• 제목/요약/키워드: Biomedical Ethics

검색결과 94건 처리시간 0.022초

출생 전 생명에 대한 헌법적 고찰 - 태아 및 배아의 생명권과 그 제한을 중심으로 - (A Constitutional Study on the Unborn Human Life : Focusing on the Right to Life of the Fetus and the Embryo)

  • 김은애
    • 의료법학
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    • 제10권1호
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    • pp.39-75
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    • 2009
  • The development of the biomedical science and technology has extended an argument about a status in constitutional law of unborn human life and a protection of the potential human life to that of an embryo and a gamete beyond a fetus. This argument has been focused on whether we should provide unborn or potential human life with human dignity and the right to life that are guaranteed by the constitutional law altogether or separately. If the right to life is given to unborn or potential human life, on what grounds can we restrict this right. Those who argue for the unity of the right to life with human dignity and the inseparability of those two claims that the right to life in itself should be guaranteed absolutely. According to the constitutional law, however, any constitutional right of the human person within the protection of essential part of the right can be compared with each other and restricted with some valid reasons from the legal perspective. This measure is unavoidable in reality because one right can come into conflict with another right frequently. Since fetus and embryo are in a process of developing into the human person, it is difficult to think that they are the same with the human person. For that reason, it is hard to consider that the right to life of fetus or embryo is the same with that of the human person. However, since a fetus has a special status as a potential human person, and an embryo also has a special value as a potential fetus upon an implantation, the right to life of fetus or embryo should be judged differently according to the stage of their development. A study on a constitutional status and protection of a fetus and an embryo is essential because unborn or potential human life is the origin of human person. Therefore, we have to make much account of their right to life and seek the legal respect for their inherent value.

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The Past and Current Status of Dentists in Japan

  • Sugiyama, Masaru;Nishimura, Rumi;Lee, Myung-Jin;Oh, Sang-Hwan
    • 치위생과학회지
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    • 제21권1호
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    • pp.8-18
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    • 2021
  • The purpose of this study is to provide the general history of fostering dentists in Japan and introducing their new roles. This research was conducted based on the government policy report on dentists and the information published by each educational institution. Based on the collected data, the official websites were used to represent the latest statistics of the institutions. The number of dentists in Japan has increased. The government established the National Examination for Dentists to guarantee the quality of dentists. After the standards for developing questions for the national examination were established in 1985, the contents of the examination have been appropriately improved by revising the standards every four years. This improvement has required dental students to study a variety of subjects for six years at dental school. Since dentists in Japan are required to respond to various demands from the nation; the Model Core Curriculum for Dental Education was developed to teach medical ethics and abilities to ensure that dentists conduct themselves professionally. Recently, the roles of dentists have been changing in Japan. When providing dental services to older patients over the age of 65, dentists and other dental professions focus on maintaining oral functions, such as saliva secretion, bite force, tongue movement, and masticatory/swallowing functions. However, oral function-related services for children are different. In addition to providing essential dental services, dental practitioners also provide special treatment, such as oral muscle training, myofunctional therapy, health guidance, and space retainers to the child patients with developmental insufficiency in oral functions. Dentistry in Japan has undergone numerous changes over the years and has continued to offer high-quality dental health services. Thus, information gained from the Japanese experience may be helpful to dental professions in other developed countries for planning oral health measures.

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

  • 오승훈
    • 호스피스학술지
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    • 제7권2호
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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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아동간호의 본질적 토대와 사명에 관한 논고(論考) (A Critical Discussion on the Academic Fundamentals and the Missions of Child Health Nursing)

