Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Ethics Education on Nursing Students' Professional Self Concept, Ethical Dilemma and Ethical Decision Making Confidence

윤리교육이 간호대학생의 전문직 자아개념과 윤리적 딜레마, 윤리적 의사결정 자신감에 미치는 효과

  • Received : 2019.09.06
  • Accepted : 2020.01.03
  • Published : 2020.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examines the effects of ethical education using CEDA discussion learning, on nursing professional self-concept, ethical dilemma and ethical decision-making confidence of nursing students. The participants were 57 third year nursing students from a nursing college in C city, and the data were collected from March 4 to May 13, 2019. Ethics education using CEDA discussion learning was conducted for 9 weeks, including 3 weeks of theoretical education and 6 weeks of CEDA discussion. Collected data were analyzed by t-test, one-way ANOVA and paired t-test using the SPSS WIN / 21.0. The results indicate that ethical education using CEDA discussion learning positively affects nursing professional self-concept (t=13.816, p<0.001), ethical dilemma (t=6.205, p<0.001) and ethical decision-making confidence (t=11.950, p<0.001). In addition, the self-concept of nursing professional, ethical dilemma, and ethical decision-making self-confidence are correlated, and nursing professional self-concept differs according to major satisfaction. Our results indicate a necessity to strengthen the ethics education of nursing college students, to help develop positive nursing professional self-concept and confident ethical decision-making in an ethical dilemma.

본 연구는 CEDA 토론학습을 이용한 윤리교육이 간호대학생의 간호전문직 자아개념, 윤리적 딜레마 및 윤리적 의사결정 자신감에 미치는 효과를 확인하기 위한 원시실험연구이다. 연구 대상자는 K도 C시 소재, 3학년 간호대학생 총 57명이었고, 연구기간은 2019년 3월 4일부터 5월 13일까지였다. CEDA 토론학습을 이용한 윤리교육은 이론교육 3주와 CEDA 토론학습 6주로 총 9주 동안 진행하였다. 수집된 자료는 SPSS WIN/21.0을 사용하여 일반적 특성에 따른 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 t-test, one-way ANOVA로 분석하였고, CEDA 토론학습을 이용한 윤리교육에 따른 연구대상자의 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 Paired t-test로 분석하였다. 연구결과 CEDA 토론학습을 이용한 윤리교육은 간호대학생의 간호전문직 자아개념(t=13.816, p<.001)과 윤리적 딜레마(t=6.205, p<.001) 및 윤리적 의사결정 자신감(t=11.950, p<.001)에 긍정적인 효과가 있음을 알 수 있었다. 또한 간호전문직 자아개념과 윤리적 딜레마 및 윤리적 의사결정 자신감은 순상관관계가 있었으며, 간호전문직 자아개념은 전공 만족도에 따라 차이를 보였다. 그러므로 간호대학생들이 긍정적인 간호전문직 자아개념을 형성하고 윤리적 딜레마 상황에서 자신있게 윤리적 의사결정을 할 수 있도록 윤리교육을 강화시킬 필요가 있다고 판단된다.

