• Title/Summary/Keyword: 의료 윤리

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Domestic Research Trends on the Ethical Conflicts in Nurses and Current Status Analysis of Nursing Ethics Education (간호사의 윤리적 갈등에 대한 국내 연구 동향과 간호윤리교육 현황 분석)

  • Han, Jong Hee;Jung, Mijung
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.592-601
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    • 2022
  • This study was attempted to suggest future directions for nursing ethics education by analyzing research trends related to ethical conflicts among nurses and the current status of nursing ethics education. In four domestic databases, it was searched as a combination of words 'nurse', 'ethics', 'moral', 'bioethics', 'conflict', 'sensitivity', 'dilemma', 'issue', and 'value'. As a result, 591 papers were confirmed from 2000 to December 2021, of which 111 papers were finally analyzed. The status of nursing ethics education was analyzed for 184 out of 203 schools that operated a four-year bachelor's degree program registered with the Korean Accreditation Board of Nursing Education. As a result of the study, the number of studies related to ethical conflicts among nurses steadily increasing, and quantitative studies on nurses in general hospitals were the most common. The main keywords were identified as moral sensitivity, moral agony, ethical dilemma, and biomedical ethics awareness. Nursing ethics education was operated by 68% of universities as a major subject, and more than half of universities opened it in the first and second grades with one or two credits. As a result of this study, ethical conflicts experienced by nurses are increasing according to social change. Therefore, it is necessary for universities to further expand the proportion of nursing ethics education and to establish an educational model for each grade level for the continuity of the educational effect.

Level of perception of professional ethics education and the knowledge and attitudes related to medical ethics of students and professors in dental hygiene (치위생학 전공 학생과 교수자의 직업윤리교육 의식과 의료윤리 관련 지식과 태도)

  • Jang, Jong-Hwa;Hwang, Yoon-Sook;Lee, Sun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.1
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    • pp.77-88
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    • 2021
  • Objectives: This study aimed to analyze the dental hygiene students and professors' knowledge and attitudes related to medical ethics and their level of perception of professional ethics education. Methods: This was a cross-sectional survey study of 330 students and professors in the field of dental hygiene using a structured questionnaire. The sub-factors of knowledge and attitudes related to medical ethics were classified into patient relations, medical and social relations, and individual specialized fields, and analyzed for comparison. Results: In the university curriculum, the professional ethics completion rate was 34.8% for students and 22.1% for professors, but 98.5% of respondents said that professional ethics is important. Their knowledge and attitudes related to medical ethics were average, ranging from 5 points to 3.37 points, followed by "relationships with patients (3.75 points)", "medical and social relations (3.19 points)", and "individual specialties (3.16 points)." Conclusions: Students and professors who major in dental hygiene recognize the importance of professional ethics, but the level of knowledge and attitude related to medical ethics has been found to be moderate. Therefore, it is suggested that medical ethics, including professional ethics, should be treated as an essential subject in the university curriculum.

An Action Research to Improve Nursing Ethics and Professional Course using Visual Thinking and Window Panning (비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선에 관한 실행연구)

  • Choi, Hanna;Kim, Suhyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.362-373
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    • 2021
  • This is an action research study of mixed methodology design to confirm the implementation process and effects of applying visual thinking and window paning on improving nursing ethics and professional courses. Based on the conceptual model for action research, a quantitative and qualitative approach was taken. The data was collected and analyzed in an integrated manner. The survey analysis was done using the SPSS WIN 23.0 program. The participants were interviewed after experiencing the techniques in class and content analysis was used on the answers. As a result of applying visual thinking and window paning, ethical decision-making confidence (t=6.748, p<.001) and nursing professional intuition (t=-3.52, p<.001) showed statistically significant changes. There was, however, no significant change in biomedical ethics consciousness (t=1.291, p=.199). Qualitative analysis found that they had fresh experience, an unfamiliar but comfortable feeling, feeling of being mine, insufficient time, systematic case study approach based on theory, were able to cultivate cooperation and coordination ability through discussion and experience in various professional fields, pride, ethical responsibility consciousness and were able to apply learning content in the field. Visual thinking and window paning foster diverse competencies in nursing education and help integrative learning. Therefore, based on the results it is proposed that visual thinking and window paning are applied to the improvement of instruction in other courses to develop core nursing competency.

