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http://dx.doi.org/10.5977/jkasne.2014.20.4.639

Feasibility Evaluation of Korean Advance Directives (K-AD)  

Kim, Shin Mi (Department of Nursing, Changwon National University)
Hong, Sun Woo (Department of Emergency Medical Technology, Daejeon University)
Kim, Jin Shil (Department of Nursing, Sunchon National University)
Kim, Ki Sook (Department of Nursing, Changwon National University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.20, no.4, 2014 , pp. 639-649 More about this Journal
Abstract
Purpose: This study evaluates the feasibility of Korean Advance Directives (K-AD) developed earlier. Method: From January 1 to February 28, 2013, data were collected from 330 adults through a self-reported questionnaire established by the authors based on literature review and expert consultation. The feasibility of K-AD was multi-dimensionally evaluated through four criteria: cognitive, psychological, document making and socially expecting aspects. Data were analyzed using t tests, one-way ANOVA, and Scheffe post hoc tests via the SAS 9.1.3 program. Results: The feasibility of K-AD differed significantly by gender (p=.003), educational level (p<.001), religion (p=.002), and self-reported health status (p=.039). Differences in the level of easiness with K-AD by gender (p=.008) and education (p=.047) were significant. Perceived simplicity of AD differed significantly by religion (p=.005), and the necessity of AD differed significantly by gender (p=.025) and religion (p=.005). Conclusion: K-AD are sufficiently feasible to be tentatively utilized in practice. This is the first study to explore the feasibility of K-AD on the basis of multiple aspects. However, further studies involving diverse populations and methodologies to validate the usefulness of K-AD are warranted.
Keywords
Advance directives; Feasibility;
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Times Cited By KSCI : 8  (Citation Analysis)
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1 Rao, J. K., Anderson, L. A., Lin, F. C., & Laux, J. P. (2014). Completion of advance directives among U.S. consumers. American Journal of Preventive Medicine, 46(1), 65-70.   DOI
2 Sabatino, C. P. (2010). The evolution of health care advance planning law and policy. The Milbank Quarterly, 88(2), 211-239.   DOI
3 Sommer, S., Marckmann, G., Pentzek, M., Wegscheider, K., Abholz, H. H., & in der Schmitten, J. (2012). Advance directives in nursing homes: prevalence, validity, significance, and nursing staff adherence. Deutsches Arzteblatt International, 109(37), 577-583.
4 U.S. Department of Health and Human Services. (2007). Advance directives and advance care planning: Legal and policy Issues. (Report No.: HHS-100-03-0023.) Washington, D.C: U.S. Government Printing Office.
5 U.S. Department of Health and Human Services. (2008). Advance directives and advance care planning: Report to congress. (Report No.: HHS-100-03-0023.) Washington, D.C: U.S. Government Printing Office.
6 Willis, G. B. (2005). Cognitive Interviewing: a tool for improving questionnaire design. London: SAGE Publications.
7 Wong, S. Y., Lo, S. H., Chan, C. H., Chu,i H. S., Sze, W. K,, & Tung, Y. (2012). Is it feasible to discuss an advance directive with a Chinese patient with advanced malignancy? A prospective cohort study. Hong Kong Medical Journal, 18(3), 178-185.
8 Yoon, H. M., Choi, Y.S., & Hyun, J. J. (2011). Current situation on signing advance medical directives and actual life-sustaining treatment given at a university hospital. The Korean Journal of Hospice and Palliative Care, 14(2), 91-100.   과학기술학회마을
9 Yun, Y. H., Rhee, Y. S., Nam, S. Y., Chae, U. M., Heo, D. S, Lee, S. W., et al. (2004). Public attitudes toward dying with dignity and hospice palliative care. The Korean Journal of Hospice and Palliative Care, 7(1), 17-28.   과학기술학회마을
10 Blackford, J., & Street, A. (2011). Is an advance care planning model feasible in community palliative care? A multi-site action research approach. Journal of Advanced Nursing. 68(9), 2021-2033.