Keywords

References

  1. K.I.Jung, K,S,Lee, H.Y.Jung, "Effects of a introduction of nursing and bioethics subject on nurse image and nursing professionalism of freshmen nursing students", The Journal of Korean clinical health science, Vol.4, No.4, pp.689-698, Dec. 2016. DOI:http://doi.org/10.15205/kschs.2016.12.31.689
  2. E.S.Lee, M.S.Park, "A Study of convergence relationships among nurses' image, professional self-concept and nursing professionalism in nursing students", Journal of Digital Convergence, Vol.15, No.1, pp.311-320, Jan. 2017. DOI:https://doi.org/10.14400/JDC.2017.15.1.311
  3. E.J. Seo, N.H. Cha, "Relationships among nursing professional values, bioethics and death ethic perception in nursing students", Journal of Digital Convergence, Vol.14, No.5, pp.349-358, May. 2016. DOI:http://dx.doi.org/10.14400/JDC.2016.14.5.34
  4. J.H.Bae, "Biomedical ethics awareness and its related factors in nursing students", Journal of the Korea Entertainment Industry Association, Vol.12, No.1, pp.271-278, 2018. DOI:https://doi.org/10.21184/jkeia.2018.1.12.1.271
  5. M.Y.Moon, "Effects of ethical values and nursing professionalism on the consciousness of biomedical ethics before applying nursing ethics education in nursing college students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.8, No.9, pp. 305-314, September, 2018. DOI:http://dx.doi.org/10.21742/AJMAHS.2018.09.07.
  6. D.Arthur, "The develop of an instrument for measuring the professional self-concept of nurse", Master of Educational Thesis, University of Newcastle, Australia. 1990.
  7. M.O.Park, H.J.Yun,"Nurse's Experience dealing with ethical dilemma in intensive care unit", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology,Vol.6, No.8, pp.81-93, August, 2016. DOI:http://dx.doi.org/10.14257/AJMAHS.2016.08.36
  8. J.H.Shin, S.H.Jeong, M.H.Lee, Y.R.Yang, "Experiences of ethical issues and needs for ethics education in clinical nurses", Korean Academy of Nursing Administration, Vol.21, No.3, pp.327-339, July, 2015. DOI:http://www.dbpia.co.kr/Article/NODE06641820 https://doi.org/10.11111/jkana.2015.21.3.327
  9. K.J.Lee, S.Y.Yoo,"Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in Korea", Journal of Korean Clinical Nursing Research, Vol.17, No.1, pp.1-15, April, 2011.
  10. T.K.Kim, Y.G.Bak, "Influence of nursing professionalism and consciousness of biomedical ethics on satisfaction in major of nursing student", Asia-pacific Journal ofMultimedia Services Convergent with Art, Humanities, and Sociology, Vol.8, No.3, pp.1-13, March, 2018. DOI:http://dx.doi.org/10.21742/AJMAHS.2018.03.15.
  11. K.J.Lee, E.Lee, Y.S.Park, "Comparison on influencing factors on consciousness of biomedical ethics in nursing students and general students", Journal of Digital Convergence, Vol.14, No.12, pp.377-388, 2016. DOI : http://dx.doi.org/10.14400/JDC.2016.14.12.377
  12. T.A.Iacobucci, B.J.Daly, D.Lindell, M.Q.Griffin, "Professional values, self-esteem, and ethical confidence of baccalaureate nursing students", Nursing Ethics, Vol.20, No.4, pp. 479-490, 2013. https://doi.org/10.1177/0969733012458608
  13. W.J.Kim, J.H.Park, "The Effects of an Action Learning -based Nursing Ethics Education on Self-assertiveness and Ethical Values", Journal of Muscle and Joint Health, Vol.24, No.3, pp.179-186, December, 2017. DOI:http://dx.doi.org/10.5953/JMJH.2017.24.3.179
  14. J.H.Jung, H.J.Park, I.S.Jang, "Effects of Nursing Ethics Education based upon CEDA Debates on Moral Judgment and Ethical Values", Journal of Korean Academic Society Nursing Education, Vol.18, No.2, pp.248-258, August, 2012. DOI:http://dx.doi.org/10.5977/jkasne.2012.18.2.248
  15. S.H.Lee, S.H.Kim, "Effects of a Debate on Nursing Students' Critical Thinking Disposition, Ethical Value and Moral Judgment in Nursing Ethics Education", Journal of the Korean Data Analysis Society, Vol.19, No.4(B), pp.2263-2276, August, 2017. https://doi.org/10.37727/jkdas.2017.19.4.2263
