술지 Vol.8 No.1

목적: 한국과 중국 간호대학생의 죽음의식을 조사하여 죽음교육과정설계에 간호대학생의 특성을 고려한 내용이 반영되도록 기여하고 간호교육 및 임상간호의 질적 향상에 도움이 되는 자료를 제공하고자 하였다. 방법: 본 연구는 2007년 3월19일부터 3월23일 사이에 한국 E대학교 간호대학생 248명과 중국 Y대학교 간호대학생 244명 총 492명을 대상으로 하였으며 측정도구는 Thorson과 Powell(1988)의 죽음의식도구를 박석춘(1992)이 번안하여 사용했던 도구를 이용하였다. 수집된 자료는 SPSS(12.0)통계 프로그램을 이용하여 전산처리 하였으며, 실수, 백분율, 평균, 표준편차는 기술통계 방법을 사용하고, Cronbach Alpha Coefficient, 요인분석, t-test, ANOVA 및 회귀분석 등을 통하여 분석하였다. 결과: 1. 한국 간호대학생은 반수이상(58.5%)이 종교가 있는데 비해 중국 간호대학생은 거의 종교를 가지고 있지 않았다(93.9%). 죽음경험이 한국 간호대학생(66.9%)보다는 중국 간호대학생이 많았다(76.6%). 사후세계유형에서 한국 간호대학생은 '사람이 죽으면 천국이나 지옥중의 한곳으로 간다'고 생각하는 경우가 제일 많았고(27.3%), '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 2위로 나타났다(22.9%). 중국 간호대학생은 '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 제일 많고(30.3%), '사람이 죽으면 그것으로 끝이고 사후세계는 존재하지 않는다'가 그 다음으로 많았다(29.5%). 2. 죽음의식은 한국 간호대학생이 평균 2.36점, 중국 간호대학생이 평균 2.50점으로 죽음에 대한 염려, 불안, 두려움이 중간수준이었으며 중국 간호대학생이 한국 간호대학생보다 높았다(t=3.51,p=.000). 3. 한국 간호대학생의 죽음의식은 연령(t=3.20, p=.002), 종교(t=2.56, p=.011), 사후세계(F=4.64, p=.000)에 대한 태도에 따라 유의한 차이가 나타났으며, 죽음의식에 대한 기여도는 사후세계변수가 수량화범위 0.735(p=.000)로 나타났다. 중국 간호대학생의 죽음의식은 모든 변수에서 유의한 차이가 없는 것으로 나타났다. 결론: 본 연구의 결과, 내세에 대한 믿음을 가지고 있는 대상자의 죽음의식이 제일 긍정적이므로 영적간호의 필요성이 강조된다. 한편 중국 간호대학생은 한국 간호대학생보다 죽음을 더 의식하고 죽음에 대한 염려, 불안, 두려움이 더 높게 나타났으므로 간호교육과정의 비교검토를 통해 한국의 죽음교육내용을 참고하고 중국의 정치, 문화와 사회제도에 알맞은 죽음교육을 해야 된다고 하겠다. 죽음의식은 사후세계에 대한 태도가 가장 크게 영향을 미치고 있으므로 이에 대한 지속적인 연구와 교육 및 실무에 적용을 제언한다. Perpose: The purpose of this study was to investigate the perception of death between Korean and Chinese nursing students. And it will help develop curriculum for preparing death, the quality of hospice care, as well as nursing education and practice. Methods: Data was collected from 492 nursing students participated(248 Korean and 244 Chinese) by questionnaire designed for examining Death Orientation (Thorson & Powell, 1988). They were analyzed using Cronbach's Alpha coefficients, factor analysis, t-test, ANOVA and regression analysis (SPSS; win 12.0 version) Results: More than half of the Korean nursing students followed a religion (58.5%) while the majority of Chinese nursing students did not follow a religion (93.9%). In the view of the afterlife, nursing students in China had two views. 'I really don't know what happens after a person dies (30.3%)' and ‘There is no afterlife and death is the end (29.5%)’. On the other hand the Korean nursing students’ answer were, 'After dying, a person goes to heaven or hell (27.3%)' and 'I really don't know what happens after a person dies. (22.9%)' The study also found that the average of 25 items in Death Orientation is 2.36points of nursing students in Korea and 2.50points of nursing students in China. This means that the concern, anxiety and fear were of the middle level for the Chinese Students and were higher than Korean students (t=3.51, p=.000). In the low factor of death orientation, those in Korea had higher 'anxiety of burden to family' than those in China (t=-3.50, p=.001). The nursing students in China had higher 'anxiety of the unknown (t=4.96, p=.000)', 'fear of suffering (t=6.88, p=.000), 'fear of extinction body and life (t=5.20, p=.000), 'fear of lost self-control(t=2.12, p=.034)', and 'anxiety of future existence and nonexistence (t=2.33, p=.020)' than those in Korea. There was no statistically significant difference for the 'concern of body and fear of identity lost' category. The death orientation of Korean nursing students had statistically significant differences according to age (t=3.20, p=.002), religion (t=2.56, p=.011), and afterlife (F=4.64, p=.000). The contribution of Death Orientation had a statistically significant difference, the afterlife variable (0.735, p=0.001). The death orientation of Chinese nursing students did not have any statistically significant differences. Conclusion: In conclusion, there were differences in death orientation between Korean and Chinese nursing students. In particular, those who believed in afterlife showed acceptance of death. The results of this study suggest that nursing curricula should include education program on death and spiritual nursing. Additional studies are needed to establish death education in China with careful considerations on Chinese policies, cultures and social systems.