A Legal Study on 「the Act on Decision on Life-sustaining Treatment for Patient's in Hospice and Palliative Care or at the End of Life」 (연명의료결정법의 법적 고찰)

  • Park, Kwang-Hyun
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.07a
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    • pp.195-198
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    • 2019
  • 연명의료결정법의 정식 명칭은 '호스피스 완화의료 및 임종 과정에 있는 환자의 연명의료 결정에 관한 법'이다. 이 법은 호스피스 완화의료에 대한 것과 환자의 연명의료 결정에 대한 것을 규정하고 있다. 특히, 후자의 연명의료결정에 관한 부분은 법제정 과정에서 법 종교 의료 윤리 등 다양한 분야에서 논박이 있었지만 2018년 2월 4일부터 시행되고 있다. 법학에서는 이 법이 생명이라는 법익과 관련되어 있어 형사법적, 민사법적으로 중요한 의미를 갖는다. 이 법이 탄생되기 위해 두 번의 변곡점이 있었다. 첫째, 1997년 '보라매병원 사건'에서 의사를 작위에 의한 살인방조죄로 판결한 사건 둘째, 2009년 '김 할머니' 사건에서 회생할 수 없을 경우 가족 등이 진술한 환자 의사에 따라 연명 의료를 중단할 수 있다는 대법원 판결이다. 연명의료결정법은 헌법상 생명권과 자기운명결정권이라는 기본권 충돌이 발생한다. 두 기본권이 서로 상충 할 때에는 어떠한 기본권을 우선해야 하는지가 실질적으로 문제되는데, 이익형량을 통한 규범의 조화로운 해석을 통해 해결해야 한다. 또한 이 법의 흠결과 문제점을 고찰하여 개정작업이 진행되어야 한다.

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A Study on the Cooperation between Medical Care and Law - Focusing on the discussion of the role of clinical practice guideline in Japan - (의료와 사법(司法)의 협력 -일본에서의 진료가이드라인의 역할에 대한 논의를 중심으로-)

  • Song, young-min
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.39-65
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    • 2022
  • There are two aspects of clinical practice guidelines that act as non-legal control before medical practice and as legal control standards after medical practice. The essential purpose of clinical practice guidelines is the former, but the latter action cannot be excluded. The clinical practice guidelines are a means of linking law and medical care. The negative perception of clinical practice guidelines that medical professionals' autonomy can be violated by the enactment of clinical practice guidelines is an excessive negative evaluation of clinical practice guidelines. Rather, judicial judgment based on clinical practice guidelines plays a role in respecting the autonomy of medical professionals. In other words, the clinical practice guidelines suppress legal regulations on medical care as much as possible and are based on doctors' professional ethics and self-discipline, and patient awareness and cooperation. In order to establish an ideal relationship of cooperation between doctors and patients, 'medical ethics' must be incorporated as a legal means. Clinical practice guidelines are the most appropriate means for incorporating such medical ethics into legal procedures. The lawyer solves the case with a legal syllogism that establishes a norm and applies facts to it to conclude. For the resolution of medical disputes, Clinical practice guidelines are used to establish norms that doctors should perform for specific diseases, and conclusions are drawn by applying the established norms to specific medical practices. When it is not easy to apply the established norms to specific medical practices, medical judgments by experts, such as emotions, expert testimony, and explanations by expert members, are used. As such, the Law respects the autonomy of medical care even in the establishment of norms and the application of norms. In particular, Clinical practice guidelines prepared independently by the medical community are referred to in establishing norms, which are the prerequisites for legal syllogism. This shows that doctors participate in the formation of precedents and contribute to the formation of norms. The use of clinical practice guidelines in trials is respect and consideration for the autonomy of medical care. Although there may be an aspect in which the autonomy of individual doctors is limited by clinical practice guidelines, it should be considered that the autonomy of doctors as a group is respected. In this way, the clinical practice guidelines play a role in protecting the autonomy of the "medical" group from the logic of the "law."

