• 제목/요약/키워드: 도덕적민감성

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요양병원 간호사의 도덕적 민감성, 감염관리 조직문화가 감염관리 수행도에 미치는 영향 (The Effects of Moral Sensitivity and Organizational Culture for Infection Control on Infection Control Performance of Long-Term Care Hospital Nurses)

  • 백설화;이미향;심문숙;임효남
    • 가정간호학회지
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    • 제30권1호
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    • pp.26-36
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    • 2023
  • Purpose: This study investigated the organizational culture in hospital for infection control, moral sensitivity, and the degree of infection control among long-term care hospital nurses, and to identified the factors associated with infection control perfomance. Methods: 186 nurses who directly care for patients at seven Long-Term Care Hospitals in D Metropolitan City participated in the survey. Data were collected using self-reported questionnaires and analyzed using the IBM SPSS 26.0 software. Results: Moral sensitivity showed statistically significant differences in age (F=5.473, p=.065), clinical experience (F=8.890, p=.031), nursing hospital work experience (F=6.520, p=.038), religion (t=-2.01, p=.046) and position (t=-2.96, p=.003). Correlation analysis revealed that with moral sensitivity and effect of organizational culture on infection control, there was a positive correlation between infection control and patient-centered nursing (r=.201, p<.006), professionalism (r=.149, p<.042), benevolence (r=.303, p<.001), infection control organizational culture (r=.556, p<.001). Benevolence of moral sensitivity (β=.21, p=.001) and infection control organizational culture (β=.54, p<.001) were associated with infection control perfomance. Moral sensitivity (including patient-centered nursing, professionalism, and benevolence) and infection control organizational culture explained 33.8% of the variance in infection control (F=24.57, p<.001). Conclusion: It is important to improve the moral sensitivity of nurses and a positive organizational culture for better infection control. We need to develop intervention strategies and establish systematic and administrative support.

국내 간호대학생 간호윤리 교육 프로그램에 관한 통합적 문헌고찰 (An Integrative Review of Nursing Ethics Education Programs For Undergraduate Nursing Students)

  • 한달롱
    • 문화기술의 융합
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    • 제6권1호
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    • pp.55-62
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    • 2020
  • 본 연구의 목적은 국내 간호대학생 간호윤리 교육 프로그램에 대한 중재 연구 고찰을 통해 향후 간호윤리 교육의 방향성을 제시하는 것이다. 연구방법으로 통합적 문헌고찰을 적용하였으며, 문제 규명, 문헌 검색, 자료 평가, 자료 분석, 자료 제시의 5단계에 따라 연구를 수행하였다. 분석에 포함된 연구는 12편으로 교육 내용은 생명의료윤리, 간호윤리에 대한 것이었고, 대부분이 교과목 수업을 통해 이루어졌다. 교육 방법은 전통식 강의를 포함하여 사례에 기반한 토론, 토의, 액션러닝, 온라인 학습, 문제기반학습 등이 활용되었다. 교육 프로그램을 통해 생명윤리의식, 윤리적 가치관, 도덕적 판단력, 도덕적 민감성 등의 유의한 증가가 있었다. 추후 간호윤리 교육은 대학 교과과정 안에서 단계적이고 지속적으로 제공되어야 할 것이다.

생명의료윤리 교육 프로그램이 간호 대학생의 간호사 윤리강령인식, 간호사 윤리강령 활용 정도, 생명의료 윤리 의식 및 도덕적 민감성에 미치는 효과 (Biomedical Ethics Education for Nursing Students: The Effect on Awareness and Application of Nursing Code of Ethics, Consciousness of Biomedical Ethics and Moral Sensitivity)

  • 최영실;정계선
    • 한국간호교육학회지
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    • 제24권3호
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    • pp.214-224
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    • 2018
  • Purpose: This study examines the effectiveness of an educational program of nursing biomedical ethics for nursing students to increase awareness of the Code of Ethics for Nurses, moral sensitivity, and application of the Code of Ethics for Nurses. Methods: A quasi-experimental research design and t-test were used. The experimental group (n=31) and control group (n=32) were second-year university nursing students in two major cities. The experimental group received 15 hours of nursing ethics education during the 15-week semester. The training was not provided to the control group. Results: The application of the Code of Ethics for Nurses increased significantly in the experimental group (t=-1.06, p=.017), nurses and patient (t=-2.23, p=.029), obligation of nurse as an expert (t=-2.08, p=.042), nurse and cooperator (t=-2.54, p=.014). The consciousness of biomedical ethics increased significantly in the experimental group (t=4.28, p=.021), newborn's right to live (t=-2.61, p=.011), euthanasia (t=-2.36, p=.021). Conclusion: The results of the study show that providing a nursing biomedical ethics program to nursing students is an effective method to enhance the application of the Code of Ethics for Nurses and Consciousness of Biomedical Ethics. Implementing an intervention program of the Code of Ethics for Nurses in the regular nursing curriculum may reduce conflicts involving ethical decision making by nurses.

