킹의 이론에 근거한 공유된 한국형 의료적 의사결정 모델*

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.