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

  • Choi, Mi-Sun
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.207-217
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    • 2018
  • The purpose of this study was to identify nursing research trends for the consciousness of bioethics published in korea. A total of 30 studies were analyzed using descriptive statistics. 70% of the studies was published for the last five years, and 76.7% of studies were conducted in a descriptive study. Nursing students accounted for 83.1% in terms of the participants, and a questionnaire was used for the data collections in the entire studies. The studies considered ethical aspect accounted for 90.0%. In the experimental studies, the nursing intervention was a education program, and dependent variables of the studies included consciousness of bioethics, moral sensitivity, critical thinking and moral judgment. Among the top 10 priorities in the key words, the first priorities was the bio-medical ethics. In conclusion, it is suggested to develop an expanding-iterative studies, qualitative studies, and development of bioethics programs for nurses.

고기능 CMOS 이미지센서기술의 응용

  • Ota, Jun
    • The Optical Journal
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    • s.110
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    • pp.58-66
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    • 2007
  • 고기능 CMOS 이미지 센서는 현재 차재나 시큐리티 등의 응용을 목표로 실용화 개발이 활발히 이루어지고 있다. 그리고 정보통신으로의 응용도 가시광통신 등의 보급에 따라 이후 연구가 활발해질 것으로 생각된다. 바이오 의료 관계는 아직 연구단계에 있지만, 앞으로 고령화 사회가 도래할 것을 생각하면 필요한 기술이라고 할 수 있다. 단 실제 장착기술뿐 아니라 윤리적인 면도 포함하여 난제가 산재해있어 지금부터 착실한 연구개발이 필요하다. 앞으로의 발전에 기대가 된다. 본 고에서는 이러한 고기능 CMOS 이미지센서의 보고 예에 대해 차재.시큐리티 응용에서는 광다이나믹레인지화, 3차원거리계측에 대해, 정보통신기술응용에서는 광ID태그, 광무선LAN을 기술하겠다. 그리고 바이오의료응용으로서 바이오이미징과 인공시각에 대해서 서술하고, 마지막으로 앞으로의 전망에 대해서 정리하겠다.

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Background of Revised Medical Law Article 57 (Revision of Medical Advertising Review System), - The Social Ethics and Public Value of Advertising (개정의료법 57조(의료광고 사전심의제도 개정)의 배경, - 광고의 사회적 윤리성과 공익적 가치)

  • Cho, EunHee
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.77-80
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    • 2019
  • The medical advertising review system which was revised and implemented on September 28, 2018, was revived. In this paper, we examine the implications of social ethics and public value of advertising under 4 perspectives of advertising, present the direction of future medical advertising, and suggest the meaning and expected effect of the preliminary medical advertising review system.

The impact of nursing students' biomedical and artificial intelligence ethical awareness, ethical values, and professional self-concept on their ethical decision-making confidence (간호대학생의 생명의료 및 인공지능 윤리의식, 윤리적 가치관, 전문직 자아개념이 윤리적 의사결정 자신감에 미치는 영향)

  • Park, Seungmi;Jang, Insun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.4
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    • pp.371-380
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    • 2023
  • Purpose: The purpose of this study is to determine the relationship between nursing students' biomedical and artificial intelligence (AI) ethical awareness, ethical values, professional self-concept, and ethical decision-making confidence, and to then identify factors that can influence their ethical decision-making confidence. Methods: This study employed a descriptive research method and was conducted from June 8 to 12, 2023, with 204 students from three nursing colleges in Korea. The collected data were analyzed by frequency and percentage, independent t-test, Pearson's correlation coefficient, and multiple regression using IBM SPSS 23.0. Results: The results of the multiple regression analysis showed that the regression model was significant (F=18.88, p<.001) and that professional self-concept (β=.46, p<.001), ethics education (β=.23, p<.001), AI ethical awareness (β=.16, p=.020), and relativistic ethical values (β=.14, p=.035) explained 34.6% of the nursing students' ethical decision-making confidence. Conclusion: It is necessary to include professional self-concept, AI ethical awareness, and ethical values contents when constructing the curriculums of educational programs in order to improve nursing students' ethical decision-making confidence.