The purpose of this study investigated the intensive care unit nurses' attitude toward discontinuation of life-sustaining treatment, knowledge of life-sustaining treatment, and nursing stress.
This is a descriptive research study to find out the correlation between the two. Data collection for this study was approved by the IRB of the Bioethics Review Committee of Hallym University Hospital from October 25, 2022 to November 10, 3 species in Seoul and Gyeonggi. It was done at the merger. Written consent was obtained from nurses who understood and agreed to the purpose and purpose of the study.
A study was conducted. For the questionnaire, data was collected by creating a structured web-based questionnaire. Based on the tool of Park Gye-sun (2002) who stated his attitude toward the termination of life-sustaining treatment, Byun Eun-kyung et al. (2003). A modified and supplemented tool with 19 questions was used. Each person showing a positive attitude toward life-sustaining treatment Items were used on a Likert 5-point scale. For the measurement of life-sustaining medical knowledge, 26 items of tools initially developed by Seonwoo Hong and Shinmi Kim (2013) were used by Shinmi Kim (2022). The last revised tool was used.
A tool developed by Sujeong Lee (2016) was used to measure life-sustaining care nursing stress. nursing stress The questions for the study consisted of a total of 28 questions, and each question was used on a 5-point Likert scale.
Using the SPSS/WIN version 23.0, the collected data were analyzed as frequency, percentage, average, standard deviation, t-test, ANOVA, and Pearson's Correlation Analysis. The reliability of this study is Cronbach's α=.87 in the case of attitude toward discontinuation of life-sustaining treatment, and knowledge of life-sustaining treatment. Cronbach's α=.88 for life-sustaining treatment, and Cronbach's α=.91 for life-sustaining treatment nursing stress.
The study results are summarized as follows.
1) The attitude of the nurses in the intensive care unit toward the discontinuation of life-sustaining treatment was 3.43 on average, and the knowledge of life-sustaining treatment was 17.14. The mean medical care stress was 3.75.
2) Attitude toward discontinuation of life-sustaining treatment was determined by clinical work experience, intensive care unit work experience, and educational experience on life-sustaining treatment. showed a significant difference in.
3) Life-sustaining treatment knowledge showed significant differences in religion, life-sustaining treatment education experience, and life-sustaining treatment education.
4) Life-sustaining care nursing stress showed statistically significant differences according to age and position.
5) Pearson's to investigate the relationship between life-sustaining treatment discontinuation attitude, life-sustaining treatment knowledge, and nursing stress Correlation Analysis was conducted. As a result, attitudes toward discontinuing life-sustaining treatment and knowledge of life-sustaining treatment were statistically.
There was a significant correlation with on the other hand, life-sustaining care nursing stress is It was found that there was no statistically significant correlation with single attitude. The results of this study confirmed the relationship between life-sustaining treatment discontinuation attitude, life-sustaining treatment knowledge and nursing stress.
Therefore, based on the results of this study, the following suggestions are made. To increase the knowledge of advance directives and life-sustaining treatment plans for nurses in intensive care units. Doctors, nurses, patients and their families for relieving nursing stress for life-sustaining care of intensive care unit nurses. It is necessary to prepare counseling and case-by-case training programs for communication with all. This study was collected by convenience sampling of ICU nurses in a general hospital, so all critically ill patients. As it is applied to real nurses, there is a limit to generalization, so a repeat study is suggested in the future.