Nurse roles in the advance directive system in Korea.

International nursing review
Hyeyoung Hwang, Claire Junga Kim

Abstract

In 2016, the Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care was implemented in Korea, providing a broad framework for end-of-life decision-making for the first time and making advance directives legally recognized documents. This Act can correct long-standing under-recognition of patients as valid decision makers for their own treatment choices. However, limited recognition of patient self-determination, rigid legal forms for documenting patient wishes, and the roles of family under the Act may pose challenges both to patients and nurses. This paper critiques whether this newly introduced system of advance directives can truly guarantee protection of the patient's interests and respect for patient autonomy in real life​, and discusses ethical and legal issues regarding the Act. We reviewed the current system of advance directives by raising three questions: (1) Do advance directives reflect a competent person's voluntary and informed choice?, (2) Are advance directives applicable in diverse clinical situations?, and (3) Does the Korean advance directive system ensure that such directives are honored in reality? Although the Act is an important first step in respecting patient autonomy ...Continue Reading

References

Jul 1, 1994·The American Journal of Psychiatry·M D Sullivan, S J Youngner
May 30, 2017·AMA Journal of Ethics·Joshua M Baruth, Maria I Lapid
Oct 1, 2019·Journal of the American Association of Nurse Practitioners·Kahla N Atherton

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