J Korean Acad Community Health Nurs.  2018 Jun;29(2):244-256. 10.12799/jkachn.2018.29.2.244.

Text Network Analysis of Newspaper Articles on Life-sustaining Treatments

Affiliations
  • 1Department of Nursing, Konkuk University, Chungju, Korea.
  • 2Undergraduate School of Engineering, Department of Computer Science, Seokyeong University, Seoul, Korea.
  • 3Graduate School of Nursing, Konkuk University, Chungju, Korea. sook706@hanmail.net

Abstract

PURPOSE
This study tried to understand discourses of life-sustaining treatments in general daily and healthcare newspapers.
METHODS
A text-network analysis was conducted using the NetMiner program. Firstly, 572 articles from 11 daily newspapers and 258 articles from 8 healthcare newspapers were collected, which were published from August 2013 to October 2016. Secondly, keywords (semantic morphemes) were extracted from the articles and rearranged by removing stop-words, refining similar words, excluding non-relevant words, and defining meaningful phrases. Finally, co-occurrence matrices of the keywords with a frequency of 30 times or higher were developed and statistical measures"”indices of degree and betweenness centrality, ego-networks, and clustering"”were obtained.
RESULTS
In the general daily and healthcare newspapers, the top eight core keywords were common: "patients,""death,""LST (life-sustaining treatments),""hospice palliative care,""hospitals,""family,""opinion," and "withdrawal." There were also common subtopics shared by the general daily and healthcare newspapers: withdrawal of LST, hospice palliative care, National Bioethics Review Committee, and self-determination and proxy decision of patients and family. Additionally, the general daily newspapers included diverse social interest or events like well-dying, euthanasia, and the death of farmer Baek Nam-ki, whereas the healthcare newspapers discussed problems of the relevant laws, and insufficient infrastructure and low reimbursement for hospice-palliative care.
CONCLUSION
The discourse that withdrawal of futile LST should be allowed according to the patient's will was consistent in the newspapers. Given that newspaper articles influence knowledge and attitudes of the public, RNs are recommended to participate actively in public communication on LST.

Keyword

Life support care; Hospice care; Hospice and palliative care nursing; Hospices; Semantics

MeSH Terms

Advisory Committees
Bioethics
Delivery of Health Care
Euthanasia
Farmers
Hospice and Palliative Care Nursing
Hospice Care
Hospices
Humans
Jurisprudence
Life Support Care
Palliative Care
Periodicals
Proxy
Semantics
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