• The Korean Publising Journal, Monthly
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• s.170
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• pp.18-18
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• 1995

멀티미디어시대 서점가 베스트셀러 판매대에 19세기에 씌어진 고전소설이 등장하기 시작했다. 나다니엘호돈의 "일곱박공의 집"을 비롯한 일련의 책들은 대부분 당대의 문학사에 불후의 명작을 남긴 유명작가의 작품들이다. 이는 19세기 인류가 고민했던 주제들이 현대인들의 고뇌와 흡사하다는 데 있다. 위대한 문학은 시간이 지날수록 빛을 발하기 때문이다.

• The Korean Publising Journal, Monthly
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• s.104
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• pp.6-7
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• 1992

그토록 많은 지적 방황과 정신적 표류과정을 거쳤으면서도 우리들 세대는 그래도 비교적 행복했던 것 같다. 현실의 암담함이나 삶의 고달픔이 힘겹지 않은 것은 아니었지만, 그것을 견디어낼 수 있었던 것은 좋은 스승이 있었고 함께 고뇌했떤 친구가 있었으며 특히 "사상계"가 있었기 때문인 것 같다.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.355-365
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• 2016

Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.1
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• pp.131-139
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• 2006

Purpose: This study was carried out to understand the degree of moral distress of nurses and to provide scientific data for searching measures to efficiently manage their moral distress. Method: The survey was conducted with 302 nurses at the general hospital in City D by using the self-report type of questionnaire composed of 66 questions of 5-point Likert scale in four dimensions. Result: The mean scores of moral distress of nurses showed higher than average in all four dimensions: $80.54{\pm}14.82$ of 150 in the situational dimension, $52.99{\pm}9.98$ of 90 in the cognitive dimension, $13.30{\pm}2.85$ of 25 in the behavioral dimension, and $48.06{\pm}7.76$ of 65 in the emotional dimension. In addition, moral stress of each factor in the situational area showed $34.20{\pm}7.27$ in negative medical behavior, $10.98{\pm}2.53$ in lack of respect for autonomy of patients, excessive economic burden $10.86{\pm}2.94$, $7.40{\pm}1.89$ in irrational organizational administration and $17.10{\pm}3.50$ in negative nursing behavior. Conclusion: It is necessary to develop the intervention program to help nurses to reduce their moral distress since its degree showed considerably high.

• Journal of East-West Nursing Research
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• v.26 no.1
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• pp.63-70
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• 2020

Purpose: The purpose of this study was to compare the moral distress and burnout between long-term care hospital nurses and general nurses. Methods: This study was a cross-sectional survey. Participants were 193 nurses (long-term care hospital 95, general hospital 98) working in a hospital in Seoul, Daegu and Busan city. Data were collected from October 02 to November 30, 2018 using a structured questionnaires and analyzed with SPSS/PC ver 21.0 programs. Results: The scores of moral distress by nurses working in long-term care hospitals were higher than those of nurses in general hospitals. The score of burnout by nurses working in general hospitals was significantly higher than that of nurses in long-term care hospitals. There was a significant positive relationship between moral distress and burnout in both long-term care hospital nurses and general hospital nurses. Conclusion: This research shows that long-term care hospital nurses have higher moral distress and burnout than those of general hospital nurses. Therefore, nursing managers and organization should strive to raise the perception of moral distress and burnout in long-term care hospital nurses.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.4
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• pp.430-440
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• 2017

Purpose: The purpose of this study was to explore the relationship between moral distress, physical symptoms, and burnout among clinical nurses. Methods: Data were collected by self-report questionnaires targeting 140 nurses from a university hospital in Chungju. The data were analyzed by, Kruskal-Wallis, Pearson correlation coefficient, and stepwise multiple regression. Results: Moral distress due to the general characteristics of the participants showed a statistically significant difference at the current working department (${\chi}^2=36.01$, p<.001). Hospital nurses' moral distress had a statistically significant correlation with burnout (r=.358, p<.001) and physical symptoms (r=.440, p<.001). Factors influencing hospital nurses' burnout, pro were physical symptoms, moral distress, and marital status, accounting for 36% of the variance. Conclusion: The findings indicate that moral distress and physical symptoms influence burnout among hospital nurses. Therefore, interventions for burnout among hospital nurses should include an empowerment program to reduce physical symptoms and moral distress.

