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Journal of Korean Critical Care Nursing 2017;10(1):41-50.
Published online February 28, 2017.

생애 말 연명의료에 대한 중환자실 간호사의 인식: 내용 분석 연구
고진강, 고정미, 박혜영
1서울대학교 간호대학, 간호과학연구소
2성신여자대학교 간호대학
3Duke University 간호대학
Critical Care Nurses' Perception of Life-sustaining Treatment at End of Life: A Content Analysis
Chin Kang Koh, Chung Mee Ko, Hyeyoung Park
1Associate Professor, College of Nursing, the Research Institute of Nursing Science, Seoul National University, Seoul, Korea. ckoh@snu.ac.kr
2Professor, Department of Nursing Science, Sungshin Women's University, Seoul, Korea.
3Doctoral Student, School of Nursing, Duke University, Durham, USA.
Abstract
PURPOSE
The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life.
METHODS
A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital.
RESULTS
Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members.
CONCLUSIONS
Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.
Key Words: Critical care nurse, Life-sustaining treatment, End-of-life decision making, Content analysis


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