Nurses' perspectives on advance directives before the establishment of the new well-dying law in Korea: A mixed methods study

Son, Youn‐Jung; Choi, JiYeon; Ahn, Jung-Won

doi:10.1016/j.apnr.2019.151187

Cited by 9 publications

(18 citation statements)

References 31 publications

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“…15 Four articles constituted a quantitative analytic approach and cross-sectional study design. 4,5,10,11 Two articles used an exploratory sequential mixed method 12,16 that is characterized by an initial qualitative phase of data collection and analysis, followed by a quantitative phase with final integration of the 2 phases. 14 Only 1 article presented a qualitative approach, which utilized convenience and snowball sampling methods for an online self-administered survey, including open-ended questions about health information-seeking experience of KIs.…”

Section: Evidence Evaluationmentioning

confidence: 99%

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review

Suk

Kozachik

Cotter

2020

Am J Hosp Palliat Care

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Aims: This review aims to explore the extant literature on the current utilization of ACP in Kisin order to obtain a comprehensive understanding of their health disparities and to determineevidence-based best practices to integrate culturally-competent ACP for EOL care of KIs. Design: A systematic integrative review of the literature Data Sources: Four electronic databases including PubMed, the Cumulative Index of Nursing and Allied Health Literature, the Cochrane Library, and Embase. Method: The detailed search strategy for databases implicated a combination of MeSHkeywords and associated terms, which can be found in Table A.Results: Three themes emerged in relation to fundamental components in the integration of culturally-competent ACP for EOL of KIs: (1) cultural characteristics of KIs; (2) disparities in ethnic-oriented ACP and EOL care resources in KIs; and (3) KIs’ perspectives on ACP. Conclusion: The findings of this review indicate that culturally-competent ACP resources for KIsare presently quite insufficient. It is determined that much future research is needed on howculturally-competent ACP can best augment the quality of EOL care for KIs, and on howspecific interventions can effectively implement ACP in community settings. Impact: Such ongoing research dedicated to the development of feasible culturally competent practice guidelines is anticipated to markedly reduce health disparities and promote ACP in KIs. The recommendations in this review may support Korean primary HCPs, Korean health care center administrators, Korean health maintenance organizations (HMOs), Korean advance care nurse practitioners in hospice and palliative care, and nurse researchers in their work.

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Section: Evidence Evaluationmentioning

confidence: 99%

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review

Suk

Kozachik

Cotter

2020

Am J Hosp Palliat Care

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“…'s (2018) study underscores the efficacy of giving patients time to contemplate end‐of‐life issues and make decisions without pressure, further highlighting the importance of introducing the planning process earlier, a view echoed by Sampson et al. (2010) and Son, Choi, and Ahn (2020). Poppe, Burleigh, and Banerjee (2013) agree, in their qualitative study conducted in the United Kingdom (U.K.) on persons with early dementia, that timing is crucial, positing that an early discussion garners the best patient outcomes.…”

Section: Time To Decidementioning

confidence: 98%

“…However, in considering the low take‐up rates for advance directives, Sampson et al. 's (2010) study does add the caveat that many people simply do not want to plan for death, preferring to live in denial, or to take ‘one day at a time’, a view echoed in the wider literature (Bond & Lowton, 2011; Fried & Drickamer, 2010; Kelly, 2017; Son et al., 2020; Zimmerman, 2007). Conversely, Poppe et al.…”

Section: Time To Decidementioning

confidence: 99%

“…Furthermore, both the Son et al. (2020) Korean study and the Dube et al. (2015) American study identify a number of barriers to advance care planning: (a) a lack of competent trained staff with available time and willingness to initiate these end‐of‐life (EoL) discussions with patients and their families; (b) a lack of doctors' understanding and support; and (c) lack of organisational commitment to supporting advance directives.…”

Section: Barriers To Advance Health Care Directivesmentioning

confidence: 99%

“…(2013) identify a clear lack of skill among health care providers in advance care planning. Furthermore, the voice of health care professionals across the disciplines—via all 16 studies reviewed—is unequivocal: further training is needed in order to facilitate better advance care planning discussions and optimal take‐up of advance health care directives (Bond & Lowton, 2011; Brazil et al., 2015; Chan et al., 2018; Clark et al., 2015; Cornally et al., 2015; de Vleminck et al., 2014; Detering et al., 2010; Dube et al., 2015; Harrison‐Dening et al, 2016; Moore et al., 2019; Poppe et al., 2013; Robinson et al., 2013; Sampson et al., 2010; Smebye et al., 2012; Son et al., 2020; Wicki, 2018). An interesting view shared by two of the studies, the Norwegian GPs in de Vleminck et al.…”

Section: Barriers To Advance Health Care Directivesmentioning

confidence: 99%

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Implementing advance directives—An international literature review of important considerations for nurses

2020

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Aim(s) To review the global literature on the implementation of advance health care directives to date, and the experiences of the health care professionals who must initiate the discussions around advance care planning, as well as support patients' ultimate decisions. Background Ireland's Assisted Decision‐Making (Capacity) Act 2015 legalizes advance health care directives. It promotes the autonomy of the person and enables them to have treatment in accordance with their will and preferences. However, there is professional uncertainty on how to support and integrate assisted decision‐making. Evaluation 16 studies featuring the views of health care professionals are included and evaluated using a framework of ‘benefits versus challenges’. Key issue(s) Four themes clearly emerge during the review process: the concept of capacity and who decides; autonomy versus paternalism—conflict among the health care professional/patient/family caregiver triad; barriers to advance directives; and timing issues. Conclusion(s) Significant benefits of advance health care directives exist for all parties including less stress for patients and families alike, less burden and less residual guilt for surviving relatives, and an over‐arching prevention of ‘crisis’ decision‐making. Implications for Nursing Management This review highlights the central role of the nurse in empowering patients to express their wills and preferences, supporting patients' capacity to make decisions about their own care, initiating end‐of‐life care discussions and advocating to have advance health care directives acknowledged. Moreover, it identifies the challenges ahead for all nurse managers in implementing this new mandate.

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The role of policy and law in shaping the ethics and quality of end-of-life care in intensive care

Dzeng

Bein²,

Curtis

2022

Intensive Care Med

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Nurses' perspectives on advance directives before the establishment of the new well-dying law in Korea: A mixed methods study

Cited by 9 publications

References 31 publications

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review

Implementing advance directives—An international literature review of important considerations for nurses

The role of policy and law in shaping the ethics and quality of end-of-life care in intensive care

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