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

1Dongsan Medical Center, Keimyung University, Daegu, Korea.

2College of Nursing, Keimyung University, Daegu, Korea.

Address reprint requests to: Lee, Byoung Sook. College of Nursing, Keimyung University, 1095 Dalgubul-daero, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3900, Fax: +82-53-580-3916, lbs@kmu.ac.kr
• Received: June 24, 2013   • Accepted: October 18, 2013

© 2013 Korean Society of Nursing Science

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  • 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.
  • 1. Ahn EJ, Lee YS. Burnout and burden of family care-givers for caring of terminal patients with cancer. J Korean Oncol Nurs. 2005;5(1):40–51.
  • 2. Chang SY. Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. J Korean Acad Nurs. 2008;38(4):493–502. http://dx.doi.org/10.4040/jkan.2008.38.4.493Article
  • 3. Choi Y. Concepts associated with death, fear and fear overcoming methods held by patients with cancer in terminal stage and their families in hospices. Daejeon, Chungnam National Univeristy. 2012;Unpublished master's thesis.
  • 4. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential phenomenological alternatives for psychology. New York, NY: Oxford University Press; 1978. p. 48–71.
  • 5. Han YM. Spiritual needs of hospice patients. Korean J Hosp Palliat Care. 2000;3(1):39–48.
  • 6. Hong MS, Cho MJ. The effects of music therapy on pain, depression and anxiety in terminal cancer patients. J Korean Oncol Nurs. 2010;10(1):112–118.
  • 7. Hong YS. Treatment status and problems of terminally ill patients. In: Paper presented at the meeting of the Korean Society for Hospice and Palliative Care; Daejeon. 2004. 12.
  • 8. Hughes A, Gudmundsdottir M, Davies B. Everyday struggling to survive: Experience of the urban poor living with advanced cancer. Oncol Nurs Forum. 2007;34(6):1113–1118. http://dx.doi.org/10.1188/07.onf.1113-1118ArticlePubMed
  • 9. Kim JI. Experience of hope in terminal cancer patients: Applying Parse's theory of becoming a human being. Gwangju, Chonnam National University. 2010;Unpublished doctoral dissertation.
  • 10. Kim M. Philosophical studies on cognition and attitude of Koreans towards death. Stud confucian. 2010;22:73–108.Article
  • 11. Kim M, Jung IS. Suffering and hospice care. Korean J Hosp Palliat Care. 2007;10(1):21–28.
  • 12. Kim MS, Lee CS, Kim HC. The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. J Korean Oncol Nurs. 2007;7(2):131–139.
  • 13. Kim YH. A study of nurses burden and attitude on terminal cancer patients. J Korean Oncol Nurs. 2001;1(1):65–74.
  • 14. Kong BH. Art of caring in nursing. Philos Med. 2007;3:97–116.
  • 15. Koo HY, Choi SH, Park HR. Cognition and needs for hospice care among parents of children with cancer. J Korean Acad Child Health Nurs. 2009;15(3):325–333. http://dx.doi.org/10.4094/jkachn.2009.15.3.325Article
  • 16. Kübler-Ross E. On death and dying. New York, NY: McMillan; 1968.
  • 17. Kyung MH, Jang YM, Han KH, Yun YH. Current Status and Activation Plan of Hospice Palliative Care in Korea - Based on Hospice Palliative Care Facilities Survey. Korean J Hosp Palliat Care. 2010;13(3):143–152.Article
  • 18. Lee OJ. Lived experience of patients with terminal cancer: Parses human becoming methodology. J Nurs Acad Soc. 1995;25(3):510–537.ArticlePDF
  • 19. Lee WH. Total pain of patient with terminal cancer. Korean J Hosp Palliat Care. 2000;3(1):60–73.
  • 20. Paice JA. Managing psychological conditions in palliative care. Am J Nurs. 2002;102(11):36–42. quiz 43.Article
  • 21. Satterly L. Guilt, shame, and religious and spiritual pain. Holist Nurs Pract. 2001;15(2):30–39.ArticlePubMed
  • 22. Shin DW, Choi JY, Nam BH, Seo WS, Kim HY, Hwang EJ, et al. The current status of utilization of palliative care units in Korea: 6 month results of 2009 Korean terminal cancer patient information system. Korean J Hosp Palliat Care. 2010;13(3):181–189.Article
  • 23. Statistics Korea. 2013 annual report on the cause of death statistis. Daejeon: Author; 2013.
  • 24. Suh IS, Shin MH, Hong SH. Needs of hospice care and quality of life for cancer patients. Korean J Hosp Palliat Care. 2010;13(2):89–97.Article
  • 25. Yoon MO. The study on the effects of hospice care on the pain management of the terminal cancer patients. Korean J Hosp Palliat Care. 2003;6(1):34–44.
  • 26. Yoon MO, Park JS. The effect of spiritual nursing intervention on anxiety and depression of the hospice patients. J Korean Acad Adult Nurs. 2002;14(3):337–347.
  • 27. Yun YH, Rhee YS, Nam SY, Chae YM, Heo DS, Lee SW, et al. Public attitudes toward dying with dignity and hospice. Palliative care. Korean J Hosp Palliat Care. 2004;7(1):17–28.
  • 28. Zack MV. The experience of loneliness in adult, hospitalized, dying persons. Cleveland, OH, Case Western Reserve University. 1991;Unpublished doctoral dissertation.
Table 1
Themes, Theme Clusters, and Categories
jkan-43-781-i001.jpg

Figure & Data

REFERENCES

    Citations

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      J Korean Acad Nurs. 2013;43(6):781-790.   Published online December 31, 2013
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    Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research
    Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research

    Themes, Theme Clusters, and Categories

    Table 1 Themes, Theme Clusters, and Categories


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