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Introduce and Promote the Home-based Hospice and Palliative Care.

Jung Kyu CHOI ; Yoon Hee TAE ; Young Soon CHOI

Korean Journal of Hospice and Palliative Care.2015;18(3):219-226. doi:10.14475/kjhpc.2015.18.3.219

PURPOSE: This study was conducted to understand public perception of home-based hospice and identify related factors. METHODS: Between August 19, 2014 and August 30, 2014, data were collected using an E-mail questionnaire that was filled by 1,500 adults who were over 20 years of age. Data were analyzed using descriptive statistics, chi2-test and logistic regression. RESULTS: Among the respondents, 15.9% were aware of home-based hospice care, and 61.3% were willing to receive home-based hospice care. The factors that influenced the participants' willingness to use home-based hospice services included residential district, religion and private health insurance. Respondents who lived in Seoul (OR: 1.56, 95% CI: 1.04~2.33), Gwangju/Jeolla province (OR: 2.02, 95% CI: 1.23~3.32), Busan/Ulsan/South Gyeongsang province (OR: 1.81, 95% CI: 1.17~2.82) were more well-aware of home-based hospice care than those who lived in Incheon/Gyeonggi province. The faithful were more informed about the services than those without non-faithful participants (Roman Catholics (OR: 2.03, 95% CI: 1.30~3.17), Protestants (OR: 1.76, 95% CI: 1.22~2.53). Participants who had a private health insurance plan knew more about the services than those without one (OR: 1.45, 95% CI: 1.03~2.04). CONCLUSION: First, it is necessary to improve perception of the public and healthcare providers regarding home-based hospice care. The government should review a measure to institutionalize operation of a palliative care team at hospitals and community home-based hospice care centers.
Adult ; Surveys and Questionnaires ; Electronic Mail ; Health Personnel ; Health Policy ; Home Care Services ; Hospice Care ; Hospices* ; Humans ; Insurance, Health ; Logistic Models ; Palliative Care* ; Protestantism ; Seoul

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Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR).

Young Ae KAE ; Mi Yeon LEE ; Jin Sook PARK ; Hyo Joo KIM ; Tae Youn JUNG ; Bo Young JANG ; Yoon Jeong KIM ; Dong Hoe KOO

Korean Journal of Hospice and Palliative Care.2015;18(3):208-218. doi:10.14475/kjhpc.2015.18.3.208

PURPOSE: Although a Do-Not-Resuscitate (DNR) order is widely in use, it is one of the challenging issues in end-of-life care. This study was conducted to investigate attitudes toward DNR according to education and clinical experience. METHODS: Data were collected using a structured questionnaire comprising 30 items in a tertiary hospital in Seoul, Korea. RESULTS: Participants were 238 nurses and 72 physicians. Most participants (99%) agreed to the necessity of DNR for reasons such as dignified death (52%), irreversible medical condition (23%) and patients' autonomy in decision making (19%). Among all, 33% participants had received education about DNR and 87% had DNR experience. According to participants' clinical DNR experience, their attitudes toward DNR significantly differed in terms of the necessity of DNR, timing of the DNR consent and post-DNR treatments including antibiotics. However, when participants were grouped by the level of DNR education, no significant difference was observed except in the timing of the DNR consent. CONCLUSION: This study suggests that the attitudes toward DNR were more affected by clinical experience of DNR rather than education. Therefore, DNR education programs should involve clinical settings.
Anti-Bacterial Agents ; Decision Making ; Education* ; Korea ; Professional Practice ; Resuscitation Orders ; Seoul ; Tertiary Care Centers

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A Meta Analysis of Effectiveness of Death Education.

