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Journal of Korean Critical Care Nursing 2018;11(1):35-45.
Published online February 28, 2018.

상급종합병원 간호사의 사전연명의료의향서에 대한 지식, 자신감 및 교육요구도
장난순, 박해숙, 김미라, 이주연, 조여원, 김경미, 손연정
1중앙대학교 병원 내과계 중환자실
2중앙대학교 병원 외과계 중환자실
3중앙대학교 병원 내과계 중환자실
4중앙대학교 병원 외과계 중환자실
5중앙대학교 병원 내과계 중환자실
6중앙대학교 적십자간호대학
Knowledge, Confidence, and Learning Needs Regarding Advance Directives among Hospital Nurses
Nan Soon Jang, Hae Sook Park, Mi Ra Kim, Joo Yeon Lee, Yeo Won Cho, Kyoung Mi Kim, Youn Jung Son
1Head Nurse, Medical Intensive Care Unit, Chung-Ang University Hospital, Seoul, Korea.
2Head Nurse, Surgical Intensive Care Unit, Chung-Ang University Hospital, Seoul, Korea.
3Charge Nurse, Medical Intensive Care Unit, Chung-Ang University Hospital, Seoul, Korea.
4Charge Nurse, Surgical Intensive Care Unit, Chung-Ang University Hospital, Seoul, Korea.
5Senior Nurse, Medical Intensive Care Unit, Chung-Ang University Hospital, Seoul, Korea.
6Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea. yjson@cau.ac.kr
Abstract
PURPOSE
Nurses' knowledge regarding advance directives may affect their administration of and confidence towards end of life care. This study aimed to describe the relationships of knowledge, confidence, and learning needs with advance directives among hospital nurses.
METHOD
This cross-sectional study was performed at a tertiary university hospital in Seoul between September 25 and October 14, 2017. Convenience sampling was used to recruit nurses who provided bedside care and had at least 1 year of clinical experience. We used a validated self-report questionnaire.
RESULTS
The mean score of knowledge, confidence and learning needs were 5.00±1.73, 29.81±7.52, and 64.54±8.48 respectively. Hospital nurses' knowledge, confidence and learning needs were significantly different according to age, job position, educational level and perceived advance directives. Knowledge regarding advance directives was significantly associated with confidence (r = .27, p < .001) and learning needs (r = .16, p = .005).
CONCLUSION
Knowledge regarding advance directives was relatively low compared to the findings of previous studies. Therefore, nurses should be knowledgeable and encouraged to initiate advance directives. It is necessary to develop a standardized educational program regarding advance directives based on Korean cultures.
Key Words: Advance directives, Knowledge, Confidence, Learning, Life sustaining care
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