Journal of Korean Academy of Nursing

Original Articles

A Comparison of Hospice Care Research Topics between Korea and Other Countries Using Text Network Analysis: Eun-Jun Park, Youngji Kim, Chan Sook Park; J Korean Acad Nurs 2017;47(5):600-612. Published online October 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.600

Purpose

This study aimed to identify and compare hospice care research topics between Korean and international nursing studies using text network analysis.

Methods

The study was conducted in four steps: 1) collecting abstracts of relevant journal articles, 2) extracting and cleaning keywords (semantic morphemes) from the abstracts, 3) developing co-occurrence matrices and text-networks of keywords, and 4) analyzing network-related measures including degree centrality, closeness centrality, betweenness centrality, and clustering using the NetMiner program. Abstracts from 347 Korean and 1,926 international studies for the period of 1998–2016 were analyzed.

Results

Between Korean and international studies, six of the most important core keywords-“hospice,” “patient,” “death,” “RNs,” “care,” and “family”-were common, whereas “cancer” from Korean studies and “palliative care” from international studies ranked more highly. Keywords such as “attitude,” “spirituality,” “life,” “effect,” and “meaning” for Korean studies and “communication,” “treatment,” “USA,” and “doctor” for international studies uniquely emerged as core keywords in recent studies (2011~2016). Five subtopic groups each were identified from Korean and international studies. Two common subtopics were “hospice palliative care and volunteers” and “cancer patients.”

Conclusion

For a better quality of hospice care in Korea, it is recommended that nursing researchers focus on study topics of patients with non-cancer disease, children and family, communication, and pain and symptom management.

Citations

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Semantic Network Analysis of Iussues Related to Mental Illness in Korea Media: Focusing on the Five Major Media from 2016 to 2018
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Experience of Spiritual Conflict in Hospice Nurses: A Phenomenological Study: Byoung Sook Lee, Su Young Kwak; J Korean Acad Nurs 2017;47(1):98-109. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.98

Abstract PDF

Purpose

This aim of this phenomenological study was to describe and understand the experience of spiritual conflict in hospice nurses by identifying the meanings and structures of the experience.

Methods

Participants were 12 nurses working for one year or more at hospice units of general hospitals in a metropolitan city and experiencing of spiritual conflict as hospice nurses. Over six months data were collected using individual in-depth interviews and analyzed with the method suggested by Colaizzi.

Results

The experience of spiritual conflict in participants was organized into three categories, six theme-clusters, and 13 themes. The participants felt existential anxiety on death and a fear of death which is out of human control and skepticism for real facts of human beings facing death. They also experienced agitation of fundamental beliefs about life with agitation of the philosophy of life guiding themselves and mental distress due to fundamental questions that are difficult to answer. Also they had distress about poor spiritual care with guilty feelings from neglecting patients' spiritual needs and difficulties in spiritual care due to lack of practical competencies.

Conclusion

Findings indicate the experience of spiritual conflict in hospice nurses is mainly associated with frequent experience of death in hospice patients. The experience of spiritual conflict consisted of existential anxiety, agitation of fundamental beliefs and distress over poor spiritual care. So, programs to help relieve anxiety, agitation and distress are necessary to prevent spiritual conflict and then spiritual burnout in hospice nurses.

Citations

Citations to this article as recorded by

The effects of nurses' spiritual well-being and death awareness on end-of-life nursing attitudes in Korea: a cross-sectional study
Hyemin Kim, Seunghye Choi
Journal of Korean Biological Nursing Science.2024; 26(4): 393. CrossRef
Spiritual Care Expectations Among Cancer and Noncancer Patients With Life-Threatening Illnesses
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Cancer Nursing.2024; 47(4): E269. CrossRef
Perspectives of the Value in Life among Nursing Professionals: A Q-methodology Study
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Sage Open.2022;[Epub] CrossRef
Moderating Effect of Nurse’s Character on the Relationship between Attitudes toward Nursing Care of the Dying and Performance of Terminal Care in South Korea
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Health care Professionals' Reflections on Their Learning as Spiritual Generalists and Integration Into Practice
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Journal of Intensive Care Medicine.2018; 33(5): 279. CrossRef

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Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research: Su Young Kwak, Byoung Sook Lee; J Korean Acad Nurs 2013;43(6):781-790. Published online December 31, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.6.781

Abstract PDF

Purpose

The purpose of this study was to further understanding of the experience in acceptance of hospice by patients with terminal cancer and to explore the structure of this experience.

