The Effects of Hospice Unit Practice Education on Spiritual Well-being, Attitude to Death, and Hospice Awareness of Nursing Students

Gyung Duck Kim

doi:10.5388/aon.2016.16.4.176

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Kim: The Effects of Hospice Unit Practice Education on Spiritual Well-being, Attitude to Death, and Hospice Awareness of Nursing Students

Original Article

Asian Oncology Nursing 2016; 16(4): 176-184.

Published online: 31 December 2016

DOI: https://doi.org/10.5388/aon.2016.16.4.176

The Effects of Hospice Unit Practice Education on Spiritual Well-being, Attitude to Death, and Hospice Awareness of Nursing Students

Gyung Duck Kim

Department of Nursing, Dongyang University, Young-ju, Korea.

Address reprint requests to: Kim, Gyung Duck. Department of Nursing, Dongyang University, 145 Dongyang-daero, Punggieup, Yeongju 36040, Korea. Tel: +82-54-630-1373, Fax: +82-54-630-1371, gdkim@dyu.ac.kr

Received 7 October 2016 Revised 14 November 2016 Accepted 13 December 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to examine the effect of hospice unit practice education on spiritual well-being, attitude to death, and hospice awareness of nursing students.

Methods

This study used a one group pre-posttest research design. The participants were 29 nursing students attending D university located in Y City. All students participated in 2 weeks of hospice unit practice education. The hospice unit practice education program consisted of 90 hours. Data collection was performed from March 2 to April 30, 2015. 2 weeks. The data were analyzed using frequency, and paired t-tests, with the SPSS 21.0 program.

Results

The results of this study were as followings; the score of existential well-being, attitude to death, necessary of pain and symptom control were significantly increased after hospice unit practice education.

Conclusion

Based on these results, hospice unit practice education is effective for improving spiritual well-being, attitude to death, and hospice awareness of nursing students. These results provide basic data to develop future nursing practice curriculum.

Keywords: Hospices, Attitude to Death, Awareness, Nursing Students

Figures and Tables

Fig. 1

Research design.

Table 1

Contents of Practice in Hospice Unit

Time		Theme	Contents	Step
1 wks	1^st day	Orientation Understanding of life and death	•Education about concept of life and death	Introduction
	2^nd days	Overview on hospice	•Definition of hospice	Experience and observation
			•History and philosophy of hospice
			•Principles and standards of hospice
	3^rd days	Hospice team building cooperation	•Hospice team member
	3^rd days	Hospice team building cooperation	•The role of each member
	4^th days	Pain management	•Understanding and assessment of pain
			•Pharmacological management
			•Nonpharmacologic management
	5^th days	Symptom management	•Terminal state assessment/evaluation
	5^th days	Symptom management	•Nutrition management
2 wks	6^th days	Ethics and law hospice	•Pre-decision
			•Ethical basis for the notice of truth
			•Decisions relating to the treatment of netting suspended
			•Advocacy patient
			•Legal aspects
	7^th days	Hospice unit operations and management	•Patients referral system
			•Records and information management
			•Infections and safety management
			•Managing volunteers
	8^th days	Family management	•Assessment of the family’s needs assessment
			•Caregivers support and training
			•Understanding grief and bereavement
			•Family bereavement care plan
	9^th days	Therapeutic communication	•Understanding the end-of-life experience
			•Psychosocial needs assessment/ evaluation
			•Understanding of spirituality and spiritual needs
			•Method of communication
			•Before dying management
			•Communication about end-of-life preparation
			•After the end-of-life management
	10^th days	Discussion and debating	•Case study	Sharing and ending

Table 2

Sociodemographic of the Participants (N=29)

Characteristics	Categories	n (%) or M±SD
Age (year)		21.7±0.88
Gender	Male	3 (10.3)
Gender	Female	26 (89.7)
Religion	Yes	14 (48.3)
Religion	No	15 (51.7)
Necessary of hospice	Always need	12 (41.4)
	Need	16 (55.2)
	Not required	1 (3.4)
Experience on family death	Yes	25 (86.2)
Experience on family death	No	4 (13.8)
Hope of hospice	Yes	26 (89.7)
	No	3 (10.3)

Table 3

Effect of Hospice Units Practice on Spiritual Well-being and Attitude to Death (N=29)

Variables	Pretest	Posttest	Paired-t	p
Variables	M±SD	M±SD	Paired-t	p
Spiritual well-being	51.45±12.18	52.79±12.73	−1.27	.214
Existential well-being	29.03±4.60	30.69±5.39	−2.43	.022
Religious well-being	22.41±8.42	22.10±8.85	0.37	.713
Attitude to death	64.45±12.73	73.69±4.90	−3.98	<.001

Table 4

Effect of Hospice Units Practice on Hospice Awareness (N=29)

Variables	Pretest	Posttest	Paired-t	p
Variables	M±SD	M±SD	Paired-t	p
Perception about hospice	69.52±8.97	72.21±7.96	−1.70	.100
Definition and philosophy of hospice	13.45±2.20	13.55±2.47	−0.24	.811
Criteria of hospice	6.55±1.21	6.66±1.01	−0.53	.599
Contents of hospice service	25.10±3.66	26.28±3.01	−1.84	.076
Necessary of pain and symptom control	6.69±1.34	7.41±0.91	−2.99	.006
Ethical and psychological problems in hospice	11.52±1.38	11.72±1.60	−0.63	.537
Necessary of public information and education	6.21±1.24	6.59±1.24	−1.43	.163

Notes

This research was supported by Dongyang University Research Fund 2014.

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