• Title/Summary/Keyword: Directives

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A meaning and implications of new EU Directives (New EU Directives의 의미와 시사점)

  • 강선아;민대홍
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.11a
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    • pp.697-700
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    • 2002
  • 유럽연합(EU)의 회원국들은 2002년 3월 새로 개정된 법안의 시행을 2002년 4월을 시작으로 하여 2003년 7월까지 완료하도록 하고 있다. 특히 각국별로 관심이 고조되고 있는 상호접속시장에 적용될 상호접속법의 개정은 특별히 그 의미가 다르다고 할 수 있다. 기본적으로 이번 법 개정의 취지는 망사업자와 서비스사업자간의 관계에 대한 규제 틀을 마련하여 경쟁과 전기통신서비스에 대한 상호이용을 촉진시키고 소비자 효익을 극대화하는데 있다. 따라서 본 고에서는 새로 개정된 EU법의 내용과 그 의미를 분석한다. 또한 EU개정법 시행에 따른 영국 OFTEL과 같은 나라별 규제기관의 대응방향을 검토함으로써 차후 우리나라의 통신시상에 미칠 영향과 시사점을 짚어보기로 한다.

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Factors of Family Function and Self-efficasy Influencing Old Patient's Decision of Advance Directives Attitude (노인환자의 사전의료의향서 태도 결정에 영향을 미치는 가족기능과 자기효능감 요인)

  • Kim, Mi-Hye;Chun, Je-Ran;Hong, Seong-Ae
    • Journal of Convergence Society for SMB
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    • v.6 no.4
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    • pp.123-129
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    • 2016
  • This study was conducted to understand influential factors in determining the advance directive attitudes of elderly patients. Structured survey questionnaires were distributed using a convenience sampling method to the residents of long-term-care facilities. As a result, the attitudes toward advance directives were accounted having 2.84 points, the functions of a family with 2.73 points, and the level of self-efficacy with 3.45 points. Participants who have higher family functions were found to have negative attitudes toward self-efficacy, as the relationship between two variables were in the negative correlation (r =-.324, p<.01). However, participants who have higher self-efficacy showed positive attitudes toward advanced directives as the two variables were in the positive correlation (r =.340, p<.01). This study will contribute to the settlement of the AD in Korea.

Middle-Aged Adults' Attitudes toward Dignified Death and Advance Directives, and Knowledge of Advance Directives (중년기 성인의 품위 있는 죽음에 대한 태도와 사전연명의료의향서에 대한 지식 및 태도)

  • Yoo, Hye In;Yi, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.86-96
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    • 2020
  • Purpose: The purpose of study was to provide basic data for developing interventions that could help middle-aged adults prepare for dignified death in the future by examining their attitudes toward death and advance directives (AD), and knowledge of AD. Methods: Data were collected through a survey of 211 middle-aged adults from January 28 to February 28, 2019, in a city located in Gangwon Province. To analyze the data, descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient and stepwise linear regression were utilized using SPSS/WINdows 21.0. Results: The average score of the participants' attitudes toward death and AD, and knowledge of AD was 91.82±10.89, 15.53±4.27, 46.00±9.45, respectively. There were positive correlations between attitudes toward dignified death and attitudes toward AD, and knowledge of AD. Factors that influence attitudes toward AD were shown in the order of attitudes toward dignified death, knowledge of AD, and intentions to write AD (Adjusted R2=.24). Conclusion: For the dignified death in the future, it is necessary to provide middle-aged adults with an opportunity to think about the need of AD. In addition, extensive education and promotion of AD are required to correct the misunderstanding of AD.

Biomedical Ethics Awareness and Attitudes toward Dignified Death and Advance Directives among Nursing Students (간호대학생의 생명의료윤리의식, 품위 있는 죽음에 대한 태도 및 사전연명의료의향서에 대한 태도)

  • Kwon, Kyeong Eun;Yoo, Myung Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.3
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    • pp.204-214
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    • 2018
  • Purpose: This study aimed conducted to investigate biomedical ethics awareness and attitudes toward dignified death and advance directives among nursing students. Methods: Data were collected through structured questionnaires from 222 nursing students with clinical practice experience, from November 7 to 23, 2015. Data were analyzed by independent t-tests, one-way ANOVA, Kruskal-Wallis test, and Pearson's correlation coefficients using SPSS WIN 22.0. Results: The scores for biomedical ethics awareness and attitudes toward dignified death were 2.89 and 3.15, respectively. Regarding attitudes toward advance directives (ADs), most students agreed with writing ADs. The main reason given for writing ADs is "I want to receive my treatment of choice." As for the range and explanation method for ADs, 45.7% of participants responded, "do not know well." Regarding willingness toward life sustaining treatment, "only pain control, no life sustaining treatment" was indicated by 83.4% and, "all information about symptoms and prognosis" by 91.9% of participants. For willingness to write ADs, 70.0% of participants responded "yes." Conclusion: Curriculum for nursing ethics should be included in clinical training courses to improve related courses and provide an opportunity to deal with practical problems, such as biomedical ethics, death with dignity, and ADs.