Methods

A phenomenological methodology was used for the study. Participants were nine patients who were admitted to the hospice unit of a university hospital. In-depth interviews were done for data collection and the data were analyzed using Colaizzi's method.

Results

Four categories, eight theme clusters and 18 themes were identified for the experience in acceptance of hospice by patients with terminal cancer. The three categories were 'Hope for a comfortable death', 'Overcoming barrier of prejudice about hospice', 'Incessant craving for life', 'The last consideration for self and family'.

Conclusion

While accepting the hospice care, participants experienced inner conflict between giving up medical treatments that prolong life and choosing a comfortable death, and also experienced an incessant craving for life. By accepting hospice care, they showed a human dignity that entails careful concerns for both self and family members.

Citations

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Predictors of end-of-life care stress, calling, and resilience on end-of-life care performance: a descriptive correlational study
Ji-Young Kim, Eun-Hi Choi
BMC Palliative Care.2022;[Epub] CrossRef
Concept Analysis of Illness Acceptance in Chronic Disease: Application of Hybrid Model Method
Il Sun Ko, Hyunju Ji, Soyun Hong, Eunyoung Jung
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 67. CrossRef
Human relationships in patients’ end-of-life: a qualitative study in a hospice ward
Marika Lo Monaco, Raffaella Mallaci Bocchio, Giuseppe Natoli, Salvatore Scibetta, Teresa Bongiorno, Christiano Argano, Salvatore Corrao
Internal and Emergency Medicine.2020; 15(6): 975. CrossRef
Caregiver burden, patients' self-perceived burden, and preference for palliative care among cancer patients and caregivers
Ji Eun Lee, Dong Wook Shin, Juhee Cho, Hyung Kook Yang, So Young Kim, Hyo Sang Yoo, Hyun Jung Jho, Joo Yeon Shin, Belong Cho, Keeho Park, Jong-Hyock Park
Psycho-Oncology.2015; 24(11): 1545. CrossRef
Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital
Keum-Jae Lee, Yeon-Suk Park
Journal of Digital Convergence.2015; 13(12): 347. CrossRef
Experience of Home-Based Hospice Care of Terminal-Cancer Patients
Boon Han Kim, Hwa Jung Kang
The Korean Journal of Hospice and Palliative Care.2014; 17(4): 223. CrossRef
Feasibility Evaluation of Korean Advance Directives (K-AD)
Shin Mi Kim, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(4): 639. CrossRef

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Development and Evaluation of 「Hospice Smart Patient」 Service Program: Chai-Soon Park, Yang-Sook Yoo, Dong-Won Choi, Hyun-Jeong Park, Ji-In Kim; J Korean Acad Nurs 2011;41(1):9-17. Published online February 28, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.1.9

Abstract PDF

Purpose

The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.

Methods

It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone 「Hospice Smart Patient」 Service at least once a week for 5 months.

Results

There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.

Conclusion

We have concluded that the 「Hospice Smart Patient」 Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.

Citations

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Palliative care in the treatment of women with breast cancer: A scoping review
Romel Jonathan Velasco Yanez, Ana Fátima Carvalho Fernandes, Erilaine de Freitas Corpes, Régia Christina Moura Barbosa Castro, Judith Sixsmith, Luís Carlos Lopes-Júnior
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Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV
Gwang Suk Kim, Sang Hui Chu, Yunhee Park, Jun Yong Choi, Jeong In Lee, Chang Gi Park, Linda L. McCreary
Journal of Korean Academy of Nursing.2015; 45(3): 439. CrossRef
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Barbara Gomes, Natalia Calanzani, Vito Curiale, Paul McCrone, Irene J Higginson, Maja de Brito
Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef

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