• Journal of Korean Philosophical Society
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• v.146
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• pp.163-192
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• 2018

In the philosophy of Louis Labelle, the subject of "good and evil", which is rarely discussed in modern philosophy, emerges as a very important concept. In his reasoning, the notion of evil starts from a passive stipulation of the Scholastic philosophy of "the lack of being", but he defined the evil, which actually exists in the world with more positive sense as a willing force destroying "life and values". In his reasoning that defines "the presence of evil" as "le scandale du monde", all humans have the possibility of evil as an attitude of will, and the presence of evil in the world and in human society is inevitable. On the other hand, because the outcome of evil appears as physical and mental "pain", the human's attitude toward pain, which attempts to deny suffering, induces a moral will to overcome this evil. The moral anguish, which is the "internal suffering" that we have in front of the presence of evil, makes us conscious of becoming a "moral being", and people become self-satisfied here. Although painful, self-satisfaction and happiness about becoming a moral being is the only occasion and motive for man to overcome this by opposing the presence of evil. In other words, Lavelle's thoughts for good and evil are based on "moral psychologism", and the "coherence of psychological horizons and ethical horizons" between rejection of suffering and moral agony enables "ethical optimism" that man constantly overcomes evil and produces good. This is clearly an advanced modern application of scholasticism on the concept of evil.

• 보건세계
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• v.60 no.3
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• pp.28-29
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• 2013

2011년도 미스코리아 진(眞), 2012년도 미스유니버스 출전, 이렇듯 이성혜 그녀는 한국 여성의 아름다움을 대표하는, 미(美)의 대사로 그간 활동해왔다. 지知덕德체體를 완벽하게 갖춘 그녀가 좀 더 대중에게 친숙하게 다가서게 된 것은 '꽃은 과정으로 피어난다'는 자서전을 발간하면서부터다. 책을 통해 그녀는 유년시절 성장과정과 사춘기시절 고뇌를 신앙을 통해 극복해가게 된 과정을 소개하면서 우리에게 좀 더 다가오게 됐다. 이후 그녀는 공인으로서 모범 궤도를 선보여 왔으며, 올해 들어서는 결핵홍보대사를 맡기에 이르렀다. 다양한 사회 봉사활동 소식이 전해지는 가운데, 결핵홍보대사로 100일을 지나고 있는 이성혜씨의 소감과 앞으로의 행보에 대해 들어보았다.

• TTA Journal
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• s.139
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• pp.130-131
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• 2012

연구원 초년 시절에 ISDN, 전화선 모뎀 규격 등을 담은 ITU-T 권고안을 (당시는 CCITT 권고안) 보면서 바이블처럼, 금과옥조처럼 신성시 할 때가 있었다. 그러나 천하의 ITU-T 권고안도 실수가 더러 섞여 있고 규격에 반영된 기술도 세계 최고가 아닌 적당한 타협에 의한 결과물이 더러 있다는 걸 알게 되기까지는 그리 오랜 시간이 필요하지 않았다. 그래서 국제 표준이라는게 꼭 당대 최고의 기술의 결정체라기 보다는 토론과 협상, 절충과 거래에 의한 종합적인 고뇌의 산물이자 예술품이라는 결론을 내리게 되었다. 이번 글에서는 필자가 알고 있거나 경험했던 표준에서 절충의 사례를 몇 가지 알아보고 향후 표준을 만들어 갈때 길잡이가 되기를 기대한다.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.2
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• pp.228-239
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• 2016

Purpose: To develop and test the validity and reliability of the Korean version of the Moral Distress Scale-Revised (KMDS-R) to assess its applicability to Korean hospital nurses. Methods: The KMDS-R was articulated through forward-backward translation methods. Internal consistency reliability, construct and criterion validity was calculated using SPSSWIN(19.0). Survey data were collected from 188 nurses from a university hospital in Gangwon-do, South Korea. Results: The KMDS-R showed reliable internal consistency with a Cronbach's alpha of .69-.87 and a Guttman Split-half of .69-.82 for the total scale. Factor loading of the 21 items on the five subscales ranged from .41-.80. The KMDS-R was validated by factor analysis and explained 63% of moral distress for Korean hospital nurses. Criterion validity compared to Yoo's MDS showed significant correlation. Conclusion: The results suggest promising evidence of the KMDS-R's reliability and validity. It is used to measure moral distress for Korean hospital nurses.