• 의학교육논단
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• 제11권2호
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• pp.3-14
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• 2009

The current medical practices in Korea have raised many new ethical issues. The current education system in medical colleges, however, is finding it difficult to cope with these rapidly arising medical issues. Many educators, therefore, became much more concerned about the importance of ethics and character education in medical colleges, but teaching methods or educational programs centered around the same have not yet been developed. Dilemma discussion is regarded as an available teaching method but is not frequently used in medical education. In this respect, this study aims to apply dilemma discussion programs to ethics and character education for medical students. It was discovered that dilemma discussion is an effective instructional method for enhancing the moral reasoning ability of medical students. According to $Rest^{\circ}{\phi}s$ theoretical framework, however, a dilemma discussion program focuses on two components of morality: moral judgment and moral sensitivity. Moral judgment and moral sensitivity are major components in predicting moral behaviors. Therefore, the target of dilemma discussion programs is to focus on these two components. It is reasonable to integrate moral judgment with moral sensitivity for ethics and character education in medical schools.

• 디지털융복합연구
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• 제17권9호
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• pp.291-299
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• 2019

본 연구는 대학생을 대상으로 윤리적 딜레마 토의 프로그램을 적용하여 대상자의 인권감수성, 윤리적 가치관에 미치는 효과를 파악하기 위한 비동등성 대조군 전후설계이다. G도, C대학교 대학생을 대상으로 윤리적 딜레마 토의프로그램을 8주간 제공하고 그 효과를 검증하였다. IBM SPSS 24.0을 이용하여 자료 분석하였다. 변수들의 정규성 검증은 Shapiro-Wilk 검증, 동질성은 실수와 백분율, Fisher's exact probability test와 Independent t-test, 프로그램의 효과검정은 paired t-test를 이용하여 분석하였다. 연구결과, 실험군은 윤리적 딜레마 토의 프로그램 후 인권감수성(t=-2.32, p=.025), 윤리적 가치관(t=-2.43, p=.020)이 대조군보다 통계적으로 유의하게 높았다. 본 연구의 윤리적 딜레마 토의 프로그램은 대상자의 인권감수성, 윤리적 가치관 향상에 유의한 효과를 나타냈다. 추후 다양한 계층의 대상자를 대상으로 윤리교육의 효과를 검증하는 추후 연구가 필요하리라 생각된다.

• 아동학회지
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• 제20권1호
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• pp.29-44
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• 1999

A major concern in the area of moral education is to find an effective educational method capable of supporting maturity of moral reasoning in young children. The purpose of the present study was to evaluate the effects of distributive dilemma discussion on children's distributive justice reasoning. The subjects were fifty 5-year-olds selected from a kindergarten in the city of Kumi. 26 children participated in a 10 week discussion intervention; another 24 children constituted the control group. The experimental procedure consisted of 3 parts; a pre-test to determine the experimental and control groups, moral discussions on dilemma situations based on 10 stories for the experimental group, and a post-test for both groups. The moral discussions were audio-taped. The results showed that children in the experimental group used more varied and elaborate distributive justice reasoning as the discussions proceeded. Moral discussions facilitated distributive justice reasoning.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.568-576
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• 2020

본 연구는 CEDA 토론학습을 이용한 윤리교육이 간호대학생의 간호전문직 자아개념, 윤리적 딜레마 및 윤리적 의사결정 자신감에 미치는 효과를 확인하기 위한 원시실험연구이다. 연구 대상자는 K도 C시 소재, 3학년 간호대학생 총 57명이었고, 연구기간은 2019년 3월 4일부터 5월 13일까지였다. CEDA 토론학습을 이용한 윤리교육은 이론교육 3주와 CEDA 토론학습 6주로 총 9주 동안 진행하였다. 수집된 자료는 SPSS WIN/21.0을 사용하여 일반적 특성에 따른 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 t-test, one-way ANOVA로 분석하였고, CEDA 토론학습을 이용한 윤리교육에 따른 연구대상자의 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 Paired t-test로 분석하였다. 연구결과 CEDA 토론학습을 이용한 윤리교육은 간호대학생의 간호전문직 자아개념(t=13.816, p<.001)과 윤리적 딜레마(t=6.205, p<.001) 및 윤리적 의사결정 자신감(t=11.950, p<.001)에 긍정적인 효과가 있음을 알 수 있었다. 또한 간호전문직 자아개념과 윤리적 딜레마 및 윤리적 의사결정 자신감은 순상관관계가 있었으며, 간호전문직 자아개념은 전공 만족도에 따라 차이를 보였다. 그러므로 간호대학생들이 긍정적인 간호전문직 자아개념을 형성하고 윤리적 딜레마 상황에서 자신있게 윤리적 의사결정을 할 수 있도록 윤리교육을 강화시킬 필요가 있다고 판단된다.

