• 간호행정학회지
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• 제7권3호
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• pp.403-414
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• 2001

The study was intended to identify the nurses' experiences, understanding, and attitudes on DNR. Also, the study was to provide the data base for a standard of DNR decision-making and practice. The sample consisted of 347 nurses in eight general hospitals. The data were collected between August 1 and August 31, 2000. The data were analyzed using descriptive statistics and $x^2-test$. The results of the study were as follows : 1. Regarding DNR-related experience, 74.6 percent of the participants experienced DNR situations. Eleven percent of the participants received DNR education. DNR was most frequently (81.5%) requested by family members and relatives of patients. The decision-making on DNR was most frequently (76.8%) made by agreement between family members and medical staff. The DNR order was recorded at 81.9 percent on charts. Problems after DNR order were negligence in treatment and nursing care (30.6%) and guilty feelings due to doing the best (22.1%). CPR (cardiopulmonary resuscitation) was performed about 49.8 percent of DNR cases. 2. Regarding understanding and attitude on DNR, most of the participants (93.1%) thought DNR was necessary. The major reasons for the necessity of DNR were impossible recovery (44.4%) and death with dignity (41.1%). The decision-making on DNR was most frequently made by patient and family members (47.8%) and followed by agreement between family members and medical staff (25.6%), and patients themselves (16.4%). Most of the participants thought that medical staff must explain DNR to critical and end-of-life patients and their family members. Forty four percent of the participants thought that the most appropriate time for DNR explanation was when patients with critical disease were admitted to hospitals. Most of the participants (90.2%) thought a guide book for DNR is necessary to be made in hospitals. 3. There were significant differences in the participants' understanding and attitudes on DNR according to religion career education and experience of DNR. Of the participants those who have religions and education experience on DNR thought that there would be more DNR requests after DNR is explained to patients and family members (p<.05). In addition, there was higher understanding on the necessity of DNR in those who have more career and DNR experience(p<.01). The findings of the study suggest that a guide book for DNR need to be made with inclusion of legal, ethical, and cultural aspects. Also, there needs to be more education on DNR in medical ethics to health care professional and to provide more information on DNR to the general public.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 제53차 추계 학술대회 연제집
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• pp.166-167
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• 2001

• 한국과학교육학회지
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• 제39권3호
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• pp.427-439
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• 2019

이 연구에서는 사사교육을 수행하고 있는 과학자와 교사는 연구윤리교육을 어떻게 하고 있는지, 사사교육에서 윤리적 교육환경을 어떻게 조성하고 있는지를 알아보았다. 이를 위하여 고등학교급 과학영재를 대상으로 사사교육을 수행하고 있는 과학자 32명과 교사 44명을 대상으로 설문조사를 수행하였다. 연구윤리교육의 내용에 대하여 과학자와 교사 모두 위조, 변조, 표절하지 않기를 가장 우선적으로 가르쳐야 한다고 보았다. 연구윤리교육의 수준에 대해서 과학자와 교사 모두 고등학교급 과학영재에게 대학생 수준의 연구윤리를 가르쳐야 한다고 인식하였다. 교육방법에 대해 교사는 연구수행 중 각 단계별로 필요한 윤리적 의사결정의 개별 교육, 과학자는 연구노트 작성법 지도가 가장 순위가 높았다. 연구윤리교육의 어려움에 대해 교사는 입시 위주의 교육풍토를 들었고, 과학자는 연구윤리가 학생 스스로의 문제라고 인식시키는 것이 어렵다고 응답하였다. 과학영재가 윤리적으로 연구를 수행하는데 영향을 미치는 주요 요소를 교사는 연구지도에 주어진 시간, 과학자는 멘토의 윤리성이라고 보았다. 윤리적 연구 환경의 조성 방법에 대해 교사는 실패가 용인되는 분위기를 조성하는 것, 과학자는 결과에 대한 자유도를 늘리는 것이라고 하였다. 윤리적 연구환경 조성의 주요 어려움으로 교사는 연구시간의 제약, 과학자는 결과에 대한 압박을 들었다. 이 결과는 과학영재 학생들을 위한 사사 교육 중 어떻게 연구윤리를 교육하여야 하는지와 어떻게 윤리적 연구 환경을 만들어나갈지에 대한 시사점을 제공한다.

• 경영과정보연구
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• 제12권
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• pp.101-116
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• 2003

After and before the education of business ethics, the recognitive response and interpretation of personnel and information ethics to the standards of business ethics are as follows. 1. In case of personnel ethics, before the education of business ethics, selfishness is at its peak and utilitarianism is in the lowest. It can be understood that it is faithful to the principles of capitalism. 2. In case of personnel ethics, before the education of business ethics, relativism is in the highest level and utilitarianism is in the lowest. Because it means not agreeing on standardized economic equality and the choice of proper ethical standards. It can be understood that the education of business ethics has an effect on ethical making-decision. 3. In case of information ethics, after and before the education of business ethics, righteousness is at its peak and utilitarianism is in the lowest level. I can be interpreted that it means thinking highly of the value of justice and not agreeing to standardized economic equality. 4. The above results show that the education of business ethics has an influence on the recognition of personnel ethics and is effectively used to improve the recognition of personnel and information ethics.

