Journal of Korean Academy of Nursing

Original Articles

Influential Factors of Complicated Grief of Bereaved Spouses from Cancer Patient: So Myeong Kim, So Hi Kown; J Korean Acad Nurs 2018;48(1):59-69. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.59

Abstract Purpose

The purpose of this study was to investigate variables and construct paths that affect complicated grief.

Methods

Participants in this cross-sectional, descriptive study were 164 bereaved spouses of cancer patients at least 12 months before the death. Data were collected from October 2016 to February 2017 using self-report structured questionnaires and were analyzed using IBM SPSS 21.0 and AMOS 20.0.

Results

The variables affecting complicated grief of bereaved spouses of cancer patients were the quality of end-of-life care (g=.15, p<.001), preparedness for death (b=-.06, p=.005), and coping with bereavement (b=-.24, p<.001), whereas the quality of death and dying did not show any effects. Preparedness for death had multiple mediating effects in the relationship between the quality of end-of-life care and complicated grief (z=-2.20, p=.028), and in the relationship between the quality of end-of-life care and coping with bereavement (z=2.11, p=.035). Coping with bereavement had a mediating effect on the relationship between preparedness for death and complicated grief (z=-2.39, p=.017).

Conclusion

This study revealed that preparedness for death and coping with bereavement play a prominent role in complicated grief. Therefore, it is important to help in preparing for death and enhancing coping with bereavement of spouses providing end-of-life care to cancer patients. In addition, investigating cultural differences in the relationship between the quality of end-of-life care and complicated grief is recommended.

Citations

Citations to this article as recorded by

Hindi translation and validation of perinatal grief scale (short version): Assessing grief following stillbirth in bereaved mothers
Bharti Sharma, Gursahiba Gill, Ashok Kumar, Har Ashish Jindal, Ritu Nehra, Sandeep Grover, Vanita Suri, Neelam Aggarwal
Indian Journal of Psychiatry.2025; 67(2): 229. CrossRef
Psychosocial factors affecting the bereavement experience of relatives of palliative-stage cancer patients: a systematic review
Marie Hasdenteufel, Bruno Quintard
BMC Palliative Care.2022;[Epub] CrossRef
Development of a Korean version of the Bereavement Care Confidence Scale (K-BCCS)
So-Hi Kwon, Young-Joo Kim
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 197. CrossRef
Experiences of spouses of patients with cancer from the notification of palliative chemotherapy discontinuation to bereavement: A qualitative study
Misako Hisamatsu, Hiroyuki Shinchi, Yumiko Tsutsumi
European Journal of Oncology Nursing.2020; 45: 101721. CrossRef
Le processus du deuil, du normal au pathologique : une observation clinique pour présenter le référentiel AFSOS à destination des soignants
J.S. Leplus-Habeneck, V. Kirakosyan, L. Fasse, O. Soulié
Psycho-Oncologie.2020; 14(4): 195. CrossRef

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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

Abstract PDF

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.

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Youngji Kim, Soong-nang Jang, Jung Lim Lee
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Development and Evaluation of an Education Program for Professional Palliative Care Nursing: Young-Ran Yeun, Min Kwon, Kyoung-Soon Lee; J Korean Acad Nurs 2015;45(1):139-146. Published online February 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.139

Abstract PDF

Abstract Purpose

This study aimed to develop a “Palliative Care Professional” education program and evaluate its effects on the recognition of good death, palliative care, and the meaning of life for nurses.

Methods

It was developed based on the hospice care program for volunteers being used in the Hospice Palliative Care Research Center of S University in Seoul. It was also based on the studies which investigated the educational needs of nurses in palliative care. This program consisted of 5 sessions and 16 content items for 2 weeks. A nonequivalent control group non-synchronized design was utilized and participants were assigned to the experimental group (n= 42) or the control group (n= 44).

Results

The recognition of a good death (F= 11.44, p= .001), palliative care (F= 4.15, p= .045), and the meaning of life (F= 5.12, p= .026) increased more significantly for participants in the experimental group than in the control group. Participants felt that they gained further knowledge in palliative patient management and refined their clinical practice.

Conclusion

The results of the study indicate that this program could serve as a practical program for palliative care nursing in the nursing field and suggests that more attention should be directed to the diverse educational needs of nurses.