• 건축사
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• 통권600호
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• pp.24-27
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• 2019

• 한국시스템다이내믹스연구
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• 제12권4호
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• pp.63-92
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• 2011

The purpose of this paper is to investigate a possibility of applying multimethodological approach for solving a dilemma. The motivation of this attempt is that the two different approaches, the system dynamics and the theory of constraints, resemble each other in having mental models for describing the target system and using graphic tools for representing those mental models. After a brief discussion on the comparison of the two approaches, a combined method applying to the problem of dilemma is suggested. For an experimental example, the proposed approach is applied to the sales and finance conflict on an inventory issue. The study shows that the suggested approach is able to complement each other's drawbacks. Especially constructing a stock-and-flow model and implementing a computer simulation would be very useful for quantifying the system's behavior which is hardly tracked down when applying the theory of constraints alone.

• 한국과학교육학회지
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• 제25권2호
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• pp.98-110
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• 2005

본 연구의 목적은 과학교사들이 겪는 과학 교수 학습의 딜레마 일화를 교사교육에 활용하는 방안 및 의의를 탐색하는 것이다. 즉, 과학 교수-학습의 딜레마 일화와 이를 활용한 토론 수업에 대한 교사들의 반응을 조사하여, 교사교육에서 딜레마 상황을 도입하는 것에 대한 의의를 탐색하고 이를 바탕으로 딜레마 일화의 교사교육 활용 방안을 제안하고자 하였다. 이를 위하여 초등 교사 11명을 대상으로 대학원 수업 과정에서 Wallace와 Louden(2002)의 책에 제시된 딜레마 일화를 도입한 토론 수업을 실시하면서, 제시된 딜레마 일화의 현실성과 중요성에 대한 교사들의 인식과, 딜레마 일화를 활용하는 토론 수업에 대한 교사들의 의견을 조사하였다. 이러한 연구는 교사교육에 대한 구성주의적 입장을 바탕으로 하고 있으며, 해가 하나로 주어지지 않는 딜레마 상황이 교사에게 과학 교수-학습에 대한 개방적 탐구의 기회로, 과학교육의 본성에 대한 이해를 높이는 기회로 작용할 수 있다는 생각에 기초한다. 딜레마 일화의 현실성과 중요성에 대한 인식은 각 주제별로 차이가 있었으나 특히 유사 경험이 많고 현실성과 중요성이 높게 인식된 주제는 '교과서', '실험 활동', '과학 법칙', '교사의 권위', '공평', '성별 차', '과학의 본성' 등이었다. 교사들은 이러한 딜레마 일화에 대한 토론 수업이 자신의 수업을 반성적으로 고찰할 수 있는 기회를 제공하며, 다른 교사들과 유사한 경험을 공유할 수 있고, '과학교육'을 전체적으로 조망할 수 있다는 점을 장점으로 인식하였다. 또한 교사 대부분은 이러한 딜레마 상황을 교사교육에 도입하는 것에 대해 긍정적인 의견을 제시하여 교사교육에서 딜레마 일화를 도입, 활용하는 것에 대한 가능성과 유용성을 보여 주었다. 위와 같은 탐색적인 연구로부터 얻은 교사들의 반응과 연구자의 토론 수업 경험을 바탕으로 과학 교사교육에서 딜레마 일화의 활용 방안을 제안하였으며 딜레마 일화 활용 시 문제점을 고찰하였다.