간호대학생의 간호전문직관과 윤리적 의사결정 자신감의 관계에서 도덕적 민감성의 매개효과 (Mediating effect of moral sensitivity on the relationship between nursing professionalism and ethical decision-making confidence in nursing students)

  • 강배화;조혜영
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.180-189
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    • 2023
  • Purpose: The purpose of this study is to confirm the relationship between nursing students' nursing professionalism and ethical decision-making confidence, and to clarify the mediating effect of moral sensitivity which has a mutual influence on nursing professionalism and ethical decision-making confidence. Methods: The data collection for this study was conducted from January 23 to February 1, 2021 with junior and senior nursing students enrolled in five nursing departments in two regions. The data collected in this study were analyzed using the IBM SPSS statistics version 23.0 program. Results: Through this study, it was found that nursing professionalism (β=.47) and moral sensitivity (β=.32) acted as important influencing factors on the ethical decision-making confidence of nursing students, with an explanatory power of 31.2%. In addition, it was confirmed that there was a partial mediating effect of moral sensitivity in the relationship between the nursing professionalism and ethical decision-making confidence of nursing students, and the mediating effect coefficient of moral sensitivity was .16. Conclusion: Based on the results of the study, it is suggested to prepare a plan to increase ethical decision-making confidence and moral sensitivity when planning interventions to improve nursing professionalism in nursing students.

과학과 관련된 사회.윤리적 문제(SSI)의 맥락에 따른 중학생들의 인성적 태도와 가치관 분석 (Korean Middle School Students' Perceptions as Global Citizens of Socioscientific Issues)

  • 장지영;문지영;유효숙;최경희;;김성원
    • 한국과학교육학회지
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    • 제32권7호
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    • pp.1124-1138
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    • 2012
  • 본 연구에서는 과학과 관련된 사회 윤리적인 문제, 즉 원자력 발전, 생명공학, 기후변화 맥락에 따라 중학생들의 인성적 태도와 가치관을 비교 분석하였다. 이를 위해 선행 연구를 참조하여 인성적 태도와 가치관의 세 가지 요소인 생태학적 세계관, 사회 도덕적 공감, 사회적 책임감을 중심으로 인간과 자연과의 관계성, 지속가능한 발전, 도덕 윤리적 민감성, 다양한 관점에 대한 포용, 공감적 배려, 책임의식, 행동의지 등의 8가지 하위요소를 도출하였다. 인성적 태도와 가치관의 세 가지 요소와 이들의 하위 요소를 기준으로 설문 문항을 만들었으며, 이를 SSI 맥락에 맞게 수정 보완하여 중학생들에게 설문을 실시하였다. 수집한 자료는 맥락에 따른 인성적 태도와 가치관의 차이를 알아보기 위하여 일원분산분석을 실시하였다. 연구 결과 SSI 맥락 중 기후변화에 대한 중학생들의 인성적 태도와 가치관이 가장 높게 나타났으며, 생태학적 세계관과 사회적 책임감 요소에 대하여 유의미한 차이를 보였다. 그러나 사회 도덕적 공감 요소는 SSI 맥락에 대해 전반적으로 낮게 나타나 유의미한 차이를 보이지 않았다. 본 연구 결과를 통해 연구자들은 다음과 같이 제언하고자 한다. 첫째, SSI 수업을 할 때에 과학 교사는 맥락에 따른 학생들의 인성적 태도와 가치관을 인식하고, 이를 수업에 반영하여 효과적으로 학습이 이루어지도록 해야 한다. 둘째, SSI 교육자들은 학생들의 사회 도덕적 공감을 향상시킬 수 있는 교수-학습 방법에 대한 연구가 논의되어야 한다.

국내학술지에 게재된 생명윤리의식에 관한 간호연구의 동향 (Nursing research trends for the consciousness of bioethics published in korea)

  • 최미선
    • 문화기술의 융합
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    • 제4권1호
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    • pp.207-217
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    • 2018
  • 본 연구는 국내학술지에 게재된 생명윤리의식에 관한 간호연구를 분석하여 동향을 파악하기 위함이다. 분석 자료는 2017년 11월 2일 전자 데이터베이스 RISS를 통해 검색하였고 총 30편의 논문을 수집하였다. 분석 결과, 연도별 논문 수는 70%의 논문이 최근 5년 동안 발표되었고, 단독저자가 40.0%로 나타났다. 연구 설계는 상관관계를 포함한 서술적 조사연구가 76.7%이었고, 연구 대상은 83.1%가 학생으로 나타났다. 자료 수집 방법은 모두 설문지를 사용하였고, 윤리적 측면 고려를 제시한 연구는 90.0%로 나타났다. 실험연구에서 13.3%의 연구가 교육의 효과를 검증하는 유사실험연구이었고, 종속변수에는 생명윤리의식, 도덕적 민감성, 비판적 사고성향, 도덕 판단력이 포함되었으며, 10순위에 포함되는 주요어 중 1순위는 생명의료윤리로 나타났다. 결론적으로 향후 간호사를 대상으로 하는 확대 반복연구, 질적 연구, 그리고 생명윤리의식 교육프로그램 개발을 제언한다.

