Medical Residents' Perception and Emotional Stress on Withdrawing Life-Sustaining Therapy

Young, Moon Jae; 이희영,; Lim, Chae‐Man; Koh, Younsuck

doi:10.4266/kjccm.2012.27.1.16

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…Several studies have demonstrated that nurses in ERs, ICUs, and internal medicine wards showed a high level of moral distress; 16 17 18 meanwhile, physicians experienced a sense of failure, frustration, depression, and sadness while taking care of critically and terminally ill patients. 9 This study also found that all participants experienced moral distress.…”

Section: Discussionsupporting

confidence: 52%

“…Previous studies in South Korea have examined the moral distress of nurses in end-of-life care; however, only a few studies have dealt with moral distress among medical students and physicians. 7 8 9 For instance, Moon et al 9 showed that job stress affected doctors who provided end-of-life care. However, to the best of our knowledge, no study has attempted to compare the moral distress of nurses and physicians.…”

Section: Introductionmentioning

confidence: 99%

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Moral Distress Regarding End-of-Life Care Among Healthcare Personnel in Korean University Hospitals: Features and Differences Between Physicians and Nurses

et al. 2023

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Background Healthcare professionals often experience moral distress while providing end-of-life care. This study explored how physicians and nurses experienced moral distress when they cared for critically and terminally ill patients in tertiary hospitals in South Korea. Methods This study used semi-structured in-depth interviews. A total of 22 people in two tertiary hospitals were interviewed, nine (40.9%) of which were physicians and 13 (59.1%) were nurses. The recorded interview files and memos were analyzed using grounded theory. Results Most physicians and nurses encountered similar feelings of anger, helplessness, and burden owing to a lack of appropriate resources for end-of-life care. However, the factors and contexts of their moral distress differed. Nurses mainly addressed poorly organized end-of-life care, intensive labor conditions without support for nurses, and providing care without participation in decision-making. Meanwhile, physicians addressed the prevailing misperceptions on end-of-life care, communication failure between physicians owing to hierarchy and fragmented disciplines, the burden of responsibility in making difficult decisions, and the burden of resource allocation. Conclusion Differences in moral distress between physicians and nurses leave them isolated and can affect communication regarding healthcare. Mutual understanding between job disciplines will enhance their communication and help resolve conflicts in end-of-life care.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Moral Distress Regarding End-of-Life Care Among Healthcare Personnel in Korean University Hospitals: Features and Differences Between Physicians and Nurses

et al. 2023

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“…Some studies have found that physicians choose not to initiate discussion of the process of EOLCD in order to defend themselves against any legal complications with family members (Kim & Huh, 2013;Moon, Lee, Lim & Koh, 2012). Further, physicians limited knowledge and communication skills regarding EOLCD processes have also increased these barriers (Hwang, Keam, Kim & Yun, 2016;Keam et al, 2013).…”

mentioning

confidence: 99%

The Effects of South Korean Social Workers' Professional Resources on their Understanding of a Patient's Right to End‐of‐Life Care Decisions in Long‐term Care Facilities

Han

2016

Asian Soc Wrk & Pol Rev

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The aims of this study were to examine South Korean social workers' understanding of a patient's right to end-of-life care decisions (EOLCD) in long-term care facilities and to explore the effectiveness of their professional resources in their understanding of this issue. A survey was conducted of 297 social workers from multiple long-term care facilities in South Korea using structured questionnaires and face-to-face interviews. A multiple regression model was used, controlling for gender and religion. The participants' professional resources were measured by years of work, license type, number of beds, knowledge of advanced directives, experience in the EOLCD process, and training. The results demonstrated that South Korean social workers' understanding of a patient's right to EOLCD was moderate (mean 3.46), and their general (b = 0.576, P < 0.001) and medical knowledge (b = 0.117, P < 0.001) of advance directives, experience in the EOLCD process (b = 0.222, P < 0.001), and training (b = 0.028, P < 0.001) positively and significantly increased their understanding of patient rights (R 2 = 0.449, P < 0.001). The findings suggested that the development of academically supported and legally enforced standards and regulations for an EOLCD practice manual for long-term-care social workers would be beneficial.

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A Study of Social Workers’ Understanding of Elderly Patients’ and Family Caregivers’ Rights to End-of-Life Care Decisions and of Their Own Roles in the Process

Han

2015

Korean J Hosp Palliat Care

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This study was aimed to analyze how social workers understand the rights for elderly patient and family caregiver to make end-of-life (EOL) care decisions and their roles the decision making process. Methods: The study employed a quantitative research method of collecting data from a structured questionnaire that was filled out by 334 social workers at long-term care facilities. Data were analyzed by descriptive statistics, mean differences, correlation between variables, using SPSS 20.0 program. Results: The mean score for the understanding the rights to an EOL care decision was 3.46±0.69 and of their own roles 3.48±0.84. The level of understanding significantly differed by social workers' experience of assisting a process to make an EOL care decision such as advance directives and life sustaining treatment, work experience, and the number of beds. Positive correlation was observed between the level of understanding of the rights for EOL care decisions and of social workers' roles (Pearson r=0.329, P＜0.001). Conclusion: This study proposes development of an education program for social workers and devising standards for the EOL care decision making process to protect elderly patients, family caregivers as well as social workers in a long term care facility.

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Medical Residents' Perception and Emotional Stress on Withdrawing Life-Sustaining Therapy

Cited by 5 publications

References 25 publications

Moral Distress Regarding End-of-Life Care Among Healthcare Personnel in Korean University Hospitals: Features and Differences Between Physicians and Nurses

Moral Distress Regarding End-of-Life Care Among Healthcare Personnel in Korean University Hospitals: Features and Differences Between Physicians and Nurses

The Effects of South Korean Social Workers' Professional Resources on their Understanding of a Patient's Right to End‐of‐Life Care Decisions in Long‐term Care Facilities

A Study of Social Workers’ Understanding of Elderly Patients’ and Family Caregivers’ Rights to End-of-Life Care Decisions and of Their Own Roles in the Process

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