• 한국방재학회:학술대회논문집
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• 2008.02a
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• pp.377-379
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• 2008

This study was focused on the ethical dilemmas of fire fighters in Korea. There was no research on ethical dilemmas and experience of fire fighters and paramedics(emergency medical technician, EMT) in Korea. So I am going to survey this ethical problems through questionnaires and propose the basic data for the legal and ethical solutions.

• The Korean Journal of Health Service Management
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• v.9 no.1
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• pp.67-79
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• 2015

The aim of this descriptive cross-sectional study was determine the effect of critical thinking and clinical decision-making on ethical dilemmas. A survey of dental hygienists residing in Busan and South Gyeongsang, Korea was conducted using convenience sampling between September and December, 2013. A total of 153 responses were used in the final analysis. Data analysis and structural equation modeling were performed with IBM SPSS Statistics(version 21.0) and AMOS(version 18.0) programs. A negative(-) correlation coefficient(-0.37) was observed between critical thinking and ethical dilemmas on statistical analysis, i.e., higher critical thinking led to less ethical dilemmas(p=0.024, CR=-2.264). The values from the structural equation model were ${\chi}^2=98.124$ df=66, GFI=0.919, AGFI=0.871, and RMSEA=0.057. This study proposed a theoretical model in which critical thinking, ethical values, and decision-making skills should be firmly established to effectively respond to specific situations, such as ethical dilemmas, and that greater tendencies for critical thinking led to less ethical dilemmas, thereby demonstrating a negative(-) correlation between the two parameters.

• Journal of Korean Critical Care Nursing
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• v.5 no.2
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• pp.1-14
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• 2012

Purpose: This study was aimed to describe ethical dilemmas and types of coping behaviors among nurses who worked in intensive care units (ICUs). Methods: Data were collected by 2 focus group interviews with 12 ICU nurses in an academic affiliated hospital in Seoul, Korea. All interviews were tape-recorded and transcribed, and data were analyzed by modified qualitative content analysis. Results: Three themes emerged from the focus group interviews: "Respect for Persons (2 contents)", "Beneficence (13 contents)", "Justice (1 content)". Coping behaviors against the dilemmas were consultations with the doctors or colleagues, acceptance, guilt, reflection, forgetting, endurance, and frustration. Conclusion: The results of this study help us to understand ethical dilemmas that nurses experienced in ICUs and their coping behaviors. It would be useful to develop education programs for nurses in ICUs to support coping strategies for ethical dilemmas.

• Journal of Hospice and Palliative Care
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• v.25 no.4
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• pp.159-168
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• 2022

Purpose: This study aimed to investigate the impacts of end-of-life care competency and ethical dilemmas on psychological burnout in nurses who care for terminal cancer patients. Methods: A cross-sectional study of 160 nurses who cared for terminal cancer patients was conducted. The participants were recruited from the hospice-palliative care wards, hematology or oncology wards, or intensive care units of three general hospitals in a single metropolitan area. Data were collected using a self-administered survey to assess end-oflife care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent ttest, analysis of variance, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows (version 26.0). Results: Psychological burnout was significantly correlated with end-of-life care competency (r=-0.23, P=0.003) but not with ethical dilemmas. The results of the hierarchical linear regression analysis indicated that endof-life care competency (β=-0.280, P=0.010) and ethical dilemmas (β=0.275, P=0.037) were significant predictors of psychological burnout, after adjusting for age, religious status, clinical experience, and unit type. Conclusion: The current study's findings demonstrate that end-of-life care competency and ethical dilemmas are crucial factors that affect psychological burnout in nurses who care for terminal cancer patients. Substantive education programs must be developed to improve nurses' competencies in end-of-life care and ethical dilemmas to decrease psychological burnout.

• 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.

• Journal of Korean Academy of Nursing
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• v.25 no.3
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• pp.496-509
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• 1995

This study was conducted to identify the attitude of ethical dilemmas in hospital nurses. Ethical dilemmas were categorized into four areas : human life area, clients area, nursing practice area, and nurses-co-worker area. 354 nurses working in clinical settings were selected in Seoul and Kangwon area. Data were gathered from 26, June to 10, July, 1994 by structured guestionnaires. Descriptive statistics were employed to analyze the data. The results obtained from data were as follows : 1) In human life area mean score was 3.03. This area showed remarkabale individual differences between utilitarian and deontological position. 2) In clients area mean score was 3.94. It means that nurses tend to take a deontological position. 3) In nursing practice area mean score was 3.41. It means that nurses tend to take a slightly deontological position. 4) In nurses-co-worker area mean score was 3.88. It means that nurses tend to take a deontological position. To conclude, clinents area, nursing practice area, and nurses-co-worker area taken deontological position. Most nurse's primary concern was the 'welfare of the patients' which is to fundamental ethical professional practice. But nurses experienced more ethical dilemmas in human life area than others. Therefore, nurses should be prepared to make in-dependent decision that based on bio-ethics and professional ethics.

