• Title/Summary/Keyword: Ethical Decisions

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Ethically Related Decisions in Different Scenarios of Medical School Applicants for Graduate-Entry Program (가상시나리오를 활용한 의과대학 학사편입학 지원자의 윤리적 의사결정능력)

  • Kim, Do-Hwan;Kim, Eun Jeong;Hwang, Jinyoung;Shin, Jwa-Seop;Lee, Seunghee
    • Korean Medical Education Review
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    • v.18 no.2
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    • pp.90-98
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    • 2016
  • Assessment tools for non-academic qualities such as ethics frequently employ hypothetical scenarios to lay out a contextual framework underlying the corresponding criteria of assessment. Due to the context-specific nature of the assessment criteria, details of the scenarios become very important in obtaining accurate results. This study aims to explore how medical school applicants differ in ethical decision making depending on the types of ethical dilemma scenarios, and how they correlate with academic achievements after admission. In 2014, all 82 applicants invited for an admission interview for a graduate-entry program were asked to complete a questionnaire comprised of 13 hypothetical scenarios. There were three domains (unethical business decisions, unethical academic decisions, and sexual quid pro quos) and participants were made to choose between the profitable-but-unethical choice or the unprofitable-but-ethical choice, using a four-point Likert-type scale. On average, tendencies toward unethical decisions were lowest for sexual favors ($1.34{\pm}0.46$), and highest for gaining academic advantages ($2.22{\pm}0.56$). Unethical decisions for academic advantages and sexual benefits showed significant correlation respectively with the female gender and those who graduated from overseas universities. In addition, the propensity for choosing unethical academic decisions was significantly correlated with high academic achievements in medical school (r=0.396). Not only does this study demonstrate that different levels of ethical decision making depend on the scenarios, but also those differences may be a determinant factor in subsequent academic performances in medical school. In conclusion, given the possible influence of the details of the hypothetical scenarios to the applicant's responses, careful consideration must be given during their development.

Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality (의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구)

  • Ko, Chungmee;Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.1-11
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    • 2018
  • Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

Pitfalls in Reimbursement Decisions for Oncology Drugs in South Korea: Need for Addressing the Ethical Dimensions in Technology Assessment

  • Cho, Eun;Park, Eun-Cheol;Kang, Myoung Sheen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3785-3792
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    • 2013
  • This study aimed to discover to what extent ethical issues are considered in the reimbursement decision process based on health technology assessment (HTA) in Korea, especially for oncology medications. Public summary documents (PSDs) published by the Health Insurance Review and Assessment Service (HIRA) were analyzed for empirical and normative factors. For external comparison, PSDs presented by corresponding institutions of Australia and the United Kingdom were employed. Furthermore, the opinions of eight expert oncologists were obtained regarding the accountability of the evidence in PSDs. Among 7 oncology drugs, there were differences in the final decisions and empirical factors considered, such as selected comparators and interpretation of evidence between the PSDs from the three institutions. From an ethical viewpoint, the following matters were deficient in the HTA decision-making process for oncology drugs: clear and reasonable standards; identifying and evaluating ethical values; and public accountability for reasonableness about decisions and due process.

A Study on Social Worker's Ethical Dilemmas and Decision-Making at the Korean Child Protection Agency (아동보호전문기관 사회복지사의 윤리적 딜레마와 의사결정에 관한 연구)