Sin Hayng KIM

Korean Journal of Hospice and Palliative Care.2015;18(3):196-207. doi:10.14475/kjhpc.2015.18.3.196

PURPOSE: We comprehensively analyzed domestic studies on the effects of death preparation education in order to present objective data. METHODS: Meta-analysis was conducted with a total of 22 master's and doctoral theses published between 2004 and 2014. RESULTS: According to our analysis, the death preparation education had a mid-size effect. The effect size of a moderator variable was the greatest in infants and children, and the effect size was bigger in younger ages. The effect size was the greatest when education was given through a total of 10~15 sessions, twice a week, and less than 60 minutes per session. The effect variable and death-related variable showed a significant effect size, and sub-variables were equivalent to the death-related variable with a biggest effect size. Non-death related variables had a mid-level effect size and sub-variables were found to have the highest ego integrity. CONCLUSION: The significance of this study lies its systematic integration of advanced research on the effects of death preparation education through meta-analysis. By suggesting guidelines for the design of a death preparation education program, evidence-based basic data were proposed which will more likely strengthen intervention effects. Based on these results, more studies are needed to develop and extensively carry out a death preparation program which can meet needs of specific age groups from children to seniors.
Child ; Education* ; Effect Modifier, Epidemiologic ; Ego ; Humans ; Infant

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Effects of a Well-dying Program on Nursing Students.

Hyunjung MOON ; Sunkyung CHA ; Sungwon JUNG

Korean Journal of Hospice and Palliative Care.2015;18(3):188-195. doi:10.14475/kjhpc.2015.18.3.188

PURPOSE: We examined the effects of a well-dying program on nursing students in terms of death preparation, death recognition and perception of well-dying perception. METHODS: The design of this study was quasi-experimental and non-synchronized with a non-equivalent control group. The study was conducted with nursing students: 32 in the experimental group and 36 in the control group. The well-dying program was consisted of five sessions: introduction, thinking about meaning of death, organizing things to do before dying, looking back on my life, and leaving a trail of my life. Descriptive analysis, t-test, chi2 test and ANCOVA were used with SPSS 18.0 program to analyze the data. RESULTS: After attending the program, a difference was observed in death preparation of the experimental group (t=2.61, P=0.014). The death recognition (F=154.15, P<0.001) score of the experimental group was significantly higher than the control group. There was no significant difference between the groups in perception of well-dying (F=0.11, P=0.747). CONCLUSIONS: The well-dying program helped nursing students build positive death recognition. Therefore, this study is expected to contribute to development of a death education program for nursing students.
Education ; Humans ; Nursing* ; Students, Nursing* ; Thinking

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Do-not-resuscitation in Terminal Cancer Patient.

Jung Hye KWON

Korean Journal of Hospice and Palliative Care.2015;18(3):179-187. doi:10.14475/kjhpc.2015.18.3.179

For patients who are near the end of life, an inevitable step is discussion of a do-not-resuscitate (DNR) order, which involves patients, their family members and physicians. To discuss DNR orders, patients and family members should know the meaning of the order and cardiopulmonary resuscitation (CPR) which includes chest compression, defibrillation, medication to restart the heart, artificial ventilation, and tube insertion in the respiratory tract. And the following issues should be considered as well: patients' and their families' autonomy, futility of treatment, and the right for death with dignity. Terminal cancer patients should be informed of what futility of treatment is, such as a low survival rate of CPR, unacceptable quality of life after CPR, and an irremediable disease status. In Korea, two different law suits related to life supporting treatments had been filed, which in turn raised public interest in death with dignity. Since the 1980s, knowledge of and attitude toward DNR among physicians and the public have been improved. However, most patients are still alienated from the decision making process, and the decision is often made less than a week before death. Thus, the DNR discussion process should be improved. Early palliative care should be adopted more widely.
Cardiopulmonary Resuscitation ; Decision Making ; Emigrants and Immigrants ; Heart, Artificial ; Humans ; Jurisprudence ; Korea ; Medical Futility ; Palliative Care ; Quality of Life ; Respiratory System ; Resuscitation Orders ; Right to Die ; Survival Rate ; Terminal Care ; Thorax ; Ventilation

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Factors Affecting Subjective Quality of Life of Hospice Volunteers.

Seung Hyun ROH ; Seung Hee LIM

Korean Journal of Hospice and Palliative Care.2011;14(3):163-171.