  16. N.H.Cha,"The Relationships between the Perception of Biomedical Ethics and Nursing Ethics in Nursing Students", Journal of East-Wes tNursing Research, Vol.24, No.2, pp.154-162, 2018. DOI:https://doi.org/10.14370/jewnr.22018.24.2.15417
  17. K.Y.Sohng, C.H.Noh, "An Analytical Study of the Professional Self-Concept of Hospital Nurses in Korea", Journal of Korean academy of nursing, Vol.26, No.1, pp.94-106, 1996.
  18. W.H.Seo, Nursing College Students' Nursing Professional Self-Concept and Their Satisfaction with Clinical Nursing Practicum, Master's thesis, Kyungpook National University, p.34-35, 2007.
  19. S.S.Han, "Effects of Nursing Ethics Education on oral Reasoning and Ethical Decision Making for Student Nurses", Journal of Korean Academy of Nursing Administration, Vol.1, No.1, pp.268-284, 1992.
  20. Y.K.Yang, Relationships between Ethical Dilemma and Job Satisfaction of one general hospital nurses, Master's thesis, Chunnam National University, pp.40, 2003.
  21. D.P.Sulmasy, G.Geller, D.M.Levine, R.Faden, "Medical House Officers' Knowledge, Attitude, and Confidence Regarding Medical Ethics", Archieve of Internal Medicine, Vol.150, No.12, pp. 2509-2513, 1990. https://doi.org/10.1001/archinte.1990.00390230065008
  22. C.A.Laabs, "Confidence and Knowledge Regarding Ethics among Advanced Practice Nurses", Nursing Education Perspectives, Vol.33, No.1, pp.10-14, 2012. https://doi.org/10.5480/1536-5026-33.1.10
  23. C.H.Kim, The Relationships among Ethical Dilemma, Professional Values, Ethical Confidence of Clinical Nurses, Mster's thesis, Chungnam University, pp.53, 2014.
  24. W.J.Kim, Development and Effect of Nursing Ethics Education Program Based on Academic Debates for Undergraduate Nursing Students', Ph.D dissertation, Ajou University, pp.26-27, 2018.
  25. G.S.Jeong,"The Effect of Biomedical Ethics Education Program for Nursing Students Freshman", Journal of Korean Academic Society Nursing Education, Vol.22 No.3, pp.376-386, August, 2016. DOI: http://dx.doi.org/10.5977/jkasne.2016.22.3.376
  26. J.M.Jeong, J.H.Park, S.H.Jeong, "Case Development on Nurses' Ethical Dilemmas with Physicians' and Nurses' Decision Making", Journal of Korean Academy of Nursing Administration, Vol.19, No.5, pp.668-678, December, 2013. DOI: http://dx.doi.org/10.11111/jkana.2013.19.5.668
  27. M.A.Kim, "Two Teaching Methods to Improve Nursing Students' Moral Intelligence, Moral Sensitivity and Moral Judgement: Theatre of Situations and Pro-Con Debate", Journal of Korean Medical Ethics, Vol.16, No.3, pp.376-390, 2013. https://doi.org/10.35301/ksme.2013.16.3.376
  28. M.H.Lim, "Converged Study of Influencing Factors on Perceived Ethical Confidence in Nurses", Journal of the Korea Convergence Society, Vol.8, No.6, pp. 75-84, 2017. DOI: https://doi.org/10.15207/JKCS.2017.8.6.075
  29. M.S.Kim, "Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing student"s, The Journal of Korean Academic Society of Nursing Education, Vol.21, No.3, pp.382-392, 2015. DOI:https://doi.org/10.5977/jkasne.2015.21.3.382
  30. M.J.Oh, J.M.Lee, "The Effect of Professionalism, Critical Thinking and Ethical Decision Making on the Nursing Ethical Values of Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.7, No.11 pp.181-195, November, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.11.14
  31. D.Weise, M.J.Schank, "Development and phychometric evaluation of the nurse professional value scale-revise", Journal of Nursing Measurment, Vol.17, No.3, pp.221-231, 2007.
  32. Y.H.Jeon, K.I.Jung, H.S.Song, E.S.Na, "Factors Influencing Ethical Confidence of Clinical Nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.3, pp.501-512, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.3.501
  33. H.M.Hwang, "The effect of nurse image and major satisfaction on professional self-concept perceived by nursing students after clinical practice", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.6, pp.476-483, 2018. DOI : https://doi.org/10.5762/KAIS.2018.19.6.476