Trends in Nursing Research on Life-Sustaining Treatment in South Korea after the Enforcement of the Act on Decisions on Life-Sustaining Treatment

  • Choi, Jun-Hwa;Choi, Eun-Suk
    • Journal of Hospice and Palliative Care
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    • v.25 no.1
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    • pp.25-41
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    • 2022
  • Purpose: This study investigated trends of nursing research on life-sustaining treatment in South Korea. Methods: The period for data search was set from January 2018 to December 2020. The major search terms used were advance directives and life-sustaining treatment. Of the 492 records identified in the initial search, 461 articles were excluded for various reasons. A total of 31 records were included in the final qualitative analysis. Results: Sixteen studies had nursing students as study subjects, while nine studies had nurses as study subjects. The majority of the studies employed cross-sectional descriptive surveys as their research design. The major themes that emerged from the studies were as follows: attitudes toward withdrawal of life-sustaining treatment, knowledge of and attitudes toward advance directives, perceptions of a good death, and nurses' attitude toward life support care. Most of the studies reviewed concluded that attitudes toward withdrawal of life-sustaining treatment significantly impacted both knowledge of and attitudes toward advance directives and perceptions of a good death. Conclusion: To date, Korea still lacks extensive nursing research concerning life support care. Further research is needed to provide systematic education for nursing ethics and life support care, as well as the introduction of a specialist course. Furthermore, a multidisciplinary approach is necessary to provide diverse support systems and policy measures. In particular, since nurses are directly responsible for providing life support care, nurses' roles should be expanded in accordance with the Act on Decisions on Life-Sustaining Treatment.

Knowledge regarding Advance Directives among Community-dwelling Elderly (지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식)

  • Hong, Sun Woo;Kim, Shin Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.330-340
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    • 2013
  • Purpose: This study was performed to identify the level of Korean elderly's knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

Prerequisite for Korean Advance Directives: From the View of Healthcare Providers (한국형 사전의료의향서의 구성 요건: 의료인을 중심으로)

  • Kim, Shin-Mi;Hong, Sun-Woo;Eun, Young;Koh, Su-Jin
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.486-495
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    • 2012
  • 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.

Implementation and Translation of Major OpenMP Directives for Chip Multiprocessor without using OS (단일 칩 다중 프로세서상에서 운영체제를 사용하지 않은 OpenMP 구현 및 주요 디렉티브 변환)

  • Jeun, Woo-Chul;Ha, Soon-Hoi
    • Journal of KIISE:Computer Systems and Theory
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    • v.34 no.4
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    • pp.145-157
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    • 2007
  • OpenMP is an attractive parallel programming model for a chip multiprocessor because there is no standard parallel programming method for a chip multiprocessor and it is easy to write a parallel program in OpenMP. Then, chip multiprocessor systems can have various architectures according to target application programs. So, we need to implement OpenMP in different way for each system. In this paper, we propose the implementation and the effective translation of major OpenMP directives for a chip multiprocessor without using OS to improve the performance without using special hardware and without extending the OpenMP directives. We present the experimental results on our target platform CT3400.

Factors That Influence Attitudes toward Advance Directives among Female Cancer Patients

  • Aeri Kim;Kisook Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.80-94
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    • 2023
  • Purpose: This study aimed to identify attitudes toward advance directives (ADs) among female cancer patients and factors related to ADs. Methods: The study was conducted at a university hospital in Seoul from September 19, 2020, to January 20, 2021. The participants were 153 patients diagnosed with gynecological cancer or breast cancer. Data were collected using questionnaires and included general characteristics, disease- and AD-related characteristics, knowledge and attitudes about ADs, and attitudes about dignified death. Data were analyzed using the t-test, analysis of variance, and multiple regression analysis. Results: Only 2% of the participants completed ADs. The mean score for attitudes toward ADs was 3.30, indicating a positive knowledge and attitude toward dignified death. The factors related to attitudes toward ADs were attitudes toward dignified death (𝛽=0.25, P=0.001), experience discussing life-sustaining treatment (𝛽=0.17, P=0.037), preferred time to have a consultation about ADs (𝛽=0.19, P=0.046), intention to write ADs (𝛽=0.15, P=0.038), and Eastern Cooperative Oncology Group Performance Status (𝛽=-0.37, P<0.001). The explanatory power of these variables for attitudes toward ADs was 38.5%. Conclusion: Overall, patients preferred to have a consultation about ADs when they were still active, mentally healthy, and able to make decisions. Education about ADs should be provided to patients on the first day of hospitalization for chemotherapy or while awaiting treatment in an outpatient setting so patients can write ADs and discuss them with family and friends.

Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives

  • Go Eun, Park;Nae Young, Lee
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.139-149
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    • 2022
  • Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.