• Title/Summary/Keyword: Bioethics

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Experience of Clinical Nurse's Bioethics Dilemma during the COVID-19 (코로나-19 상황 속 임상간호사의 생명윤리의식 딜레마 경험)

  • Je, Nam-Joo;Lee, Do-Young;Kwon, Mi-Gyeung;Yoo, Ji-Eun;Jo, A-Young
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.379-390
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    • 2022
  • The purpose of this study is to provide the basic data for improving the coping ability of clinical nurses by deeply analyzing and understanding the bioethics dilemma the clinical nurses experience in the COVID-19 pandemic. To understand the essence of bioethics dilemma the clinical nurses would experience in the COVID-19 pandemic, this study interviewed with a clinical nurse and then analyzed it by using Colaizzi (1978)'s phenomenological method. In the results of this study, total three theme clusters were drawn such as 'Agony to face a situation that violates the principle of respect for man's life and dignity', 'Frustration and confusion caused by the situation in which the principle of good deed and prohibition of evil deed cannot be kept', and 'Doubt about fulfilling and not fulfilling the principle of justice'. To improve the ability to cope with bioethics dilemma the clinical nurses experience in the pandemic situation based on the results of this study, it would be necessary to establish the education and policy for clinical nurses, and also to make efforts to improve the treatment of nurses.

The Effect of Bioethics Awareness and Patient-Centered Care on Attitude of Terminal Care of Hospice Nurses (호스피스 간호사의 생명윤리의식과 환자중심간호가 임종간호태도에 미치는 영향)

  • Kawoun Seo
    • Journal of Practical Engineering Education
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    • v.15 no.2
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    • pp.475-484
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    • 2023
  • This study was conducted to identify the influences of bioethics awareness and patient-centered care on attitude of terminal care of hospice nurses. The participants were 145 nurses working in hospice care center of hospitals in Korea. Data were collected during May and June in 2018 and were analyzed with descriptive statistics, t-test, one way ANOVA, Pearson's correlation coefficient, and multiple hierarchecal regression analysis using SPSS 24.0 program. Attitude of terminal care was influenced by hospice specialist certification (β=.15, p=.031), bioethics awareness (β=-.24, p=.003), and patient-centered care (β=.36, p<.001) in the regression model. These variables explained 36.9% of attitude of terminal care. In order to improve the attitude of terminal care of hospice nurses, programs for improving patient-centered care competence including bioethics awareness should be provided.

The Life Protection by Criminal Law (형법을 통한 생명의 보호)

  • Park, Moo-Won
    • The Korean Society of Law and Medicine
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    • v.11 no.1
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    • pp.297-329
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    • 2010
  • The bioethics as a comprehensive and normative control method of life sciences including the technology of advanced medical care, on the one hand, it has modified the conditions for allowing the progress of life sciences. On the other hand, it has put the brakes on attempts of life sciences violating the dignity and value of human beings, natural order. Positively, bioethics presents ethical bases, suggests organization of the legal and institutional conditions, and enables elimination of the legal and institutional obstacles, for the progress of life sciences. Negatively, it has presented justifiable prospects and road maps of life sciences, not to take indiscreet and intemperate turn of violating the dignity and value of human beings, natural order, and its such roles must be carried on.

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What can we do for dying neonate in NICU? (죽음, 죽어감, 신생아 중환자실에서 어떻게 받아들여야하나)

  • Chun, Chung-Sik
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.851-855
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    • 2009
  • Death is not only a medical problem; it is also an ethical problem. When doctors face a dying neonate, their knowledge of bioethics and the opinions of ethical specialists and religious leaders are helpful for them and the family of the dying baby. In recent years, due to the increase of surviving babies who have suffered from severe illness, those born too small or too early, and those with severe anomalies in neonatal intensive care unit (NICU), we have met with complicated bioethical problems frequently. To lessen the burdens of doctors and the parents of the dying baby, I reviewed medical, ethical and religious articles about bioethics in adult death. My suggestions are listed as follows: 1) regular bioethical education and activation of bioethical committees in NICU, 2) a well-controlled nationwide database, 3) a hospice unit space and programs for dying baby in NICU, and 4) social support for pregnant women and financial support for the NICU.

Policy Network Analysis on the Legislation Process of Bioethics in Korea, $1997\sim2003$ (생명윤리 입법과정에 관한 정책네트워크 분석, $1997\sim2003$)

  • Song Sung-Soo
    • Journal of Korea Technology Innovation Society
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    • v.8 no.2
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    • pp.702-731
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    • 2005
  • This article examines the legislation process of bioethics from 1997 to 2003 in Korea through three phases from a policy network point of view. In the first phase, assemblymen proposed laws concerning bioethics and various policy agenda were shaped. In the second phase, MOHW(Ministry of Health & Welfare) and MOST(Ministry of Science & Technology) introduced bills separately and policy conflicts were increasingly deepened. In the third phase, after groping for policy coordination a single bill based on MOHW's proposal was deliberated and enacted. During these processes, actors in policy network were more enlarged, conflicting interactions were dominated, and the structure of policy network was alternated by centralized form and distributed form.

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IRB review points for studies utilizing paraffin blocks archived in the pathology laboratory

  • Kim, Yong-Jin;Jeong, Chang Rok;Park, Jeong Sik
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.36-39
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    • 2018
  • In the personalized medicine era, utilizing paraffin blocks in pathology archives for investigating human diseases has come into the limelight. This archived material with clinical data will reduce the research time and could prevent new patient recruitment to obtain tissue for research. However, the clause indicating the necessity of consent from human material providers in the Korean Bioethics and Safety Act has made the Institutional Review Board (IRB) deny permission to use paraffin blocks for research without consent, and alternatively to get the same before starting an experiment. Written consent may be waived off in studies using paraffin blocks with anonymous status or conditions not linked to personal information by applying the paragraph 3, article 16 of the current Bioethics and Safety Act. Also, the IRB should recommend researchers to preserve the blocks as medical records of patients in long-term archives.

