Earticle

인구 고령화가 가속됨에 따라, 노인 인구가 전체 인구에서 차지하는 비율이 지속 적으로 증가하고 있으며, 노인들은 질병과 생명의 종말 등 문제의 발생률이 점점 더 높아지고 있다. 임종자에게 신체적, 정신적 증상 완화, 통증 관리, 심리적 지원 및 임 종 관리의 통합적 서비스를 제공하여, 모든 개인이 존엄하게 노화와 죽음을 마주할 수 있게 하는 것이 사회적 이슈가 되었으며, 이는 임종 관리의 주요 내용이다. 한국 은 아시아 지역에서 선도적인 역할을 하고 있으며, 완화 의료와 안심 치료 수준이 상 대적으로 높다. 본 논문은 한국 노인 임종 관리 서비스의 발전 경험을 참고하여, 우 리나라에 적합한 임종 관리 서비스 기준을 마련함으로써, 임종자의 생명이 존중받고, 증상이 통제되며, 생명의 질이 향상되고, 임종자 가족의 신체적, 정신적 건강이 유지 될 수 있도록 한다.

With the acceleration of population aging, the proportion of the elderly in the total population is increasing, and the incidence of diseases and end-of-life problems in the elderly is also gradually increasing. It has become a social issue to make every individual face aging and death with dignity by providing comprehensive services (remission of physical and mental symptoms, pain management, psychological support, terminal care) for the dying, which is also the main content of hospice care. As a pioneer in Asia, South Korea has relatively high standards in palliative care and hospice care. Based on the development experience of hospice care for the elderly in South Korea, this article formulates the standard of hospice care services suitable for China so as to respect the life, control symptoms, improve quality of life in the dying, and maintain physical and mental health of their family members.

Purpose To evaluate the effects of a home-based palliative care program, delivered by a community health center in Korea, in terms of quality of life and health care utilization. Methods A cross-sectional comparative study was utilized. Data were collected from 30 terminally ill cancer patients who had received palliative care from the community health center and 46 terminally ill cancer patients not receiving palliative care from the center. The measurements used in the study were a Revised Korean version of Quality of Life at the End of Life survey, self-reports on days of hospital admission and the frequency of outpatient care and ER visits during the past 6 months. Results The palliative care group had a higher quality of life only in a physical aspect. The palliative care group had a lower frequency of outpatient visits and ER visits in the last 6 months than the nonpalliative group, but no significant statistical differences were found. Conclusions A home-based palliative service program delivered by the community health center appears to be an appropriate care model for managing physical symptoms. Reinforcing services for psychosocial and spiritual counseling and encouraging affiliation with free-standing inpatient healthcare providers are warranted.

Purpose: This study identified the mediating effect of resilience on the relationship between job stress and the professional quality of life of hospice and palliative care nurses. Methods: The participants included 136 hospice and palliative care nurses from 13 inpatient hospice and palliative care wards at a tertiary hospital in a metropolitan city in South Korea. Data were collected from February 2022 to March 2022. Hayes' PROCESS macro 3.5 was used to test the significance of the parameter's indirect effects. Professional quality of life was divided into three subdomains: compassion satisfaction, secondary traumatic stress, and burnout. Results: As a mediator, resilience had both direct and indirect effects on the relationship between job stress and the compassion satisfaction of hospice and palliative care nurses. Furthermore, there were both direct and indirect effects on the relationship between job stress and secondary traumatic stress. Finally, although there was no direct effect on the relationship between job stress and burnout, there was an indirect mediating effect. Conclusion: This study confirmed the direct effect of compassion satisfaction on job stress and the professional quality of life of hospice and palliative care nurses, as well as the mediating effect of resilience on job stress and burnout. To improve the professional quality of life of hospice and palliative care nurses, it is necessary to develop and apply programs that enhance resilience in order to promote its mediating effects on compassion satisfaction and burnout.

