• 간의등불
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• s.25
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• pp.5-9
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• 2002

• The Korean Society of Law and Medicine
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• v.18 no.2
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• pp.139-161
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• 2017

In this paper, The Supreme Court of Korea 2016. 1. 28. 2015Da9769 was reviewed. In the previous case, Korean Supreme Court 2009Da17417 for the element to requirement for permission of the withdrawal of life-sustaining treatments, the patient's consent for withdrawal of life-sustaining treatments was assumed a declaration of intention to terminate the contract. But the consent for withdrawal of life-sustaining treatments corresponds not to those. The consent for medical treatments is not the juristic acts but the real acts. If the presumptive intention about these withdrawal regards as the termination of medical contract, the contract must be up to the starting the civil proceedings. According to this case, although the partial cancellation of medical contract is admitted, on the other hand medical expenses obligation ist exempted only after the final decision. At the withdrawal of life-sustaining treatments the medical obligation ist exempted because of the inability to providing the medical payment, which confirmed by the final decision about the withdrawal of life-sustaining treatments. Therefore the judgement of this case ist appropriate in that sense, the medical obligation ist waived only after the final decision. However that legal basis lies not at the partial cancel but at the partial inability.

• Journal of East-West Nursing Research
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• v.23 no.1
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• pp.1-8
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• 2017

Purpose: This study aimed to provide basic data of nursing student's knowledge and attitudes towards the withdrawal of life-sustaining treatment. Methods: Nursing students from two universities in J province participated in this study. The descriptive statistics, t-test, one-way ANOVA, Scheffe test and Pearson's correlation coefficient were used to analyse the data. Results: The nursing students' knowledge of the withdrawal of life-sustaining treatment was 7.42 out of 16. The participants' attitude toward the withdrawal of life-sustaining treatment was 50.03 out of 95 which was 2.64 in its mean rating. Regarding their knowledge of the withdrawal of life-sustaining treatment, nursing students whose family members experienced the life-sustaining treatment had significantly higher knowledge than those students whose not (p<.001). Those participants who support patients or their families' right to decide the withdrawal of life-sustaining treatment had positive attitude toward the withdrawal of life-sustaining treatment (p=.007). In addition, the knowledge of and attitude toward the withdrawal of life-sustaining treatment showed significant correlations (r=.639, p<.001). Conclusion: The findings of this study suggest that systematic and professional education is needed for nursing students to equip positive attitude toward the withdrawal of life-sustaining treatment in nursing practice.

• The Korean Society of Law and Medicine
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• v.13 no.2
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• pp.285-308
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• 2012

The Korean supreme court said that Mrs Kim who was in a persistent vegetative state had a right to die if she had a presumed will or assumption of dying against Severance hospital in 2009. Presumed would be vague and can not be subjective to conjecture though, the court had a developed trial on the case. I recommend the higher valued notion such as the 'right to decide on the life extension' is more logical than assumptive will. To achieve this recommendation, I will search right to life, right to decision, human dignity and find the good relationship between them. In conclusion, I will announce that if PVS patients without advanced directives aren't able to express their will and no one could not assume their right to die in spite of meaningless life extension. So only the due and strict procedure about the extinction of meaningless PVS patients will allow them to sacrifice themselves or remove life extension ventilators. Also active euthanasia would be possible under the strict procedure of making advanced directives and the act of helping active euthanasia additionally, the crime of abetting suicide would not be executed in the legal scope.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.85-98
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• 2010

Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.

• The Journal of the Convergence on Culture Technology
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• v.7 no.3
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• pp.71-78
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• 2021

The purpose of this study was to investigate the effect of good death recognition, self-esteem, attitude toward withdrawal of life-sustaining treatmenton the consciousness of biomedical ethics in nursing students. Data were collected from 154 nursing students in B city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 22.0. The degree of consciousness of biomedical ethics in nursing students was 2.87±0.26. There were significant differences in consciousness of biomedical ethics with respect to religion(t=-2.90, p=.004). There was positive correlation between consciousness of biomedical ethics and good death recognition(r=.27, p=.001), self-esteem(r=.36, p<.001), negative correlation between consciousness of biomedical ethics and attitude toward withdrawal of life-sustaining treatment(r=-.29, p<.001). The factors affecting consciousness of biomedical ethics of the study subjects were good death recognition(β=.26, p<.001), self-esteem(β=.29, p<.001), attitude toward withdrawal of life-sustaining treatment(β=-.30, p<.001), religion(β=-.20, p=.004), with an explanatory power of 28.7%. Through this research requires the fellow study to determine the factors affecting consciousness of biomedical ethics of nursing students.

