디지털융복합연구 (Journal of Digital Convergence)

  • 제18권1호
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  • Pages.219-229
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  • 2020
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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융합 시대의 의료종사자를 위한 단축형 생명의료윤리 도구 개발 및 평가

Develop and Evaluate the Short Form Biomedical Ethics Tool for Medical Workers In Convergence Era

  • Je, Nam-Joo (Department of nursing, Changshin University) ;
  • Park, Mee-Ra (Department of nursing, Changshin University)
  • 투고 : 2019.11.21
  • 심사 : 2020.01.20
  • 발행 : 2020.01.28
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초록

본 연구는 의료종사자를 대상으로 단축형 도구를 개발하여 기존 도구와 비교하고, 생명의료윤리 의식 측정의 신뢰도를 높이기 위한 목적이었다. G도에 소재한 의료종사자 211명을 대상으로 자료수집 하였다. IBM SPSS WIN/21.0을 이용하여 베리맥스 회전추출방법을 이용하여 탐색적 요인분석을 하였으며, 원도구 점수와의 회귀분석 및 상관분석을 통해 도구의 수렴타당도를 검증하고, 급내상관계수와 내적일관성 계수를 산출하여 신뢰도를 검증하였다. 21개 문항으로 단축한 도구는 49개 문항 원 도구의 생명의료윤리의식의 84%를 반영하고 있으며, 간호대학생을 대상으로 한 29개의 단축형 도구보다 도구의 신뢰도가 높았으나, 하위영역의 구성문항과 신뢰도계수의 차이가 있었다. 추후 하위영역별 도구의 신뢰도를 높이기 위해 질적연구와 대상자 인터뷰를 통한 추가 문항개발이 필요하며, 다양한 윤리적 딜레마가 있는 임상현장에서 타당도와 신뢰도가 확보된 도구로 생명의료윤리 의식 측정이 필요하며 이에 대한 반복연구가 요구된다.

The purpose of this study was to develop a short biomedical ethics tool for healthcare workers, compare it with pre-existing tool, and increase reliability. Data were collected from 211 healthcare workers working in G-do. Exploratory factor analysis was carried out using Varimax rotation extraction method in IBM SPSS WIN/21.0. Convergent validity of the tool was verified by regression and correlation analysis with original tool score. Reliability was verified by calculating intraclass correlation coefficient and internal consistency coefficient. The short, reduced 21 questions tool reflected 84% of pre-existing tool's biomedical ethics. Its reliability was higher than the 29 question tool for nursing students, but there were differences in the components of subdomains and reliability coefficient. Additional development of questions through qualitative research and interviews are needed to increase reliability of the subdomains. Measurement of biomedical ethics dilemma with the tool that has validity and reliability is needed, followed by replication studies.