간호대학생과 일반대학생의 수면의 질에 영향을 미치는 요인

김경희 ( Gyung Hee Kim ),윤희상 ( Hee Sang Yoon ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4

Purpose: The purpose of this study was to identify sleep quality according to a sleep model, to examine factors influencing sleep quality in nursing students and non nursing students. Methods: A cross sectional study was conducted with 154 nursing students and 155 non nursing students at several universities and college in Seoul. A self administrated questionnaire was used for data collection and data were analyzed descriptive statistics, t test or ANOVA, and regression with SPSS/WIN 14.0 program. Results: Sleep quality of nursing students is lower than non nursing students. Sleep qualities showed significant differences according to academic self efficacy, stress, depression and daytime sleepiness in nursing students and stress, depression and daytime sleepiness in non nursing students. Significant factors influencing sleep quality of nursing students was stress and for non nursing students, daytime sleepiness. Conclusion: The findings indicated the importance of sleep hygiene education for nursing students is that results in sleep quality.

간호대학생의 정신간호학 실습 스트레스와 정신질환에 대한 인식에 관한 연구

배정이 대한간호학회정신간호학회 1999 정신간호학회지 Vol.8 No.2

Clinical experiences are stressful for nursing students. However, we ignore this problem. And the recognition for psychiatric patients of nursing students is different from that for the other patients. The prejudice or incorrect understanding of the psychiatric patients has been widely spreading even nursing student. The purpose of this study was to describe the stress and recognition for the psychiatric patients of nursing students during the clinical experience in the psychiatric unit. Data were collected through a survey over a period of 8 days. Subjects who participated in the study consisted of 80 nursing students. The author used a convenience sampling method. Two instruments were used in this study. Using Cronbach's ALPHA, instruments were assessed for validity and reliability from data. The analysis of the data was done with Window SPSS 9.0 for descriptive statistics and ANOVA test. The results of this analysis were as follows : 1. The degree of perceived stress during the clinical experience in the psychiatric unit was considerable high(2.28 out of 4.0). 2. The degree of recognized for the psychiatric patients of nursing students was general level(1.99 out of 4.00). 3. Among the stressors, insufficiency of professional clinical knowledge and skill(2.45), inadequate practical environmen(2.44) and role overlord(2.21) were identified as the stress factors with high rank of degree of stress. 4. There was significant relationship between the degree of stress and the demographic variables of nursing students such as the religion, age and practical place. And there was no significant relationship between the degree of recognition and the demographic variables of nursing students. 5. The relationship between the degree of stress and the recognition for the psychiatric patients of nursing students were significantly identified. Finally, the author suggests that this result could be adequately applied to nursing students during the clinical experience in the psychiatric unit. The faculty should be a proving the empathetic support and effective educational environment. And effective guidance program is required to improve motivation and satisfaction with nursing as a major and college life. This study will prove helpful understanding nursing student for educator and clinical nursing staff.

