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Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews
PURPOSE: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered co...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society for Hospice and Palliative Care
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332722/ https://www.ncbi.nlm.nih.gov/pubmed/37497365 http://dx.doi.org/10.14475/kjhpc.2020.23.3.126 |
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author | Kim, Yejin W Yoo, Shin Hye Choi, Wonho Kim, Min Sun Park, Hye Yoon Keam, Bhumsuk |
author_facet | Kim, Yejin W Yoo, Shin Hye Choi, Wonho Kim, Min Sun Park, Hye Yoon Keam, Bhumsuk |
author_sort | Kim, Yejin |
collection | PubMed |
description | PURPOSE: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered counselor. However, little is known regarding the adequacy of current AD counseling. This qualitative study aimed to explore the barriers to AD counseling based on counselors’ experiences. METHODS: We conducted focus group interviews using purposive sampling. Seven counselors working at hospitals, community health institutions, and non-profit organizations participated in this study. They were asked about the challenges and problems they encountered during AD counseling. RESULTS: Three themes emerged from this study; 1) issues regarding consistency in AD counseling, 2) issues regarding AD counselors’ competency and work environment, and 3) issues regarding the adequacy of the service system. The interviewees stated that the lack of a manual for standardized service made AD counseling inconsistent. The limited competency and poor work environment of counselors were pointed out as major barriers. The interviewees also stated that a proper service system considering individual circumstances is absent. CONCLUSION: The goals of AD counseling should be clarified and guidance should be implemented for providing standardized services. Further efforts to enhance the competency of AD counselors and to improve their working conditions are needed. Establishing an integrated framework for an adequate service system is also essential to overcome systematic barriers to AD counseling. |
format | Online Article Text |
id | pubmed-10332722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society for Hospice and Palliative Care |
record_format | MEDLINE/PubMed |
spelling | pubmed-103327222023-07-26 Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews Kim, Yejin W Yoo, Shin Hye Choi, Wonho Kim, Min Sun Park, Hye Yoon Keam, Bhumsuk Hanguk Hosupisu Wanhwa Uiryo Hakhoe Chi Original Article PURPOSE: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered counselor. However, little is known regarding the adequacy of current AD counseling. This qualitative study aimed to explore the barriers to AD counseling based on counselors’ experiences. METHODS: We conducted focus group interviews using purposive sampling. Seven counselors working at hospitals, community health institutions, and non-profit organizations participated in this study. They were asked about the challenges and problems they encountered during AD counseling. RESULTS: Three themes emerged from this study; 1) issues regarding consistency in AD counseling, 2) issues regarding AD counselors’ competency and work environment, and 3) issues regarding the adequacy of the service system. The interviewees stated that the lack of a manual for standardized service made AD counseling inconsistent. The limited competency and poor work environment of counselors were pointed out as major barriers. The interviewees also stated that a proper service system considering individual circumstances is absent. CONCLUSION: The goals of AD counseling should be clarified and guidance should be implemented for providing standardized services. Further efforts to enhance the competency of AD counselors and to improve their working conditions are needed. Establishing an integrated framework for an adequate service system is also essential to overcome systematic barriers to AD counseling. Korean Society for Hospice and Palliative Care 2020-09-01 2020-09-01 /pmc/articles/PMC10332722/ /pubmed/37497365 http://dx.doi.org/10.14475/kjhpc.2020.23.3.126 Text en Copyright © 2020 by Korean Society for Hospice and Palliative Care https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Yejin W Yoo, Shin Hye Choi, Wonho Kim, Min Sun Park, Hye Yoon Keam, Bhumsuk Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title | Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title_full | Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title_fullStr | Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title_full_unstemmed | Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title_short | Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews |
title_sort | barriers to counseling on advance directives based on counselors’ experiences: focus group interviews |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332722/ https://www.ncbi.nlm.nih.gov/pubmed/37497365 http://dx.doi.org/10.14475/kjhpc.2020.23.3.126 |
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