• Title/Summary/Keyword: advance

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Who are Steered to a Risky Credit Alternative?

  • Lee, Jonghee
    • International Journal of Human Ecology
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    • v.14 no.2
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    • pp.79-91
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    • 2013
  • The market for a payday advance, regarded as both a convenient and short term-loan for immediate financial help, has grown incredibly since the 1990's. Despite its popularity by borrowers and the possible benefits, it has received negative publicity. Some borrowers have been caught in a debt trap for a long-term period and at tripledigit interest rates. The objective of this study is to shed light on the borrowers' profiles and their demand for a payday advance. Based on the 2010 household level data from the U.S. Federal Reserve Board, this study finds that payday advance users are pronounced as seemingly risky people. Payday advance users tend to be college drop-outs, African Americans, and non-homeowners compared to non-payday advance users. They are more likely to overspend above their income and have a favorable attitude toward conspicuous spending than non-payday advance users. They tend not to shop at all nor perform even moderate shopping for credit before using a payday advance service as opposed to non-payday advance users.

Relationships among Perceptions of Dying Well, Attitudes toward Advance Directives, and Preferences for Advance Directives among Elderly Living Alone

  • Ryu, Eun-Jin;Choi, So-Eun
    • Journal of Hospice and Palliative Care
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    • v.23 no.4
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    • pp.241-251
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    • 2020
  • Purpose: This study investigated awareness of dying well, as well as attitudes and preferences toward advance directives (ADs), among elderly individuals who lived alone. Methods: The participants were 173 elderly people living alone. Data were collected from July 2019 to September 2019 using questionnaires on perceptions of dying well, awareness of advance directives, and general characteristics. Results: The majority of participants (68.2%) stated that they had never heard of advance directives. The information they requested to include in their advance directives mostly involved decisions on pain treatment, such as the use of analgesic drugs in the final stages of a terminal disease. Perceptions of dying well were statistically significantly different according to age and education. Conclusion: This study discussed the attitudes and preferences of elderly living alone regarding advance directives to provide basic resources for the systematic and active use of advance directives.

Factors Influencing Attitude Toward Advance Directive in Nursing Students (간호대학생의 사전의료의향서에 대한 태도 영향 요인)

  • Kim, Hee-Jung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.2
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    • pp.227-237
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    • 2019
  • Purpose: The purpose of this study was to identify nursing students' knowledge and attitude toward advance directives and factors influencing the attitude. Methods: A cross-sectional survey design was used and 196 nursing students participated in the study. Data were collected from July 1 to August 30, 2018 using a structured questionnaire which included biomedical ethics, awareness of good death, knowledge and attitude toward advance directives. Data were analyzed using SPSS/WIN 25.0 program with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The mean score of biomedical ethics, awareness of good death, knowledge and attitude toward advance directives were $2.88{\pm}0.59$, $3.18{\pm}0.48$, $7.68{\pm}31.32$, $31.00{\pm}3.09$. Factors influencing the attitude toward advance directives were awareness of good death (${\beta}=.28$, p<.001), intention of writing their advance directives (${\beta}=.19$, p=.006), the knowledge related to advance directives (${\beta}=.15$, p=.029). A total of 14% of attitude toward advance directives was explained by awareness of good death, the knowledge related to advance directives, and ntention of writing their advance directives. Conclusion: The findings of the study indicate that it is necessary to provide a systemic education program regarding advance directives for nursing students in order to provide knowledge related to advance directives and to help them establish positive attitudes toward advance directives.

The Influence of Good Death Awareness and Knowledge of Advance Directives on Attitude toward Advance Directives in Middle-Aged Adults (중년기 성인의 좋은 죽음 인식, 사전의료의향서 지식이 사전의사결정 태도에 미치는 영향)

  • Yeom, Eun-Yi
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.676-685
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    • 2021
  • This study examined effects of good death awareness and knowledge of advance directives on attitude toward advance directives in middle-aged adults. The participants were 152 middle-aged adults in G province and C province. Data were collected from October 4 to November 15, 2019 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Good death awareness correlated positively with knowledge of advance directives and attitude toward advance directives. Knowledge of advance directives was positively correlated with attitude toward advance directives. Participants' economic status, knowledge of advance directives and good death awareness explained 28.3% of variance in attitude toward advance directives among middle-aged adults. The findings indicate that middle-aged adults' economic status, knowledge of advance directives and good death awareness are important factors to be considered for the formation of desirable attitude toward advance directives.

