Browse > Article
http://dx.doi.org/10.14400/JDC.2015.13.11.187

Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent  

Park, Ji-Kyeong (Dept. of Healthcare Management, Dongeui University)
Kim, Ji-On (Dept. of Healthcare & Medical Administration, Dong-Pusan College)
Publication Information
Journal of Digital Convergence / v.13, no.11, 2015 , pp. 187-196 More about this Journal
Abstract
The purpose of this study was to examine the understanding of contents and the convenience of use of the DNR animation mobile electronic informed consent. The subjects in this study were inpatients of long-term care hospital. As for data analysis, a statistical package SPSS 21.0K was employed. The findings of the study were as follows: First, DNR choice was 33.0%, CPR choice was 54.0% in case of the outbreak of cardiac arrest. Their principal diagnosis made statistically significant differences to their choice of DNR and CPR. Second, they got 2.50 in the understanding of the content of the DNR electronic informed consent, and got 2.37 in the convenience of use. Given the findings of the study, the DNR animation electronic informed consent is expected to help patients to have a better understanding of contents, to make their decision to choose DNR or CPR, and to sign the DNR informed consent forms themselves.
Keywords
Inpatient of long-term care hospital; Animation mobile electronic informed consent; Do-not-resuscitate; DNR informed consent; Convergence;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Eun-A Cho, Myung-Sook Kim, Kye-Ha Kim, Recognition and Satisfaction of the Electronic Medical Record among Nurses of a Local Hospital. Nursing Science, Vol. 21, No. 2, pp. 1-11, 2009.
2 Adams, W. G., Mann, A. M., & Bauchner, H., Use of an electronic medical record improves the quality of urban pediatric primary care. Pediatrics, Vol. 111, No. 3, pp. 626-632, 2003.   DOI
3 Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., & Roth, E. et al., Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine, Vol. 144, No. 10, pp. 742-752, 2006.   DOI
4 Kyoung-Ah Hong, Jae-Young Oh, Ki-Hyun Um, Sang-Man Kim, A Study on the Factors Affecting EMR System Users' Satisfaction: Focused on the EMR Systems Operated by Large-Scale Hospitals. Health Service Management Review, Vol. 3, No. 2, pp. 76-87, 2009.
5 H. Y. Yi, J. Y. Lee, The Effect of Video-assisted Informed Consent for Central Venous Catheterization in the Emergency Department. Journal of The Korean Society of Emergency Medicine, Vol. 21, No. 6, pp. 815-824, 2010.
6 Madathil, K. C, Koikkara, R., Obeid, J., Greenstein, J. S., Sanderson, I. C., Fryar, K., et al., An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. International journal of medical informatics, Vol. 82, No. 9, pp. 854-863, 2013.   DOI
7 Nehme J, El-Khani U, Chow A, Hakky S, Ahmed AR, Purkayastha S., The use of multimedia consent programs for surgical procedures: a systematic review. Surgical innovation, Vol. 20, No. 1, pp. 13-23, 2013.   DOI
8 Sonne, S. C., Andrews, J. O., Gentilin, S. M., Oppenheimer, S., Obeid, J., Brady, K., et al., Development and pilot testing of a video-assisted informed consent process. Contemporary Clinical Trials, Vol. 36, No. 1, pp. 25-31, 2013.   DOI
9 Rowbotham, M. C., Astin, J., Greene, K., Cummings, S. R., Interactive Informed Consent: Randomized Comparison with Paper Consents. PLoS One, Vol. 8, No. 3, 2013.
10 Yon-Ok Park, The Experience of Family Members on Deciding to Withdraw Life-Sustaining Treatment for Patients Who are Terminally Ill. The Graduate School of Yonsei University, A Doctor's Thesis, 2003.
11 Y. S. Koh, Withdrawal of Life Sustaining Treatment in Terminal Patients. Journal of the Korean Medical Association, Vol. 45, No. 6, pp. 650-652, 2002.
12 Sung-Suk Han, Joong-Ho Kim, In-Sung Moon, Jin-Sun Yong, Proposal of "request and order form" of Do Not Resuscitate(DNR). Journal of the Korea Bioethics Association, Vol. 6, No. 1, pp. 49-67, 2005.
13 Eun-Hee Kang, Experiences after Bereavement of the Main Family Member in DNR Decisions: A Grounded Theory Approach. The Graduate School of Pusan University, A Doctor's Thesis, 2011.
14 Myong-Sei Sohn, Health & Medical Technology R&D Program: The Development of Guideline for Withdrawal of Life-Sustaining Treatment and Its Decision-Making Process. Ministry of Health and Welfare, 2005.