본 연구는 간호사의 뇌사자 장기이식에 대한 태도와 호스피스완화의료에 관한 지식의 정도를 파악 하고 이들 변수 간의 관계를 확인하고자 시도되었다. 연구대상은 B 광역시 소재 3개 대학병원에서 1년이상의 경력이 있는 238명의 간호사이었다. 연구 결과 대상자의 뇌사자 장기이식에 대한 태도 점수는 평균 3.63±0.76점(5점 만점)으로 비교적 긍정적이었다. 하위요인별로는 뇌사를 죽음으로 인 정, 장기이식의 돌봄, 뇌사인정의 위험성, 뇌사 장기기증에 대한 수용 순으로 나타났다. 호스피스완 화의료에 관한 지식 점수는 평균 8.18±2.44점(20점 만점)으로 비교적 낮은 점수를 보였으나 최종학 력, 직위에 따라 통계적으로 유의한 차이가 있었다. 결론적으로 호스피스완화의료와 뇌사자 장기이 식은 같은 법적 테두리에서 제도가 시행되고 있음에도 실제 호스피스현장에서는 관심을 받지 못하 고 있는 것으로 나타났다. 향후, 뇌사자 장기이식에 관한 간호사의 인식개선과 더불어 제도적인 보완 을 위한 국가⋅정책적 차원의 지원을 제언한다.

This study identified nurses’ attitudes toward brain death organ transplantation and the degree of knowledge about hospice palliative care and confirmed the relationship between these variables. The data were collected from 238 nurses with a minimum of one year of working experience in the 3 University hospitals located in B metropolitan city. The study found that their attitude score on brain death organ transplantation was an average of 3.63±0.76 (out of 5 points). The most influential sub-factors in order include recognition of brain death as death, care of organ transplants, risk of brain death, and acceptance of organ donation. The average score of knowledge on hospice palliative care was 8.18±2.44/20 points, with statistically significant differences by terminal education and current position. Little attention has been given to hospice palliative care and brain death organ transplantation in hospice sites, despite the legal implementation of them. We proposed national-level policy support for institutional supplementation and awareness enhancement for brain death organ transplantation among nurses.

Purpose: This study aimed to examine the effects of nursing students’ perceptions of a good death and hospice care on their preferences for end-of-life treatment. Methods: A total of 167 second-, third-, and fourth-year nursing students from universities located in cities U and B participated in the study. Data were analyzed using SPSS/WIN 28.0. Results: Among the subdomains of end-of-life treatment preferences, being under 30 years of age significantly influenced preferences for autonomous decision-making (β = 0.21, p = .008) and decision-making by healthcare professionals (β = 0.21, p = .007). Perceptions of hospice care significantly influenced preferences for decision-making by healthcare professionals (β = 0.21, p = .017), spirituality (β = 0.28, p = .001), pain management (β = 0.23, p = .021), and family involvement (β = 0.33, p < .001). Conclusion: Perceptions of hospice care were identified as the most influential factor across multiple domains of end-of-life treatment preferences. These findings highlight the need to develop and promote educational programs that enhance nursing students’ understanding and perceptions of hospice care.

본 연구는 사회복지전공 대학생을 대상으로 호스피스 사회복지사의 역할과 케어에 관한 인식과 그에 영향을 미치는 변인을 탐색함으로써, 사회복지전공대학생의 호스피스 말기보호 서비스 영역 활성화를 위한 기초자료를 제공하고자 한다. 연구대상은 D시와 K지역에 소재한 3개 대학의 331명의 사회복지전공자로부터 자료를 수집하였으며, 수집된 자료는 SPSS 18.0을 사용하여 분석하였다. 연구결과, 조사대상자들의 호스피스 사회복지사 역할과 호스피스 케어에 대한 인식의 평균이 중앙치를 넘는 것으로 나타났으며, 죽음경험, 임종경험, 교육경험에 따라 호스피스 사회복지사의 역할과 호스피스 케어의 인식에 차이가 있는 것으로 나타났다. 또한, 죽음경험과 교육경험, 죽음태도는 호스피스 사회복지사의 역할 인식에 영향을 미치는 것으로 나타났으며, 죽음경험과 임종경험, 교육경험은 호스피스 케어 인식에 영향을 미치는 것으로 제시되었다. 이러한 연구결과를 근거로 사회복지사의 호스피스 활동의 적극적 참여와 관심을 위한 호스피스 관련 교육의 필요성에 관한 함의와 후속연구를 제안하였다.