Structural Equation Modeling of Advance Directive Intent among a Korean Group in their Middle-Age (한국 중년층의 사전연명의료의향 의도 구조모형)

  • Jung, Young-Mi
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.1
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    • pp.55-72
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    • 2021
  • Objectives: The aim of this study was to construct and verify a structural equation model of advance directive intent among a Korean group in their middle-age. Methods: Data were collected between May 1 and 30, 2017, from 398 people. The endogenous and exogenous variables of the hypothetical model consisted of elderly parents' care burden, health status, attitude towards withdrawal of life sustaining treatment, advance directive efficacy, and advance directive intent. The collected data were analyzed using the SPSS/WIN 24.0 and Mplus 7.4. Results: The hypothetical model demonstrated a good fit: χ2=223.79(df=109, p<.001), CMIN/df=2.05 CFI=.96, TLI=.96, RMSEA=.05, SRMR=.06. Elderly parents' care burden and health status showed statistically significant direct effects with attitude toward withdrawal of life sustaining treatment(β=.17, p=.001; β=.21, p<.001) and advance directive efficacy(β=.11, p=.040; β=.19, p=.002), respectively. Attitude toward withdrawal of life sustaining treatment and advance directive efficacy showed statistically significant direct effects on advance directive intent(β=.15, p=.007; β=.48, p<.001). Elderly parents' care burden and health status had a significant indirect effect on advance directive intent through attitude toward withdrawal of life sustaining treatment(β=.01, p=.041; β=.05, p=.036) and advance directive efficacy(β=.06, p=.049; β=.16, p=.006), respectively. The variables accounted for 26.1% of advance directive intent of the Korean group in their middle-age. Conclusion: It is necessary to develop an advance directive education program based on variables affecting advance directive intent for individuals in their middle-age.

Correlations between Intention to use Advance Directives and Death Anxiety in the Community-dwelling Elderly (지역사회 노인들의 사전의료의향서 작성의향과 불안과의 상관관계)

  • Ko, Ji-Woon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.8 no.2
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    • pp.65-73
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    • 2013
  • Purpose: The purpose of this study was to identify the relationship between intention to use advance directives and level of death anxiety in community-dwelling elders. Method: The participants were 200 older adults who were aged 60 or over and attended the community welfare centers. The level intention to use advance directive was measured by a questionnaire that was developed by the authors for the study. The measure by Kraus and Ellisond was administered to evaluate the level of death anxiety. Result: The average score for intention to use advance directives was $2.05{\pm}0.88$ and that of death anxiety was $6.2{\pm}2.28$. There were significant differences in the intention to use advance directives according to education levels and individual properties. Although there was no significant relationship between the intention to use advance directives and the level of death anxiety, they were negatively associated. Therefore, older adults who had lower death anxiety would tend to use advance directives. Conclusion: It would be necessary to screening the level of death anxiety to promote use of the advance directives. In addition, education programs for advance directives would be essential to consider about advance directives for their end-of-life especially for the community-dwelling elderly in Korea.

A Correlation Study of Perception to Hospice and Knowledge and Attitude to Advanced Directives in Adults in a Local Community (일 지역 성인의 호스피스 인식과 사전의료의향서에 대한 지식과 태도의 관계)

  • Park, Kyongran;Jang, Sunhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.181-191
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    • 2019
  • Purpose : This narrative research study aimed to identify the degree of correlation between hospice awareness and knowledge of and attitude toward advance directives. Methods : A survey was conducted from July 5 to July 15, 2018 with 210 adults in C city, Gyeongsangnam-do. Using the SPSS 21.0 program, the data analysis methods utilized were the independent t-test, one-way ANOVA, Scheffe, and Pearson's correlation coefficients. Results : The degree of hospice awareness was measured according to the general characteristics of the subjects, which were as follows: heard about economic level, importance of religion, heard of hospice, heard about advance directives, and intention to execute advance directives. The knowledge of advance directives had significant differences by age, hospitalization experience, religion, and being the final decision maker for a family problem. The attitude toward advance directives differed significantly by marriage status and the intention to write an advance directives. The relationship between hospice awareness and knowledge and attitude toward advance directives showed a positive significant correlation (r=.47, p<001). The relationship between knowledge of and attitude toward advance directives also indicated a positive significant correlation (r=.20, p=.005). Conclusion : This study provided basic data to inform promotion of hospice awareness and an educational intervention about advance directives.

