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Original Article
Prerequisite for Korean Advance Directives: From the View of Healthcare Providers
Shin Mi Kim, Sun Woo Hong, Young Eun, Su Jin Koh
Journal of Korean Academy of Nursing 2012;42(4):486-495.
DOI: https://doi.org/10.4040/jkan.2012.42.4.486
Published online: August 31, 2012

1Department of Nursing, Changwon National University, Changwon, Korea.

2Department of Emergency Medical Technology, Daejeon University, Daejeon, Korea.

3College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinjoo, Korea.

4Oncology, Good Samaritan Hospital, Pohang, Korea.

Address reprint requests to: Hong, Sun Woo. Department of Emergency Medical Technology, Daejeon University, 62 Daehak-ro, Dong-gu, Daejeon 300-716, Korea. Tel: +82-42-280-2938, Fax: +82-42-280-2946, swhong@dju.kr
• Received: November 14, 2011   • Accepted: July 18, 2012

© 2012 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use.
  • Methods
    Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis.
  • Results
    Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself.
  • Conclusion
    For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.
Table 1
Question List for Korean Advance Directives
jkan-42-486-i001.jpg

AD=Advance directives; DNR=Do not resuscitate;

POLST=Physician's order of life-sustaining treatment.

Table 2
Characteristics of the Participants (N=11)
jkan-42-486-i002.jpg
Table 3
Major Themes, Subcategory and Attributes of Korean AD
jkan-42-486-i003.jpg

AD=Advance directives.

Figure & Data

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        Prerequisite for Korean Advance Directives: From the View of Healthcare Providers
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      Prerequisite for Korean Advance Directives: From the View of Healthcare Providers
      Prerequisite for Korean Advance Directives: From the View of Healthcare Providers

      Question List for Korean Advance Directives

      AD=Advance directives; DNR=Do not resuscitate;

      POLST=Physician's order of life-sustaining treatment.

      Characteristics of the Participants (N=11)

      Major Themes, Subcategory and Attributes of Korean AD

      AD=Advance directives.

      Table 1 Question List for Korean Advance Directives

      AD=Advance directives; DNR=Do not resuscitate;

      POLST=Physician's order of life-sustaining treatment.

      Table 2 Characteristics of the Participants (N=11)

      Table 3 Major Themes, Subcategory and Attributes of Korean AD

      AD=Advance directives.


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