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A community-based advance care planning intervention for the adult children of older adult Korean Americans

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TitleInfo
Title
A community-based advance care planning intervention for the adult children of older adult Korean Americans
Name (type = personal)
NamePart (type = family)
Park
NamePart (type = given)
Morgan D.
DisplayForm
Morgan D. Park
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author
Name (type = personal)
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Cadmus
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Edna
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Edna Cadmus
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Advisory Committee
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chair
Name (type = personal)
NamePart (type = family)
Holmes
NamePart (type = given)
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Aline Holmes
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Advisory Committee
Role
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outside member
Name (type = corporate)
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Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
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school
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Text
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theses
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DateCreated (encoding = w3cdtf); (qualifier = exact)
2019
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2019-05
Language
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English
Abstract (type = abstract)
Purpose: This quality improvement project aimed to increase engagement in advance care planning (ACP) and ACP behaviors among Korean Americans in New Jersey (NJ) by implementing a culturally-relevant ACP intervention targeted toward the adult children of Korean American older adults.
Methodology: A single session ACP training event was held at an English-speaking Korean American church in central NJ. The training consisted of a short film about a woman's end-of-life journey, and an overview by a registered nurse of ACP concepts and how to use the Korean-English version of the "Five Wishes" advance directive to guide ACP conversations with a parent or loved one. The project used a pre- post- post-test design to measure ACP actions (i.e. ACP documentation and ACP conversations) and Advance Care Planning Engagement Survey (ACPES) scores before, immediately after (ACPES only), and two months after the intervention.
Results: The convenience sample (n = 13) of participants was primarily female (54%), Korean American (85%), with a mean age of 40.5 years. Participants' aggregate ACPES scores increased 23% from baseline to two-month follow-up, (M = 3.31, M = 4.07). At two-month follow-up, 23% of participants had had a new ACP conversation with their parent or loved one, and 31% had completed a new ACP action. Additionally, after the intervention, 39% of participants reported not having completed an ACP action they previously reported before the intervention, suggesting a shift in participants' understanding of advance directives and ACP conversations following the intervention.
Implications: Korean American older adults have low rates of ACP, placing them at increased risk for poor end-of-life care outcomes in a state that provides the most aggressive end-of-life medical care in the nation. The family unit plays a key role in ACP for Korean American older adults. This quality improvement project demonstrates that an ACP intervention by nurses to support adult children of older adult Korean Americans in engaging in semi-structured ACP conversations may help improve families' engagement in ACP and increase discussion of ACP wishes and values.
Subject (authority = RUETD)
Topic
Leadership-Management
Subject (authority = local)
Topic
Advance care planning
Subject (authority = LCSH)
Topic
Health planning
Subject (authority = LCSH)
Topic
Korean Americans -- New Jersey -- Health and hygiene -- Planning
Subject (authority = LCSH)
Topic
Children of immigrants -- New Jersey -- Health and hygiene -- Planning
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Rutgers University Electronic Theses and Dissertations
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ETD_10031
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application/pdf
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text/xml
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1 online resource (123 pages) : illustrations
Note (type = degree)
DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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Identifier (type = doi)
doi:10.7282/t3-jfa5-2d17
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Park
GivenName
Morgan
MiddleName
D.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-09 20:00:55
AssociatedEntity
Name
Morgan Park
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-05-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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