호스피스기관 간호사의 호스피스 법제화에 대한 인식 = Nurses' Perception on Hospice Law in Hospice Institutions

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to investigate the nurses' perception on hospice law in hospice institutions using questionnaire and to recommend bill of hospice law. Method: The data were collected from 95 nurses who have experienced in hospice care using a self-completion questionnaire. To analyze prescriptive data, content analysis was done using an analysis scheme developed by the investigators. Results: The separate hospice law suggested was types and purpose of law, certification of patient, living will and right to attorney, staff, institutions, service, and payment. The analysis scheme consisted of 6 categories and 17 subcategories. 83 significant statements were analyzed and categorized. Hospice nurses indicated that their operation, financing, manpower, institution, patient right, drug management is needed to enact for bill. Conclusions: The results of this study on hospice law contents will contribute to build the national hospice system in Korea.

참고문헌 (Reference)

1 유성재, "立法效果의 評價－ 스위스 베른州 立法效果 評價制度를 中心으로 -" 중앙법학회 7 (7): 163-203, 2005

2 최화숙, "호스피스전문간호사의 역할 및 업무에 관한 연구" 17 (17): 79-98, 2005

3 손명세, "호스피스완화의료의 법제화 방안" 47-81, 2005

4 가톨릭대학교 호스피스교육연구소, "호스피스 완화간호" 군자출판사 2006

5 김선옥, "중환자실에서 치료중단 특성분석" 연세대 보건대학원 1999

6 이순행, "임상간호사의 DNR과 관련된 윤리문제에 대한 태도조사" 4 (4): 147-162, 1998

7 보건복지부 암정책과제 연구팀, "일본?대만?의 호스피스 운영 및 비용체계와 법령분석" Workshop 자료집 2007

8 김준석, "우리나라 호스피스?완화의료의 현주소와 전망" 67 (67): 327-329, 2004

9 유호종, "연명치료 중단의 정당성 근거와 조건" 한국의료윤리교육학회 5 (5): 151-168, 2002

10 대법원, "선고, 2002도995판결"

11 신현호, "삶과 죽음 권리인가 의무인가?" 육법사 2006

12 보건복지가족부, "보건복지가족부 홈페이지 자료실"

13 박연옥, "말기환자의 연명치료중단에 대한 간호사의 인식도" 한국의료윤리교육학회 7 (7): 198-216, 2004

14 한겨레신문, "말기암환자, 호스피스 이용 3%에 그쳐, 인터넷신문"

15 이태화, "말기 폐암환자를 대상으로 한가정호스피스와 병원입원치료의 비교" 30 (30): 1045-1054, 2000

16 이석배, "독일의 치료중단 기준과 입법론" 한국형사정책학회 19 (19): 229-251, 2007

17 Lo,J.C, "The impact of hospices on health care expenditures-the care of Taiwan" 54 (54): 981-991, 2002

18 Tierney, J., "The effect of the Medicare regulations on hospice practice: Enhancing staff performance" 10 (10): 26-31, 1993

19 Kernohan, W. G., "Patient satisfaction with hospice day care" 14 : 462-468, 2006

20 Miyashita, M., "Nursing autonomy plays an important role in nurses' attitudes toward caring for dying patients" 24 (24): 202-210, 2007

21 Emanuel, E. J., "Managed care, hospice use, site of death, and medical expenditures in the last year of life" 162 (162): 1722-1728, 2002

22 Manosilapakorn,C, "Ethical dilemmas related to end of life care of elderly persons in Thailand" 2002

23 Shirahama,M, "Disagreement among family members call for comments" 7 : 135-137, 1997

24 Biskupiak, J., "Assessing the value of hospice care: Is documentation of cost savings necessary?" 19 (19): 61-65, 2005

25 Downe-Wamboldt, B. L., "A study of the role of hospice volunteers" 1 : 17-31, 1986

26 통계청, "2006년 사망원인통계연보" 2006

27 보건복지부, "2006 보건복지백서" 2007