  • 조갑출
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.311-319
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    • 2015
  • Purpose: To reilluminate academic fundamentals and missions of child health nursing (CHN). Methods: Critical review of literature. Results & Conclusion: The academic fundamentals of CHN were analyzed for three different basis; philosophical, theoretical, and legal & ethical basis. The philosophical basis of CHN was summarized as six beliefs; A child is an important human resource and a valuable asset for future society; A child should be respected as a unique and dignified human being; A child has his/her own unique developmental needs; A child is a vulnerable client and should be advocated for; Atraumatic care should be provided to each child; Child health care should be family-centered. The essence of the theoretical basis were reilluminated into caring theory and client advocacy theory. The legal basis of CHN was stated as pertaining to the various child-related laws and international conventions, such as UN Convention on the Rights of the Child. The ethical basis were stated as 4 principles of biomedical ethics and The UNESCO Universal Declaration on Bioethics and Human Rights. The mission of the CHN was stated and the role of CHN was described as one who is a child rights advocator, professional caring service provider, policy maker, health educator, researcher.

보건의료종사자 맞춤형 직업인성교육을 위한 사례기반학습 프로그램 개발 및 적용 (Development and Application of Case-Based Learning Program for Occupational Personality Education of Health Care Worker)

  • 양은주;김혜란;장정현
    • 한국방사선학회논문지
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    • 제15권3호
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    • pp.371-379
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    • 2021
  • 기존 대학의 인성교육은 주로 직업윤리 교육이나 기초교양에 초점을 맞추어 이루어지고 있지만, 최근 4차 산업에 대비하여 인성교육 프로그램의 목적 및 방식이 변화되며 이와 관련된 직업인성교육 프로그램이 필요하다. 그러나 국내에서는 아직까지 보건의료종사자가 갖추어야 할 직업인성에 대한 교육 프로그램 개발에 대한 연구가 부족한 실정이다. 따라서, 본 연구에서는 사례기반학습을 기초로 하여 4차 산업혁명에 요구되는 맞춤형 직업인성교육을 위한 프로그램을 개발하고 적용하여 효과를 확인하고자 한다. 본 연구에서는 일반 사례 및 직업 현장에서의 사례를 개발하고 직업인성교육 프로그램 효능 검증을 위해 연구 도구를 개발하였다. 본 연구에서 개발 된 4차 산업혁명에 요구되는 맞춤형 직업인성교육을 위한 프로그램은 1회(120분), 4회차 프로그램으로 제공되었으며, 단일집단 사전사후 설계로 2019년 11월 26일부터 2020년 01월 05일까지 대구시 소재의 방사선과 및 임상병리과 2, 3학년 학생 52명을 대상으로 수행되었다. 자료 분석은 평균과 표준편차, Paired t-test로 분석하였다. 본 연구에서 개발된 4차 산업혁명에 요구되는 직업인성교육을 위한 프로그램 적용을 통해 보건의료종사자의 핵심직업인성 영역인 책임, 정직, 배려, 협업, 소통, 역량에 대해 향상된 것으로 확인되며, 직업인성교육의 긍정적인 효과를 확인하였다.

상급종합병원근무자의 연명치료중단에 미치는 영향요인 -장기기증·이식의 지식 및 태도, 죽음에 대한 인식, 호스피스완화의료에 대한 지식 및 인식- (Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care-)

  • 제남주;화정석
    • Journal of Hospice and Palliative Care
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    • 제21권3호
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    • pp.92-103
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    • 2018
  • 목적: 본 연구는 병원 근무자의 연명치료 중단에 영향을 미치는 장기기증, 장기이식, 죽음, 호스피스 완화의료의 지식, 태도 및 인식을 알아본 서술적 조사연구이다. 방법: K도 J시에 위치한 일개 상급종합병원에 근무하는 228명의 대학병원 근무자를 대상으로 자가 보고식 설문지를 이용하여 자료를 수집하였다. 자료는 SPSS WIN 21.0 프로그램으로 t-test, ANOVA, and Pearson's correlation coefficient를 이용하여 분석하였다. 결과: 대상자의 생명의료윤리 의식관련 지식은 연령, 학력, 직종, 근무부서, 생명의료윤리 교육유무에 따라 차이를 보였다. 뇌사 장기기증 장기이식에 대한 지식은 인체조직기증 및 이식에 대한 태도, 호스피스 완화의료에 대한 지식, 호스피스 완화의료의 인식에서 유의한 양의 상관관계가 있었다. 인체조직기증 및 이식에 관한 태도는 호스피스 완화의료에 대한 지식, 호스피스 완화의료의 인식, 연명치료 중단에서 유의한 상관관계가 있었고, 죽음에 대한 인식은 호스피스 완화의료에 대한 지식, 호스피스 완화의료의 인식, 연명치료 중단에서 유의한 상관관계가 있었다. 호스피스 완화의료의 인식은 연명치료 중단에서 유의한 상관관계가 있었다. 연명치료 중단 태도에 영향을 주는 요인은 호스피스 병동 근무와 인체조직기증 및 이식에 관한 태도, 호스피스 완화의료의 인식으로 연명치료 중단 태도를 32.5% 설명하였다. 결론: 연명치료 중단 태도에 호스피스 병동 근무와 인체조직기증 및 이식에 관한 태도, 호스피스 완화의료 인식이 관련이 있었으며, 생명의료윤리에 기반을 둔 다양한 교육과정의 개발 및 적용에 대한 연구가 필요함을 제언한다.

