• Title/Summary/Keyword: Directives

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Relationships among Perceptions of Dying Well, Attitudes toward Advance Directives, and Preferences for Advance Directives among Elderly Living Alone

  • Ryu, Eun-Jin;Choi, So-Eun
    • Journal of Hospice and Palliative Care
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    • v.23 no.4
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    • pp.241-251
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    • 2020
  • Purpose: This study investigated awareness of dying well, as well as attitudes and preferences toward advance directives (ADs), among elderly individuals who lived alone. Methods: The participants were 173 elderly people living alone. Data were collected from July 2019 to September 2019 using questionnaires on perceptions of dying well, awareness of advance directives, and general characteristics. Results: The majority of participants (68.2%) stated that they had never heard of advance directives. The information they requested to include in their advance directives mostly involved decisions on pain treatment, such as the use of analgesic drugs in the final stages of a terminal disease. Perceptions of dying well were statistically significantly different according to age and education. Conclusion: This study discussed the attitudes and preferences of elderly living alone regarding advance directives to provide basic resources for the systematic and active use of advance directives.

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.

Some suggestions for teaching Chinese speaking from the pragmatic perspective: Focused on directives in the Chinese textbooks (중국어 말하기 교육을 위한 몇 가지 화용론적 제언 - 교재 속 지시화행 분석을 중심으로)

  • Park, Chan Wook
    • Cross-Cultural Studies
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    • v.27
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    • pp.435-470
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    • 2012
  • This paper aims to examine directives and its adjacency pair directives-responses in the Chinese textbook Hanyu Kouyu from the speech act theory, and give some suggestions for Chinese speaking instruction. For analysis of directives, it is important to consider context surrounding it at first. Context includes space for speaking, person who speak with, adjacent speech act, etc., so this paper considers context firstly before explaining directives and discusses how each element of context effects interpretation of its meaning. From the politeness perspective, directives and rejection as one of the responses are easy to be FTAs(face-threatening acts) fundamentally, so they are required to have some strategies for minimizing the threat, and it is found that there are strategies for positive face and negative face in the textbook. In the textbook, it is also examined that directives-responses contribute for interlocutor to accomplish social acts, for example, negotiating, insisting, maintaining, making alternative ideas, etc.

The Influence of Good Death Awareness and Knowledge of Advance Directives on Attitude toward Advance Directives in Middle-Aged Adults (중년기 성인의 좋은 죽음 인식, 사전의료의향서 지식이 사전의사결정 태도에 미치는 영향)

  • Yeom, Eun-Yi
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.676-685
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    • 2021
  • This study examined effects of good death awareness and knowledge of advance directives on attitude toward advance directives in middle-aged adults. The participants were 152 middle-aged adults in G province and C province. Data were collected from October 4 to November 15, 2019 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Good death awareness correlated positively with knowledge of advance directives and attitude toward advance directives. Knowledge of advance directives was positively correlated with attitude toward advance directives. Participants' economic status, knowledge of advance directives and good death awareness explained 28.3% of variance in attitude toward advance directives among middle-aged adults. The findings indicate that middle-aged adults' economic status, knowledge of advance directives and good death awareness are important factors to be considered for the formation of desirable attitude toward advance directives.

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.

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.

A Study on Design Directives for the Elderly Housing Environment -based on an ecological approach- (생태학적 접근으로 본 노인 주거환경계획지침에 관한 연구)

  • 홍형옥;우정민
    • Korean Institute of Interior Design Journal
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    • no.19
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    • pp.114-120
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    • 1999
  • By taking an ecological approach, The purpose of this thesis was to 1. analyze the existing literary work about design directives for the elderly housing. 2. case study about actual housing conditions of elderly people, 3. grasp the level of satisfaction and level of requirement about housing environment by Korean elderly, 4. by integrating the above three, provide foundational data arranging the appropriate housing design directives pertaining to Korea's actual circumstances. The major findings in this study were surmmarized as follows. (1) From the six literary works, 27 items as Microsystem, 1,249 items as Mesosystem, and 330 items as Exosystem were founded and there was no evidence of directives for Macrosystem. (2) As a result of the case study, there appeared a substantial difference between actual conditions of housing environment for the Korean elderly and the design directives perceived in the literary works. (3) The level of satisfaction and for the Korean elderly housing environment were founded differently in each directives. (4) By ecological approach for the Korean elderly housing environment design directives as follows. In microsystem (13 items) in mesosystem(83 items), in exosystem(24 items), in macrosystem(15 items), 135 items in total were suggested as design directives for Korean Elderly housing environment.

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Trend on International Standardization Meeting of ISO/IEC JTC 1 Directives SWG (Special Working Group) (ISO/IEC JTC 1 Directives SWG 국제 표준화 회의 동향)

  • Park, Wung;Lee, Byoung-Nam
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.10a
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    • pp.571-574
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    • 2011
  • Special Working Group on Directives under ISO/IEC JTC 1 is responsible to maintain core documents describing basic procedural and drafting rules to be followed by JTC 1. The Directives SWG meeting was held from August 31 to September 2 in 2011 in Ottawa Canada. There were 24 participants from 7 countries in this meeting. This paper is to review the major results of the meeting and to suggest some strategic ways for future standardization activities in Korea.

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