중환자실 간호사의 죽음에 대한 인식과 심폐소생술 금지에 대한 윤리적 태도와의 관련성

Abstract

Objective: The purpose of this study was to investigate the relationship between the awareness of death and the ethical attitude to Do-Not-Resuscitate (DNR) among some nurses in intensive care units (ICU).

Methods: The study subjects were 235 nurses of ICU in seven hospitals. Data were collected by a self-administered questionnaire. Data were analyzed through descriptive analysis, correlation and multiple regression analysis by using a SPSS version 16.0 statistical program.

Results: The mean scores of domains of awareness of death including positive meaning of death, negative meaning of death, death anxiety, death concern and life respect will were 4.35±0.74, 4.54±0.71, 4.42±0.90, 3.64±0.85 and 4.61±0.77, respectively. The mean score of the ethical attitude to DNR was 2.83±0.20. In the correlation analysis, the negative awareness of death was statistically significant positive correlation with the ethical attitude to DNR (r = .158, p = .015). In multiple regression analysis, negative awareness of death of the sub-domains of death awareness had a significant effect on the ethical attitude to DNR (ß = .047, p = .042).

Conclusion: The results of this study suggest that nurses in ICU should establish proper awareness of death through the factors that positively influence ethical attitude to DNR.

Keyword: Death; Do-not-resuscitate; Ethical attitude.; ICU; Nurse.