• Title/Summary/Keyword: Ethical decision-making

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Evaluation of the Confidence and Learning Effects of Dental Hygiene Ethical Decision-Making through Dental Hygiene Ethics Subjects (치위생(학)과 학생들의 치위생윤리 교과목을 통한 치위생 윤리적 의사결정에 대한 자신감과 학습성과 평가)

  • Jung-Hui Son;Sun-Jung Shin
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.2
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    • pp.91-100
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    • 2023
  • Background: This study evaluated the learning outcomes of dental hygiene students' ethical consciousness and ethical decision-making competence through dental ethics courses conducted in some universities. Methods: The subjects were 35 and 29 fourth-year dental hygiene students at G University in the first semester of 2021 and 2022, respectively, and 53 and 43 third-year dental hygiene students at D University, respectively, for a total of 160 students. After implementing the dental hygiene ethics course, classroom performance was evaluated in terms of moral sensitivity, confidence in making ethical decisions, classroom practicality, learning outcomes, and class satisfaction. Statistical analysis was conducted using independent t-test and paired t-test, and the statistical significance level was 0.05. Results: Both universities reported an increase in moral sensitivity and confidence in ethical decision-making after the course (p<0.001). Classroom practicality and class satisfaction for the dental hygiene ethics course did not differ between disciplines and were rated positively with a score of 4 or higher (p>0.05). Learning outcomes were higher among 4-year students than 3-year students (p<0.001). Conclusions: It was evaluated that the ethics in dental hygiene curriculum can strengthen students' competence in ethical decision-making, including moral sensitivity and confidence in solving ethical problems in dental hygiene.

Thre Relationaship of Scientific Knowledge and Ethical Value in Environmental Education (환경교육에서 과학적 지식과 윤리적 가치의 관계)

  • 김정호
    • Hwankyungkyoyuk
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    • v.10 no.2
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    • pp.51-62
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    • 1997
  • The objective of this study was to review the meaning and problems of Scientific Knowledge and Ethical Value in Environmental Education. The ultimate goal of environmental education is shaping proenvironmental human behavior. The factors of human behavioral decision making are ideology, value, attitude and behavioral intentions. Ideology is a kind of belief system used by social groups to interpret their social world. The main elements of belief system are knowledge and value. The traditional thinking in education has been that we can change behavior by making human beings more knowledgeable and more valuable. In environmental education, the aim of scientific inquiry is to analysis cause-effect relation of human beings behavior and environmental phenomenon, and ethical education is to change the mind of human beings from zero-sum to positive-sum about the relations between human beings and natural environments. But, there are many problems of knowledge education and value education in environmental education. For example scientific knowledge without ethical value is dangerous to environment protection, and ethical value without scientific knowledge is vague. Therefore, we must recognize that the relationship of ethical value and scientific knowledge is not substitutional but complementary. The teaching-learning methods which can integrate knowledge and value in environmental education are rational decision making model. For this model, we can construct teaching contents with inquiry materials. To earn the benefits of specialization among several subjects in environmental education, social studies can focus on social science knowledge and decision making, science education can focus on pure natural science knowledge and scientific investigation, moral education can focus on problems of ethical value system, home economics can focus on practical action and environmental education(Environments in middle school, Ecology and Environments in high school) can integrate social-national science knowledge and ethical value in broad perspective about human beings and ecosystem. That is the method to protect from law of diminishing marginal utility of learning in environmental education.

