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Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Preferences for Care Near the End of Life among Hospital Employees

일 대학병원종사자의 생애말기 치료 선호도

  • Received : 2013.10.08
  • Accepted : 2013.11.21
  • Published : 2013.12.31
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Abstract

Purpose: The purpose of this study was to investigate end-of-life care preferences of employees working in a university hospital. Methods: Of 650 eligible employees that were approached, 607 employees (386 nurses, 93 physicians, and 128 general staff) completed the Korean version of Preferences for Care Near the End of Life (PCEOL-K). Results: Among 5 dimensions of the PECOL-K, "Pain" was the most preferred care dimension and "Decision making by health care professional" was the least preferred care dimension. The item that received the highest mean score was "I want to let nature guide my dying and I do not want my life to be artificially prolonged in any way", and the lowest item was "I want health care providers to make all decisions about my care". As preferred care near the end of life, nurses gave lower scores to the life sustaining treatment and decision making by health care profession than physicians and general staff. Compared to physicians and nurses, general staff preferred the decision making by health care professional and by family. Conclusion: The results show that adequate pain relief is the most preferred care at the end of life among hospital employees and non-medical personnel preferred decision making by others.

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References

  1. Braun, U. K., Ford, M. E., Beyth, R. J., & McCullough, L. B. (2010). The physician's professional role in end of life decision making: Voices of racially and ethnically and ethnically diverse physicians. Patient Education and Counseling, 80 (1), 3-9. http://dx.doi.org/10.1016/j.pec.2009.10.018
  2. Davison, S. N. (2010). End-of-life care preferences and needs: perceptions of patients with chronic kidney disease. Clinical Journal of the American Society of Nephrology, 5 (2), 195-204. http://dx.doi.org/10.2215/CJN.05960809
  3. Gallo, J. J., Straton, J. B., Klag, M. J., Meoni, L. A., Sulmasy, D. P., Wang, N. Y., et al. (2003). Life-sustaining treatments: What do physicians want and do they express their wishes to others? Journal of the American Geriatrics Society, 51 (7), 961-969. https://doi.org/10.1046/j.1365-2389.2003.51309.x
  4. Gauthier, D. M., & Froman, R. D. (2001). Preference for care near the end of life: Scale development and validation. Research in Nursing & Health, 24 (4), 298-306. https://doi.org/10.1002/nur.1031
  5. Jo, K. H. (2010). Nurse's conflict experience toward end-of-life medical decision-making. Korean Journal of Adult Nursing, 22 (5), 488-498.
  6. Jo, K. H. (2011). Development and evaluation of a dignified dying scale for Korean adults. Journal of Korean Academy of Nursing, 41 (3), 313-324. http://dx.doi.org/10.4040/jkan.2011.41.3.313
  7. Jo, K. H., & Kim, G. M. (2010). Predictive factors affecting the preferences for care near the end of life among nurses and physicians. Korean Journal of Medical Ethics, 13 (4), 305-320.
  8. Jo, K. H., & Kim, G. M. (2011). Understanding the attitude of Korean adults toward dignified dying: Q-methodological approach. Korean Journal of Medical Ethics, 14 (1), 29-43.
  9. Kim, H. J. (2008). Doctors, nurses, technicians and administrative staffs relationship analysis. Unpublished master's thesis, Keimyung University, Daegu.
  10. Kim, H. S., Kim, S., Yu, S. J., & Kim, M. (2010). The preference for care near the end of life of Korea nurses. The Korean Journal of Hospice and Palliative Care, 13 (1), 41-49.
  11. Kim, M. Y., & Kim, K. S. (2010). Korean nurses' attitude towards advance directives and end of life decision making. Journal of Korean Critical Care Nursing, 3 (2), 77-90.
  12. Kim, S., Kim, S. Y., & Kim, K. (2011). Death anxiety and preferences regarding end-of-life medical care. Korean Journal of Medical Ethics, 14 (4), 413-426.
  13. Kim, S. M., Lee, Y. J., & Kim, S. Y. (2003). Attributes considered important for a good death among elderly and adults. Journal of the Korean Gerontological Society, 23 (3), 95-110.
  14. Kim, S. H., & Lee, W. H. (2011). An Integrative review of donot- resuscitate decisions in Korea. Korean Journal Medical Ethics, 14 (2), 171-184.
  15. Lee, H. K., & Kang, H. S. (2010). Attitudes and awareness towards the withdrawal of life-sustaining treatment among nurses, physicians, and families of intensive care unit patients. Journal of Korean Clinical Nursing Research, 16 (3), 85-98.
  16. Lee, Y. J., & Kim, S. M. (2009). Reliability and validity of preferences for care near the end of life scale-Korean version:PCEOL-K. Korean Journal Medical Ethics, 12 (1), 29-42.
  17. Lee, S. H., Shin, D. E., Sim, J. A., & Yun, Y. H. (2013). Public perception and acceptance of the national strategy for welldying. The Korean Journal of Hospice and Palliative Care, 16 (2), 90-97. https://doi.org/10.14475/kjhpc.2013.16.2.090
  18. Lim, J. D. (2011). Organizational effectiveness of hospital workers. The Korean Journal of Health Service Management, 5 (2), 63-76.
  19. Ministry of Health & Welfare. (2013, May 21). Press release 'Special Committee, Recommendations regarding withdrawal of meaningless life-sustaining treatment '. Retrieved July 31, 2013, from http://www.mw.go.kr/front_new/al/sal0301 vw. jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_ SEQ=286612
  20. Schirm, V., Sheehan, D., & Zeller, R. A. (2008). Preference for care near the end of life: instrument validation for clinical practice. Critical Care Nursing, 31 (1), 24-32. http://dx.doi.org/10.1097/01.CNQ.0000306393.79282.5b
  21. Statistics Korea. (2013). 2012 Statics of birth and death. Retrieved August 30, 2013, from http://kostat.go.kr/portal/korea/kor_ nw/3/index.board?bmode=download&bSeq=&aSeq=271935&ord=6
  22. Steinhauser, K., Christakis, N. A., Clipp, E. C., McNeilly, M., Mc- Intyre, 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 (19), 2476-2482. https://doi.org/10.1001/jama.284.19.2476
  23. Steinhauser, K., Christakis, N. A., Clipp, E. C., McNeilly, M., Grambow, S., Parker, J., et al. (2001). Preparing for the end of life: preferences of patients, families, physicians, and other care providers. Journal of Pain and Symptom Management, 22 (3), 727-737. https://doi.org/10.1016/S0885-3924(01)00334-7
  24. Supreme Court. (2009, May 21). A sentence 2009 Da 17417 court's ruling from the full panel of judges [Withdrawal of meaningless life-sustaining-treatment] [Kong 2009 Sang, 849]. Retrieved July 31, 2013, from http://glaw.scourt.go.kr/jbsonw/jbson.do
  25. Yoo, K. J. (2008). Conditions and direction of well-dying from the viewpoint standing on the contemporary cultural context of Korean's. The Study of Eastern Philosophy, 55, 7-43.
  26. Yun, S. Y., & Kang, J. Y. (2013). Preferences for care near the end of life according to chronic patients' characteristics. Journal of Korean Academy of Adult Nursing, 25 (2), 207-218. http://dx.doi.org/10.7475/kjan.2013.25.2.207