15 Myung-Sun Yi, Sang-Eun Oh, Eun-Ok Choi, In-Gak Kwon, Kwon, Sung-Bok, Kyung-Mi Cho, et al., Hospital Nurses' Experience of Do-Not-Resuscitate in Korea. Journal of Korean Academy of Nursing, Vol. 38, No. 2, pp. 298-309, 2008.   DOI
16 Simpson. SH, A study into the uses and effects of do-not-resuscitate orders in the intensive care units of two teaching hospitals. Intensive and Critical Care Nursing, Vol. 10, No. 1, pp. 12-22, 1994.   DOI
17 Wilson M., Highlighting the Role of Policy in Nursing Practice Through a Comparison of "DNR" Policy Influences and "No CPR" Decision Influences. Nursing Outlook, Vol. 44, No. 6, pp. 272-279, 1996.   DOI
18 Hyoung-Suk Kim, The Review for the Problem with Decision-Making in Medical Context: Focusing on Concept of Autonomy Personalism Bioethics, Vol. 1, No. 1, pp. 85-108, 2011.
19 Byoung-Yong Shim, Seok-In Hong, Jin-Min Park, Hong-Joo Cho, Jong-Sun Ok, Seon-Young Kim, Sun-Ae Han, et al., DNR (Do-Not-Resuscitate) Order for Terminal Cancer Patients at Hospice Ward. Korean Journal of Hospice and Palliative Care, Vol. 7, No. 2, pp. 232-237, 2004.
20 J. Y. Moon, Y. S. Shin, The End-of-Life Care in the Intensive Care Unit. The Korean Society of Critical Care Medicine, Vol. 28, No. 3, pp. 163-172, 2013.   DOI
21 Y. J. Lee, H. S. Lee, An Integrative Review of Do-Not-Resuscitate Decisions: focused on Korean Data after 2010. Journal of the Korean Bioethics Association, Vol. 14, No. 2, pp. 41-52, 2013.
22 Hyeon-Ah Kim, An Ethnography on Joys and Sorrows of Nurses Caring For DNR Patients ICU. The Graduate School of Kyung Hee University, A Doctor's Thesis, 2013.
23 J. K. Lee, K. H. Cho, J. W. Won, H. R. Lee, Survey on the experience and the attitude of training residents about DNR orders in tertiary teaching hospitals. Korean Journal of Family Medicine, Vol. 15, No. 6, pp. 322-332, 1994.
24 Ji-Kyeong Park, Development of Do-Not- Resuscitate(DNR) Electronic Informed Consent Model for Inpatient of Long-term Care Hospital. The Graduate School of Catholic University of Pusan, A Doctor's Thesis, 2015.
25 Mi-Hi Lee, Hee-Sun Kang, The Relationship among Attitude toward DNR Orders, Depression and Self-esteem in the Elderly. Journal of the Korean Gerontological Society, Vol. 27, No. 2, pp. 323-334, 2007.
26 Ji-Ae Lee, The Study on Medical Personnel's Perceptions of the Advanced directive about the Withdrawal of Meaningless Life-Sustaining Treatment of the Terminal Cancer Patients: Focus Group Interview Analysis. The Graduate School of Korea University, A Master's Thesis, 2009.
27 Soon-Young Park, Comparison of attitude about death and perception about DNR between the elderly residing institution and home. The Graduate School of Kyoung Hee University, A Master's Thesis, 2013.
28 Hee-Sook Shin, A Study on General Population's insight & attitude toward Do-Not-Resuscitate. The Graduate School of Hanyang University, A Master's Thesis, 2013.
29 Seo-Yun Park, Ethical Attitudes and Perception of DNR for the Elderly among Nurses, Doctors and Patient Family. The Graduate School of Hanyang University, A Master's Thesis, 2011.
30 Kyung-Ok Song, Hyun-Sook Jo, Ethical Awareness and Attitudes of Patients' Families towards DNR(Do-Not-Resuscitate). Journal of Korean Clinical Nursing Research, Vol. 16, No. 3, pp. 73-84, 2010.
31 Ki-Hyun Kim, Comparison of the Response of Lung Cancer Patients, Family Members, Doctors, and Nurses about Advance Directives of Lung Cancer Patients. The Graduate School of Kyung Hee University, A Master's Thesis, 2010.
32 Sun-Hee Kim, Experiences of Patients and Nurses Regarding the Use of Electronic Informed Consent. The Graduate School of Chung-Ang University, A Master's Thesis, 2014.
33 Der-Sheng Son, The Recognition towards Advance Directives in Hospice cancer patients and Medical doctors. The Graduate School of Catholic University, A Master's Thesis, 2008.