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http://dx.doi.org/10.14475/kjhpc.2015.18.1.42

A Study of Social Workers' Understanding of Elderly Patients' and Family Caregivers' Rights to End-of-Life Care Decisions and of Their Own Roles in the Process  

Han, Sooyoun (Department of Social Welfare, Namseoul University)
Publication Information
Journal of Hospice and Palliative Care / v.18, no.1, 2015 , pp. 42-50 More about this Journal
Abstract
Purpose: This study was aimed to analyze how social workers understand the rights for elderly patient and family caregiver to make end-of-life (EOL) care decisions and their roles the decision making process. Methods: The study employed a quantitative research method of collecting data from a structured questionnaire that was filled out by 334 social workers at long-term care facilities. Data were analyzed by descriptive statistics, mean differences, correlation between variables, using SPSS 20.0 program. Results: The mean score for the understanding the rights to an EOL care decision was $3.46{\pm}0.69$ and of their own roles $3.48{\pm}0.84$. The level of understanding significantly differed by social workers' experience of assisting a process to make an EOL care decision such as advance directives and life sustaining treatment, work experience, and the number of beds. Positive correlation was observed between the level of understanding of the rights for EOL care decisions and of social workers' roles (Pearson r=0.329, P<0.001). Conclusion: This study proposes development of an education program for social workers and devising standards for the EOL care decision making process to protect elderly patients, family caregivers as well as social workers in a long term care facility.
Keywords
Hospice care; Aged; Social work; Long-term care;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Lee SS, Kim IK, Choi HJ. Population change and future strategies in China, Japan and Korea [Internet]. Sejong: Korea Institute for Health and Social Affairs; 2013 [cited 2014 Jun 14]. Available from: https://www.kihasa.re.kr/html/jsp/share/download_publication.jsp?
2 2013 Annual Report of National Bioethics Committee [Internet]. Seoul: Korea National Institute for Bioethics Policy; c2013 [cited 2014 Jun 14]. Available from: http://bprlib.kr/CORE/?moduleName=_core.LasSearchDetail&control_no=5452.
3 Heo DS. Life sustaining medical treatment for terminal patients in Korea. J Korean Med Sci 2013;28:1-3.
4 Han SY, Lee HJ. A discussion on elderly patients and their family caregivers' decision making for life sustaining treatments. GRI Review 2013;15:71-91.
5 Sabatino CP. The evolution of health care advance planning law and policy. Milbank Q 2010;88:211-39.   DOI
6 Bomba PA. Morrissey MB, Leven DC. Key role of social work in effective communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program in New York and shared medical decision making at the end of life. J Soc Work End Life Palliat Care 2011;7:56-82.   DOI
7 CMS Manual System [Internet]. Baltimore: Center for Medicare & Medicaid Service; c2013 [cited 2014 May 13]. Available from: http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75SOMA.pdf.
8 law.go.kr [Internet]. Sejong: National Health Insurance Service; c2014 [cited 2014 Aug 24]. Available from: http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EA%B5%AD%EB%AF%BC%EA%B1%B4%EA%B0%95%EB%B3%B4%ED%97%98 %EB%B2%95#liBgcolor1.
9 Act on long-term care insurance for the aged [Internet]. Seoul: National Health Insurance Service; c2010. Available from: http://www.longtermcare.or.kr/portal/site/nydev/B0018/.
10 Choi HK. A study on roles and competencies of social worker in hospice palliative care practice. Soc Sci Res Rev Kyungsung Univ 2013;29:225-48.
11 Statutes rules and rule proposals [Internet]. Trenton: New Jersey Department of Health; c2014 [cited 2014 Jul 2]. Available from: http://www.state.nj.us/health/healthfacilities/rules.shtml.
12 Advance directive for health care act [Internet]. Trenton: New Jersey Department of Health; c2011 [cited 2014 Jul 2]. Available from: hftp://www.njleg.state.nj.us/20042005/PL05/233_.PDF.
13 Advance directive for mental health care act [Internet]. Trenton: New Jersey Department of Health; c2005 [cited 2014 Jul 2]. Available from: http://www.state.nj.us/health/advancedirective/documents/njsa_26.2h.53.pdf.
14 Wikipedia.org [Internet]. San Francisco: Wikimedia Foundation Inc.; C2014 [cited 2014 Jul 10]. Available from: http://ko.wikipedia.org/wiki/%EC%9D%B4%ED%95%B4.
15 Heyman JC, Gutheil IA. Social work involvement in end of life planning. J Gerontol Soc Work 2006;47:47-61.   DOI
16 Kane MN., Hamlin ER, Hawkins WE. Perceptions of preparedness to assist elders with end-of-life care preferences. J Soc Work End Life Palliat Care 2005;1:49-69.   DOI
17 Law for older American [Internet]. Chicago: American Bar Association; c2012 [cited 2014 Jul 24]. Available from: http://www.americanbar.org/groups/public_education/resources/law_issues_for_consumers/healthcare_directives.html.
18 Black K. Promoting advance care planning through the National Healthcare Decisions Day initiative. J Soc Work End Life Palliat Care 2010;6:11-26.   DOI
19 Kim DS, Park HS, Kim JA, Choi JH, Park MJ. A study on nurses, doctors and hospice volunteers's perception of the hospice care and advanced directives about the terminal cancer patients. Global Health Nurs 2012;2:82-93.
20 Park JW, Song JA. Knowledge, experience and preference on advance directives among community and facility dwelling elderly. J Korean Gerontol Soc 2013;33:581-600.
21 Hong SW, Kim SM. Knowledge regarding advance directives among community-dwelling elderly. J Korean Acad Soc Nurs Edu 2013;19:330-40.   DOI
22 Social Work Policy Institution. Hospice social work: linking policy, practice and research. Washington, DC:National Association of Social Workers;2010.
23 Taylor-Brown S, Sormanti M. End of life care. Health Soc Work 2004;29:3-5.   DOI
24 Black K. Health care professionals' death attitudes, experiences, and advance directive communication behavior. Death Stud 2007;31:563-72.   DOI
25 medical-dictionary.thefreedictionary.com [Internet] Huntingdon Valley, PA: Farlex, Inc; c2009 [cited 2014 Jul 24]. Available from: http://medical-dictionary.thefreedictionary.com/Multisdisciplinary+ health+care+team.
26 Katz RS, Genevay B. Our patients, our families, ourselves: the impact of the professional's emotional responses on end-of-life care. Am Behav Sci 2002;46:327-39.   DOI
27 Kirkendall AM, Waldrop D, Moone RP. Caring people with intellectual disabilities and life-limiting illness: merging personcentered planning and patient-centered, family-focused care. J Soc Work End Life Palliat Care 2012;8:135-50.   DOI
28 Gurtheil IA, Heyman JC. Communication between older people and their health care agents: results of an intervention. Health Soc Work 2005;30:107-16.   DOI
29 Moon JY, Lee HY, Lim CM, Koh Y. Medical residents' perception and emotional stress on withdrawing life-sustaining therapy. Korean J Crit Care Med 2012;27:16-23.   DOI
30 McInnis-Dittrich K. Dying, bereavement and advance directive. In: Social work with elders: a biopsychosocial approach to assessment and intervention. 2nd ed. Boston:Pearson;2005. p. 346-79.
31 Kim SH, Son MS, Koh SO, Lee lh. Intensive care providers' perceptions of medically futile treatment: focus group interviews. Korean J Med Ethics 2012;15:370-84.