• Korean Security Journal
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• no.46
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• pp.31-62
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• 2016

This study is about the phenomenological study of bodyguards' ethical dilemmas. Through this study, the meaning and essence of bodyguards' ethical dilemmas will be analyzed based on empirical facts. The purpose of this study is to provide basic information of the prevention and solutions for their ethical dilemmas and to understand and research the process and the essentials of them. To achieve this goal of the study, seven bodyguards who experienced ethical dilemmas working more than five years are selected as objects of the study. Colaizzi's six stage method are applied into this study so information gathered through interviews and questionnaire from 0ctober 1st, 2015 to November 20th, 2015 is analyzed. From the process of this research, these following conclusions are drawn considering validity of this study and ethical things. As a result, bodyguards' ethical dilemmas are divided into six centric meanings and 20 thematic statement. First, the centric meaning is conflict factors and the themes are discordance of pre-practice, regulatory or procedure problems, communication about sturcture and job and service disagreement. Second, the centric meaning is limited professional roles and the themes are institutional custom, decision making, priorities. Third, the centric meaning is difficulties of circumstantial judgement at work places and the themes are ambiguity of decision, conflict of knowledge, experience and opinion. Forth, the centric meaning is reasonable self-defense and the themes are lack of responsibility, rationalization, intentional negligence and sense of shame. Fifth, the centric meaning is difficulties of social network and the themes are the relationships between subordinates and superiors, the role of a moderator, uncooperative work and unpleasant sayings and doings. Sixth, the centric meaning is keeping secrets and the themes are burried for and illegal practice.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.5
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• pp.668-678
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• 2013

Purpose: This study was done to develop a realistic clinical case and investigate nurses' decision-making about nurses' ethical dilemmas with physicians in the fields of nursing practice. Methods: Case development and a hypothetical case study were used. Participants were 52 nurses. Data were collected in 2012 and 2013 using an open-ended questionnaire and interviews and analyzed using content analysis and descriptive statistics. Results: Various dilemma situations between nurses and physicians, such as violence, deathbed, medication prescription, and physicians' incapacity unfairness, were suggested. A clinical dilemma case about medication prescription was developed based on nurses' experiences. Nurses' responses to the developed case situation and responses were classified into five types. Various reasons were given for making the decisions and about 56% of the nurses decided to notify their supervisor without deleting nursing records. Conclusion: In this study, a realistic clinical dilemma case was developed, and nurses' ethical decision making was identified. These findings can be used in developing effective strategies for nurses to solve ethical dilemmas and to improve ethical decision-making abilities.

• Korean Journal of Child Studies
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• v.27 no.2
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• pp.127-151
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• 2006

This study examined ethical dilemmas experienced by child-counselors and coping behaviors they practiced in context. The analysis was performed for 30 child-counselors in Seoul and Kyunggi-do, Participants were asked to describe a self-report in an interview with the main researcher. Data were categorized, quantified and examined in terms of five ethical dimensions derived from antecedent research. The five ethical dimensions are "confidentiality and protection of privacy", "professional competence", "informed consent", "informing clients of the nature of treatment modality", and "adequacy and effectiveness of treatment". This study contributes basic data for the development of an inventory for the measurement of ethical practice for child counselors.

• Journal of the Korean Society for Library and Information Science
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• v.55 no.1
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• pp.161-180
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• 2021

This study investigates ethical dilemmas of teacher-librarians in their professional practice. Within the framework of "Librarians' Statement of Ethics" by Korean Library Association, the study used the survey and semi-structured interview with teacher-librarians. 259 teacher-librarians responded the survey and 5 teacher-librarians participated the interview. The survey was analyzed using descriptive statistics to find how often teacher-librarians experience ethical dilemmas. The semi-structured interview was transcribed and analyzed to draw the individual cases of teacher-librarians' ethical dilemmas. The results indicate that teacher-librarians experience ethical dilemmas in relation to information access and intellectual freedom most often. It was difficult for teacher-librarians to relate their professional duties with their expertise and that they were not clear on how to avoid copyright issues and how to deal with the balance between users and copyright holders. This study had implications that individual dilemma cases are so context-dependent that teacher-librarians had to make decisions individually. They tried hard to find the balance between protecting students from harmful resources and library ethics. Researchers and practitioners need focus more on finding where the balance is and how teacher-librarians deal with their ethical dilemmas.