영국, 미국, 한국의 줄기세포연구에 관한 정책변동 비교 분석: Advocacy Coalition Framework 모형의 적용 (Comparative Analysis of Stem Cell Research Policy Changes in UK, US, and South Korea: Application of Advocacy Coalition Framework Model)

  • 배그린;강민아
    • 보건행정학회지
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    • 제23권4호
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    • pp.314-325
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    • 2013
  • Background: Stem cell research competition is accelerating globally since President Obama signed an executive order, repealing Bush-era policy that limited use of federal tax dollars for embryonic stem cell research. Methods: In this paper, we conducted a comparative analysis of stem cell research policy changes in three countries, including the Human Fertilisation Embryology Act (HFEA) of UK, executive order 13,505 (removing barriers to responsible scientific research involving human stem cells) of USA, and Bioethics and Safety Act of South Korea. Debates on stem cell research are based on conflicts of fundamental beliefs that exist in the supporting and opposing coalitions. We compared regional characteristics of the advocacy coalitions in three countries and presented various factors that might be related to the policy changes. Results: The UK government, parliament, and the HFEA have sought expert consultations and public opinions to establish guidelines. UK has made social consensus through continued discussion for a long time. US President's veto power was one strongest factors influencing policy. South Korean policy was influenced by public opinion and policy brokers. Also, South Korea has not made social consensus. UK had a strong leadership and strong adjustment of coalitions but US and South Korea had not. Dr. Hwang's scandal has had one of the greatest impacts on policy decision in South Korea. Conclusion: The power of public opinion was critical in all three countries. In particular, the influence of public opinion was noticeable in South Korea. Also it turned out that in US and South Korea, the presence of a policy broker who could pursue his or her goals was the most powerful factor among the advocacy coalition factors.

응급구조(학)과 교육과정의 표준화에 대한 연구 (Standardization of a curriculum for paramedic students in South Korea)

  • 최은숙;홍성기;권혜란;고봉연;이경열;정한호;이명렬;윤성우;박시은;조근자
    • 한국응급구조학회지
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    • 제21권2호
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    • pp.17-37
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    • 2017
  • Purpose: This study describes current curricula for paramedic students in South Korea and proposes a standardization of the curriculum. Methods: Data were collected from 38 colleges and universities from March 1 to 31, 2016. Descriptive statistics were calculated using SPSS 23.0. Results: The proposed standard curriculum was below. Requisite liberal arts consisted of 2 subjects and 6 credits including biomedical ethics, communications and human relationships. Common major subjects were composed of 6 areas, 22 subjects, and 78 credits. The areas of basic medicine consisted of 6 subjects and 16 credits including medical terminology. Introduction to paramedicine consisted of 3 subjects and 7 credits. Emergency patient management consisted of 2 subjects and 9 credits. Particulars to paramedic care consisted of 8 subjects and 31 credits. The law area consisted of 1 subject and 3 credits. Other major areas consisted of 2 subjects and 12 credits including integrated simulation and physician assistance. Common field practice area consisted of 3 to 4 subjects and 9 to 12 credits. Conclusion: It is important to establish and adapt a standardized curriculum for paramedic students in order to ensure competence and to provide high quality emergency medical services.

