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 Home Economics Education Association
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v.10
no.1
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pp.95-106
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1998
The purposes of this study is to find middle school student's application of Home Economics course and its related variables. The samples are 323 middles school students in Kangneung. For the statistics analysis of this study, frequency, mean, Cronbach's a coefficient, ANOVQ, t-test, Pearson'correlation and multiple regression were calculated. The results of this study are summarized as follows ; 1. It is appeared that middle school student's application of Home Economics course are the food, human development and family relationship family, resources management and the consuming, the clothing. 2. Variables that affect middle school student's application of Home Economics course are the vocation of father, way of learning about home life skill, agreement with educational goal of Home Economic, evaluation of Home Economic teacher, evaluation of education field, participation in class of Home Economic and needs for Home Economics. 3. The explanation degree of these seven variables is 27.7% and needs for Home Economics is the most domineering variables.
This research investigated the relationships between families' environment, familism, and the agreement on the parent-child relations as depicted in Korean proverbs to find the change of the traditional values about parent-child relationships. The sample was comprised of 474 Korean married people. They were asked to rate the degree to which they agreed on the underlying value of each proverb. The data were collected through a mailed questionnaire and interview. The findings indicated that the responses of subjects varied as a function of families' environment and familism variables. More specifically, while the subjects living with extended family were more likely to rate the value toward children and daughter high, the subjects from nuclear family were more likely to express the affection toward children, to prefer boys, and to express child-rearing stress. In addition, the people who had lived with grandparents together tended to agree with the value of filial piety. The respondents from conservative surroundings were more likely to express the affection toward children and to prefer boys. The subjects from a rural community tended to prefer boys and to place high value on the authoritative control. The people who supported familism tended to express the affection toward children and child-rearing stress, to prefer boys, and to agree with the filial piety and authoritative control. But they tended to rate low on the value of children and daughter.
The purposes of this study are to investigate the degrees of husband's and wife's recognition and the difference between those degrees about the husbands' authoritarian communication to develop the typology of recongnition of husband and wife and also to find group differences caused by the personal variables spousal variables family-environmental variables. The subjects of this research were 328 married couples living in Seoul. The major findings of this study can be summarized as follows: 1) The degrees of husband's and wife's recognition about the husbands' authoritarian communication were not high and there was no significant difference between husband's and wife's recognition. 2) The recognition of husband and wife about the husband's authoritarian communication is classified into 5 types; type of high agreement of both husband and wife(34 married couples) type of middle agreement of both husband and wife(167 married couples) type of low agreement of both husband and wife 26 married couples) type of disagreement with husband's high recognition(51 married couples) type of disagreement with husband's high recognition(51 married couples) are type of disagreement with wife's high recognition(50 married couples) 3) The variables which have significance on the types of recognition of husband and wife about the husband's authoritarian communication were husband's educational level husband's birth order husband's self-esteem husband's alienation husband's sex-role attitudes wife's self-esteem wife's alienation the rights of decision-making between couples household income subjective social class authoritarian behavior of father of husband.
The purpose of this study was to identify attitude of hospital nurse's on death with dignity. The subjects of the study were 516 nurses. The data was analyzed by SPSS PC 19.0 program. 1) 82.8% participants agree to death with dignity, and they and their family will ask death with dignity in actual situations. 2) The average score of overall attitude on death with dignity was $3.13{\pm}0.52$. 3) With respect to the general characteristics of participants there were statistically significant difference in total score according to age, Marital Status, education level, religion, career, position, and existence of patients with incurable disease around. 4) With respect to the death with dignity related characteristics of participants there were statistically significant difference in total score according to agreement to death with dignity, request to my death with dignity, in case my family member requests death with dignity. Although many nurses had a positive concept of death with dignity, they still have ethical dilemmas in life-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines foe end-of-life care.
