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Advance Directives and the Roles of Advanced Practice Nurses (사전의사결정 제도에 있어서의 전문간호사 역할)

  • Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.91-99
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    • 2010
  • Purpose: The purpose of this literature review was to describe the roles of advanced practice nurses related to advance directives. Methods: A comprehensive literature review was conducted utilizing Pubmed, Ovid, and CINAHL. The key words for search were 'advance directives', 'living wills', 'durable power of attorney', 'advanced practice nursing', 'advanced practice nurse', 'nurse practitioner', and 'nurse specialist'. Research articles published between January 1990 and September 2010 and written in English were included. Review papers and expert's opinion were excluded. Results: Five articles were yielded and analyzed. Among them, two focused on the advanced practice nurses' role during the process of advance directives. The other three presented the outcomes depending on the type of nurses' involvement in each health care delivery system. Conclusion: Recently, Korea established advance directives and expanded to diverse sites. Advanced practice nurses' role in the advance directive decision-making process should be examined and developed in research and practice.

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Content Analysis of Online Resources Regarding Needs for Advance Care Planning

  • Minju Kim;Jieun Lee
    • Journal of Hospice and Palliative Care
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    • v.27 no.3
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    • pp.87-98
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    • 2024
  • Purpose: This study aimed to investigate advance care planning needs expressed online. Methods: This study collected data from online community posts and healthcare news sites. The search keywords included "death," "euthanasia," "life-sustaining medical care," "life-sustaining treatment," "advance directives," "advance medical directives," and "advance care planning." Data collection spanned from February 2018 to February 14, 2020. Out of 2,288 posts, 1,190 were included in the final analysis. Data analysis was conducted using NVivo 12, a qualitative data analysis software program. Results: Content analysis categorized patients' advance care planning needs into eight themes, 11 theme clusters, and 33 meaningful statements. Similarly, care providers' advance care planning needs were categorized into eight themes, 14 theme clusters, and 42 meaningful statements. The identified themes of care needs included life-sustaining medical care, decision-making related to life-sustaining medical care, physical care, environmental care, supportive and spiritual care, respect, preparing for death, and family. Conclusion: This study identified care needs from the perspectives of patients and their families. The findings may serve as preliminary data for future research and clinical applications.

Death Attitude, Death Anxiety and Knowledge toward Advance Directives among Nursing Students (간호대학생의 죽음태도, 죽음불안 및 사전연명의료의향서에 관한 지식)

  • Choo, In Hee;Kim, Eunha
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.211-224
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    • 2020
  • Purpose: This study was conducted to investigate death attitude, death anxiety, and knowledge toward advance directives of nursing students. Method: Participants were 157 nursing undergraduates in Korea. The students responded to a self-reporting questionnaire that included demographics, Death Attitude Profile-Revised (DAP-R), Revised Death Anxiety Scale (RDAS), and knowledge toward advance directives. The data collection period was December, 9-13, 2019. Data were analyzed by descriptive test, independent t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS/WIN 23.0. Results: The mean scores for death attitude, death anxiety, and knowledge toward advance directives were 2.70±0.58, 2.45±0.49, and 7.94±2.04, respectively. Knowledge toward advance directives was significantly different according to age, grade, and experience of end-of-life care education. Death attitude was significantly associated with death anxiety (r=. 27, p<.001). Conclusion: Knowledge toward advance directive was relatively low compared to the findings of previous studies. Therefore, nursing colleges need to include legal and institutional aspects when writing written letters on advance directive, death attitude, and ethical approaches to death anxiety.

Willingness to Write Advance Directives and Related Factors among Women University Students (일개 여자대학교 학생의 사전의사결정서 작성의향에 영향을 미치는 요인에 관한 연구)

  • Ko, Chung Mee;Koh, Chin-Kang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.1
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    • pp.46-55
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    • 2013
  • Purpose: The purpose of this study was to identify university students' willingness to write advance directives and factors related to this willingness. Method: A cross-sectional survey design was used and 400 nursing students and 287 non-nursing students participated in the study. Data were collected by convenience sampling using self-report questionnaires. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The mean score for willingness to write advance directives was 4.09. From the multiple regression analysis, predictors of willingness to write advance directives were found to be majoring in nursing, awareness of advance directives, preference for autonomous decision making related to the end of life care, family preference related to the end of life care, and self esteem. Conclusion: The study results indicate that various factors are related to willingness to write advance directives and nurses need to consider client characteristics, knowledge, and own values when taking care of issues on advance directives.