COVID-19 팬데믹 시기 간호대학생의 사회접촉과 자살사고: 우울, 외로움의 매개효과

김남이,김지은 한국학교보건학회 2023 韓國學校保健學會誌 Vol.36 No.2

Purpose: Over the past two years, most Korean nursing students had to go through distance learning due to the COVID-19 pandemic. During the pandemic, amental health crisis has emerged among nursing students in South Korea. The study aimed to examine the relationships among social contact, depression, loneliness, and suicidal ideation. Methods: A cross-sectional survey design was used to collect data from nursing students. The survey was conducted onlinein South Korea. A total of 184 nursing students were recruited from December 2021 to April 2022. For data analysis,the frequency, percentage, mean and standard deviation of the general characteristics of the subjects were calculated using IBM/SPSS Statistics 25.0. To examine the mediating effect of depression and loneliness on the relationship between social contact and suicidal ideation, multiple linear regression was used to analyze associations among social contact, depression, loneliness, and suicidal ideation. Results: The average age was 22.69±5.66 years (range=18~54), and the sex distribution was 155 females among 184 nursing students. Lower social contact among nursing students was significantly associated with higher depression and loneliness. Loneliness significantly mediated the relationship between social contact and suicidal ideation innursing students. Conclusion: The findings suggest that strategies for enhancing social contact and reducing depression and loneliness should be considered to improve suicidal ideation among nursing students. Purpose: Over the past two years, most Korean nursing students had to go through distance learning due to the COVID-19 pandemic. During the pandemic, amental health crisis has emerged among nursing students in South Korea. The study aimed to examine the relationships among social contact, depression, loneliness, and suicidal ideation. Methods: A cross-sectional survey design was used to collect data from nursing students. The survey was conducted onlinein South Korea. A total of 184 nursing students were recruited from December 2021 to April 2022. For data analysis,the frequency, percentage, mean and standard deviation of the general characteristics of the subjects were calculated using IBM/SPSS Statistics 25.0. To examine the mediating effect of depression and loneliness on the relationship between social contact and suicidal ideation, multiple linear regression was used to analyze associations among social contact, depression, loneliness, and suicidal ideation. Results: The average age was 22.69±5.66 years (range=18~54), and the sex distribution was 155 females among 184 nursing students. Lower social contact among nursing students was significantly associated with higher depression and loneliness. Loneliness significantly mediated the relationship between social contact and suicidal ideation innursing students. Conclusion: The findings suggest that strategies for enhancing social contact and reducing depression and loneliness should be considered to improve suicidal ideation among nursing students.

간호전공과 비 간호전공 여대생의 모유수유 지식과 태도, 실천 지속 의지에 대한 연구

김수정,김희진,동민영,박소민,송예슬,이고은,이승만,장지은,정유진,최예슬 이화여자대학교 간호과학대학 2013 이화간호학회지 Vol.- No.47

Purpose: This study was conducted as benchmark to improve breast-feeding educational programs by comparing knowledge, attitude, and practical volition between female nursing college students and non-nursing college students. Method: The survey was conducted on 236 female students from ‘E’ and ‘Y’ Universities which were located in Seoul. The sample consisted of 114 nursing and 122 non-nursing college students. The data were collected using self-administered questionnaires from October 25 to December 17, 2012. The collected data were analyze dusing SPSS20.0. Result: The nursing college students’ level of knowledge, attitude and practical volition toward breast feeding was higher than non-nursing college students. There was positive correlation between knowledge and practical volition and attitude and practical volition about breast-feeding in nursing college students. But non-nursing college students had positive correlation between knowledge and attitude, and knowledge and practical volition about breast-feeding. Conclusion: Based on the results of the research, there was a correlation between knowledge, attitude, and practical volition toward breast feeding. It was suggested that technical knowledge of breast feeding be offered to female college students, as well as nursing college students. It could help them have the right information on breast feeding. It was also suggested that educational programs to reinforce emotional⋅practical attitude based on the knowledge of breast feeding be developed. Also, this study suggested that female students get their practical education in breast feeding under any circumstances with the practical volition to breast feed. Improving the knowledge, attitude, and the practical volition toward breast feeding, will increase the rate of breast feeding.