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The Influence of Nursing Students' Ethical Awareness, Ethical Decision-making and Attitude toward Performance on Intention about Performance of Infection Control Guidelines in Pandemic Infectious Diseases (팬데믹 상황에서 간호대학생의 윤리인식, 윤리적 의사결정 및 감염관리지침 수행태도가 감염관리지침 수행의도에 미치는 영향)

  • Choi, Dongwon
    • Journal of Korean Public Health Nursing
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    • v.35 no.3
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    • pp.343-355
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    • 2021
  • Purpose: This study aimed to identify the effects of nursing students' ethical awareness, ethical decision-making and attitude toward performance on intention about performance of infection control guidelines in pandemic infectious diseases. Methods: The survey was performed on 163 nursing students in three universities. Data were collected using a structured questionnaires and analyzed with t-test, analysis of variance (ANOVA), Pearson's correlation and multiple regression analysis. Results: Perceived health status, ethical awareness and attitude toward performance of infection control guidelines about major commitment were significant predictive variables. These variables accounted for 48.1% of the variance in major commitment. Conclusion: The findings indicate the necessity of developing educational programs to enhance nursing students's ethical awareness, and increase performance of control guidelines to prepare for the pandemic infectious diseases.

Ethical consciousness and decision-making of dental hygiene students for COVID-19 (코로나바이러스감염증-19에 대한 치위생과 학생의 윤리적 의사 및 의사결정)

  • Lee, Seung-Hun
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.4
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    • pp.357-366
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    • 2021
  • Objectives: The objectives of this study were to verify the level of ethical consciousness and decision-making of dental hygiene students in pandemic as coronavirus disease 2019 (COVID-19). Methods: This study included 249 college students who were interested in new infectious diseases. They completed a questionnaire on a 5-point scale, and data were analyzed by independent t-test, ANOVA, and correlation. Results: The perception of COVID-19 was moderate at 3.42 points. This was higher among males, first graders, emergency management students, those who received education and experienced self-quarantine. The level of ethical consciousness was moderate (3.89 points), which was higher in sophomores, emergency management students. Ethical decision-making was moderate, with a score of 3.44, and was higher in those with first grade, field practice training, and self-quarantine experience. The level of perception positively correlated with ethical consciousness (α=0.310, p<0.01). In addition, as the degree of ethical consciousness increased, the degree of decision-making also increased (α=0.539, p<0.01). Conclusions: In a crisis, involving the spread of COVID-19, providing prospective dental hygienists accurate information and an experience similar to that faced by patient is necessary for raising the level of ethical consciousness and decision-making.

The Effects of National Culture on Ethical Decision-Making in the Internet Context : An Exploratory Analysis (인터넷 영역에서의 윤리적 의사결정에 대한 국가문화의 영향 : 탐색적 분석)

  • Yoon, Cheolho;Choi, Kwangdon
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.23-36
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    • 2014
  • This paper analyzes the effects of national culture on an individual's ethical decision-making in the context of the Internet. An ethical decision-making model which posits that five moral philosophy variables-justice, relativism, egoism, utilitarianism, and deontology-affect ethical judgment; ethical judgment, in turn, affects behavioral intention was proposed and Hofstede's five cultural dimensions of power distance, individualism, masculinity, uncertainty avoidance, and long-term orientation were used to analyze the effects of national culture on the model. The results showed that power distance, individualism, and masculinity had significant effects on the relationship between the deontology variable and ethical judgment, individualism, masculinity, and uncertainty avoidance had significant effects on the relationship between the justice variable and ethical judgment, and individualism and long-term orientation had significant effects on the relationship between ethical judgment and behavioral intention in the Internet context.

The Effects of Debate Classes based on an Ethical Decision-Making Model on Ethical Knowledge, Class Satisfaction, and Ethical Values (윤리적 의사결정모형 기반 토론식 수업이 윤리 지식, 수업만족도 및 윤리적 가치관에 미치는 효과)

  • Kim, Chang-Hee;Jeong, Sun-Young
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.405-414
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    • 2014
  • This research aims to strengthen the ethical decision-making capability of nursing students, and involves 82 fourth-year undergraduate nursing students in a nonequivalent control group pre-post quasi experimental research design from March 4 to June 3, 2013. Experimental group took a discussion-based class and control group took a traditional lecture-based class and we identified the differences in ethical knowledge, class satisfaction and ethical values between the two groups. Experimental group had higher scores for ethical knowledge after the class. There was no significant change in ethical values after the class in the two groups. The experimental group achieved significantly higher scores for the comprehension of class contents and practical application within the class satisfaction criteria. So we propose to use this model as an effect teaching method to apply ethical principles in nursing practice.

