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[韩国预立医疗指示的先决条件:从医疗服务提供者的视角来看]

[Prerequisite for Korean advance directives: from the view of healthcare providers].

作者信息

Kim Shin Mi, Hong Sun Woo, Eun Young, Koh Su Jin

机构信息

Department of Nursing, Changwon National University, Changwon, Korea.

出版信息

J Korean Acad Nurs. 2012 Aug;42(4):486-95. doi: 10.4040/jkan.2012.42.4.486.

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.

摘要

目的

本研究旨在探讨韩国预先医疗指示(KAD)得以更好应用的主要前提条件。

方法

数据收集自两次焦点小组访谈及个人电子邮件回复。研究参与者包括5名医生和6名护士。所有访谈数据均进行转录,并采用定性内容分析法进行分析。

结果

出现了三个主要主题;确立KAD理念、KAD实施规程以及KAD文件本身。需要一种理念来确保个人需求、就实施预先医疗指示达成共识并确定主要责任人。规程的核心如下:1)流程,2)前提,3)程序,4)背景准备,5)时机,6)可行性。文件本身需要确立组成部分和可行性。

结论

为使韩国社会积极接受KAD,需要制定一种文化敏感、基于现实且用户友好的预先医疗指示。

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