This study investigates the perception of hospice social worker's role and hospice care among college students majoring Social Welfare. For the purpose of the study, the survey was conducted and 331 college students at 3 universities in D city and K province participated. The results of the study showed that there were statistically significant differences in the perception of hospice social worker's role and hospice care, regarding the subjects' death experiences, watching the dying and educational experiences. In addition, death and education experience, and death attitude had statistically significant factors in explaining the perception of hospice social worker's role, while death, education and watching the dying experience were significant factors in explaining the perception of hospice care. Finally, the implication for hospice education in Social Welfare and recommendation for further study were provided.

Purpose: This study aimed to identify factors influencing the needs of hospice care among hospitalized elderly patients at long-term care hospitals. Methods: Data were collected from 130 hospitalized elderly patients at a long-term care hospital in B city using a self-report questionnaire on awareness of good death, death anxiety, and needs of hospice care. The data were analyzed with a t-test, ANOVA, Pearson’s correlation coefficients, and multiple linear regression using SPSS/WIN 23.0. Results: The mean scores for awareness of good death, death anxiety, and needs of hospice care were 3.05±0.39, 2.33±0.60, and 3.85±0.55, respectively. Awareness of good death (β=.52, p<.001) and death anxiety (β=.21, p=.004) were identified as factors affecting needs of hospice care. The regression model explained 51% of needs of hospice care and was statistically significant (F=12.60, p<.001). Conclusion: In order to satisfy the needs of hospice care of elderly patients in long-term hospitals, it is crucial to check awareness of death, including clinical symptoms such as pain, and provide services considering the needs of hospice care, particularly medical needs, as well as the respective educational opportunities.

Purpose: The purpose of this study was to identify the needs of hospice care in families of the hospitalized patients with terminal cancer. Method: The data were collected from April, 10 to July, 9, 2008. The subjects were 100 family caregivers of hospitalized terminal patients with cancer recruited from two general hospitals in B and P city in Korea. Needs of hospice care were measured using the 'Needs Assessment Instrument for Hospice Care in Families of the Patients with Cancer' developed by Kang and Kim(2005). Result: The mean of needs score was 76.6, then degree of the needs was very high. And the mean score of 'emotional care' was highest among factors in needs of hospice care. There were significant differences in sex and type of present therapy of patients in the needs of hospice care in families. Conclusion: Health care providers in hospital and hospice facilities must assess the needs of families as well as the patients in order to meet their specific needs. Also, it is important to stress the need of emotional care and is needed to have deeper understanding and application of emotional care for hopice patients and their families.

Purpose: This study was done to investigate the cognition and needs for hospice care among parents of children with cancer. Methods: The participants were 73 parents of children with cancer. Data were collected through self-report questionnaires and analyzed using the SPSS/WIN Program. Results: Less than half of parents (49.3%) told the child about the disease. If the child could not be treated medically, 39.5% of the parents answered that they would have the child treated in a hospital until his/her last days, while 62.8% of the parents replied that it would be appropriate for the child to get hospice care when all medical treatments for the child failed, or when the end of the child life was near. Needs for hospice care for the parents were high, and the physical care of the child ranked as the most important. Conclusion: The above findings indicate that the parents were not cognitive enough about hospice care, but needed hospice care, especially as it is related to the physical care of the children. Therefore hospice care, based on cognition and needs of parents, should be provided for children and their families.

