Types of Perception toward End-of-Life Medical Decision-making of Clinical Nurses: Q-Methodological Approach.
- Author:
Kae Hwa JO
1
;
Yeon Ja KIM
;
Ki Cheul SOHN
Author Information
1. Department of Nursing, College of Nursing, Catholic University of Daegu, Daegu, Korea.
- Publication Type:Original Article
- Keywords:
Nurses;
Perception;
Medicine;
Decision making;
Methods
- MeSH:
Curriculum;
Decision Making;
Health Occupations;
Humans;
Korea;
Patient Participation;
Students, Nursing;
Terminally Ill
- From:Korean Journal of Hospice and Palliative Care
2012;15(1):18-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We analyzed how clinical nurses in Korea perceive terminally ill patients' medical decision-making. METHODS: The Q-methodology which analyzes the subjectivity of each item was used. We selected 34 Q-statements among those provided by each of 37 subjects and grouped them into a shape of normal distribution using a 9 point scale. The collected data were analyzed using a QUANL PC program. RESULTS: Four types of perception toward medical decision-making were identified. Type I focuses on patient participation, and Type II emphasizes the role of health professionals. Type III is characterized by an open-minded culture toward death, and Type IV values the role of family members. CONCLUSION: The results of this study indicate the need for development of a multi-disciplinary curriculum medical decision-making and death for medical and nursing students.