Osong Public Health and Research Perspectives

Seong Ae Hong

2 Articles

Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad: Sunmi Lim, Seong Ae Hong, Hyun Sook Lee; Osong Public Health Res Perspect. 2015;6(2):126-132. Published online April 30, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.02.003

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Objectives
The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment.
Methods
Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21.
Results
First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy.
Conclusion
It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members.

Citations

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Analysis of high-intensity care in intensive care units and its cost at the end of life among older people in South Korea between 2016 and 2019: a cross-sectional study of the health insurance review and assessment service national patient sample database
Yunji Lee, Minjeong Jo, Taehwa Kim, Kyoungsun Yun
BMJ Open.2021; 11(8): e049711. CrossRef
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Jae Yoon Park, Chi-Yeon Lim, Gloria Puurveen, Do Yeun Kim, Jae Hang Lee, Han Ho Do, Kyung Soo Kim, Kyung Don Yoo, Hyo Jin Kim, Yunmi Kim, Sung Joon Shin
OMEGA - Journal of Death and Dying.2020; 81(3): 436. CrossRef
Do medical oncology patients and their support persons agree about end‐of‐life issues?
Amy Waller, Alix Hall, Rob Sanson‐Fisher, Nicholas Zdenkowski, Charles Douglas, Justin Walsh
Internal Medicine Journal.2018; 48(1): 60. CrossRef
Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea
Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong
Geriatric Nursing.2018; 39(4): 428. CrossRef

Factors Affecting Hospital Employees' Knowledge Sharing Intention and Behavior, and Innovation Behavior: Hyun Sook Lee, Seong Ae Hong; Osong Public Health Res Perspect. 2014;5(3):148-155. Published online June 30, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.04.006

3,593 View
23 Download
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Abstract PDF

Objectives
To investigate the factors affecting employees' knowledge sharing intention, knowledge sharing behavior, and innovation behavior of the four top-ranked university hospitals in South Korea.
Methods
Data were collected from employees at three university hospitals in Seoul, Korea and one university hospital in Gyeonggi-Do, Korea through self-administered questionnaires. The survey was conducted from May 29, 2013 to July 17, 2013. A total of 779 questionnaires were analyzed by SPSS version 18.0 and AMOS version 18.0.
Results
Factors affecting hospital employees' knowledge sharing intention, knowledge sharing behavior, and innovation behavior are reciprocity, behavioral control, and trust.
Conclusion
It is important to select employees who have a propensity for innovation and continuously educate them about knowledge management based on trust.

Citations

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