• The Journal of the Korea Contents Association
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• v.22 no.5
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• pp.503-517
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• 2022

This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

• The Journal of Korean Philosophical History
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• no.37
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• pp.71-96
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• 2013

This research is a discussion in critical viewpoint about Han WonJin's philosophical thoughts. As everyone knows, Han WonJin emphasizes the difference of nature between human and animal, so as to try to be hardened human-being's dignity and value. But, his theoretical system can't back that purpose. First, he focused on the real world and maintains "GiseonLihoo[氣先理後]". It means that the ontological sense of Li can be unmake by Gi, then Li can't be the ultimate basis of everything under the sun and pure good moral principle. This concept is perfectly realized in the theory of Mind-Nature, the realistic nature of everything under the sun is a thing that Li had been unmade by Gi, also formed in mixing with disposition. The practical and concrete Mind only has a cognitive function which had already been decided it's superiority. How can we practice moral behavior, can secure human-being's value and dignity in being based on these Mind-Nature?

• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.136-144
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• 2016

Purpose: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. Methods: Using convenience sampling, we recruited 218 nurses who had at least six-month work experience in one of the six general hospitals with 500 or more beds in Seoul, Busan, and Gyeongsang province. All participants understood the purpose of the study and agreed to take part in the study. The research tools used included the Concept of Good Death Measure (CoGD), the measurement tool for attitudes towards withdrawal of meaningless life-sustaining treatment (WoMLST), and the measurement tool for attitudes towards euthanasia. Data were analyzed using an Independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS 21 for Windows. Results: Nurses had normal levels on CoGD, WoMLST, and attitudes towards euthanasia. Nurses' CoGD, WoMLST, and euthanasia scores significantly differed depending on their education level, working period, and the importance of religion to them. A negative correlation was found between the CoGD and WoMLST scores, and WoMLST and euthanasia scores were positively correlated. Conclusion: Nurses should be trained to deal with ethical issues that may arise while caring for terminal patients. It is necessary for nurses to understand the concepts related to CoGD, WoMLST, and euthanasia, and to promote bioethics education with focus on decision-making and problem-solving ability in ethically conflicting situations.

• The Science & Technology
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• v.34 no.9 s.388
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• pp.43-68
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• 2001

인간배아란 무엇인가 - 조직분화단계까지의 세포집단이 대상, 연구 아직 초보단계 안전성 확보가 관건/인간배아 연구 찬성한다 - 질병발생기전 이해 난치병 극복 길 열어, 인간 삶의 질 향상이 목표 연구허용 마땅/인간배아 연구 반대한다 - 수정란 자체가 생명체 파괴 있을 수 없어, 인간존엄성 어느 누구도 해 입힐 수 없다/인간배아 연구와 윤리 - 인간조재ㆍ정체성 혼란에 불안과 두려움, 과학과 종교ㆍ인문사회계 견해 차 좁혀야/주요 선진국 연구동향 - 부시 미 연방정부 예산 지원 발표 큰 파문, 영국 가장 개방적, 독일은 일체 연구금지

• 방재와보험
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• s.131
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• pp.54-57
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• 2009

불은 물질이 산소와 화합하여 연소하는 물리적 현상이지만 신앙적 믿음과 종교적 의례에서는 다양하게 상징화되어 문화적 암호로 쓰여온지 오래다. 그래서 불은 인간사에서 어느 것보다도 중요한 구실을 해 왔으며 오늘날 현대인들이 누리고 있는 온갖 문명도 불이 있기에 가능한 것이다. 그러나 현대인의 관념에서는 불에 대한 존엄성이 점차적으로 희박해지고 있는 게 사실이다. 그렇지만 종교 신앙적 측면에서는 아직도 불은 그 어느 것보다도 중요하게 다루어지고 있다. 특히 무속신앙과 가신신앙에서는 불에 대한 관념이 명확할 뿐만 아니라 불에 대한 활용도 옛 법에 따라 적절하게 대응하고 있음을 알 수 있다. 따라서 본 글에서는 무속신앙에서 불신(조왕신)이 어떠한 구실을 하고 있는지, 그리고 불이 마을신으로 모셔지는 경위는 어떠한 것인지와 더불어 가신신앙에서의 조왕그릇과 조왕동토부에 대해 알아 보고자 한다.

