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간호대학생의 윤리적 의사결정 자신감에 영향을 미치는 요인

Factors influencing ethical decision making confidence of nursing students

  • 투고 : 2021.05.26
  • 심사 : 2021.07.25
  • 발행 : 2021.08.31

초록

본 연구는 간호대학생을 대상으로 윤리적 의사결정 자신감 정도를 확인하고, 윤리적 의사결정 자신감에 영향을 미치는 요인을 확인하기 위해 시도되었다. 연구참여자는 B시의 간호대학생 205명을 대상으로 하였다. 자료분석은 SPSS 22.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 대상자의 윤리적 의사결정 자신감은 3.83±.62점이었고, 일반적 특성에 따른 윤리적 의사결정 자신감의 차이를 분석한 결과 성별(t=2.118, p=.037), 삶의 성취감(F=3.851, p=.023)에서 유의한 차이를 나타냈다. 연구대상자의 윤리적 의사결정 자신감은 윤리적 가치관(r=.153, p=.028), 비판적 사고성향(r=.477, p<.001), 전문직 자아개념(r=.566, p<.001)과는 정적상관관계를 나타냈다. 대상자의 윤리적 의사결정 자신감에 영향을 미치는 요인은 비판적 사고성향(β=.254, p<.001), 전문직 자아개념(β=.418, p<.001)으로 나타났고, 설명력은 35.1%로 확인되었다. 본 연구결과를 통하여 간호대학생을 대상으로 윤리적 의사결정 자신감에 영향을 미치는 요인을 확인하기 위한 반복연구가 필요하다.

The purpose of this study was to investigate the effect of ethical decision making confidence in nursing students and to provide the basic data of to control ethical decision making confidence. Data were collected from 205 nursing students in B city and analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression using SPSS/WIN 22.0. The degree of ethical decision making confidence in nursing students was 3.83±.62. There were significant differences in ethical decision making confidence with respect to gender(t=2.118, p=.037), achivement of life(F=3.851, p=.023). There was positive correlation between ethical decision making confidence and ethical value(r=.153, p=.028), critical thinking disposition(r=.477, p<.001), and professional self concept(r=.566, p<.001). The factors affecting the ethical decision making confidence of the study subjects were critical thinking disposition(β=.254, p<.001), professional self concept(β=.418, p<.001), with an explanatory power of 35.1%. Through this research requires the fellow study to determine the factors affecting ethical decision making confidence of nursing students.