The Effects of Shape of Advance Organizers on Scientific Concept Attainment of Elementary School Students (선행조직자의 유형이 초등학생들의 과학개념 획득에 미치는 영향)

  • Kim, Soon-Shik;Lee, Yong-Seob
    • Journal of the Korean Society of Earth Science Education
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    • v.5 no.2
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    • pp.197-203
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    • 2012
  • The main purpose of this research is to search the effect of different types of advance organizers in elementary science classes, to the students in acquiring scientific concepts and its retentions. In order to proceed with the research, We have chosen 93 students of three different classes of fifth graders, studying in M elementary school in U metropolitan city. We have randomly chosen two classes as an experimental group and one class as a comparative group. In the first experimental group (Group1), advance organizer was put in a form of a sentence., and the second experimental group (Group2), advance organizer was put in a form of a picture. For the comparative group, We have not put any advance organizer, and the method of class was proceeded as it was before. The result of this research are as follows. Firstly, the result of 'One-way analysis of variance' on scientific concept grade, right after the experiment on three groups, has shown a meaningful difference that, the shape of advance organizer does affect the acquisition of elementary school students' scientific concept. Secondly, even though Group1, who was given with a sentence as an advance organizer, got higher scientific concept scores after the experiment than that of comparative group, However, there was not a meaningful difference between Group1 and comparative group. Thirdly, Group2, who was given with a picture as an advance organizer, has shown a meaningful difference from comparative group. Judging from the facts above, utilizing an advance organizer of a picture in elementary science class, will be very affective on students' acquiring scientific concept.

Awareness of Advance Directives in Gangwon-do Province's adults

  • Hong, Jeongju;Lee, Miok
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.5
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    • pp.169-178
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    • 2020
  • This study was attempted to know the awareness of Advance Directives of adults in Gandwon-do province. Data was surveyed from 60 adults in Gangwon-do province by 42 item questionnaire for the awareness of Advance Directives. Subcategories of Advanced Directives questionnaire were knowledge, preference, experience for life-sustaining treatment and Advance Directives. The data was analyzed with the frequency and percentage using SPSS 24.0. 45% of Participants replied they knew the 'life-sustaining treatment' exactly. They preferred CPR 78.3%, mechanical ventilation 63.3% and blood transfusion 51.7% for their future special life-sustaining treatments. They did not preferred hemodialysis 8.3%, artificial respiration 6.7%, intensive care unit 6.7%, 8.3 percent of participants said that they well aware of Advance Directives. 86.6% of them hoped to write their Advance Directives. Despite such low awareness of the Advance Directives, the intention to write Advance Directives was high. Based on these results, it was found that the level of awareness of Advance Directives was very important for the intention to prepare Advance Directives. Therefore, regional programs and education on Advance Directives and periodic survey study for awareness of Advance Directives should be continued.

A Study on Engine Control System Using Micro-Computer (마이크로 컴퓨터를 이용한 차량용 엔진 제어에 관한 기초 연구)

  • 강기문;전병실;황준택
    • Journal of the korean Society of Automotive Engineers
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    • v.7 no.3
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    • pp.64-73
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    • 1985
  • In order to control ignition advance angle, this system is designed with Z-80 CPU, CTC (counter Timer Circuit), PIO(Parallel Input Output), A/D Converter and Memory, etc. Serial pulses from speed sensor and analog voltage from pressure sensor are converted to digital data. In order to reduce the error of ignition advance angle output, the reference of ignition advance angle output is set 56.25 before TDC(Top Dead Center). The table of ignition advance angle and program which have a main routine and subroutines are written into ROM ( 1 K-byte). The experimental result of this system is correspondent to the theoretical values of proposed ignition advance angle table. This system can be utilized to any other type of 4 cylinder vehicles for advance angle control by changing software.

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A Dual PID Controller for High-Accuracy Positioning of Ink Jet Printer Media Advance System (잉크젯 프린터 용지 이송 장치의 정밀 위치 제어를 위한 이중 PID 제어기의 설계)

  • 조영완
    • Journal of Institute of Control, Robotics and Systems
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    • v.10 no.4
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    • pp.317-324
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    • 2004
  • The ink jet printer media advance system is required to be exactly driven to the target position via tracking the reference velocity profile to obtain the high quality print image. A single gain PID controller is not sufficient to fulfill the control objectives, the exact velocity tracking and the accurate positioning, at the same time. A dual PID controller and its switching strategy are presented in this paper to achieve the control objectives. The media advance system is controlled by two separate PID controllers, one of which is for velocity control, and the other is for position control. A PID controller controls the velocity of the media advance system until it reaches the predetermined switching position. When the media advance system passes the predetermined position, the controller is switched to the other PID controller which is more profitable for exact positioning. The switching position is determined by the estimated stop distance. The simulation and experimental results are presented to show the validity and effectiveness of the proposed controller.

The research on the actual application of the national mathematics education advance plan to the new mathematics textbooks (수학교육 선진화 방안의 중학교 교과서 적용 실태 분석)

  • Kang, Ok Ki;Kim, Soo Cheol;Lee, Hwan Chul
    • The Mathematical Education
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    • v.52 no.2
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    • pp.129-147
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    • 2013
  • The Ministry of Education Science and Technology represented National Mathematics Education Advance Plan in 2012. The plan is focused on reinforcing mathematics education, improving understanding about mathematics, and enhancing self-guided learning. After the National Mathematics Education Advance Plan new middle school mathematics textbooks have been developed and they will be used from 2013. The purpose of this study is to analyse those mathematics textbooks to find how the National Mathematics Education Advance Plan is affected to the mathematics textbooks. This study found some important aspects affected from the Advance Plan to those textbooks and some implications for the future Korean mathematics education.