• The Korean Society of Law and Medicine
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• v.9 no.2
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• pp.53-75
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• 2008

The end of life problem in the United States has been evolved from the development of concept of brain death over last 50 yr. The invention of ventilator and the development of emergency medicine also played a key role to elongate the end stage of life and which caused the American people to ask a question about the patients self determination and refusing the unwarranted medical treatment in the view of the death with dignity. With regard to the patient unable to self determination, surrogate decision was also considered. To guarantee the self determination, The patient self determination act also enacted on the level of Federal regulation in 1990s. But no law has effectively dealt with the situation when medical treatment became futile. Along with the significant debates on literature and court cases. The American Medical Association's Council on Medical and Judical Affairs presented formal opinion and the Texas was the first states to regulate the medical futile situation in 1999. Even though that definition was in controversy, the concept of medical futility mainly focused on the doctors' right to refuse the treatment.

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.129-140
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• 2012

The purpose of this study was to identify attitude of hospital nurse's on death with dignity. The subjects of the study were 516 nurses. The data was analyzed by SPSS PC 19.0 program. 1) 82.8% participants agree to death with dignity, and they and their family will ask death with dignity in actual situations. 2) The average score of overall attitude on death with dignity was $3.13{\pm}0.52$. 3) With respect to the general characteristics of participants there were statistically significant difference in total score according to age, Marital Status, education level, religion, career, position, and existence of patients with incurable disease around. 4) With respect to the death with dignity related characteristics of participants there were statistically significant difference in total score according to agreement to death with dignity, request to my death with dignity, in case my family member requests death with dignity. Although many nurses had a positive concept of death with dignity, they still have ethical dilemmas in life-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines foe end-of-life care.

• The Korean Journal of Health Service Management
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• v.5 no.2
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• pp.1-14
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• 2011

The purpose of this study was analyzed the factors of influencing toward attitude to death with dignity to hospice volunteers. The data was collected for 21 days from 14 March to 3 April 2010. Among a total of 220 cases of the questionaries, only 195 cases were used. To data were analyzed by factor analysis, independent t-test, one-way anova and logistic regression using PASW statistics 18.0. The results were as follows; The attitudes towards death with dignity according to general characteristics was high in those with will to agreed to the passive euthanasia than those opposite to the attitude factors, namely, acceptive, the right to decide, negative, and dereliction of duty attitude factors. Significant variables for effects of death with dignity were gender, acceptive attitude factor and dereliction of duty attitude factors. Given that main provider of human organs is the brain-dead and we don't have enough organ donation, death with dignity should be linked with activating policy of organ donation, while solving donation shortage problem. This way, constructing social implementation and sharing consciousness on organ donation, would be diluting the bio-ethic controversies.

• The Korean Society of Law and Medicine
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• v.10 no.1
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• pp.263-305
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• 2009

Is it lawful to withhold or withdraw life-sustaining treatment applied to a patient in a terminal condition or permanent unconscious condition? In Korea, there are no such laws or regulations which control affairs related to the withholding or withdrawal life-support treatment and active euthanasia as the Natural Death Act or the Death with Dignity Act in the U. S. A. And in addition there has had no precedent of Supreme Court. Recently Supreme Court has pronounced a historical judgment on a terminal care case. The court allowed the withdrawal of life-sustaining treatment from a patient in a permanent unconscious state. Fundamentally the court judged that the continuation of that medical treatment would infringe dignity and value of a patient as a human being. And the court required some legal grounds to consider such withdrawal or withholding of medical care lawful. The legal grounds are as follow. First, the patient is in a incurable and irreversible condition and already entered a stage of death. Second, the patient executed a directive, in advance, directing the withholding or withdrawal of life-support treatment in a incurable and irreversible condition or in a terminal condition. Otherwise, at least, the patient's will would be presumed through his/her character, view of value, philosophy, religious faith and career etc. I regard if a patient is in a incurable and irreversible condition or in a terminal condition, the medical contract between a patient and a doctor would be terminated because of the actual impossibility of achievement of it's purpose. So I think the discontinuation of life-sustaining care would be legally allowed without depending on the patient's own will.

• Journal of Convergence for Information Technology
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• v.9 no.4
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• pp.28-38
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• 2019

This study aimed to explore predictors of terminal care stress of nurses. Participants were 197 nurses from a C university hospital in J city. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's correlation coefficient and stepwise multiple regression. On hierarchial multiple regression, dignified dying attitude, turnover intention, well dying attitude, and spirituality explained 39.6% of variance in terminal care stress. The results suggest that dignified dying attitude, well dying attitude, spirituality need to be properly assessed and managed to reduce terminal care stress of nurses.