• Title/Summary/Keyword: 윤리적 딜레마

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The Development of Test Items based on Scenario to Measure Information and Communication Ethics (시나리오 기반의 정보통신윤리 의식 측정 검사도구 개발)

  • Kim, Seong-Sik;Yu, Hyeong-Keun;Kim, Kil-Mo;Cho, Seong-Hwan
    • Journal of The Korean Association of Information Education
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    • v.13 no.2
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    • pp.237-246
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    • 2009
  • The goal of this research is to develop and validate test items to measure Information and Communication Ethics(ICE) based on scenario. For this, we need to preferentially identify the primary factors in understanding and diagnosing the consciousness level of adolescents on the ICE. To solve this problem, in this research, we identified and validated major indices that consist of the ICE. Finally, For attaining the objective of the research, we developed test items based on scenario with including ICE dilemmas and applied to high school students. Thus, the results of this research indicate that test items can be used as valid and reliable scale to measure ICE level of students.

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Concepts Analysis of Ethical Dilemma (윤리적 딜레마에 대한 개념 분석)

  • Kim, Mi-Ye;Park, Hyun-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.185-194
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    • 2005
  • Purpose: Although ethical dilemma is important concept in nursing and many research is accomplished, some difference in defining ethical dilemma among researchers. Therefore the purpose of this analysis was to correct understanding and using about ethical dilemma by clarify the attributes of ethical dilemma. Method: The concept analysis model suggested by Walker and Avant(1988) is used to clarify what is meant by the term 'ethical dilemma'. Results: The defining attributes of ethical dilemma identified in this study were as follows. First, It is simultaneously occurrence that above two conflictive ethical alternatives. Second, It is ought to choose one of the above two conflictive ethical alternatives. Third, It is difficult to compare with two alternatives. Fourth, It is cannot delay the choices. Fifth, It is cannot do satisfactory resolution. Six, It is broken out fix, loss or feeling of powerlessness to an individual. Conclusion: In this study, a concept analysis of ethical dilemma was performed to more clearly understand ethical dilemma. It is hoped that this analysis will stimulate further study for developing strategies for prevention of nurses' ethical dilemma.

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A Study on Attitude of Ethical Dilemmas in Clinical Nurses (임상 간호사의 윤리적 딜레마에 관한 태도조사)

  • 김주희;안수연;김지윤;정주연;김지미;최선하;권영은;전미영;김명희
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.496-509
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    • 1995
  • This study was conducted to identify the attitude of ethical dilemmas in hospital nurses. Ethical dilemmas were categorized into four areas : human life area, clients area, nursing practice area, and nurses-co-worker area. 354 nurses working in clinical settings were selected in Seoul and Kangwon area. Data were gathered from 26, June to 10, July, 1994 by structured guestionnaires. Descriptive statistics were employed to analyze the data. The results obtained from data were as follows : 1) In human life area mean score was 3.03. This area showed remarkabale individual differences between utilitarian and deontological position. 2) In clients area mean score was 3.94. It means that nurses tend to take a deontological position. 3) In nursing practice area mean score was 3.41. It means that nurses tend to take a slightly deontological position. 4) In nurses-co-worker area mean score was 3.88. It means that nurses tend to take a deontological position. To conclude, clinents area, nursing practice area, and nurses-co-worker area taken deontological position. Most nurse's primary concern was the 'welfare of the patients' which is to fundamental ethical professional practice. But nurses experienced more ethical dilemmas in human life area than others. Therefore, nurses should be prepared to make in-dependent decision that based on bio-ethics and professional ethics.

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Medical Narrative Texts and Medical Ethics (의료 서사와 의료 윤리)