• 한국체육학회지인문사회과학편
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• 제55권1호
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• pp.37-47
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• 2016

이 연구의 목적은 스포츠선수들이 실제 스포츠현장에서 도덕적으로 판단하고 행동할 수 있도록 도덕적 자율성을 신장시키기 위한 스포츠윤리교육 프로그램을 개발하는 데 있다. 이러한 목적을 달성하기 위해, 먼저 Rest의 도덕성 4구성요소 모형을 이론적 토대로 관련 선행연구를 고찰하고 국내외 스포츠윤리 저서들을 분석함으로써 스포츠윤리에서 다루어야 할 핵심 주제를 도출하여 교육내용을 구성하였다. 다음으로 선정한 교육내용을 효과적으로 교육하기 위하여 인지구조의 비평형화와 동년배 집단 교류의 기제를 통한 딜레마 토론 수업을 활용하였다. 끝으로 개발한 스포츠윤리교육 프로그램은 대학교 학생선수들을 대상으로 적용하였으며 프로그램 실행 후 심층면담을 통하여 설정한 스포츠윤리교육의 목적이 달성되었는지를 평가함으로써 프로그램의 효과를 검증하였다. 프로그램에 참가 후 학생선수들의 스포츠윤리에 대한 인식과 실천행동에 있어서 긍정적인 변화를 확인하였다. 이 연구가 스포츠지도 현장에서 실제로 활용할 수 있는 다양한 수준의 스포츠윤리교육 프로그램 개발에 기초자료를 제공하고 스포츠윤리교육 활성화에 기여할 수 있기를 기대한다.

• 간호행정학회지
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• 제1권2호
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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.

• 대한간호학회지
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• 제30권1호
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• pp.183-193
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• 2000

This main purpose of this study was to assess the effects of two different types of ethics education on the moral judgement of clinical nurses. One type was free discussions among nurses with given specific moral issues and the other type was discussions guided by experts on specific moral issues. The study employed a quasi-experimental, nonequivalent pre test-post test design using two different control groups. The conceptual framework of the study was derived from the Kohlberg′s Moral Development Theory (1969) and the Greipp′s Ethical Decision-Making Model (1992). The data was collected during the period of October 14 through December 15, 1998. Sample consists of 32 nurses working in the ICU who met research criteria. 16 nurses were assigned to the free discussion group and 16 nurses to the group for the guided discussion with experts group. For the pre-test, the DIT which was developed by Rest (1984) and JAND by Ketefian (1998) were used with some modification by the author. After the education, only JAND was used to assess the changes in moral judgement. The collected data was analysed using SPSS PC program. The findings are as follows: 1. There was no significant difference between two groups in their general characteristics. Only difference which was statistically significant between two groups was that realistic score on Case 3/Medical Research and Autopsy was higher in the free discussion group. 2. Hypothesis 1: "There will be a difference on the moral judgement of nurses before and after they receive an ethics education". This hypothesis was supported partially. Those who had low scores on moral judgement before the education tended to have higher scores after the education on the same issues. And, after the education, the nurses tend to give lower scores on the dilemmas they had experienced frequently at work; while giving higher scores on those dilemmas they had no prior experience. 3. Hypothesis 2: "The effect of education may differ depended upon the moral development index [P(%)] score of nurses". The effect of education was different depend on moral development level. The group who′s P(%) scores was low at the pretest has higher scores in realistic moral judgement after the education, while the groups with middle or high P(%) scores went down after the education. These changes were statistically significant in some cases, thus, the Hypothesis 2 was partially supported 4. Hypothesis 3: "The method of ethics education will have different effects on the moral judgement of nurses". Even though several nurses attended the guided discussion stated that the education program broadend their perspectives the difference between two groups was not significant and this hypothesis was not supported. In conclusion, both types of ethics education had helped the nurses to acquire the skills to deal some nursing dilemmas. The effects of ethics education may differ according to the moral development index - P(%) score. However, because of some of the limitations of this study, mainly small sample size, short term education, unable to control other variables which may affect moral judgement of nurses, further research is warranted.er research is warranted.