간호대생과 비간호대생의 정신질환에 대한 지식 및 정신질환자에 대한 태도 비교 연구

김하림,문가현,박지현,송유지,윤혜민,이시연,주승빈,최현정,한승연 이화여자대학교 간호과학대학 2014 이화간호학회지 Vol.- No.48

Purpose: The purpose of this study is to examine and compare the nursing students and the non-nursing students in their knowledge and attitudes of the mental illness and to identify the relationships. Methods: In this study, five 4-year universities in Seoul were randomly selected, from which 144 nursing students and 156 non-nursing students were selected through convenient sampling. Following instruments were used: Knowledge scale extracted from the precedent studies on the knowledge on the mental illness, and CAMI (Community Attitudes toward the Mental Illness) to evaluate the attitudes toward the mental illness. Data was analyzed using SPSS WIN 20.0 program with t-test, ANOVA with Scheffe test and Pearson’s correlation. Results: In the knowledge on mental illness, there was statistically significant differences between the nursing students and non-nursing students (t=-5.506, p<.001). In the comparisons of the attitude toward the mental illness, there was statistically significant differences on the total score of mental illness between the nursing students and non-nursing students(t=2.994, p=.003). In detail, there was statistically significant differences on the authoritarianism (t=3.858, p<.001) and the social restrictiveness (t=2.454, p=.015). Between the knowledge and the attitude of the mental illness, there seems to be a correlation: those who had higher level of mental illness knowledge had more positive attitude toward the mental illness(r=.227, p<.001). Conclusion: The result of this study shows that learning about mental illness influences positively on the mental illness knowledge and on the attitude toward the mental illness. Providing a teaching program about the mental illness for non-nursing students will be required, while the public organizations or the community would need to develop a systematic curriculum for the nursing students.

간호대학생과 일반대학생의 뇌사자 장기기증에 대한 지식, 태도 및 실천 의도

김미옥,주세진,최정현,김경숙,유미,김희정 한국의료윤리학회 2012 한국의료윤리학회지 Vol.15 No.2

This study investigated knowledge, attitude, and will for brain death organ donation (BDOD) of college students, and identified influencing factors on knowledge, attitude and will using structured questionnaire. The subjects of the research were 108 nursing students and 78 non-nursing students at N university. The data was analyzed with static analysis, t-test, χ2-test, ANOVA, pearson correlation coefficient,and Logistic regression. The mean score of knowledge toward BDOD of nursing students was 11.05 and non-nursing students scored 8.10 on average. The mean score of attitude toward BDOD of the nursing students was 3.39 and that of the non-nursing students was 3.28. There was a significant difference in knowledge according to sex, religion in nursing students. There was a significant difference in attitude according to the experience of blood donation in nursing students, and perceived health status in non-nursing students. For nursing students, there was a significant difference in the will for organ donation between students who have considered about organ donation and those who have not. There was a significant relation between the attitude and the knowledge of BDOD. However, in non-nursing students, attitude toward BDOD was not correlated with knowledge. Nursing students as future health professionals were aware of the roles and responsibilities of nurses to augment organ donation. Although nursing students scored higher in knowledge and attitude about BDOD than non-nursing students,more specifically structured education programs are needed. To promote BDOD, relevant policies and effective campaigns need to be developed.

간호계와 비간호계 여자대학생의 흡연 실태와 흡연에 대한 지식 및 태도 비교

박금자,안화진,정경숙,이애란,서지영,김지현,신소정,장은정 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

Purpose: The purpose of this study was to compare the compare of actual condition, knowledge and attitude on smoking in nursing and non-nursing female students Method : Data were obtained by self-reported questionnaires from 100 nursing and 100 non-nursing female students from September 1 to October 5,2005. And data were analyzed using SPSS/PC WIN 12.0 program. For the statistical analysis of the data, frequency and percentage, t-test, ANOVA and Sheffe-test were used. Result :1. Actual condition of smoking in nursing students and non-nursing students was significantly different(x2= 13.685, p=0.003). In Nursing students, no smoking in past was 87.2%, sometimes smoking in past was 8.3%, frequently smoking in past was 4.6%. And in non-nursing students, no smoking in past was 68.8%, sometimes smoking was 21.4%., frequently smoking was 4.5%. 2. Mean of knowledge toward smoking of nursing students was more high than those of non-nursing students(t=3.412, p=0.001). 3. Mean of attitude toward smoking of nursing students was more positive than those of non-nursing students(t=-4.64, p=0.000). 4. The levels of knowledge toward smoking by their various characteristics of subjects showed significant difference according to degree of grade of school(F=7.205, p=0.000). 5. The levels of attitude toward smoking by their various characteristics of subjects showed significant difference according to yes or no of smoking(t=-2.401, p=0.017), type of religion(F= 13.338, p=0.000), amount of pocket money monthly(F=3.300, p=0.021) and yes or no of drinking(F=11.215, p=0.000 ). Conclusion:The actual condition of non-nursing student was lower than those of nursing students. The mean of knowledge of nursing female student was higher than those of non-nursing students. The mean of attitude of nursing student was more open than those of nursing students.