  • Choi, Sung-Min
    • Journal of Popular Narrative
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    • v.26 no.3
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    • pp.291-323
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    • 2020
  • In this paper, I review Pellegrino's Reader, The Philosophy of Medicine Reborn. Pellegrino has emphasized the humanities' reflection on the ethics of medicine. He insists that medical ethics should be re-established as modern society changes. This paper, based on Pellegrino's view, noted the problematic situation in literature and popular narrative texts. Indeed, I wanted to see what answer medical ethics could provide for us. Medical personnel had a philosophical dilemma or a conflict between reality and ethics. Pellegrino argues that medical personnel, above all, need to sympathize with the patient's pain and respond to their needs through interaction with them. This may seem like a very legitimate declaration. But a physician in literary texts and popular narrative texts is often exposed to this ethical dilemma. Through Lee Cheongjun's novel, we can reflect on how a medical personnel could lead a patient to a state of "goodness". And through medical dramas, we can grasp what ethical behaviors the public demands from a medical personnel. Now that the world is suffering from COVID-19, medical workers are in a great trouble, but at the same time, they are respected by the public and are also enhancing their value as ethical beings. Now that medical care has become an everyday narrative, medical ethics is becoming a prerequisite for living. This paper attempted to recognize the importance of medical ethics and to review the ethical issues embodied in medical narratives.

A Program Development and Application on Educating Sport Ethics (스포츠윤리교육 프로그램 개발 및 적용)

  • Park, Sung-Joo
    • 한국체육학회지인문사회과학편
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    • v.55 no.1
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    • pp.37-47
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    • 2016
  • This study aims to develop an educational program of sport ethics which would enhance moral autonomy on the part of athletes. First, based on James Rest's Four Component Model of moral behavior, this study has analyzed prior studies and built educational contents. Then, it used dilemma discussions among peers for disequilibrium of cognitive structure. Last, this program has been tested and proven by college students who were thoroughly interviewed afterwards. After joining the program, the student-athletes showed a positive change of thought and action in relation to sport ethics. I hope that this study will contribute to enlarging the field of sport ethics education.

Ethical Dilemma and Coping Types in Nurses (간호사의 윤리적 딜레마와 대처유형)

  • Park, Hyun-Ju;Kim, Mi-Ye
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.75-83
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    • 2004
  • This study was conducted to examine the ethical dilemma and coping types of nurses, and identify the relationship between ethical dilemma and coping types of nurses. The subjects of this study consisted of 210 nurses from two university hospitals in Taegu and one university hospital and one general hospital in Pohang. The data were collected with self reported questionnaire from June 2003 to July 2003. The data were analysed using the SPSS program. The results of this study were as follows : 1. The mean score of level of ethical dilemma was 0.55/1, and client area was the highest(M=0.65). 2. The mean score of level of coping about ethical dilemma was 2.22/4, and seeking social support area was the highest (M=2.42). 3. The conflict of proffering the best care with courtesy to impolite patient was the highest in total items of ethical dilemma. Criticized or lectured myself was the highest in total items of coping type. 4. In general characteristics, age(F=4.74, p<.01), marital status(t=2.67, p<.01), career (F=5.95, p<.01) were significantly related to level of ethical dilemma and religion(t=2.27, p<.05) was significantly related to types of coping. There was positive correlation between ethical dilemma and types of coping(r=.228, p<.01). On the basis of these findings, it is needed a correlation study according to category of ethical dilemma and coping types of nurses, and to develop the coping strategy that resolves ethical dilemma in nursing practice.

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Relationships between Nurses' Ethical Dilemma, Coping Types, Job Satisfaction and Turnover Intention in Korea (간호사의 윤리적 딜레마, 대처유형, 직무만족도 및 이직의도와의 관계)

  • Lee, Kwang Ja;Yoo, So Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.1-15
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    • 2011
  • Purpose: This study was to identify ethical dilemma, coping types, job satisfaction and turnover intention in order to examine nurses' ethical recognition. Methods: The subjects were 1,225 registered nurses who were working in 111 general hospitals with more than 300 beds in Korea. The data were collected from August 15 to September 15, 2010 by using the self-reported questionnaires. The data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test and Pearson's correlation coefficient, using the SPSS/WIN 17.0 program. Results: The mean score of the level of ethical dilemma was 0.69/1, and nursing practice area was the highest (M=0.75). The result showed that nurses experienced ethical dilemma in many cases in their practice. The mean score of the level of coping with ethical dilemma was 1.43/3. The score of the job satisfaction of the participants was 2.97/5, and that of the turnover intention was 2.94/5. The ethical dilemma demonstrated significant correlations with coping (r=.255, p<.001), turnover intention (r=.079, p=.005), and job satisfaction (r=-.212, p<.001). Conclusion: Nurses need to get education on reducing ethical conflict as well as training to develop strategies for effective coping with ethical dilemma in practice. Futhermore, it is necessary to take efforts as a whole to increase nurses' job satisfaction and to reduce their turnover intention.