Citations

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Assessment of blended learning palliative care educational programme in cancer treatment centres in India
Sushma Bhatnagar, Apoorva Mittal, Shirlynn Ho, Giam Cheong Leong, Raghav Gupta, Naveen Salins
BMJ Supportive & Palliative Care.2025; : spcare-2024-005232. CrossRef
Effectiveness of Training Programs About a Palliative Care Approach: A Systematic Review of Intervention Trials for Health Care Professionals
Daryl Bainbridge, Valerie Bishop, Jeff Myers, Denise Marshall, Kelli Stajduhar, Hsien Seow
Journal of Palliative Medicine.2023; 26(4): 564. CrossRef
Initial exploration of training for palliative care specialist nurses in mainland China
Qinqin Cheng, Qinghui Zhang, Xiangyu Liu, Yongyi Chen
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Effect of an end‐of‐life gerontological nursing education programme on the attitudes and knowledge of clinical nurses: A non‐randomised controlled trial
Akemi Okumura‐Hiroshige, Hiroki Fukahori, Sachiko Yoshioka, Midori Nishiyama, Kaori Takamichi, Miyoko Kuwata
International Journal of Older People Nursing.2020;[Epub] CrossRef
Impact of a Palliative Care Education Program on Korean Hospice Volunteers: Motivation, Death Anxiety, and Communication with the Dying
Hee Young Woo, Young Ran Yeun
The Korean Journal of Hospice and Palliative Care.2018; 21(2): 58. CrossRef

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The Effects of Logotherapy on Meaning in Life and Quality of Life of Late Adolescents with Terminal Cancer: Kyung-Ah Kang, Jeoung-Sook Shim, Dae-Geun Jeon, Myung-Suk Koh; J Korean Acad Nurs 2009;39(6):759-768. Published online December 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.6.759

Abstract PDF

Purpose

To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer.

Methods

A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program.

Results

There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups.

Conclusion

Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

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Effect of a Logotherapy-Based Empowerment Program for Achieving Self-Reliance Among Persons Living Houseless
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Assessing meaning in life for gifted learners: Validation of a Chinese version of meaning in life in children questionnaire
Mantak Yuen, Ryder T. H. Chan, Jiahong Zhang, Eric Fung, Serene Chan
Gifted and Talented International.2023; 38(1): 1. CrossRef
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Seyyed Muhammad Mahdi Mahdavinoor, Seyyed Hatm Mahdavinoor
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Chizu Nakamura, Masatoshi Kawase
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Joël Vos, Diego Vitali
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Young Sook Lim, Kyung A Kang
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Kyung-Ah Kang
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Kyung Ah Kang, Suk Jung Han, Shin Jung Kim, Young Sook Lim
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State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions
Tracy A. Balboni, George Fitchett, George F. Handzo, Kimberly S. Johnson, Harold G. Koenig, Kenneth I. Pargament, Christina M. Puchalski, Shane Sinclair, Elizabeth J. Taylor, Karen E. Steinhauser
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Shin-Jeong Kim, Kyung-Ah Kang, Sun-Jeong Park, Myung-Nam Lee, Young-Hee Kim
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Effects of a Palliative Care Program based on Home Care Nursing: Moon Sook Hwang, Ho Sihn Ryu; J Korean Acad Nurs 2009;39(4):528-538. Published online August 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.4.528

Abstract PDF

Purpose

This study was done to develop and test a palliative care program based on home care nursing.

Methods

A quasi-experimental design was employed. Changes in the variables were evaluated to test effects of the developed program. Participants were patients with terminal cancer and their families receiving home care nursing from six hospitals (experimental group: 24 and control group: 22). Data collection was conducted from February to October, 2006. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and repeated measures ANOVA were used to analyse the data.

Results

Hypothesis 1, the experimental group receiving this program will experience less pain (severe, average, weak pain) than the control group, was supported. Hypothesis 2, the experimental group will have less symptom experience than the control group, was supported. Hypothesis 3, the experimental group will have higher QOL than the control group, was supported and the last hypothesis 4, family burden in the experimental group will be less than the control group, was supported.

Conclusion

The home care nursing based palliative program developed in this study was found to be an effective program to reduce patient pain and symptom experience, to improve patient QOL and to decrease family burden.

Citations

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The Effect of Hospice Patients' Pain, Anxiety, Depression, Perception of Dignity, and Spiritual Well-Being on their Attitudes toward Dignified Death
Yun Sil Ahn, Pok Ja Oh
Korean Journal of Adult Nursing.2021; 33(3): 212. CrossRef
Cost-Effectiveness Analysis of Hospice-Palliative Care for Adults with Terminal Cancer in South Korea
Yeong Jun Ju, Woorim Kim, Yoon Soo Choy, Joo Eun Lee, Sang Ah Lee, Jieun Jang, Eun-Cheol Park
The Korean Journal of Medicine.2019; 94(3): 273. CrossRef
Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis
Kae Hwa Jo, Ae Ran Park, Jin Ju Lee
The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136. 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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Hyo Young Kim, Eun Sil Yoo, Yeol Kim, Kyoung Ae Kong, Hye Young Song, Jin Young Choi
The Korean Journal of Hospice and Palliative Care.2011; 14(4): 212. CrossRef
Development and Evaluation of 「Hospice Smart Patient」 Service Program
Chai-Soon Park, Yang-Sook Yoo, Dong-Won Choi, Hyun-Jeong Park, Ji-In Kim
Journal of Korean Academy of Nursing.2011; 41(1): 9. CrossRef

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