  • Lee, Se-Won
    • Korean Journal of Social Welfare
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    • v.60 no.1
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    • pp.53-76
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    • 2008
  • The aim of this study is to understand the ethical struggles of Child Protective Service(CPS) social workers and to indicate some implications for future studies by conducting research focusing on their ethical dilemmas and decision-making. This study used qualitative methods, in particular the phenomenological approach and 14 in-depth semi-structured interviews with CPS social workers, and were conducted and analyzed using the procedures of Colaizzi(1978). This study looks at the following research questions: 1) What kind of ethical dilemmas do CPS social workers encounter? This means what ethical dilemmas do they directly or indirectly encounter because of policy or system inadequacies and huge caseloads. 2) How do the CPS social workers make decisions when they are faced with ethical dilemmas? Making the best decisions with all of their responsibilities and burdens is the focus of this question. This study suggests the following discussions: First, efforts to emphasize 'ethics' at CPS are needed. Second, proper policies and systems based on the Korean situation are needed so that CPS social workers won't have to face 'needless' ethical dilemmas. Third, an index of ethical problems or ethical codes is necessary because principles are important to those social workers who face ethical dilemmas. Fourth, an ethical committee that protects the CPS social workers by supporting their decisions and being responsible for them is needed. Last, a debriefing system that reduces a CPS social worker's psychological trauma caused by ethical dilemmas should be available.

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Agribusiness: An Ethical Approach to Marketing

  • Ngoe, Tata joseph
    • Agribusiness and Information Management
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    • v.5 no.1
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    • pp.11-19
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    • 2013
  • Price skimming practices, false claim on products, false information/communication, marketing overseas, and deception on products in marketing have received significant attention by the researchers of ethics in marketing studies. This research considers these phenomena as marketing instruments that grossly violate the practice of ethics in this domain. The two most crucial parts in marketing that have received greater attention are product safety and advertising. The paper also examines Ethical Marketing as the ability to make marketing decisions that are morally right and acceptable to all. In order words, ethics in marketing explains how moral standards can be applied in marketing decisions. It seeks to answer the research question by looking at some fundamental business ethics theories, namely, Virtue ethics, Utilitarian, and Deontological approaches to business ethics. Nevertheless, ethics in business is very controversial as many hold different view about what makes up the standard morals that corporations should take and so it is necessary for any organization to formulate its ethical codes to follow.

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Attitudes toward Animals and Decision Making on Veterinary Ethical Issues in Korean Veterinary Students (한국 수의과대학 학생의 동물에 대한 태도 및 동물진료 관련 윤리적 의사결정)

  • Chun, Myung-Sun;Kim, Jin-Suk;Lee, Mun-Han;Ryu, Pan-Dong
    • Journal of Veterinary Clinics
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    • v.27 no.1
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    • pp.29-34
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    • 2010
  • To examine the attitude of students toward animals and its relation to veterinary ethical decision making, 302 pre-veterinary and veterinary students of three national universities (Seoul, Chungbuk and Kyungsang National University) were requested to answer the Animal Attitude Scale Test, an indicator of one's pro-animal attitude. A significant gender difference in the AAS scores was found with higher scores in females (female vs. male, 65.27 vs. 57.40; p < 0.0001). The students who have companion animals had higher AAS scores (62.55) than those who donot (58.03, p < 0.0001). However, years of study and experience with animal protection activities did not affect the AAS scores. The correlation between the attitude toward animals and ethical decision making was found in the investigation with two cases of a veterinary ethical dilemma: the medical treatment of a cow in its last gestation stage with ocular squamous cell carcinoma and the euthanizing of a 12 year-old dog with urinary incontinence. The students tend to support for veterinarians to influence clients' decisions in treatment by using their power as medical professionals, even if doing so could partly damage the interests of the clients or patients. The significant correlations between the AAS scores and veterinary ethical decision making were found in this study, which implies that the attitude toward animals should be considered as one of the major factors in making ethical decisions in veterinary practice.

Ethics education in Public Health (보건분야에서 윤리교육)

  • 이주열
    • Korean Journal of Health Education and Promotion
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    • v.15 no.1
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    • pp.67-77
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    • 1998
  • A major purpose of this article is to provide ethical aspects in public health. This is not intended to establish theoretical and philosopical argument for issues of health care ethics, but intended to describe the necessity of ethics education in public health. The increase in medical science to sustain life and the failure to provide corresponding ethical guideline in public health have created new ethical problems. All members in public health trainning programs should not only have an interest in health care ethics, but also have an ability to reach decisions in ethical problems related to community. The goal of ethics education in public health is not to improve the moral character of health care providers but rather to provide them with the conceptual abilities and decision-making skills they will need to deal successfully with ethical issues in public health research and practice. Obviously. the ultimate goal is to increase awareness of human values in health care.