간호대학생의 도덕적 용기에 대한 도덕적 고뇌와 도덕적 민감성의 관계

윤혜영,김선기,장효은,황신우,김상희 한국의료윤리학회 2018 한국의료윤리학회지 Vol.21 No.4

Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of prac-tice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing col-leges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson’s correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were 3.53±2.18, 57.33±43.35, 134.98±13.98, and 56.33±12.75, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students. 간호대학생은 임상실습을 통해 도덕적 고뇌와 도덕적 민감성을 경험하게 되는 윤리적 갈등상황에 직면한다. 대부분의 간호대학생은 윤리적 갈등상황에서 본인의 의견을 말하기가 어렵다. 따라서 간호대학생의 도덕적 용기를 증진시키는 것은 간호전문직의 책임을 다하고 임상 실무에서 간호의 질을 향상시키는 데 중요하다. 간호대학생을 대상으로 도덕적 고뇌, 도덕적 민감성, 도덕적 용기에 대한 연구는 국내에서 처음 시도되었다. 본 연구는 간호대학생의 도덕적 고뇌, 도덕적 민감성 및 도덕적 용기의 수준을 파악하고 도덕적 고뇌와 도덕적 민감성이 도덕적 용기에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 연구대상은 서울, 경기의 2개 간호대학에 재학 중인 4학년 간호대학생 138명으로, 자가보고식 설문지를 사용하였고, 결과 분석은 IBM SPSS Statistics 23 프로그램의 상관분석과 다중회귀분석을 사용하였다. 본 연구결과 도덕적 고뇌 온도계, 도덕적 고뇌, 도덕적 민감성, 도덕적 용기의 각각의 총점 평균은 3.53±2.18, 57.33±43.35, 134.98±13.98, 56.33±12.75으로 나타났다. 도덕적 용기에 영향을 미치는 요인은 도덕적 고뇌 온도계와 도덕적 민감성의 하부요인인 환자중심간호였다. 최종회귀모형은통계적으로 유의하였으나(F=4.27, p=.016) 모형의 설명력은 5%였다. 본 연구의 결과를 통해 간호사처럼 간호대학생도 도덕적 고뇌를 경험함을 확인할 수 있었다. 따라서 도덕적 고뇌를 해결하고 도덕적 민감성을 높이고 도덕적 용기로 이어지게 하기 위해서는 다양한 사례를 바탕으로 하는 교육을 통해 윤리적 가치를 함께 공유하고, 간호대학생의 도덕적 용기를 지지 및 소통하는 조직 환경을 조성하려는 노력이 필요하다.

정신간호학실습을 경험한 간호학생의 정신장애에 대한 인식

손수경 ( Son Sukyung ),박은영 ( Park Eunyoung ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2020 정신간호학회지 Vol.29 No.4

Purpose: The purpose of this study is to explore nursing students’ perception of mental disorders in psychiatric clinical nursing. Methods: This qualitative study used semi-structured individual interviews to understand the nursing students’ perspectives on mental disorders. There were 12 Korean nursing student participants who had completed 90 hours of clinical practice in psychiatric nursing over 10 days. The data was collected and analyzed by inductive content analysis. Results: The findings consisted of four themes and ten subthemes. The nursing students’ perspectives classified mental disorders as being “dangerous”, “abnormal”, “not concerned”, and “not much different from others”. Conclusion: The findings suggest that nursing instructors and on-site staff, including psychiatric nurses, need to understand nursing students’ perspectives of mental disorders in their first psychiatric nursing practice. The understanding of nursing students’ perception towards mental disorders may be effective in improving interaction with the nursing students and supporting them through clinical teaching and guidance.