Purpose: This study was conducted to explore the perception and preference toward death with dignity, hospice palliative care, and advanced directives of the public. Methods: In July 2010, 121 citizen who visited a hospice promotional booth in the firework festival, was participated the survey. And 103 questionnaires were analysed for the study results. Results: Less than 60% of participants understood the purpose of hospice palliative care correctly but 76% of them said that they intended to choose hospice palliative care for themselves. The most preferable place of death was home (41.2%), and the most important conditions for the dying with dignity were 'to be without burdening others' (19.3%), and 'being with family and/or loved ones' (18.8%). Most of them agreed the necessity of advanced directives. Conclusion: This study shows that there is possibility of consensus on hospice palliative care and advanced directives, and public in Korean culture values being with family without burdening their family for dying with dignity.

말기 암으로 삶을 위협받고 있는 호스피스 환아는 심한 육체적 통증뿐 아니라, 불안과 공포, 소외감, 분노 등의 심리적 고통을 받고 있기 때문에, 이들을 위한 심리적, 정서적, 영적 돌봄이 함께 이루어져야한다. 최근에 소아 호스피스 환자를 위한 전체적 치료접근으로 미술치료 효과에 대한 연구와 논의가 이루어지고 있다. 본 연구는 말기 암 호스피스 환아를 위한 미술치료 개입의 의미를 알아보기 위하여, 두 명의 호스피스 말기 암 환아를 대상으로 미술치료를 실시하였다. 결과에 의하면 미술치료가 말기 암 호스피스 환아에게 심리적 갈등과 억제된 감정들을 표현할 수 있는 기회뿐 아니라, 자신의 내면세계와 의사소통, 자신감, 소망 등의 잠재된 건강한 면도 발견할 수 있는 가능성과 가족에게도 심리적 안정을 제공하는 중요한 역할을 한다는 것을 알 수 있었다. 이에 근거하여 소아 호스피스 환자를 위한 미술치료 프로그램 개발, 위기 극복전략으로서 가족을 위한 미술치료 실시, 팀 접근으로서 다학제적 연구가 요구된다.

Pediatric cancer patients in hospice care who are threatened by death need not only medical treatments, but also psychological care, because they are confronted with anxiety, fear, feeling of isolation, anger so on. Recently it is discussed about the effect of art therapy as complementary therapy for the pediatric patients in hospice care. The purpose of this study was to investigate what art therapy approaches for terminal cancer children in hospice care mean. The results of the case studies with pediatric patients with advanced cancer in hospice care were that the children had the opportunities to outlet their psychological conflicts and restrained feelings, to communicate with their inner world and to discover their self-esteem, desire and furthermore their possibility of development and to give their parents psychological stabilities. Study to develop the appropriate art therapy program for pediatric hospice care, family art therapy as crisis coping strategy and the multidisciplinary investigation with team work is required.

Purpose: This study is to identify the present situation of children's hospice and to find the developing strategies for child hospice system in Korea. Method: The data was collected from both literatures and the recent data provided by the government. The direction of future of children's hospice cared in Korea was predicted based on the literature analysis and the report and policy of government. Result: In Korea, the system of the child hospice is not processing. There are the importance differences between children and adult in that the characteristics and approach of the hospice care. All medical personnel and the people related to hospice care including children and their family should be recognized the necessity of the children's hospice care. The following strategies is needed for setting up the child hospice :the principles and standards, recognizing of the necessities, developing of educational program for the specialist and the systemic children's hospice program, and the organization of child hospice. Conclusion: Directions suggested from this study have the importance of child hospice to establish and develop well in Korea for both children with life-threatening disease and their families.

The purpose of this study was to examine nursing students’ attitude toward death and perception on hospice care. Methods: The survey was performed with 277 nursing students in three universities in Daegu and Busan. The data was collected by questionnaires and were analyzed using descriptive statistics. Results: Regarding the attitude on death, 93.9% of the subjects had ever thought about death. They worried about separation and sadness with family (39.7%). About half (48.7%) of the subjects considered death as a final process of the life. With regard to the perception of hospice, 93% of the subjects heard about hospice through books or nursing courses (83.8%). The best hospice management institution was considered the one run by religious groups or non-profit organizations with government support (33.9%). Ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (47.7%). The barriers the subjects thought to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (37.9%). The average perceptions about the purpose of hospice care was 4.38, whereas, the average of the need of hospice care was 4.06. Conclusion: The findings of the study provides the basis for expanding nursing practice and education related to hospice care.