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Convergence Awareness and Ethical Attitudes about DNR of Nursing Students (간호대학생의 DNR에 대한 융합적 인식 및 윤리적 태도)

  • Oh, Yun Jeong;Lee, Eun Mi
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.63-72
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    • 2017
  • This study was identify the awareness and ethical attitudes of DNR in nursing college students and use it as basic data to help patients with DNR. The results of the questionnaire were collected from June 1, 2016 to July 10, 2016 and analyzed using SPSS 23.0 program. As a result of the analysis, the recognition of DNR was in favor of the necessity of DNR, the decision of DNR by patient and family will, and the need for documented guidelines. Ethical attitudes favored decisions made by the patient's will, range of treatment, explanation, and guidance, and opposed decisions made by the primary care physician and reduced provision of basic care. Ethical attitudes according to general characteristics were significantly different according to grade, clinical practice experience, educational experience on ethical values, educational experience on DNR, satisfaction with life, and values for death. Based on the results of this study, more follow - up studies are needed to establish the criteria for DNR.

The Ethical Clothing Consumption Behavior of Female Adolescents in Jeollanamdo Area by their Shopping Orientation (전남지역 청소년기 여학생의 쇼핑유형과 의류제품의 윤리적 소비행동 연구)

  • Wee, Eun Hah;Park, Woo mee
    • Journal of Korean Home Economics Education Association
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    • v.31 no.3
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    • pp.57-71
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    • 2019
  • This study intended to analyze the ethical clothing consumption behavior of female adolescents and use it as a basic data for education. Specifically, the female adolescents were classified according to their shopping orientation and then the differences among these groups were examined in terms of their ethical consumption behavior of clothing products, i.e., buying, using and disposing. As a result, three groups were identified: pleasure-seeking, intermediate, independence pursuing according to the shopping orientation sub-factors (loyal, enjoyment, impulsive, imitative and independent). The pleasure-seeking group were more likely to conduct ethical use behavior of clothing products, while the independence-pursuing group conducted more ethical buying and ethical disposing behavior. The lower their desire to enjoy shopping itself, the more cautious they are about their own decisions, and the more confident they about buying from the brand and store they liked, the more likely they were to conduct ethical buying behavior of clothing products. On the other hand, when the emotional and desire-seeking tendencies are combined with independent shopping tendencies, the more likely they conduct ethical use behaviors. In addition, the more they make independent purchasing decisions, the more likely they are to conduct ethical disposal behaivors. The results of this study suggest that providing detailed consumer education that considers individual differences in shopping orientation is needed.

Awareness about pandemic influenza, Ethical Awareness, and Ethical Decision-making among Nursing Students in the situation of COVID-19 pandemic. (코로나-19 대유행 시 간호대학생의 신종감염병에 대한 인식과 윤리 인식, 윤리적 의사결정)

  • Park, Mihwa
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.335-344
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    • 2020
  • This study was a descriptive research study to identify of awareness about pandemic influenza, ethical awareness, and ethical decision-making in the situation of COVID-19 pandemic. The subjects were 194 nursing students in H and Y city. Data collected from May 1 to June 20, 2020 and analyzed using the SPSS 24.0 program. The subject's awareness about pandemic influenza was moderate, and ethical awareness and ethical decision-making were high. Ethics awareness and ethical decision-making levels were higher for those who had a history of infection with new type of infectious disease than those who did not. Awareness about pandemic influenza is positively correlated with ethical awareness(r=.291, p<.001) and ethical decision-making related to pandemic influenza(r=.143, p=.046), ethical awareness is a positive correlation with ethical decision-making(r=.274, p<.001). Based on result, propose the development of an educational program to make correct ethical decisions in the social disaster caused by infectious diseases for nursing students.