• Title, Summary, Keyword: Advance Directives

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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.

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.

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.

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.

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.

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.

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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Characteristics of End of Life Sustaining Treatment and Attitudes towards Advance Directives among Geriatric Patients (임종기 연명치료 중단관련 특성과 사전의료의향서에 대한 노인환자의 태도)

  • Jung, Seungyun;Lee, Haejung;Lee, Sunghwa
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.103-111
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    • 2014
  • Purpose: The purpose of this study was to identify the characteristics of life-sustaining treatment and attitudes towards advance directives among geriatric patients. Methods: The elderly participants (N=146) were recruited from a university hospital from October 30, 2012 to March 31, 2013. A questionnaire for collecting data of participants' characteristics, their experiences related to life-sustaining treatment, and attitudes towards advance directives was used. The data were analyzed using SPSS WIN 17. Results: Most participants (84.9%) were in favor of advance directives. Although most of participants wanted to receive CPR for sudden cardiac arrest (78.8%) and pain control medication (74.0%), most preferred to refuse life-sustaining treatments such as tracheostomy (96.6%) or ventilator (87.0%). Participants who had a family or acquaintances with CPR experiences (U=852.00 p=.038), had discussed with their family and acquaintances regarding end-of-life sustaining treatment (t=2.91, p=.004), or made decisions about refusing the life sustaining treatments (t=3.19, p=.002) preferred to have advance directives than those who did not. Conclusion: The findings of this study suggested the potential benefits of educational programs about advance directives for the end-of-life for geriatric patients to make decisions for life-sustaining treatments in advance.

Effects of Perception on Hospice, Self-esteem, Knowledge on Advance Directives in Nursing Student on Attitudes toward Advance Directives (간호대학생의 호스피스 인식, 자아존중감, 사전의료의향서에 대한 지식이 사전의료의향서에 대한 태도에 미치는 영향)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.255-264
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    • 2019
  • The purpose of this study was to examine relationships among perception on hospice, self-esteem, knowledge on advance directives and attitudes toward advance directives and identify the factors that affect attitudes toward advance directives in nursing students. The data were collected from 216 nursing students in the two colleges located Jeonnam and December 03 2018 to December 07 2018. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and multiple regression with SPSS 20.0 program. The result of the multiple regression indicates the perception on hospice, gender, intention to execute advance directives and influence of religion on one's life predict 29.7% (F=12.566, P=.000) of attitudes toward advance directives. Therefore, it is necessary to develop a program to establish attitudes toward advance directives by providing professional education on perception on hospice of nursing students.

Knowledge, Confidence, and Learning Needs Regarding Advance Directives among Hospital Nurses (상급종합병원 간호사의 사전연명의료의향서에 대한 지식, 자신감 및 교육요구도)

  • Jang, Nan-Soon;Park, Hae-Sook;Kim, Mi-Ra;Lee, Joo-Yeon;Cho, Yeo-Won;Kim, Kyoung-Mi;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.35-45
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    • 2018
  • Purpose : Nurses' knowledge regarding advance directives may affect their administration of and confidence towards end of life care. This study aimed to describe the relationships of knowledge, confidence, and learning needs with advance directives among hospital nurses. Method : This cross-sectional study was performed at a tertiary university hospital in Seoul between September 25 and October 14, 2017. Convenience sampling was used to recruit nurses who provided bedside care and had at least 1 year of clinical experience. We used a validated self-report questionnaire. Results : The mean score of knowledge, confidence and learning needs were $5.00{\pm}1.73$, $29.81{\pm}7.52$, and $64.54{\pm}8.48$ respectively. Hospital nurses' knowledge, confidence and learning needs were significantly different according to age, job position, educational level and perceived advance directives. Knowledge regarding advance directives was significantly associated with confidence (r = .27, p < .001) and learning needs (r = .16, p = .005). Conclusion : Knowledge regarding advance directives was relatively low compared to the findings of previous studies. Therefore, nurses should be knowledgeable and encouraged to initiate advance directives. It is necessary to develop a standardized educational program regarding advance directives based on Korean cultures.