Journal List > J Korean Acad Community Health Nurs > v.29(2) > 1100767

Park, Ahn, and Park: Text Network Analysis of Newspaper Articles on Life-sustaining Treatments

Abstract

Purpose

This study tried to understand discourses of life-sustaining treatments in general daily and healthcare newspapers.

Methods

A text-network analysis was conducted using the NetMiner program. Firstly, 572 articles from 11 daily newspapers and 258 articles from 8 healthcare newspapers were collected, which were published from August 2013 to October 2016. Secondly, keywords (semantic morphemes) were extracted from the articles and rearranged by removing stop-words, refining similar words, excluding non-relevant words, and defining meaningful phrases. Finally, co-occurrence matrices of the keywords with a frequency of 30 times or higher were developed and statistical measuresindices of degree and betweenness centrality, ego-networks, and clusteringwere obtained.

Results

In the general daily and healthcare newspapers, the top eight core keywords were common: “patients,” “death,” “LST (life-sustaining treatments),” “hospice palliative care,” “hospitals,” “family,” “opinion,” and “withdrawal.” There were also common subtopics shared by the general daily and healthcare newspapers: withdrawal of LST, hospice palliative care, National Bioethics Review Committee, and self-determination and proxy decision of patients and family. Additionally, the general daily newspapers included diverse social interest or events like well-dying, euthanasia, and the death of farmer Baek Nam-ki, whereas the healthcare newspapers discussed problems of the relevant laws, and insufficient infrastructure and low reimbursement for hospice-palliative care.

Conclusion

The discourse that withdrawal of futile LST should be allowed according to the patient’s will was consistent in the newspapers. Given that newspaper articles influence knowledge and attitudes of the public, RNs are recommended to participate actively in public communication on LST.

References

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Figure 1.
Flowchart of the study.
jkachn-29-244f1.tif
Figure 2.
Sociogram of the top 50 keywords based on degree-centrality in general daily newspaper articles on life-sustaining treatments (LST).
jkachn-29-244f2.tif
Figure 3.
Sociogram of the top 50 keywords based on degree-centrality in healthcare newspaper articles on life-sustaining treatments (LST).
jkachn-29-244f3.tif
Table 1.
The Top 30 Keywords by Centrality Index in General Daily Newspaper Articles on Life-sustaining Treatments (LST)
Rank Degree centrality (Ego size) Betweenness centrality
1 Patient .20 (66) Patient .09
2 LST .15 (50) Death .07
3 Death .15 (49) Hospice palliative care .06
4 Hospice palliative care .12 (39) LST .05
5 Hospitals .11 (35) Hospitals .05
6 Family .09 (31) Family .03
7 Withdrawal .08 (28) Euthanasia .02
8 Treatment .08 (25) Treatment .02
9 Opinion .07 (24) Opinion .02
10 Euthanasia .05 (16) Disease .01
11 Farmer NamKi Baek .05 (15) Withdrawal .01
12 Death with dignity .04 (14) Cancer .01
13 Artificial ventilator .04 (14) Writing .01
14 Disease .04 (12) Artificial ventilator .01
15 Law .04 (12) Examination .01
16 Terminal(cancer) patient .04 (12) Suffering .01
17 Writing .03 (11) Ministry of health & welfare .01
18 Legislation .03 (11) Police .01
19 Medical doctors .03 (11) Legislation .01
20 Decision-making .03 (9) Healthcare .01
21 Well-dying act .03 (9) Farmer NamKi Baek .01
22 Cancer .03 (9) Nation .01
23 Enforcement .03 (9) National bioethics review committee <.01
24 Death certificate .03 (9) Law <.01
25 Medical expenses .02 (8) Death from illness <.01
26 Healthcare .02 (8) Korea <.01
27 Korea .02 (8) Advance directive <.01
28 Cancer treatment .02 (8) Bio (medical) ethics <.01
29 Suffering .02 (8) Enforcement <.01
30 Advance directive .02 (7) Seoul <.01

Keywords are in bold if they show a higher rank for each centrality than the other centrality for which their rank is under 30th.

Table 2.
The Top 30 Keywords by Centrality Index in Healthcare Newspaper Articles on Life-sustaining Treatments (LST)
Rank Degree centrality (Ego size) Betweenness centrality
1 Hospice palliative care .23 (49) Hospice palliative care .17
2 Patient .18 (39) Patient .12
3 LST .09 (20) Hospitals .05
4 Hospitals .08 (16) LST .03
5 Family .08 (16) Family .03
6 Opinion .07 (15) Death .02
7 Death .06 (13) Policy .02
8 Law .06 (12) Opinion .02
9 Withdrawal .04 (9) CPR .02
10 Decision-making .04 (9) Healthcare .02
11 Treatment .04 (8) Writing .01
12 Terminal (cancer) patient .04 (8) EOL .01
13 Writing .03 (7) Law .01
14 Dignity .03 (6) Ministry of health & welfare .01
15 Legislation .03 (6) Nation .01
16 EOL .03 (6) Withdrawal .01
17 Medical doctors .03 (6) Medical doctors .01
18 Healthcare .03 (6) Physician care .01
19 CPR .03 (6) Dignity .01
20 Enforcement .03 (6) Self-determination .01
21 Hospice care pilot project .02 (5) Hospice care pilot project .01
22 Policy .02 (5) Medicine .01
23 Nation .02 (5) System .01
24 Measure .02 (4) Religion .01
25 Self-determination .02 (4) Hospital admission .01
26 Medicine .02 (4) Medical school .01
27 Medical team staff .02 (4) Nation people .01
28 Well-dying act .02 (4) Health insurance .01
29 Korea .02 (4) Terminal (cancer) patient .01
30 Discussion .02 (4) Medical team staff <.01

Keywords are in bold if they show a higher rank for each centrality than the other centrality for which their rank is under 30th. EOL=end of life; CPR=cardiopulmonary resuscitation

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