간호대학생의 비판적 사고 성향, 전문직 자아개념과 도덕적 민감성에 관한 연구 (Critical Thinking Disposition, Professional Self-Concept and Moral sensitivity in Nursing students)

  • 김지인
    • 한국산학기술학회논문지
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    • 제16권9호
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    • pp.6053-6060
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    • 2015
  • 본 연구의 목적은 간호대학생의 비판적 사고성향, 전문직 자아개념과 도덕적 민감성에 대해 알아보고 관련성을 규명하기 위함이다. 연구 대상자는 일 지역 소재 간호학과에 재학 중인 280명으로 자료 수집은 2015년 3월 3일부터 3월 10일까지 진행되었다. 수집된 자료의 분석은 SPSS/WIN 18.0 프로그램을 이용하여 분석했다. 연구결과 도덕적 민감성은 생명윤리교육 경험 여부에 따라 유의한 차이가 있었다. 비판적 사고성향과 전문직 자아개념, 비판적 사고 성향과 도덕적 민감성 간에 양의 상관관계가 있었다. 본 연구결과를 토대로 추후 비판적 사고성향을 향상시킬 수 있는 방법이 필요하며, 전문직 자아개념의 확립을 위해 임상실습체계의 정비 및 구축이 필요하겠다. 또한 간호대학생의 도덕적 민감성을 향상시킬 수 있는 교육프로그램 개발 및 그 효과를 검증하는 연구를 제언한다.

인체유래물연구에 해당되는 의약품임상시험에서 동의 획득 기준의 법적 문제: <인체유래물연구동의서> 법정 서식의 사용을 중심으로 (Legal issues of obtaining informed consent in pharmaceutical clinical trial as human material research : Focusing on the use of statutory form )

  • 유수정;김은애
    • 대한기관윤리심의기구협의회지
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    • 제1권2호
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    • pp.30-42
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    • 2019
  • In pharmaceutical clinical trials as human material research, the collection, use, storage and provision of human materials must be in accordance with the criteria stipulated in 「Bioethics and Safety Act」, except in the case that some criteria about it is in the law related to clinical trials such as 「Pharmaceutical Affairs Act」 and 「Enforcement Rule on Safety of Drugs, etc.」 so these take precedence over. Under 「Bioethics and Safety Act」, the core aspect of the legal standard for obtaining informed consent is the use of statutory form . The use of statutory form ensure that both those who obtain informed consent and those who give it can know the contents contained this form as well as recognize its importance. Thus, the person who has the right to informed consent can sign the statutory form after correct understanding of the contents. In reality, however, some researchers and IRB members determine that only the main informed consent form is to be used because most of contents on statutory from are included in the main informed consent form. Some other researchers and IRB members judge that the use of statutory form is not needed if human materials may only be used for laboratory testing and the rest will not be stored and provided for future use. Most of these determination and judgement is based on the interpretation of the Korea National Institute for Bioethics Policy(hereafter, KoNIBP) on IRB Information Portal Site. But, it is questionable whether the KoNIBP's interpretation is legally valid and the KoNIBP is the legal entity having authority to interpret existing statute. In some cased not only using the main informed consent form including enough information about the collection, use, storage and provision of human materials but also collecting necessary minimum human materials, and discarding the rest, unusing the statutory form may not cause the problem to respect and protect the research participant's rights. Therefore, the provision stipulating the criteria about the use of statutory form as the legal standard of obtaining informed consent that applies all human material research without exception should review to revise. At least, straighten out the confusion surrounding whether or not the statutory form is to be used, before the revision of related provision, considering the logical opinions of some researchers and IRB Members, the Ministry of Health and Welfare as the legal entity having authority to interpret existing statute should represent its opinion about permission of the acceptable exceptions.

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