11 Faul, F., Erdfelder, E.. Buchne,r A., & Lan,g A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.   DOI   ScienceOn
12 Chiu, P. K. C., Chan, F., & Chu, L. W. (2013, September). Feasibility of implementing advance directive in Hong Kong Chinese elderly people. Paper presented at the Asia Pacific Regional Conference in End-of-Life and Palliative Care in Long Term Care Settings, Kowloon, Hong Kong.
13 Chu, L. W., McGhee, S. M., Luk, J. K. H., Kwok, T., Hui, E., Chiu, P.K.C., et al. (2011). Advance drective and end-of-life care preferences among chinese nursing home residents in Hong Kong. Journal of the American Medical Directors Association. 12, 143-152.   DOI
14 Haisfield, M. E., McGuire, D. B., Krumm, S., Shore, A. D., Zabora, J., & Rubin, H. R. (1994). Patients' and healthcare providers' opinions regarding advance directives. Oncology Nursing Forum, 21(7), 1179-1187.
15 Lee, E. Y., Park, I. K., & Lee, I. H. (2011). Proposal of model advance directive forms and analysis of advance directives forms of 4 nations. Biomedical Law & Ethics, 5(1), 1-25.
16 Field, M. J., & Casse,l C. K. (1997) Approaching death: Improving care at the end of life. Washington D.C.: National Academy press.
17 Fulton, A. T., & Teno, J. M. (2014). Advance care planning: Focus on communication and care planning rather than on building the perfect form. In Rogne L, McCune S. L. (Ed.), Advance care planning: Communicating about matters of life and death. (pp. 33-44). New York: Springer Publishing Company.
18 Heo D. S. (2009). Patient autonomy and advance directives in Korea. Journal of Korean Medical Association, 52(9), 865-870.   DOI
19 Hong S. W., & Kim S. M. (2013). Knowledge regarding advance directives among community-dwelling elderly. The Journal of Korean Academic Society of Nursing Education, 19(3), 330-340.   과학기술학회마을   DOI   ScienceOn
20 In der Schmitten, J., Lex, K., Mellert, C., Rothärmel, S., Wegscheider, K., Marckmann, G. (2014). Implementing an advance care planning program in German nursing homes: Results of an inter-regionally controlled intervention trial. Deutsches Arzteblatt International, 111(4), 50-57.
21 Jo, K. H.(2011). Development and evaluation of a dignified dying scale for Korean adults. Journal of Korean Academy Nursing, 41(3), 313-324.   과학기술학회마을   DOI
22 Kim, S. M., Hong, Y. S., Hong, S. W., Kim, J. S., & Kim, K. S. (2013). Development of a Korean version of an advance directive model via cognitive interview. The Korean Journal of Hospice and Palliative Care, 16(1), 20-32.   과학기술학회마을   DOI   ScienceOn
23 Keam, B., Yun, Y. H., Heo, D. S., Park, B. W., Cho, C. H., Kim, S., et al. (2013). The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives. Supportive Care in Cancer, 21(5), 1437-1444.   DOI
24 Kim, S. (2010) Awareness and attitudes toward advance directives among Korean adults. Journal of Korean Academy of Fundamentals of Nursing, 17(4), 450-459.   과학기술학회마을
25 Kim, S. M., Hong, S. W., Eun, Y., & Koh, S. J. (2012). Prerequisite for Korean advance directives: From the view of healthcare providers, Journal of Korean Academy of Nursing, 42(4), 486-495.   과학기술학회마을   DOI
26 Kwak, S. Y., & Lee, B. S. (2013). Experience in acceptance of hospice by patients with terminal cancer. Journal of Korean Academy Nursing, 43(6), 781-790.   과학기술학회마을   DOI
27 Park J, & Song J. (2013). Knowledge, experience and preference on advance directives among community and facility dwelling elderly. Journal of the Korean Gerontological Society, 33(3), 581-600.
28 Phillips, J. L, Halcomb, E. J., & Davidson, P. M. (2011). End-of-life care pathways in acute and hospice care: an integrative review. Journal of Pain and Symptom Management, 41(5), 940-955.   DOI
29 Thomas, K. (2011). Overview and introduction to advance care planning. In: Thomas K, & Lobo B. (Ed.), Advance care planning in end of life care (pp. 3-15). Oxford: Oxford University Press.