Purpose: The purpose of this study was to develop a tool to assess the need for child hospice care in families of children with cancer. Method: The research design was a methodological study. The tool was developed in 4 stages : first, preliminary items were developed based on a questionnaire about the needs for child hospice care that was given to 20 families of children with cancer; second, a panel of specialists reduced the number of preliminary items using 3 validity tests for the content; third, final items were selected from the results of a pre-test. Finally, from February to July 2004, reliability and validity were tested with a sample of 104 families who had a child with cancer. Results: The final tool on the need for child hospice care consisted of 22 items and Cronbach's alpha coefficient for internal consistency was .93. Using factor analysis, 5 factors were extracted and these factors explained 69% of the total variance. Conclusion: The instrument, for assessing the need for child hospice care in families of children with cancer, developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for implementing and improving hospice care for children with cancer.

호스피스 병동의 말기 암 환자와 가족 보호자들은 죽음불안, 돌봄 부담 등 지속적인 스트레스에 노출되어 있다. 특히 보호자가 겪는 신체․정신적 소진은 자신의 건강뿐만 아니라 환자 간병에 부정적 영향을 미치며 궁극적으로 보호자 또한 ‘숨은 환자’로 전락시킨다. 그러므로 가족 보호자의 돌봄 경험을 이해하고 돌봄의 본질을 밝혀 환자와 보호자를 위한 심리․정서적 지지 프로그램을 제공하는 것이 필요하다. 본 연구의 목적은 호스피스 병동에 의뢰된 말기 암 환자를 돌보는 가족의 돌봄 경험과 의미를 탐색하는 것이다. 15인의 말기 암 환자 배우자와 직계가족 보호자가 본 연구의 연구참여자로 참여하였으며 이들의 돌봄 경험은 심층면담을 통하여 수집되었다. 연구자는 수집된 자료를 Van-Manen의 해석학적 현상학 연구 방법을 통해 분석하였으며, 분석 결과 가족 보호자의 돌봄 경험은 124개의 중심의미와 45개의 드러난 주제, 15개의 본질적 주제로 드러났다. 도출된 돌봄 경험은 밴 매넌의 4개의 근본적 실존체인 신체성, 공간성, 시간성, 관계성에 따라 재도출하였다. 연구자는 연구 결과에 근거하여 가족 보호자가 느끼는 공통적 감정과 돌봄 유형 등을 발견했으며 이들의 돌봄 부담을 완화하고, 환자의 임종 이후 가족 보호자 삶의 재구성에 기여할 수 있는 제언을 하였다.

This study explored the experiences of family members of terminal cancer patients hospitalized in hospice wards. Many family caregivers in such situations are enveloped by a fear of death and experience high rates of physical, psychosocial, and economic burden, as well as lower quality of life. Because of those factors they can become ‘hidden patients.’ Data were collected through in-depth interviews with 15 family caregivers of patients with terminal cancer hospitalized in hospice wards. The data were analyzed using Van-Manen's hermeneutic phenomenological approach. The findings were organized into 124 central meanings, 45 themes, and 15 essential themes and rearranged into Van-Manen's four fundamental existentials of lived body, lived space, lived time, and lived human relation. Based on these findings, implications for supporting the family members of terminal cancer patients in hospice care are discussed.