간호사의 HIV/AIDS에 대한 태도와 낙인 및 도덕적 민감성 (Attitudes, Stigma, and Moral Sensitivity of Nurses toward HIV and AIDS)

  • 황경혜;조옥희;유양숙;정미영
    • 가정간호학회지
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    • 제24권2호
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    • pp.142-150
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    • 2017
  • Purpose: The purpose of this study was to examine the relationships of attitudes, stigma, and moral sensitivity of nurses toward HIV/AIDS. Methods: The participants were 530 nurses working in general hospitals in South Korea. A structured questionnaire regarding attitudes, stigma toward HIV/AIDS, and moral sensitivity was used. The data were analyzed using t-tests, ANOVAs, and Pearson correlation coefficients. Results: Nurses' attitudes toward HIV/AIDS differed by job position; nurses' moral sensitivity toward HIV/AIDS differed by age, marital status, education level, clinical practice career, and job position; and nurses' stigma toward HIV/AIDS differed by age, clinical practice career, subjective economic status, HIV/AIDS education experience, and HIV/AIDS patient care experience. Attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV/AIDS was higher (r=-0.58, p<.001), these attitudes were not correlated with moral sensitivity. Conclusions: The attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV was higher, and these attitudes were not correlated with moral sensitivity. Therefore, nurses should be provided education that takes their age, marital status, clinical practice career, and experiences in HIV-related education and caregiving into account.

간호대학 1학년 학생을 위한 생명의료윤리 교육 프로그램의 효과 (The Effect of Biomedical Ethics Education Program for Nursing Students Freshman)

  • 정계선
    • 한국간호교육학회지
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    • 제22권3호
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    • pp.376-386
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    • 2016
  • Purpose: This study was conducted to exam the effect of a biomedical ethics education program on the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition in nursing students. Method: A quasi-experimental research design and repeated measured ANOVA were used. The participants were divided into an experimental group (n=148) and a control group (n=169). Each group underwent freshman university nursing training in two major cities. The mean age was 21.3 years and the time of providing the biomedical ethics education program was 15 hours for 15 weeks. The experimental group was provided biomedical ethics education during the semester; the control group was not provided any biomedical ethics education. Results: The consciousness of biomedical ethics was increased significantly in the experimental group (t=-4.724, p<.001). Moral sensitivity was increased significantly in the experimental group (t=-2.021, p<.004). Critical thinking disposition was increased significantly in the experimental group (t=-5.775, p<.001). Conclusion: The results of the study show that providing biomedical ethics education to nursing students is an effective method to increase the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition.

두 문화와 생명윤리, 그리고 생명공학자 윤리 (Two Culture and Bioethics, Professionalism and Ethics of Bio Technology)

  • 이경희
    • 한국발생생물학회지:발생과생식
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    • 제14권4호
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    • pp.307-316
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    • 2010
  • 본 논문의 목적은 생명공학 기술에 대한 찬성 또는 반대 의견에 대한 가치체계의 근간을 스노우(C. P. Snow)의 '두 문화' 문제 - 과학문화와 인문문화 - 개념을 모티브로, 목적론적 윤리설과 의무론적 윤리설, 전통우생학과 자유주의 우생학 등 가치선택의 다양한 갈래가 공존하고 있음을 논하는데 있다. 또한, 과학과 생명공학 기술에 대한 '잘못된 신화'- 과학의 객관성에 대한 신화, 과학과 과학자의 독립성과 자율성, 생명공학 기술의 세계기아 해결 - 를 지적함으로써 과학기술에 대한 적확한 판단을 모색하고 있다. 마지막으로, 생명공학 기술의 생산주체인 생명공학자에게 연구윤리와 사회적 책임은 물론 개방성, 도덕적 민감성과 상상력, 성찰과 품성의 윤리학을 요구하고 있다.

병원 간호사의 도덕적 민감성 및 윤리적 가치관이 생명의료윤리 의식에 미치는 영향 (The influence of hospital nurses' moral sensitivity and ethical values on their biomedical ethics awareness)

  • 이윤지;이종은
    • 한국간호교육학회지
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    • 제29권1호
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    • pp.51-59
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    • 2023
  • Purpose: This descriptive cross-sectional study aimed to examine the influence of nurses' moral sensitivity and ethical values on their biomedical ethics awareness. Methods: The study participants included 140 registered nurses working at three hospitals in Jeollabuk-do Province over six months. The data were collected from June 22 to July 3, 2020, and were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis with the IBM SPSS/WIN 20.0 program. Results: As a result of an analysis using stepwise multiple regression, nurses' biomedical ethics awareness was found to be significantly influenced by ethical values (β=.36, p<.001), moral sensitivity (β=.21, p=.007), and education in biomedical ethics (β=.16, p=.042) (adjusted R2=.21, p<.001). Conclusion: These findings suggest that moral sensitivity and ethical values are key factors in hospital nurses' development of biomedical ethics. Furthermore, the devising and implementing of a practical education program based on practical cases in medical situations to enhance nurses' biomedical ethics awareness is needed.