PURPOSE: This study tested a model of hospice volunteer's motivations and outcomes to encourage more volunteer workers to participate in hospice care. METHODS: This included 200 volunteers who attended the Autumn Conference in 2007 and 132 volunteers from five hospice organizations. RESULTS: Volunteers' existential well-being affected an endogenous variable of volunteers' participation in volunteer activities. The durability of volunteer activity was affected by value motivation, the level of participation in volunteer activities and the level of job satisfaction. For volunteers' job satisfaction level, valid endogenous variables included existential well-being, social motivation, understanding motivation and value motivation. The durability of volunteer activities was indirectly affected through three different paths. Volunteers' existential well-being determined the level of their participation in volunteer activities, which in turn affected the durability of such activities. Social motivation influenced volunteers' job satisfaction, and then the durability of volunteer activities. Volunteers' understanding of motivation also influenced their job satisfaction, and then the durability of volunteer activities. CONCLUSION: Based on these results, this study proposes that the durability of volunteers activities could be improved by developing a program to improve volunteers' well-being and by providing volunteers with education on altruistic values, encouraging them to seek intellectual growth, and advocating them to continue volunteer activities based on close relationships with other volunteers.
Hospices ; Humans ; Job Satisfaction ; Motivation ; Quality of Life ; Voluntary Workers

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Trends in Research on Hospice Care in Korea.

Young Eun LEE ; Eun Joung CHOI

Korean Journal of Hospice and Palliative Care.2011;14(3):152-162.

PURPOSE: This study was conducted to analyze a trend in studies of hospice care in Korea and to suggest future research directions. METHODS: This study analyzed a total of 183 studies related to hospice care which were found at http://www.riss.kr. RESULTS: Of the 183 studies, 62 (33.9%) were for thesis studies for a degree, 121 (66.1%) for academic journals. There were 159 (87.8%) quantitative studies, 18 (8.9%) qualitative studies, and 6 (3.3%) Q-Method studies. The most frequently used study design was a descriptive study. The majority of study participants were terminal cancer patients, patients' family members and health care personnel. The thesis articles were searched by using key words as follows: health, nursing, environment, children's hospice, and others. CONCLUSION: The number of studies of hospice care has increased, and research key words varied. Furthermore, more experimental research is needed on nursing intervention such as pain relief, alternative therapies and hospice care for children.
Child ; Complementary Therapies ; Delivery of Health Care ; Hospice Care ; Hospices ; Humans ; Korea

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Comparison of Attitudes of Nursing Students toward Death, Self-esteem and Life Satisfaction according to Clinical Experience.

Soon Hee KIM ; Dong Hee KIM ; Hyun Mi SON

Korean Journal of Hospice and Palliative Care.2011;14(3):144-151.

PURPOSE: This study was conducted to compare nursing students' attitudes toward death, self-esteem and life satisfaction according to clinical experience. METHODS: We surveyed 1,030 nursing students from two different universities with a questionnaire consisting of items regarding attitudes toward death, self-esteem and life satisfaction. The data were analyzed using a PASW program. RESULTS: Students with clinical experience scored 2.85 on the attitude toward death, while those without clinical experience scored 2.79 (t=2.775, P=0.006). Students with clinical experience had significantly higher self-esteem (t=4.541, P<0.001) and life satisfaction (t=4.050, P<0.001) than those without it. Students with clinical experience showed correlations between attitude toward death and self-esteem (r=0.159, P<0.001) and life satisfaction (r=0.090, P=0.025), while those without it did not (r=0.106, P=0.014). CONCLUSION: These results provide guidance for developing educational strategies such as educational program to help students build positive attitude toward death through their experience in clinical practice.
Humans ; Personal Satisfaction ; Self Concept ; Students, Nursing ; Surveys and Questionnaires

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The Role of Korean Hospice Care in the Asia Pacific Hospice Palliative Care Society.

Young Seon HONG

Korean Journal of Hospice and Palliative Care.2011;14(3):138-143.

Korean hospice care has been greatly developed in a short period of time, thanks to help of foreign specialists and aids from developed countries. With enormous growth in economy, Korea which once received foreign aids now give help to other countries. It is the time for the Korean hospice society to consider ways to make an international contribution. That way, Korea could help terminal patients both in Korea and neighboring countries overcome sufferings, maintain their dignity as human beings until the end of their lives and have a comfortable moment of death. Thus, we need to think about ways to contribute to the international hospice society and make related plans.
Asia ; Developed Countries ; Gift Giving ; Hospice Care ; Hospices ; Humans ; International Cooperation ; Korea ; Palliative Care ; Specialization

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Our Society Lacks Greatly in Understanding Death.

Jin Tak OH

Korean Journal of Hospice and Palliative Care.2011;14(3):131-137.

No abstract available.

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