• Journal of Hospice and Palliative Care
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• v.18 no.3
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• pp.227-234
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• 2015

Purpose: This study was done to analyze how a death preparation education program have the effects on awareness of hospice palliative care and withdrawing life sustaining treatment in older adults. Methods: This study employed a non-equivalent control group design among quasi-experimental designs. The experimental group was comprised with 35 adults and the control group with 40 adults. The death preparation program consisted of five two-hour sessions and was administered once a week for five straight weeks. Data were analyzed by descriptive statistics, t-test, ${\chi}^2$ test, Fisher's exact test, and ANCOVA using SPSS version 18.0. Results: The mean age of the participants was 66.2 years. A significant difference between the experimental and control groups was observed in withdrawing life sustaining treatment (F=3.380, P=0.040). However, no significant difference was found in awareness of hospice palliative care (F=0.163, P=0.850). Conclusion: The study results indicate that death preparation training could positively affect people's awareness of withdrawing life sustaining treatment. More studies should be conducted to explore effects of death preparation education for all ages and help people better understand hospice palliative care.

• Journal of Hospice and Palliative Care
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• v.11 no.3
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• pp.140-146
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• 2008

Purpose: Sooner of later, end-of-life care decision-making will unfold and be settled during the professional lives of medical students. However, there is prevalent ambiguity and uncertainty between the palliative treatment and euthanasia. We conducted this survey to investigate attitudes of medical students towards end-of-life making decisions, and to find out which factors primarily influenced the attitudes. Methods: A study was conducted among medical students at one university, the Republic of Korea. A written questionnaire was sent to all the 1st, 2nd, and 3rd-year medical students. It presented 5 statements on end-of-life decision-making. Students were asked whether they agreed or disagreed with each statement. Results: The response rate was 74.4%, and 267 questionnaires were analyzed. Percentages of agreement with each statements on Voluntary active euthanasia (VAE), Physician assisted suicide (PAS), Withholding life-sustaining management, Withdrawing life-sustaining management, and Terminal sedation (TS) was 37.1%, 21.7%, 58.4%, 60.3%, and 41.6%, respectively. The grade of students, religious activity, and educational experience were determinant factors. Agreement on each statements was higher in the low religious activity group than in the high religious activity group. Agreement on TS was higher among 3rd year students during their clerkship than among 1st and 2nd year students. Age of students and the experience of dying-people care had no significant influence. Conclusion: In end-of-life decision-making, religious and educational factors influenced medical students' attitudes. Especially, the experience of education during clerkship had significant influence on the attitude. Proper teaching on end-of-life decisions should further be considered during medical students' clerkship.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.27 no.1
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• pp.82-91
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• 2020

Purpose: This study aimed to explore the factors influencing attitudes toward withdrawal of life-sustaining treatment (WLST) in adolescents. Methods: This study used a descriptive research design. A structured questionnaire was administered to 185 adolescents. Data were analyzed based on t-tests, analysis of variance, Pearson's correlation coefficient, and multiple regression using the IBM SPSS 20.0. Statistical package. Results: There was a negative correlation between attitudes toward WLST and respect for life (r=-.188, p=.010). Knowing about life-sustaining treatment (β=-0.30, p<.001), experience of WLST education (β=0.21, p=.003), experience of respect for life education (β=-0.16, p=.021), and experience of death (family or acquaintance) (β=-0.13, p=.039) explained 16.7% (F=8.39, p<.001) of the variance in attitudes toward WLST. The respect for life did not affect attitudes toward WLST (β=-0.07, p=.347). Conclusion: The study findings suggest that WLST in adolescents is different from that of adults. Further research is needed to develop strategies for sound and positive attitudes toward WLST in adolescents.

• The Journal of the Korea Contents Association
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• v.17 no.7
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• pp.170-181
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• 2017

The purpose of this study is to provide a more persuasive organ donation campaign based on the understanding of the public based on the personal characteristics and value factors of various age groups. The influence of personal characteristics and value factors (organ donation attitude, organ donation knowledge, self - efficacy, internal medicine, attitude toward discontinuation of life - saving treatment) on the intention of organ donation among 20s to 60s or older was examined. Demographic variables that were predicted to affect individual behavioral intentions such as gender, age, and religion were included. The value factors were also included attitudes toward life-sustaining treatment and afterlife view to identify potential factors. The results showed that attitude toward organ donation, knowledge of organ donation, self-efficacy, attitudes toward life-sustaining treatment had a significant positive effect on organ donation intention.