키워드

참고문헌

  1. M.A. Lee, "The efficacy of ethics education on the moral judgement of nursing students", Korean Journal of Medical Ethics, Vol. 12, No. 2, pp. 177-188, 2009. DOI: http://dx.doi.org/10.35301/ksme.2009.12.2.177
  2. Y.S. Kim, J.W. Park, M.A. You, and Y.S. Seo, "Empowerment and ethical sensitivity of nurse in the hospital", Journal of Korean Academy of Nursing Admistration, Vol. 10, No. 4, pp. 485-493, 2004.
  3. M.S. Kim, "Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students", Journal of Korean Academic Society of the Nursing Education, Vol. 21, No. 3, pp. 382-392, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.3.382
  4. H.G. Kim, "Analysis of decision-making in ethical dilemma cases among clinical nurses", Journal of Korean Academy of Admistration, Vol. 9, No. 3, pp. 459-480, 2003.
  5. J. Sinclair, E. Papps, and B. Marshall, "Nursing students' experiences of ethical issues in clinical practice: a New Zealand study", Nurse Education in Practice, Vol. 17, pp. 1-7, 2016. DOI: https://doi.org/10.1016/j.nepr.2016.01.005
  6. M.H. Lim, "Effects of moral sensitivity and critical thinking disposition on perceived ethical confidence in nursing students", Journal of the Korean Academia-Industrial cooperation Society, Vol. 17, No. 9, pp. 610-618, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.9.610
  7. D.P. Sulmasy, G. Geller, D.M. Levine, and R.C. Faden, "Medical house officers' knowledge, attitude, and confidence regarding medical ethics", Archives of Internal Medicine, Vol. 150, No. 12, pp. 2509-2513, 1990. DOI: https://doi.org/10.1001/archjnte.1990.00390230065008
  8. H.J. Yang, "Relationship between critical thinking disposition and problem solving ability of nursing students", Journal of the Korean Academia-Industrial cooperation Society, Vol. 14, No. 12, pp. 6387-6394, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.12.6387
  9. M.S. Yoo, and H.S. Park, "Effects of nursing ethics education on biomedical ethics awareness and critical thinking disposition of nurses", Journal of the Korean Bioethics Association, Vol. 11, No. 1, pp. 51-60, 2010.
  10. Y.M. Kwon, "A study on moral judgement and ethical values of nursing students", The Journal of Korean Academic Society of the Nursing Education, Vol. 8, No. 1, pp. 17-18, 2002.
  11. C.H. Kim, and S.Y. Jeong, "The effects of debate classes based on an ethical decision-making model on ethical knowledge, class satisfaction, and ethical values", Journal of Digital Convergence, Vol. 12, No. 10, pp. 405-414, 2014. DOI: http://dx.doi.org/10.14400/JDC.2014.12.10.405
  12. M.W. Park, "The patterns of change in ethical values of nursing students", The Journal of Korean Academic Society of the Nursing Education, Vol. 6, No. 2, pp. 199-217, 2000.
  13. 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, 2018. DOI: http://dx.doi.org/10.21742/AJMAHS.2018.09.07
  14. S.Y. Bang, "The effects of ethics education on nursing students' professional self concept ethical dilemma and ethical decision making confidence", Journal of the Korean Academia-Industrial cooperation Society, Vol. 21, No. 1, pp. 568-576, 2020. DOI: http://dx.doi.org/10.5762/KAIS.2020.21.1.568
  15. E.A. Kim, and N.Y. Kim, "Mediation effect of biomedical ethics awareness between moral sensitivity and perceived ethical confidence among nursing students", Journal of Korean Academy of Nursing Admistration, Vol. 26, No. 5, pp. 511-520, 2020. DOI: http://doi.org/10.11111/jkana.2020.26.5.511
  16. H.J. Hwang, "The effects of action learning-based nursing ethics education of nursing students on ethical decision making confidence and ethical values", Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 24, pp. 221-237, 2020. DOI: http://dx.doi.org/10.22251/jkcci.2020.20.24.221
  17. B.R. Schlenker, and D.R. Forsyth, "On the ethics of psychological research", Journal of Experimental Social Psychology, Vol. 13, No. 4, pp. 369-396, 1977. DOI: http://doi.org/10.1016/0022-1031(77)90006-3
  18. H.S. Park, "Evaluating the ethics of controversial advertising issues and moderating effects of ethical ideologies", The Korean Journal of Advertising, Vol. 11, No. 3, pp. 147-163, 1990.
  19. J. Yoon, "Development of an instrument for the measurement of critical thinking disposition: in nursing", doctoral dissertation, Catholic University, Seoul, 2004.
  20. D. Arthur, "The develop of an instrument for measuring the professional self-concept of nurse", Master's Thesis, University of Newcastle, Austrlia, 1990.
  21. K.Y. Sohng, and C.H. Noh, "An analysis 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.
  22. W.H. Seo, "Nursing college students' nursing professional self-concept and their satisfaction with clinical nursing practicum", Master's Thesis, Kyungpook National University, Daegu, 2007.
  23. D.P. Sulmasy, G. Geller, D.M. Levine, and R. Faden, "Medical house officers' knowledge, attitudes, and confidence regarding medical ethics", Archives of Internal Medicine, Vol. 150, No. 12, pp. 2509-2513, 1990. DOI: http://doi.org/10.1001/archinte.1990.00390230065008
  24. C.A. Laabs, "Confidence and knowledge regarding ethics among advanced practice nurses", Nursing Education Perspectives, Vol. 33, No. 1, pp. 10-14, 2012. DOI: http://doi.org/10.5480/1536-5026-33.1.10
  25. C.H. Kim, "The relationship among ethical dilemma, professional values, ethical confidence of clinical nurses", Master's Thesis, Chungnam University, Daejon, 2014.
  26. M.J. Oh, J.M. Lee, "The effects of professionalism, critical thinking and ethical decision making on the nursing ethical values of nursing sudents", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 11, pp. 181-195, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.11.14.
  27. Y.H. Jeon, K.I. Jung, H.S. Song, and E.S. Na, "Factors influencing ethical confidence of clinical nurses", Journal of the Korean Academia-Industrial cooperation Society, Vol. 18, No. 3, pp. 501-512, 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.3.501
  28. S.H. Park, "Impact of nursing professional self-concept, clinical decision making ability, critical thinking disposition, professional autonomy of clinical nurses", Journal of the Korea Entertainment Industry Association, Vol. 9, No. 4, pp. 325-334, 2015. https://doi.org/10.21184/jkeia.2015.12.9.4.325
  29. M.H. Sung, and O.B. Eun, "Professional autonomy and clinical decision making ability, in clinical nurses", Journal of Korean Academy of Fundamentals of Nursing, Vol. 17, No. 2, pp. 274-281. 2010.
  30. M.S. Yoo, K.C. Shon, "Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral judgement of Nursing Students", Journal of the Bioethics Association, Vol. 12, No. 2, pp. 61-76. 2012.