The purpose of this study was to research the opinion and acknowledgement about the clinical chronic disease care system subject to Medical Practitioners that copied the internal medicine and family medicine as a treatment subject and was fulfilled in the purpose of providing a basic data for the improvement and stable establishment of the chronic disease care system and the high blood pressure and diabetes mellitus patient's promotion of health. Results from the research the internal medicine was 79% and the subject's average age was 52.3 years, the proportion that the high blood pressure and the diabetes mellitus took was average 28% and the interest about the system was 65.9%. In the chronic disease care system expansion status the opposition was 75.7%, and the detail field knowledge level was 56.9%. In the opinion field about the system, all fields were shown negative. The chronic disease care system is an important government policy enforcing purposed to effectively manage the yearly increasing chronic disease, but the due to the cold attitude of Medical Practitioners that must actively accept it, the stable establishment of the system is being concerned. Therefore even if it's a good policy if it cant gain the support and agreement of the accepter, in the future when trying to implement a system there should be no idleness in the effort to gain cooperation and understanding to relevant involved ones.
The objectives of the study were to determine 1) energy uses for residential requirements, 2) if energy consumption and adoption of energy conservation attitudes and practices vary with independent variables family size, stage of family life cycle, homemaker's level of education, income, heating system, and number of electrical household items, and 3) if there is a correlation between energy conservation attitudes and practices. Questionnaires were given to the randomly selected homemakers I Seoul in the summer (September, 1979) and the winter (February, 1980). Analysis of variance and correlation were used to analyzed the data which consisted of 537 usable responses of 895 returned in the summer and 554 responses of 794 returned in the winter. The results are as follows: 1) The order of consumption rate of the direct energy uses for residential requirements was found to be heating and air conditioning, cooking, refrigeration, T.V., lighting, and miscellaneous. 2) Energy consumption and adoption of energy conservation attitudes and practices were significantly related to family size, homemaker's level of education, and the stage of family life cycle. (1) Families of five members revealed higher scores in attitudes and practices than families less than five or more than six. (2) The higher the homemaker's level of education, the more energy consumption and the higher scores I attitudes and practices were found. (3) Families in the middle stage of family life cycle tend to use more energy than younger or older families, but their scores in attitudes and practices were high. 3) There was a significant correlation between energy conservation attitudes and practices. However, the scores of the conservation practices were not as good as the attitudes. It may be attributed to either a lack of knowledge and/or financial difficulties, or a dissonance between the concept and implementation of energy conservation. 4) Recommendations for the energy-saving and energy-related public policies are: (1) to use such human resources as attitudes, values, feelings of agreement, and cooperation, as well as nonhuman resources for the energy conservation, (2) to develop a educational program and a creative system I order to implement energy conservation programs, and (3) to consider direct as well as indirect energy uses I selecting goods and services.
After accepting the modernized western culture, we, the Koreans, had traditionally patriarchal valuation on the family life, which has been changed into modernize on in these days. Under these circumstances, we examined into family consciousness of workmen, office workers and student of universities in Pusan with questioning papers by inquiring their general views of family, marriage, family planning , and inheritance. The results obtained can be summarized as follows. 1. General views of family 1)Most of them prefer nuclear family to gross one in structure of family. In decision of family's affairs, the lower educated persons want an unilateral relationship, which means unconditional obdience to their parent's opinion. they are more concerned about the profit of the family than that of individual. on the other hand, they want 2-generations nuclear family system. 2) Concerning children's future affairs, they want compromising method. 2. Views of Marriage 1) Date with the other sex motivated their desire to improve social adaptation and social association. 17-19 year old students regard date as a preparatory stage of marriage. They consider it most desirable date to enjoy free conversation each other. They hope their date partners are high educated. 2) The conditions of mate selection are in order character, health, vitality in living, appearance and education. The less educated placed an emphasis on vitality in living. 3) They are not much interested in marital harmony. If parents are against their marriage an account of bad marital harmony, they will take into consideration about it. 4) They wish to keep purity before marriage, as possible. They want engagement period of 6 months. Any agreeable reasons shall compel them to break off their appointment. 5) they consider it ideal for mate's age to be 26-30 years old, and also think it affirmative to follow their parent's agreement in marriage. It is considerable that they put off their marriage only because they have lots of work to do before marriage. 6)Marriage declaration is to be made on the wedding day. It still exists that they don't want to marry when they are inth same surname and family tree. But it is clear that they don't regard it as the reason of breaking off the betrothal. 3. Family Planning 1) They are willing to agree to the campaign "just two is enough". They want a son and a daughter. Even though they have two daughters, they won's bear child to get son. 2) the lower educated persons are ignorant of the method of birth control. 4. Inheritance 1)Most of them say householder inheritance is to be kept up continuously. It is reasonable that anyone who can afford to perform religious service should bear it responsibility. 2)They don't want the difference in inheritance as the conscious to the conscious of the equality of the sexes spread widely into our society, but it is worthy of notice that some of them still don't mind unequal treatment. 3) When they have no child, the property inheritances are in order his wife and his parents. According to above mentions, we conclude like this: Their consciousness of marital harmony, marriage, family planning and inheritance shows definitely passive rationism in the transitional stage which is mixed with western individualism and traditional feudalism. On account of being lack of steady fast self-conscience, they can not make their positive reaction on anything. Finally, we should make every possible efforts to have our firm self-conscience through the re-education.