Informed Consent' in Public Health Activities: Based on the Universal Declaration on Bioethics and Human Rights, UNESCO (공중보건 활동에서의 '사전 동의' 문제 - 유네스코 <생명윤리 및 인권에 관한 선언>을 중심으로 -)

  • Meng, Kwang-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.5
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    • pp.339-344
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    • 2008
  • Objectives : The objective of this paper is to discuss the importance of obtaining informed consent for conducting epidemiological studies and public health activities, based on the Report of the UNESCO's Working Group on Informed Consent. Methods : The Report of the UNESCO's Working Group on Informed Consent was reviewed and discussed in connection with the ethical considerations of public health activities and epidemiological research. Results : It was at the Nuremberg Trial for the German war criminals of the Second World War that the principle of 'consent' was first stated as a consequence of the medical abuses carried out during the War. As a result of the Trial, the Nuremberg Code came out in 1947. Since then, various international declarations or ethical principles on 'informed consent' have been developed and published. These ethical principles on 'informed consent' have mostly to do with the clinical research that involves human subjects, and not with epidemiological studies and public health activities. However, UNESCO recently issued a comprehensive Report on Informed Consent based on the Universal Declaration on Bioethics and Human Rights adopted in 2005, and this included detailed guidelines on informed consent in epidemiological studies and public health activities. Conclusions : Universal Declaration on Bioethics and Human Rights emphasizes the principle of autonomy to protect the human rights of the human subjects involved in any public health activities and epidemiological research. As a practical guideline, obtaining informed consent is strongly recommended.

Legislation on Genetic Diagnosis: Comparison of South Korea and Germany - With Focus on the Application and Communication Structure -

  • Kim, Na-Kyoung
    • Development and Reproduction
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    • v.19 no.2
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    • pp.111-118
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    • 2015
  • This article explores the questions regarding PND and PID, especially the concrete legal conditions for the justification of PND and PID. As such, the German law stipulating PND and PID in a very concrete and detailed manner is introduced and explained in comparison with the corresponding South Korean law. The South Korean Bioethics and Biosafety Act (BBA) stipulates various types of gene testing and does not demonstrate a delicate sense of each type of gene testing. In contrast to the South Korean regulation, in Germany, there exist specific regulations for genetic counseling. Especially in the case of PND, GEKO stipulates the process of genetic counseling very concretely, based on GenDG. In the case of PND and PID, it is important that the people concerned understand the meaning of testing in various angles, and restructuralize it by combining it with their own values as the diagnosis is directly combined with pregnancy/abortion, which influences the whole life of a woman (and her partner). In this context, the South Korean BBA needs to be amended as soon as possible. The sections on informed consent also need to be amended to make them more concrete. Furthermore, guidelines for concretizing the regulation of BBA need to be continuously formulated and developed.

Deciding for Other as Christian Bioethics (대리인의 사전의료지시서와 기독교 생명윤리)

  • O, Seung-Hun
    • Korean Journal of Hospice Care
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    • v.7 no.2
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    • pp.26-41
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    • 2007
  • There are three things that are not known to the human being. That is when, where and how one will die. Most people live ignoring death. However, elements of death linger everywhere. The purpose of this treatise is investigates about justification Deciding for Other directions. First, I will investigate about Deciding for Other directions, when patient can not decide own, I will do investigate agent's decision's problem. Second, These four principles provide the common ground for biomedical ethics. Principlism argue that a method using four principles can resolve controversies in bioethics. The method holds that there are four principles-respect for autonomy, nonamleficence, beneficence, justice- that articulate the necessary conditions of common morality for health care and bioethics. Beauchamp and Childress respond by arguing that the two problems are nc the meaning or interpretation but the process of specification. Third, So, Supplement four principles' problem to Levinas concept of the Other theory. Levinas concept of the Other is very resemblant with 'Love your neighbour as yourself." Christians believe that Love is above all and they act accordingly. They base this faith mainly upon the motto of "love your neighbour as yourself." Fourth. difficult part of Levinas concept of the Other is that there is no human to equal infinite sense of responsibility. Can be supplemented about this through cooperation of community. Four principles can be brought to bear on moral choices. And they asserts that each principles has weigh but they do not assign a priority weighting of ranking. All the principles are equal in moral decision making.

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Effects of a Introduction of nursing and Bioethics subject on Nurse Image and Nursing Professionalism of Freshmen Nursing Students (간호학입문과 생명윤리 교과목이 간호대학 신입생의 간호이미지와 간호전문직관에 미치는 효과)

  • Jung, Kwuy-Im;Lee, Kyung-Soo;Jung, Ha-Yun
    • Journal of Korean Clinical Health Science
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    • v.4 no.4
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    • pp.689-698
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    • 2016
  • Purpose. This study was performed to evaluate the effects of a introduction of nursing and bioethics subject on nurse image and nursing professionalism of freshmen nursing students. Methods. Participants were 104 freshmen nursing students. The period of data collection was from March 3 to June 17, 2016. The research was done in a one group pretet-posttest for a quasi-experimental study. The data ware analyzed by frequencies and paired t-test using the SPSS 21.0 program. Results. The results are as followed : There were statistically significant differences among pre and post in the nurse image(t=-6.15, p<.001) and nursing professionalism(t=53.92, p<.001). Conclusions. We strongly recommend using introduction of nursing and bioethics subject to nurse image and nursing professionalism of freshmen nursing students. And, in future study, it is necessary to develop the curriculum and teaching strategies for improving nurse image and nursing professionalism.