Nursing Ethics Values of Nursing Students (간호대학생의 간호윤리 가치관)

  • Kim, Mi-Hwa
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.59-66
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    • 2019
  • This study was to investigate the effect of deontology and utilitarianism on the ethical values of nursing students and to provide basic data. Data collection was conducted from May 14 to June 1, 2018 in 180 students of a university nursing student in Daegu who explained their research and agreed to the study. The collected data were analyzed using the SPSS 21.0 program. In order to confirm the difference between the subjects' demographic characteristics and nursing-related characteristics, the independent t-test and ANOVA were used, and the post-test was conducted using the $Sch{\acute{e}}ffe$ post-test. The ethical values of the nursing students were $97.51{\pm}8.96$ out of 150, indicating that they were inclined toward the position of deontology. The first grade students were more dominant, and the higher the grade, the more inclined toward utilitarianism. It is necessary to develop education to establish ethical values so that ethical decision making can be done through philosophical thinking when various nursing dilemma situations in the clinical field are based on the results.

Social Welfare Ethics in the Information Age - Focusing on Dataveillance through Social Welfare Information System - (사회복지정보화의 윤리적 쟁점 - 사회보장정보시스템을 통한 데이터감시를 중심으로-)

  • Kim, Suyoung
    • Korean Journal of Social Welfare
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    • v.68 no.1
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    • pp.193-224
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    • 2016
  • The article aims to discuss ethical issues of social welfare informationisation, focusing on dataveillance through social welfare information system in South Korea. The Korean government plans to upgrade social welfare information system, by strengthening welfare fraud tracking and adding blind spot discovering functions. However, surveillance over poor population's data is inevitable when conducting such investigations. This article reviews current debates on dataveillance. It then conducts a case study on social welfare dataveillance in South Korea, asking what ethical problems lie in the dataveillance in terms of privacy, accuracy, property, and accessibility issues. Subsequently, this paper identifies three fundamental ethical dilemmas of social welfare in the informational age. Finally, it suggests policy alternatives to tackle the ethical problems and dilemmas of social welfare informationisation.

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Effects of Nursing Ethics Education on Moral Reasoning and Ethical Decision Making for Student Nurses (간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과)

  • Han, Sung-Suk;Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.268-284
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    • 1995
  • This study was designed to test effects of nursing ethics education (NEE) on moral reasoning and ethical decision making of subjects. This NEE that was teached for 10 hours course was composed of these : Nurses' ethical code, moral responsibility, Moral value and professional accountability, Respect for human life, General ethics, Theory and Norms of biomedical ethics, Ethical decision making model and Discussion about hypothetical ethical dilemmas Twenty-five senior student nurses were sampled from four year college of nursing from Nov. 3rd, 1993 to Nov. 24th, 1993. Data were collected through self-reported questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism), the stage 6 (universal ethical practice). In particular, the level of principled thinking (P) was measured by summing these scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, Mc Nemar's test and Pearson correlation coefficients. The results were as follows ; 1. For the Moral Reasoning both before and after NEE, The Mean score of the stage 5A was significantly higher than that of other stages.(P=0.0001) Before NEE, the mean score of the stage 4 was significantly different from stage 2, 3, 5A, and after NEE, different from stage 2, 5B,6. 2. The analysis of change of moral development level revealed that the score of stage 4 increased after NEE.(P=0.0004) 3. The Effect of NEE for the mean score of 5A, 6, P after education was significantly different by birth place. 4. With regard to the five dilemmas postulated such as forcing medication performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, the mean score of the MS and the DS was no significant difference with general characteristics of the students. Effect of NEE morality score and dilemma score after education was no significant difference. 5. As for the correlations between moral reasoning and decision making, the score of the stage 2, 5A, 6, DS was positively correlated with the scores of before and after. Positive correlation was also observed between the scores of stage 2 and stage 4, stage 3 and 6. On the other hand, the score of P was negatively correlated with the scores of stage 2 and of stage 4 and of stage 5A. The score of the stage 5A was also negatively correlated with the score of the sge 6.

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