Purpose:We conducted a descriptive correlational study to determine a relationship between nurses' awareness of good death and attitudes toward terminal care, which in turn could be used as basic data for improvement of the quality of terminal care at geriatric hospitals. Methods: From April 3, 2013 through April 22, 2013, data were collected from 230 nurses working at geriatric hospitals. Results: Nurses' attitudes toward terminal care showed no significant correlation with awareness of good death, but it was positively correlated with a sense of closeness, a subfactor of awareness of good death. There was negative correlation between emotions regarding a deathbed, a subfactor of attitudes of nurses in charge of terminal patients, and awareness of good death. We found positive correlation between terminal care performance and awareness of good death. Conclusion: This study warrants the need for nursing education catered to characteristics of geriatric hospitals and development of diverse intervention strategies to help them to attain a positive attitude toward death by familiarizing themselves with the concept of good death and enhancing job satisfaction.
The purpose of this study was: (i) to examine the variables related to the quality of family caregiving provided to the elderly and to its improvement; and (ii) to construct a theoretical framework that would influence the quality of family caregiving provided to the elderly by checking the interrelationship between the variables. Such a framework could be used to verify a hypothetical model whereby nursing intervention could be developed that would facilitate the quality of life of the elderly. In order to verify the constructed hypothetical model, data were collected from visiting families living with elderly who were over 65 years of age, in Seoul, from 30 June 2000 to 11 August 2000. A self‐report questionnaire, an interview and observation of the surveyors were used. Three hundred and two copies were put into the final analysis. In order to retrieve statistics on the data, sas for Windows was used. Covariance structural analysis, through LISREL Windows program version 8.12, was used to verify the hypothetical model and the modified model. The result of verification of the modified model produced 20 hypotheses among 23 hypothetical paths. Forty percent of the quality of care derived by the elderly was explained by: the caregiving belief of assessing role, the caregiver's health status, the elderly's cognitive impairment and disruptive behavior, the amount of social support, the caregiving belief of monitoring role and the discrepancy between the past and the present image of the elder. Eighty‐nine percent of the quality of caregiving evaluated by the caregivers was explained by: the family's stress, the caregiving belief of assessing role, the caregiving burden, general factors, the caregiving belief of monitoring role, the amount of social support, the discrepancy between the past and the present image of the elderly person, and the caregiver's health status. Forty‐six percent of the caregiving burden was explained by: their economic status, the family's stress, the amount of social support, the activities of daily living, the discrepancy between the past and the present image of the elderly person and by general factors.
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