Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Prerequisite for Korean Advance Directives: From the View of Healthcare Providers

한국형 사전의료의향서의 구성 요건: 의료인을 중심으로

  • Kim, Shin-Mi (Department of Nursing, Changwon National University) ;
  • Hong, Sun-Woo (Department of Emergency Medical Technology, Daejeon University) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Koh, Su-Jin (Oncology, Good Samaritan Hospital)
  • 김신미 (창원대학교 간호학과) ;
  • 홍선우 (대전대학교 응급구조학과) ;
  • 은영 (경상대학교 간호대학, 건강과학연구원) ;
  • 고수진 (포항선린병원 종양내과)
  • Received : 2011.11.14
  • Accepted : 2012.07.18
  • Published : 2012.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use. Methods: Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis. Results: Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself. Conclusion: For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.

Keywords

References

  1. Fagerlin, A., & Schneider, C. E. (2004). Enough. The failure of the living will. The Hastings Center Report, 34(2), 30-42. https://doi.org/10.2307/3527683
  2. Hahn, M. E. (2003). Advance directives and patient physician communication. The Journal of the American Medical Association, 289, 96. http://dx.doi.org/10.1001/jama.289.1.96
  3. Haisfield, M. E., McGuire, D. B., Krumm, S., Shore, A, D., Zabora, J., & Rubin, H. R. (1994). Patients' and healthcare providers' opinions regarding advance directives. Oncology Nursing Forum, 21, 1179-1187.
  4. Hsieh, H., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277-1288. http://dx.doi.org/10.1177/1049732305276687
  5. Heo, D. S. (2009). Patient autonomy and advance directives in Korea. Journal of the Korean Medical Association, 52, 865-870. http://dx.doi.org/10.5124/jkma.2009.52.9.865
  6. Kim, K. W. (2010, December 15). National movement to complete advance directives-Starts as civil movement. Yonhap News Agency. Retrieved November 11, 2011, from http://www.yonhapnews.co.kr/bulletin/2010/12/14/0200000000AKR20101214203900017.HTML? did=1179m
  7. Kim, S., Lee, Y., & Kim, S. (2003). Attributes considered important for a good death among elderly and adults. Journal of Korean Gerontological Society, 23, 95-110.
  8. Kim, S. Y. (2009). The right for natural death at the end-of-life bill. Retrieved October 15, 2011, from http://www.ksy.or.kr/bbs/viewbody.php?code=policyActive&page=4&id=32&number=32&keyfield=&keyword=&category=&BoardType=&admin=
  9. Kim, S. M. (2010). Advance directives and proxy decision-making. Korean Journal Medical Ethics, 13, 29-42.
  10. Kirschner, K. L. (2005). When written advance directives are not enough. Clinics in Geriatric Medicine, 21, 193-209. http://dx.doi.org/10.1016/j.cger.2004.08.006
  11. Kwon, I., Koh, Y., Ho, Y. Y., Heo, D. S., Seo, S. Y., Kim, H., et al. (2010). A study of the attitudes of patients, family members, and physicians toward withdrawal of medical treatment for terminal patients in Korea. Korean Journal Medical Ethics, 13, 1-16.
  12. Levi, B. H., & Green, M. J. (2010). Too soon to give up: Re-examining the value of advance directives. The American Journal of Bioethics, 10(4), 3-22. http://dx.doi.org/10.1080/15265161003599691
  13. Lo, B., & Steinbrook, R. (2004). Resuscitating advance directives. Archives of Internal Medicine, 164(14), 1501-1506. http://dx.doi.org/10.1001/archinte.164.14.1501
  14. Ministry of Health & Welfare. (2010, July 14). Press release: Consensus report on withdrawing life-sustaining-treatment of a consultative body for social consensus. Retrieved November 1, 2011, from http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=238554&page=1
  15. Oh, D., Kim J., Lee, C., Lim, J., Jung, K., Heo, D. S., et al. (2004). Discrepancies among patients, family members, and physicians in Korea in terms of values regarding the withholding of treatment from patients with terminal malignancies. Cancer, 100, 1961-1966. http://dx.doi.org/10.1002/cncr.20184
  16. Park, H. W. (2009). The implications and significance of the case at Severance Hospital. Journal of the Korean Medical Association, 52, 848-855. http://dx.doi.org/10.5124/jkma.2009.52.9.848
  17. Koch, K. A. (1992). Patient self-determination act. The Journal of Florida Medical Association, 79, 240-243.
  18. Prendergast, T. J. (2001). Advance care planning: Pitfalls, progress, promise. Critical Care Medicine, 29(supplement), N34-N39. https://doi.org/10.1097/00003246-200102001-00007
  19. Ramsaroop, S. D., Reid, M. C., & Adelman, R. D. (2007). Completing an advance directive in the primary care setting: What do we need for success? Journal of the American Geriatric Society, 55, 277-283. http://dx.doi.org/10.1111/j.1532-5415.2007.01065.x
  20. Rao, J. K., Alongi, J., Anderson, L. A., Jenkins, L., Stokes G., & Kane, M. (2005). Development of public health priorities for end-of-life initiatives. American Journal of Preventive Medicine, 29, 453-460. http://dx.doi.org/10.1016/j.amepre.2005.08.014
  21. Sabatino, C. P. (2007). Advance directives and advance care planning: Legal and policy issues. Washington, D.C: U.S. Department of Health and Human Services.
  22. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  23. Seymour, J., Gott, M., Bellamy, G., Ahmedzai, S. H., & Clark, D. (2004). Planning for the end of life: The views of older people about advance care statements. Social Science & Medicine, 59, 57-68. https://doi.org/10.1016/j.socscimed.2003.10.005
  24. Shin, S. J., Joo, S. Y., Yim, D. G., Kim, S. T., Ahn, S. S., Lee, H. S., et al. (2009). Dying with dignity law. Retrieved November 11, 2011, from http://www.ssj.or.kr/02_political/index.php?bbs_id=agreement2&num=935&page=6&key=&keyword=&btype=&mode=view
  25. Statistics Korea. (2009). Death for 19 chapters of causes by place of death. Retrieved October 11, 2011, from http://kostat.go.kr/wnsearch/search.jsp
  26. Steinhauser, K. E., Christakis, N. A., Clipp, E. C., McNeilly, M., Mclntyre, L., & Tulsky, J. A. (2000). Factors considered important at the end of life by patients, family, physicians, and other care providers. The Journal of the American Medical Association, 284, 2476-2482. http://dx.doi.org/10.1001/jama.284.19.2476
  27. Supreme Court. (2004, June 24). A sentence 2002 Do 995 [Murder (ruling: aiding murder), murder] [Kong 2004.8.1.(207), 1255]. Retrieved November 11, 2011, from http://glaw.scourt.go.kr/jbsonw/jbson.do
  28. Supreme Court. (2009, May 21). A sentence 2009 Da 17417 court's ruling from the full panel of judges [Withdrawal of meaningless lifesustaining-treatment] [Kong 2009 Sang, 849]. Retrieved November 11, 2011, from http://glaw.scourt.go.kr/jbsonw/jbson.do
  29. Yun, Y. H., Rhee, Y. S., Nam, S. Y., Chae, Y. M., Heo, D. S., Lee, S. W., et al. (2004). Public attitudes toward dying with dignity and hospice . palliative care. The Korean Journal of Hospice and Palliative Care, 7, 17-28.