• 대한치위생과학회지
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• 제5권2호
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• pp.113-121
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• 2022

Background: This study aimed to create and present content that can be used in the dental hygiene ethics process to help dental hygiene students develop desirable work ethics and ethical values. Methods: In order to operate the dental hygiene ethics course in all academic systems, one three-year dental hygiene professor and one four-year dental hygiene professor participated in setting core competencies and learning goals for the dental hygiene ethics course. The class consisted of two credits, two hours of theoretical classes, and class activity sheets developed according to the learning contents and learning topics for each week that can be operated for 15 weeks. Results: The contents of the dental hygiene ethics subject were developed to be conducted as theoretical education and case-oriented discussion classes. The 15-week class consisted of a theory lecture on dental hygiene work ethics (eight weeks), discussions and presentations for ethical decisions based on actual cases related to dental hygiene ethics (four weeks), and the design and presentation of individual professional mission statements and codes of conduct (three weeks). The class data for each week consisted of four stages: "Learning goal-thinking," "open-thinking," "learning content-thinking," and "according to learning goal." Conclusions: In order to establish desirable workplace ethics and ethical values for dental hygiene students, it is necessary to approach education in a way that values understanding and application of dental hygiene practices, legal and ethical standards, ethical decision-making models, and ethical principles.

• 유통과학연구
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• 제17권8호
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• pp.57-66
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• 2019

Purpose - The purpose of this study is to elucidate the perception differences between CEOs and employees, and to derive a plan for improving performance by using theory of planned behavior (TPB) to enhance the competitiveness of SMEs exposed to various difficulties until recently. Research design, data and methodology - A total of 238 valid questionnaires were collected for CEOs and members of SMEs. In order to clarify the difference of perception, independent sample t-test and multi-group analysis using AMOS were conducted. Simple regression analysis and structural equation were used to confirm whether the theory of planned behavior was applied at the level of SME. Results - The CEO group is more aware of company's ethical responsibility activities and organizational support than the group of employees, and collectivism contributes more to organizational development than individualism tendency. Also, the theory of planned behavior is applied to the SME level as well. Conclusion - This study suggest that CEOs need to accept the pluralism of their members for the development of SMEs. In addition, it is necessary to form a consensus on ethical responsibility activities that corporations are performing by supporting diverse strategies and members' participation in management decision-making.

• 간호행정학회지
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• 제1권1호
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• pp.5-21
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• 1995

This study purports to investigate moral reasoning and ethical decision making among student nurses in the hypothetical moral dilemmas. The subjects consisted of 25 senior nursing students attending at a four-year college. Data were collected through self-reported questionnaires in November, 1993. The 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). In particular, the level of principled thinking (P) was measured by summing those 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, and Pearson correlation coefficients. The findings are following. 1. The mean score of P was 52.93 (SD=12.82). The mean score of the stage 5A was significantly higher than the scores of other stages (17.92, p=.0001). 2. The mean score of P was not significantly different by general characteristics of the students. Of the scores of each stage, only the mean score of the stage 3 revealed significant difference by the status of living with parents(p=.0283). The score was highest when "living with both parents"(15.22), which was followed by "living with no parents"(10.0), "living with father only"(9.0), and "living with mother only"(7.50). 3. 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, most students perceived them as moral dilemma rather than nonmoral one. Most students made a positive decision according to moral reasoning in the above situations except for providing new-nurse orientation. 4. The mean score of the MS was 3.30 and that of the DS was 3.32. These scores did not show significant difference with general characteristics of the students. 5. As for the correlations between moral reasoning and decision making, the score of the stage 5A was positively correlated with the scores of P(.74, p<.0001) and DS(.56, p<.001). Positive correlation was also observed between the scores of stage 2 and stage 4(.68, p<.0001). On the other hand, the score of P was negatively correlated with the scores of stage 3(-.47, p<.05) and of stage 4(-.55, p<.001). The score of the stage 5A was also negatively correlated with the score of the stage 6(-.42, p<.05).

• 간호행정학회지
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• 제4권2호
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• pp.475-487
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• 1998

This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

• 임상간호연구
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• 제16권3호
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• pp.85-98
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• 2010

Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.

• 한국심리학회지 : 문화 및 사회문제
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• 제23권1호
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• pp.1-24
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• 2017

본 연구의 목적은 사회적 가치와 생명윤리에 관한 의사결정의 관계를 검증하는데 있다. 연구 1에서는 한국 대학생들의 사회적 가치를 조사하였다. 대학생들이 성취의 가치를 선호할수록 배려의 가치를 선호하는 정도가 낮아서, 성취의 가치가 배려의 가치와 부적 상관관계에 있었다. 연구 2에서는 문장완성과제를 통해 성취/배려의 가치를 활성화시킨 조건에 따라 생명윤리에 관한 의사결정에서 차이가 나타나는지를 비교하였다. 그 결과, 성취/배려의 점화에 관계없이 동물실험, 안락사 및 장기이식의 활성화에 대해 전반적으로 동의하는 공리주의적 결정이 나타났다. 이에 비해 태아성감별과 인간복제연구에 관해서는 성취조건과 배려조건에서 모두 동의정도가 상대적으로 낮았다. 연구 3에서는 성취/배려의 가치를 활성화시킨 조건에서 단어완성과제를 통해 참가자들의 암묵적 가치 선호를 측정한 후, 생명윤리에 대한 의사결정이 달라지는지를 분석하였다. 그 결과 배려점화조건에서 배려의 가치를 암묵적으로 더 선호하는 참가자일수록 동물실험 및 장기이식의 활성화에 더 반대하는 경향이 나타났다. 반면, 태아 성감별과 인간복제연구에 대한 의사결정에서는 조건에 관계없이 전반적으로 반대하는 경향이 많이 나타나서. 실험상황에서 유도된 사회적 가치와 참가자 개인이 암묵적으로 선호하는 가치의 영향이 나타나지 않았다. 이 결과는 한 개인이 암묵적으로 선호하는 사회적 가치와 외부상황에서 부각되는 가치가 생명윤리에 관한 의사결정에 차별화된 영향을 줄 가능성을 시사한다. 논의에서는 사회적 가치와 윤리적 의사결정의 관계를 토론하고, 연구의 한계 및 후속연구의 방향을 다루었다.