Ethics in the Intensive Care Unit

  • Moon, Jae Young;Kim, Ju-Ock
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.175-179
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    • 2015
  • The intensive care unit (ICU) is the most common place to die. Also, ethical conflicts among stakeholders occur frequently in the ICU. Thus, ICU clinicians should be competent in all aspects for ethical decision-making. Major sources of conflicts are behavioral issues, such as verbal abuse or poor communication between physicians and nurses, and end-of-life care issues including a lack of respect for the patient's autonomy. The ethical conflicts are significantly associated with the job strain and burn-out syndrome of healthcare workers, and consequently, may threaten the quality of care. To improve the quality of care, handling ethical conflicts properly is emerging as a vital and more comprehensive area. The ICU physicians themselves need to be more sensitive to behavioral conflicts and enable shared decision making in end-of-life care. At the same time, the institutions and administrators should develop their processes to find and resolve common ethical problems in their ICUs.

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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A Study of Moral Judgment and Ethical Decision Making and Ethical Dilemmas Experienced in Practice by Nursing Students (간호대학생의 도덕판단력과 윤리적 의사결정 및 실습에서 경험한 윤리적 딜레마)

  • Noh, Yoon Goo;Jung, Myun Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2915-2925
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    • 2013
  • This study examined the moral judgments and ethical decision-making and analyzed ethical dilemmas experienced in practice by nursing students. The data were collected using self-reported questionnaires and reports from 189 college students in their 2nd ~ 4th grades. Data collection period was from Nov 6th - 20th in 2012. Each grade's P(%) scores were 47.92, 43.74, and 43.75 respectively.. For stage 4 score, each grade's scores were 22.37, 22.98, and 19.74. This result shows that, compared to juniors, senior student's P(%) scores did not drop and stage 4 scores rather decreased, which is in line with the results of previous studies about the effects of ethics education. This finding could be attributed to the regular and voluntary case presentations and discussions required for the senior participants. Regarding ethical decision-making type, the most favored was type 3(35.45%). Among seven categories of the ethical dilemmas facing the students, the most commonly reported was the patient's rights and dignity, followed by practices based on nursing standards, arranging for dying patients. This study raises the need that the curriculum is revised to encourage student's participation in the analysis of ethical issues they confront in the field.

A study on the persistence of nursing ethics education for nurses' ethical decision making (간호사의 윤리적 의사결정을 위한 간호윤리교육 효과의 지속성에 관한 연구)

  • Kim, Yong-Soon;Park, Jee-Won;Bang, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.2
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    • pp.253-263
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    • 2001
  • Purpose : To determine the change of effects of nursing ethics education on the nurses' ethical decision making with the time relapse of one month, three months and six months. Method : Thirteen participated in free discussion group, and fourteen participated in expert-guided discussion group for five weeks. Two weeks before the education, DIT and JAND were assessed, and JAND was assessed again on month, three months and six months after the five weeks' education program. Results : 1) Average realistic scores of JAND did not showed significant differences as times went by. However, scores were highest at three months after the education in general. 2) In both of free discussion and expert-guided discussion group, JAND score increased after the education, and highest at three months in general. 3) Low level moral development group showed highest scores at one month after the education, and declined at three month. However, in middle and high level of moral development groups, scores were higher at three months than at one month after the education. Scores were declined again at six months after the education. Conclusion : Effects of moral education program were highest at three months after the education, and were lessened as times went by. Especially for the low moral development group, effect was not continued more than one month. Therefore, more persistent, periodic education program was required until the ability of ethical decision making is settled down.

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