Electro-Optical Characteristics of External Electrode Fluorescent Lamp depending on Gas pressure and mixing ratio

  • Kim, Hyung-Dong;Jeon, Hyun-Woo;Lee, Chang-Ho;Yoon, Jung-Hyun;Kim, Jae-Bum;Lim, Jong-Ho;Shin, Jong-Keun;Chung, In-Jae
    • 한국정보디스플레이학회:학술대회논문집
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    • 2008.10a
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    • pp.792-794
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    • 2008
  • We investigated influence of gas pressure and mixing ratio on the electro-optical properties of External Electrode Fluorescent Lamp (EEFL). The experimental results indicated that luminance and efficiency became the maximum at lower gas pressure and Ar mixing ratio.

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The Limitations of Advance Directive (사전의료지시의 한계)

  • Oh, Se-Hyuk;Jeong, Hwa-Seong
    • The Korean Society of Law and Medicine
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    • v.11 no.2
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    • pp.239-274
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    • 2010
  • Advance directive refers to a description of the treatment method a patient wants to be provided with in case where the person is unconscious or lacks an ability to decision making in a future period or a declaration of intention that delegates and appoints another person who makes a decision regarding a treatment method on behalf of the person. Advance directive is usually a document form, but oral statement is acceptable as well. Advance directive may have a variety of forms though, it basically consists of two basic forms. That is, one is a living will, and the other is a surrogate decision making. Though the importance of advance directive has been emphasized, and the necessity of adopting the system has been strongly argued for so far, the debates on criteria, method, and procedure alike have not yet reached an agreement. It is because even the concept of advance directive is more or less ambiguous, and each specific method has its own theoretical limitations and practical constraints. Thus the inquiries on advance directive raised in the study are summarized as the meaning, practicability, and philosophical foundation of the advance directive. Firstly, the theoretical limitations of Advance directive may be categorized into conceptual and moral limitations. In case of conceptual limitations, authors of advance directives may not be well aware, in advance, of the particular situation in which he or her will experience in the future, and patients may experience the change in his or her values and lack the understanding and information about the future situation due to the changes in treatment methods. In case of moral limitations, a patient has a limited moral autonomy right and self identity that have an impact on his or her preference. Secondly, in case of practical constraints for advance directive, there exist cultural features, low ratio of documentation, as patients themselves admit, and low predictability and stability of patient's own preference regarding life-sustaining care. And the problem of validity and accuracy in proxy's decision making is also raised. Those who administer a living will, especially, may have a difficulty in understanding the directive by a patient, so that the accuracy of execution cannot be secured. In the sense, it is needed to implement a legal device in order to solve such problems. In summary, it is urgently required to understand the limitations and explore desired alternatives to overcome the relevant problems in advance, which must contribute to successfully adopting and effectively operating the advance directive system in Korea.

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Effects of Knowledge on Advance Directives and Nursing Professionalism in Nursing Student on Attitudes toward Advance Directives (간호대학생의 사전의료의향서에 대한 지식과 간호전문직관이 사전의료의향서에 대한 태도에 미치는 영향)

  • Jeong, Eun;Jung, Mi-Ra
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.337-345
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    • 2019
  • This study were to identify the effect of knowledge on advance directives and nursing professionalism on attitudes toward advance directives in nursing students. The data were collected from 216 nursing students in the two colleges located Jeonnam. The result of the multiple regression indicates the intention to execute advance directives, influence of religion in one's life, knowledge of advance directives, gender, nursing professionalism, and time to complete advance directives predict 22.3%(F=10.009, p=.000) of attitudes toward advance directives. Therefore, it is necessary to develop a program to establish positive attitudes toward advance directives by providing knowledge on advance directives and right nursing professionalism of nursing students.