Journal List > J Korean Acad Nurs > v.42(4) > 1002829

Kim, Hong, Eun, and Koh: Prerequisite for Korean Advance Directives: From the View of Healthcare Providers

Abstract

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.

Figures and Tables

Table 1
Question List for Korean Advance Directives
jkan-42-486-i001

AD=Advance directives; DNR=Do not resuscitate;

POLST=Physician's order of life-sustaining treatment.

Table 2
Characteristics of the Participants (N=11)
jkan-42-486-i002
Table 3
Major Themes, Subcategory and Attributes of Korean AD
jkan-42-486-i003

AD=Advance directives.

Notes

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (2010-0021379).

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