BackgroundThis study aimed to identify the healthcare providers’ experience and perspectives toward end-of-life care decisions focusing on end-of-life discussion and physician’s order of life-sustaining treatment documentation in Korea which are major parts of the Life-Sustaining Treatment Act.MethodsA cross-sectional survey was conducted using a questionnaire developed by the authors. A total of 474 subjects—94 attending physicians, 87 resident physicians, and 293 nurses—participated in the survey, and the data analysis was performed in terms of frequency, percentage, mean and standard deviation using the (...) SPSS 24.0 program.ResultsStudy results showed that respondents were aware of terminal illness and physician’s order of life-sustaining treatment in Korea well enough except for some details. Physicians reported uncertainty in terminal state diagnosis and disease trajectory as the most challenging. Study participants regarded factors (related to relationships and communications) on the healthcare providers’ side as the major impediment to end-of-life discussion. Study respondents suggested that simplification of the process and more staff are required to facilitate end-of-life discussion and documentation.ConclusionBased on the study results, adequate education and training for better end-of-life discussion are required for future practice. Also, a simple and clear procedure for completing a physician’s order of life-sustaining treatment in Korea should be prepared and legal and ethical advice would be required. Since the enactment of the Life-Sustaining Treatment Act, several revisions already have been made including disease categories, thus continuous education to update and support clinicians is also called for. (shrink)

Zenpen Kyūsō Sensei bunshū -- Hoi Kyūsō Sensei bunshū -- Kōhen Kyūsō Sensei bunshū -- Furoku Kyūsō ikkō.

丸山眞男は西洋近代至上主義者・国民国家至上主義者だったのか。丸山が「主体性」論で追究しようとしていたものは何か。著作、講義録をいま一度丁寧に読みなおし、「他者感覚」「自己内対話」など新たな視点から、誤 解されがちな丸山思想の可能性を探る。.

あはれ・わび・いきなどの美意識や芸術の本質について、和辻哲郎、九鬼周造などの知の巨人から学ぶ。.