Korean Journal of Medical Ethics
The Korean Society for Medical Ethics
Article

킹의 이론에 근거한 공유된 한국형 의료적 의사결정 모델*

조계화1, 안경주2, 김균무3,*
Kae Hwa JO1, Gyeong Ju AN2, Gyun Moo KIM3,*
1대구가톨릭대학교 간호대학
2청주대학교 간호학과
3대구가톨릭대학교 의과대학 응급의학교실
1College of Nursing, Catholic University of Daegu
2College of Nursing, Cheongju University
3Department of Emergency Medicine, Catholic University of Daegu School of Medicine
*교신저자: 김균무. 대구가톨릭대학교 의과대학 응급의학교실. 053-650-4282. oasisking@daum.net

ⓒ Copyright 2012 The Korean Society for Medical Ethics. 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/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: May 20, 2012; Accepted: Aug 23, 2012

Published Online: Aug 31, 2012

ABSTRACT

The study was conducted to develop and test a hypothetical model which explains Korean shared medical decision-making was established based on the King's theory. The participants were 580 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, and Busan. The data were collected using questionnaires from August 10 through October 25, 2011. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the Amos 20.0 program. The results of this study showed that the attitude of dignified death were the strong factors influencing shared decision making in this sample. The attitude of withdrawal of life sustaining treatment didn't influenced to the shared decision making but the attitude of withdrawal of life sustaining treatment and the attitude of dignified death showed correlation between two factors. The proposed model was concise and extensive in predicting shared decision making of the participants. Findings may provide useful assistance in developing effective medical and nursing interventions for maintaining and promoting shared decision making in clinical situations.

Keywords: 품위 있는 죽음; 연명치료; 공유의사결정
Keywords: death with dignity; life prolongation; shared decision making