Purpose: This study aimed to find out the implications for the topic and design of hospice palliative care research by grasping the trends and methodological characteristics of the topic of hospice palliative care research published in domestic and international journals by domestic researchers. Methods: This study is a literature review that analyzes 389 hospice palliative care studies conducted in Korea from January 2014 to March 2019 and published in domestic and international journals. Results: As a result of this study, an average of 74 hospice palliative care articles has been published over the past five years. The most research subjects were the advance care planning of 22.1%, and Quantitative research accounted for the largest share of 71.5% in research design and 91.0% of them were non-experimental studies. In brief, the results of this study have been focused on advance care planning for the last five years, and the proportion of experimental research was low in terms of research design. Conclusion: In further studies, various research designs, such as experimental design, should be developed and attempted to build the foundation for evidence-based practice in hospice palliative care.

Purpose: The objectives of this study were to describe the needs and knowledge for hospice palliative care, to identify the caregiving burden among cancer caregivers, and to determine factors that influence the needs for hospice palliative care. Methods: This study was designed with a descriptive correlation study with structured questionnaires. Data were collected from 162 caregivers of patients with cancer from September 2018 to March 2019 in a university-affiliated hospital in Seoul, Korea. Cancer patients’ needs, knowledge of hospice palliative care, and caregiving burden were measured. Data analysis was performed with descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple linear regression using the SPSS/WIN 25.0 program. Results: The mean needs score was 90.32±17.12, the correct answers rate of knowledge items was 47.5%, and the mean score of caregiving burden was 32.53±13.94. In the regression model, knowledge, caregiving burden, age, and relationship with the patient were identified as the influencing factors of the needs of caregivers (F=6.98, p<. 001) and showed a variance of 16%. Conclusion: This study highlights the unmet needs for early palliative care. Policies and social support should be established to alleviate the caregiving burden, enhance knowledge, and reduce the need for hospice palliative care. These factors are essential not only for caregivers but also for patients with cancer.

본 연구에서는 본격적인 제도화를 앞두고 있는 호스피스 완화 돌봄에서 사회복지 실천의 중요성에 주목하여, 전국의 완화의료 전문기관에 소속된 11명의 사회복지사들을 대상으로 다학제적 팀 내 사회복지사의 전문적 정체성에 대해 근거이론 연구방법을 통해 살펴보았다. 분석 결과 166개의 개념과 21개의 하위범주가 도출되었으며 이를 기반으로 10개의 범주를 구성하였다. 병원 현장이라는 환경적 특성과 더불어 호스피스 완화의료 전문기관 지원사업의 문제가 근본적 원인으로 설정되었으며, 사회복지사 업무의 모호성과 사회복지사 자격 및 양성문제가 사회복지사의 전문적 정체성의 혼란에 맥락적 조건이 되는 것으로 나타났다. 성공적인 다학제적 팀 활동은 이러한 문제를 완화시킬 수 있는 중재조건이 되었다. 사회복지사들은 대인적, 개인적 대응전략을 통해 전문가로서의 존재의 의미를 인식하고 보람과 인간적 성장을 경험하였다. 범주들을 관통하는 핵심범주는 “호스피스 사회복지사로서 다른 전문직과 클라이언트에게 인정받는 전문가로 성장하기”로 설정되었다. 호스피스 완화 돌봄의 실천현장에서 사회복지사의 전문적 정체성을 확립하고 전문가로서의 재가를 얻기 위하여 제도적 여건 개선이 필요함을 제안하였다.

The study attempted to analyze the experiences concerning professional identities of social workers working in hospice palliative care(HPC) multidisciplinary team by adopting ground theory method. The data were drawn from in-depth interviews with 11 social workers working in HPC teams for more than a year. As a result of the study, 166 concepts, 21 themes and 10 categories were presented. The core theme was identified as "growing up as a professional recognized by clients and other team members". The characteristics of social work and those of hospital setting systematic barriers and problems of the governmental support program worked as external conditions. The conflicts and confusions in social workers' professional identities were brought about as results of the conditions while successful team and the characteristics of individual setting promoted to get over the problems. The social workers experienced professional rewards and personal growth from hospice practices by utilizing diverse strategies. It was proposed that social workers should make efforts to be recognized as an essential profession in HPC multidisciplinary teams together with resolving the institutional problems such as regulations on qualifications of HPC social worker, professional education and governmental supports to improve work conditions.