Cited by

  1. Facilitators and Barriers to Use of Advance Directives in Korea : vol.15, pp.7, 2012, https://doi.org/10.1097/njh.0b013e3182a001c7
  2. 인지면담을 이용한 한국형 사전의료의향서 모델 개발 vol.16, pp.1, 2012, https://doi.org/10.14475/kjhpc.2013.16.1.020
  3. 지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식 vol.19, pp.3, 2012, https://doi.org/10.5977/jkasne.2013.19.3.330
  4. 한국판 사전의료의향서(K-AD)의 가용성 평가 vol.20, pp.4, 2012, https://doi.org/10.5977/jkasne.2014.20.4.639
  5. 심폐소생술금지 교육 및 임상 경험에 따른 윤리적 태도 vol.18, pp.3, 2015, https://doi.org/10.14475/kjhpc.2015.18.3.208
  6. Predictors of Agreement With Writing Advance Directives Among Older Korean Adults vol.27, pp.6, 2012, https://doi.org/10.1177/1043659615587586
  7. 한국형 사전의료의향서 평가 vol.19, pp.2, 2012, https://doi.org/10.14475/kjhpc.2016.19.2.109
  8. The Current Status of End-of-Life Care in Korea and Legislation of Well-Dying Act vol.20, pp.2, 2012, https://doi.org/10.4235/jkgs.2016.20.2.65
  9. Validation of the Decisional Conflict Scale for Evaluating Advance Care Decision Conflict in Community-dwelling Older Adults vol.11, pp.4, 2012, https://doi.org/10.1016/j.anr.2017.11.004
  10. End-of-life care decisions using a Korean advance directive among cancer patient-caregiver dyads vol.15, pp.1, 2017, https://doi.org/10.1017/s1478951516000808
  11. Feasibility of the Korean-Advance Directives Among Community-Dwelling Elderly Persons vol.31, pp.4, 2012, https://doi.org/10.1097/hnp.0000000000000216
  12. 의료종사자의 사전의료의향서에 대한 태도에 미치는 융합적 영향요인 vol.9, pp.10, 2012, https://doi.org/10.22156/cs4smb.2019.9.10.244
  13. Development of Advance Directives for Nursing Home Residents vol.21, pp.2, 2019, https://doi.org/10.17079/jkgn.2019.21.2.75
  14. Barriers to Counseling on Advance Directives Based on Counselors' Experiences: Focus Group Interviews vol.23, pp.3, 2020, https://doi.org/10.14475/kjhpc.2020.23.3.126