Seo, Jung-Sook;Yu, Seung-Hum;Oh, Hyohn-Joo;Kim, Yong-Oock
Korea Journal of Hospital Management
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v.13
no.1
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pp.42-64
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2008
This study was conducted to evaluate the quality in medical records by analyzing its completeness through setting up the level of record on the patient's past history and through examining the actual medial records. Targeting the information on the patient's past history in interns' records, residents' records and nurses' records toward 403 inpatients who were admitted first in 2004 at an university hospital due to stomach cancer. We analyzed whether the charts were recorded or not, recording level, the satisfaction with the expectant level of the records in the hospital targeted for a research and the level of agreement. The results were as follows; first, as for the rate of recording those each items, they were high in the chief complaint & present illness and the past illness history. Depending on the group of recorders, the recording rate showed big difference by items. Second, as a result of measuring the level after dividing the recording level of items for the patient's past history from Level 1 to Level 4 by each item, the admission history, the past illness history, and the family history were about Level 3, and the smoking history, the medication history, the chief complaint & present illness, the drinking history and allergy were about Level 2. In the admission department, it was excellent in the interns' records for the medical department. Third, as a result of its satisfactory level by comparing the expect level of a record and the actual record by item in information on the patient's past history, which was expected by the medical-record committee members of the hospital targeted for a study. And forth, we analyzed the level of agreement with Kappa score in the level of 'Yes' or 'None' related to the corresponding matter in Level 1, in terms of information on the past history in the intern's record, the resident's record, and the nurse's record. The level of agreement in the resident's record & the nurse's record, and in the intern's record & the resident's record was from "excellent" to "a little good". There were differences in the level of completeness and in reliability for the information on the past history by the recorder group or by the admission department. The encounter process that was performed by the admission department or the recorder group, indicated the result that was directly reflected on the quality of medical records, thus it was required further study about the medical record documentation process and quality of care. The items that showed the high recording rate quantitatively were rather low, consequently we'd should develop the tool for the qualitative inspection and evaluate the medical records further. And the items were needed to be detailed in the record level were rather low, and hence there needed to be a documentation guideline and education by the clinical departments.
This study sought to determine family restaurant patrons' attitudes toward nutrition and healthy menus. A written questionnaire was handed out to 300 dine-in customers at the three different sites of T brand family restaurant. A total of 265 questionnaires were usable for data analysis, resulting in 88% response rate. Two attitude statements eliciting the strongest agreement were that 'Diet and chronic diseases risk are closely connected each other(4.44)' and 'Koreans are more nutrition & health conscious than they were in the past(4.41)'. The attitude statement-that nutrition is important when I eat out- received the lowest scores(2.92), which indicated that nutrition was not yet considered the most important factor when dining out. 23% of the respondents were interested in healthful foods, while 30% said they were unconcerned. Nutrition conscious group showed significantly (p<.000) higher attitude scores for most of statements than unconcerned group. Significant differences were found in age groups(p<.05, p<.01, p<.001), income levels(p<.05), educational levels(p<.05), health status groups(p<.05), and weight control interest groups(p<.05). Older respondents, respondents with higher income and educational levels were more interested in nutrition and healthy menus. Respondents who reported good health status and showed higher interest in weight control were more interested in nutrition and healthy menus. These findings indicate that restaurant firms should respond to consumers' increased interest in nutrition and healthy menus by offering healthful menus and increasing nutrition marketing activities. This may positively result in increasing customer counts and revenue as well as customer satisfaction level and brand image of restaurant firms. Moreover, restaurant firms are strongly encouraged to play an active role in promoting public's nutritional and health status because increasing consumption of meals away from home will seriously affect good health of our consumers.
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