The ‘law on life?sustaining medical decision netting of patients in hospice palliative care and end-of-life process' were promulgated on February, 2016. This Law will improve the quality of death significantly even it could not fix up the difficult problems related to human death in Korea. But in order to become a law, it will be considered to be settling successfully prepare for the next. The purpose of this paper is to identify the problems related to 'law on the medical decision netting of patients in hospice palliative care and end-of-life process' and to propose the strategies of the solution. First, national publicity will take place for people of means and philosophy of death, right of people associated with death, meaning of medical care for life prolongation, process of life?sustaining medical decision, meaning and writing of advance directives, and hospice and palliative care. Second, health professionals, patients and their families will decide on the future direction of the plenty of opinions about ‘corporal medical practices to be implemented and the present status and the future prognosis of the person'. Third, it should be clearly subject to apply the "law on life?sustaining medical decision netting of patients in hospice palliative care and end-of-life process“ Fourth, properly executed prior to the "Law on life?sustaining medical decision netting of patients in hospice palliative care and the end-of-life process" requires the preparation of health professionals. Fifth, there is a need of systematic maintenance and use of pre-written letter of intent.

본 연구는 간호대학생을 대상으로 호스피스 교육을 제공하고 교육 전과 후의 호스피스 지식 및 죽음의 태도의 변화를 파악하기 위한 단일군 사전 사후 유사 실험 설계연구이다. 본 연구의 대상은 B광역시에 소재한 일개 K 대학교 간호대학 4학년에 재학 중인 학생이며, 호스피스 과목을 수강한 49명이다. 자료수집 기간은 2009년 8월부터 동년 11월까지 총 7주간으로 주 4시간 실시되었다. 대상자는 전체 4학년 전체 61명 중 49명을 최종 대상자로 하였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 대상자의 일반적인 특성에 대해 실수와 백분율로, 대상자의 교육 전후 호스피스 지식, 죽음의 태도 점수는 평균과 표준편차로, 가설검정은 paired t-test로 분석하였다. 연구결과 호스피스 교육은 간호대학생의 호스피스 지식이 증가되었고, 죽음의 태도에 긍정적인 효과가 있는 것으로 나타났다. 또한 호스피스 지식의 하위영역에서는 통증과 증상관리, 철학과 원리에서 효과가 있었으나, 간호의 사회심리적 측면은 효과가 없었다. 따라서 간호대학생의 호스피스 지식과 긍정적 죽음 태도를 위해 교육 자료로 활용될 수 있으리라 생각하며 또한 간호의 질 향상을 위해서 학부과정에서 지속적인 교육으로 수행 될 것이 필요하리라 본다. 본 연구의 결과를 토대로 대학생의 호스피스 지식과 죽음의 태도 변화를 위한 호스피스 교육의 효과를 확인하기 위한 반복연구가 필요하고, 호스피스 교육내용 중 간호의 사회심리적 측면을 보완하여 실시할 필요하리라 보며, 마지막으로 본 호스피스 교육을 간호대학생뿐 아니라 일반 간호사를 위한 단기 호스피스 교육프로그램으로서 활용될 것을 제언한다.

Purpose: The purpose of this research was to determine the effects of hospice and palliative care education on knowledge of hospice and palliative care and attitude toward death in nursing students. Method: Subjects of this study included 49 nursing students. Using a one-group pretest-posttest quasi-experimental research design, we conducted experiments to determine the effects of a hospice and palliative care education during a period of seven weeks from August through November 2009. The program was composed of seven sessions (total: 28hrs). The SPSS/Win 18.0 program was used for analysis of collected data. Results: A significant change in knowledge of hospice and palliative care and attitude toward death was observed after the intervention. Conclusion: The hospice and palliative care education was effective for nursing students in improving their attitude toward death and in increasing knowledge of hospice and palliative care. Therefore, I recommend generous application of this program to nursing students in order to improve knowledge of hospice and palliative care and attitude toward death.