전자의무기록 기반의 심폐소생술금지 동의서의 전자서식 개발
Development of an Electronic Document for DNR Informed Consent based on the Electronic Medical Record System
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.
Abstract
Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.
참고문헌 (27)
- 전영주, "전자의무기록(EMR)의 활용과 환자정보보호", 보건의료산업학회지, 7(3), pp.213~224 (2013), 보건의료산업학회
- J. S. Obeid, "Development of an electronic research permissions management system to enhance informed consents and capture research authorizations data", AMIA Summits on Translational Science Proceedings, pp.189~193 (2013)
- 최상회, "인폼드 컨센트(Informed Consent)의 법리구조", 법학연구, (33), pp.111~134 (2009), 한국법학회
- H. S. Lee, "Bioethics and informed consent", Bio-medical and Law, 7, pp.183~206 (2012)
- 김세원, "항암화학치료시 사전동의서 취득에 관한 의사의 인식도와 행위 조사", 대한내과학회지, 78(5), pp.610~615 (2010), 대한내과학회
- 안명숙, "사전동의에 대한 의사, 간호사 및 환자의 인식과 경험", 임상간호연구, 14(2), pp.59~70 (2008), 병원간호사회
- Y. O. Park, "The experience of family members on deciding to withdraw life-sustaining treatment for patients who are terminally ill", Doctor, pp.2004
- Y. S. Ko, "Withdrawal of Life-sustaining treatment in End-of-Life", Journal of the Korean Medical Association, 45(6), pp.650~652 (2002)
- 김명희, "심폐소생술 금지(Do-Not-Resuscitate) 주 결정 가족원의 사별 후 경험", 재활간호학회지, 14(2), pp.118~128 (2011), 한국재활간호학회
- 김영선, "간호대학생의 죽음태도, 호스피스 인식 및 심폐소생술금지(DNR) 태도", 보건의료산업학회지, 8(3), pp.219~228 (2014), 보건의료산업학회
- H. J. Souk, "Attitude to DNR for elderly who agree to it", Master, pp.2010
- Development of the code about just withdrawing of persistence-treatment, Health & Medical Technology R&D Program Report, "M. S. Son", Ministry of Health & Welfare Pub, 5~7 (2005)
- H. S. Kim, "The Review of the Problem with Family-Oriented Decision Making in Medical Context", Master, pp.2011
- H. A. Kim, "An ethnography on joys and sorrows of nurses caring for DNR patients in ICU", Doctor, pp.2013
- S. Y. Park, "Comparison of attitude about death and perception about DNR betwwen the elderly residing institution and home", Master, pp.2013
- 신희숙, "일반인의 심폐소생술 금지에 대한 인식과 태도 조사연구", 석사, 저출산고령사회복지전공, pp.2013
- 이화연, "The Effect of Video-assisted Informed Consent for Central Venous Catheterization in the Emergency Department", 대한응급의학회지, 21(6), pp.815~824 (2010), 대한응급의학회
- M. C. Rowbotham, "Interactive Informed Consent:Randomized Comparison with Paper Consents", PLoS One, 8(3), pp.e58603~ (2013)
- K. C. Madathil, "An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting", International Journal of Medical Informatics, 82(9), pp.854~863 (2013)
- S. C. Sonne, "Development and pilot testing of a video-assisted informed consent process", Contemporary Clinical Trials, 36(1), pp.25~31 (2013)
- C. H. Lawshe, "A quantitative approach to content validity", Personal Psychology, 28(4), pp.563~575 (1975)
- Elke Muller-Mees, "Color Power", pp.83~84 (2003), Bertelsmann Pub
- E. K. Jeon, "Effects of Group Art Therapy with Color Experience on Emotion and Behavior of the Elder Dementia", Master, pp.2008
- J. K. Park, "Development of Do-Not-Resuscitate(DNR) Electronic Informed Consent Model for Inpatient of Long-term Care Hospital", Doctor, pp.2015
- Y. S. Kang, "A study on decision making of DNR : focused on caner patient's cases", Master, pp.2005
- 문재영, "중환자실 임종기 돌봄", The Korean Journal of Critical Care Medicine, 28(3), pp.163~172 (2013), 대한중환자의학회
- 이윤정, "심폐소생술 금지 결정에 대한 통합적 문헌고찰 : 2010년 이후 국내자료를 중심으로", 생명윤리, 14(2), pp.41~52 (2013), 한국생명윤리학회