키워드

참고문헌

  1. S. Gorovitz. (1977). Bioethics and social responsibility. Monist, 20(1), 3-15. DOI: 10.5840/monist197760128
  2. H. S. Jeon. (2011). Consciousness of biomedical ethics in nursing students and non-nursing students. Journal of Korean Academy Fundamentals of Nursing, 18(3), 401-410. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01709398
  3. Y. J. Lee. (2013). Awareness of Biomedical Ethics and Attitudes to Euthanasia of Clinical Nurse's. Master's Thesis. Kyungpook National University. Daegu.
  4. J. H. Shin, S. H. Jeong, M. H. Lee & Y. R. Yang. (2015). Experiences of ethical issues and needs for ethics education in clinical nurses. Journal of Korean Academic Nursing Administration, 21(3), 327-339. DOI: 10.11111/jkana.2015.21.3.327
  5. B. H. Kong, Y. H. Gu, S. D. Kim, J. G. Kim & Y. R. Um. (2007). Bioethics. 2nd ed. Seoul:Hyunmoon. 1-315.
  6. S. H. Kim. (2008). Bioethics. Seoul: Philosophy and Reality. 1-158.
  7. I. S. Kim. (2013). Effects of bioethics education on the consciousness of bioethics of freshman nursing and health students. The Journal of Korean Bioethics Association, 14(1), 1-13. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE02217899
  8. M. S. Yoo & H. S. Park. (2010). Effects of nursing ethics education on bioethics awareness and critical thinking dispositions of nurses. The Journal of Korean Bioethics Association, 11(1), 51-60. DOI: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01477364
  9. J. Y. Ha, D. H. Kim & S. K. Hwang. (2009). The Perception of Biomedical Ethics in Nurses. The Journal of Korean Academic Society of Nursing Education, 15(2), 216-224. DOI: 10.5977/JKASNE.2009.15.2.216
  10. Statistics Korea. Preliminary Results of Birth and Death Statistics in 2017 [Internet]. Statistic Korea 2018 [cited 2018 Feb 28]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/2/1/index.board?bmode=read&aSeq=366414
  11. S. N. Kim & H. J. Kim. (2016). Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in nurses. Korean J Hosp Palliat Care, 19(2), 136-144. DOI: 10.14475/kjhpc.2016.19.2.136
  12. J. G. Kim, S. M. Oh, E. Y. Cheon & J. H. Yoo. (2016). Factors influencing the attitude toward death in college nursing student. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 676-683. DOI: 10.5762/KAIS.2016.17.1.676
  13. J. W. Lee. (2012). The ethical problems on defining brain death and organ transplantation. Journal of the New Korean Philosophical Association, 69(3), 271-295.
  14. J. H. Park, M. J. Kim & S. O. Lee. (2006). Introduction to nursing. Seoul: Seoul National University Press, 162-163.
  15. Y. H. Cho. (2017). Factors affecting the consciousness of biomedical ethics of the nursing students before clinical practice in convergence era. Journal of the Korea Convergence Society, 8(10), 359-369. DOI: 10.15207/JKCS.2017.8.10.359
  16. S. Y. Park & K. Y. Park. (2015). Correlation study of characteristics of bio-medical ethics and self-esteem for undergraduate students. Journal of the Korea Convergence Society, 6(6), 255-261. DOI: 10.15207/JKCS.2015.6.6.255
  17. Y. N. Park. (2019). A convergence study on the consciousness of bio–medical ethics of dental hygiene and health science related majoring students. Journal of Convergence for Information Technology, 9(10), 227-233. DOI: 10.22156/CS4SMB.2019. 9.10. 227
  18. O. H. Kim, S. A. Ahn, S. M. Oh, J. H. Kong & H. O. Choi. (2019). The mediating effect of biomedical ethics awareness in the relationship between the moral distress and moral sensitivity of hospital nurses. Journal of Convergence for Information Technology, 9(9), 78-86. DOI: 10.22156/CS4SMB.2019.9.9.078
  19. G. S. Lee. (2002). A compariative study on the consciousness of biomedical ethics of health care professionals and non health care professionals. Master's thesis. Kyunghee University, Seoul.
  20. J. H. We, B. H. Chang, M. H. Lim. (2017). The Relationship of the Empathy and Biomedical Ethics Awareness with University Student. Journal of the Korea Contents Association, 17(4), 500-509. DOI: 10.5392/JKCA.2017.17.04.500
  21. J. H. Bae. (2018). Biomedical ethics awareness and its related factors in nursing students. Journal of the Korea Entertainment Industry Association, 12(1), 271-278. DOI: 10.21184/jkeia.2018.1.12.1.271
  22. G. S. Jeong. (2013). The effects of gender, ethical values and characteristics of biomedical ethics on the consciousness of biomedical ethics on nursing students in one nursing college. Journal of the Korea Academia-Industrial Cooperation Society, 14(11), 5672-5681. DOI: 10.5762/KAIS.2013.14.11.5672
  23. Y. H. Kwon. (2009). Factors affecting the consciousness of biomedical ethics of the nursing students. Journal of Korean Academy of Public Health Nursing, 23(2), 262-272. DOI: 10.5762/KAIS.2014.15.7.4423
  24. S. D. Kim. (2014). Effects of a blended learning program on ethical values in undergraduate nursing students. Journal of Korean Academy Nursing Administration, 20(5), 567-575. DOI: 10.11111/jkana.2014.20.5.567
  25. M. H. Lim & C. S. Park. (2014). Factors Affecting the Consciousness of Biomedical Ethics of Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 15(7), 4423-4431. DOI: 10.5762/KAIS.2014.15.7.4423
  26. Y. J. Lee & I. O. Moon. (2015). Development and Testing of the Short Form Biomedical Ethics Scale. Global Health Nurs, 5(2), 67-77. UCI: I410-ECN-0102-2016-510-000459285
  27. H. Kang. (2013). A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy of Nursing, 43(5), 587-594. DOI: 10.4040/jkan.2013.43.5.587
  28. J. K. Tak. (2007). Psychological testing: An understanding of development and evaluation method (2nd ed.). Seoul: Hakjisa Publisher.
  29. E. S. Choi. (2016). Nurses' awareness of biomedical ethics and their attitude toward withdrawal of life-sustaining treatment Master's thesis. Gangneung-Wonju National University. Wonju.
  30. Y. S. Lee. (1990). A Study of the Ethical Values of Korean Nurses, Journal of Nursing Academic Sociaty, 20(2), 249-270. DOI: https://doi.org/10.4040/jnas.1990.20.2. 249
  31. S. J. Kwon. (2003). A Study on Consciousness of Bioethics of the Nursing Students and Medical Students. Master's Thesis, Keimyung Universuty. Daegu.
  32. S. K. Kim, Y. L. Kim, K. S. Park & W. K. Lee. (2015). Development and validation of an instrument to assess quality of life for end stage renal disease. Journal of the Korean Data & Information Science Society, 26(3), 707-714. DOI: 10.7465/ jkdi.2015.26.3.707
  33. S. Y. Kim. (2014). Effects of biomedical ethics education using movies on biomedical ethics awareness of nursing students. The Journal of the Korea Contents Association, 14(7), 281-290. DOI: 10.5392/JKCA.2014.14.07.281
  34. L. B. Mokkink et al. (2010). The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient- reported outcomes. Journal of Clinical Epidemiology, 63(7), 737-745. DOI: 10.1016/j.jclinepi.2010.02.006
  35. K. Lee & S. Shin. (2013). Validity of instrument development research in Korean nursing research. Journal of Korean Academy of Nursing. 43(6), 697-703. DOI: 10.4040/jkan.2013.43.6.697
  36. E. H. Lee, C. J. Kim, E. J. Kim, H. J. Chae & S. Y. Cho. (2013). Measurement properties of self-report questionnaires published in Korean nursing journals. Journal of Korean Academy of Nursing, 43(1), 50-58. DOI: 10.4040/jkan.2013.43.1.50
  37. R. F. DeVellis. (2016). Scale development: Theory and applications. 4th ed. Thousand Oaks (CA): Sage; 111-147