• Title/Summary/Keyword: Ethics of Care

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The Role of Secondary Home Economics Education to Prepare the Elderly for an Independent Life in an Aged Society (고령 사회에서 자립적인 노후생활 준비교육을 위한 중등 가정교육의 역할)

  • Cho, Byung Eun;Lee, Jong Hui
    • Human Ecology Research
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    • v.51 no.6
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    • pp.591-602
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    • 2013
  • This paper aims to explore the role of the home economics subject in helping high school students preparing for an independent aged life and to develop problem based teaching plans toward this goal. Contents related to the elderly in the high school home economics and technology 2007 and 2009 revised curricula were analyzed, and elderly-related contents in other subject areas (the 2009 revised curricula of ethics, public health, and social studies) were also comparatively analyzed to determine the identity of the home economics subject in relation to preparation for independent aging. Based on these analysis, five subjects and teaching plans were presented: the aging society and population changes, the characteristics of the elderly, individual preparation for aging, care of the elderly, and welfare services for the elderly. The ultimate objectives of the lessons were, through critical reasoning, to inquire into the causes of current problems the elderly face so that teenagers can understand aging societies and the elderly and to seek reasonable alternatives for teenagers as they prepare for successful and independent aging, increasing their problem-solving abilities in choosing the best course of action by considering the ripple effect of consequences of each of those alternatives. Suggestions on what direction elderly-related education should take in the future, and what roles teachers should take are also provided.

A review of the qualification criteria for the national examinations for emergency medical technicians (응급구조사 국가시험 응시 자격기준에 관한 고찰)

  • Kim, A-Jung;Park, Tae-Jun;Bak, Young-Seok;Kim, Jun-Ho;Kim, Yong-Seok;Son, Yu-Mi;Lee, Kui-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.39-53
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    • 2021
  • Purpose: Emergency medical technicians (EMTs) have so far been trained as professionals under the same conditions, with no change in the 1995 Act. We aimed to find ways for them to secure expertise in accordance with social needs by strengthening the quality of the EMT education. Methods: This is a descriptive study comparing the operation status of the national emergency medical examination conducted by the Korea Health Personnel Licensing Examination Institute, and the national examinations of EMT paramedic and EMT basic. The scope of the national examinations for EMT was compared by subject and area. Results: The national written exam for EMT paramedic consists of five areas. EMT basic does not include basic medicine in three related subjects, 11 areas, and 18 detail areas. Paramedic care does not include advanced pediatric life support. In addition, nine areas and 20 detail areas are not included. Conclusion: The study suggests the need for institutional supplementation so that those who have completed EMT basic and the subjects prescribed by the ordinance of the Ministry of Health and Welfare at universities, etc., in the Higher Education Act can take the EMT paramedic national exam.

A study of the current ethical situation in organ transplantations in Korea (한국의 장기이식과 관련된 윤리적 고려사항의 분석)

  • 한성숙;황경식;맹광호;이동익;엄영란
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.26-36
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    • 1998
  • This primary study was done to develop an ethical guideline for organ transplantation, a life-saving treatment which helps improve the quality of life. This study tried to identify the current situation in Korea, in terms of ethical considerations in organ transplantations. This study collected basic data in organ transplantations, in the hope that procedure of organ transplantations could be developed that would be fair to both organ donors and recipients. The immediate goals of this study were : 1)to identify staff in charge of organ transplantations and their jobs in the hospital, 2)to survey whether there exists a Hospital Ethics Committee(HEC), 3)to research what consideration are formally taken in selecting recipients, and 4)to accumulate data on how consent from donors are currently obtained. The study used a survey questionnaire and received responses from 31 hospitals out of 45 hospitals where organ transplantation are being done. Organ transplantation coordinators were found in 16 hospitals, but the job description varied among hospitals. The survey showed that all 16 hospitals with an HEC that health care personnel unnecessarily dominate the committee. The study notes that HECs should be vitalized by recruiting, as members, ethicists, theologians, patients, guardians, as well as the general public outside of the hospital. The study revealed that in selecting recipients the hospital take into account ABO blood type, histocompatibility, age, waiting time. and level of patient compliance. Finally, it was shown that in the cases of living donors the transplanting hospitals seek a formal consent, whereas there are no common consenting practice established for cadaveric donors. The study concludes with three proposals. First, a nationwide institution responsible exclusively for procurement and distribution of cadaveric organs for transplantation should be established. Second. we should rebuild the national health insurance system so that have costly organ transplantation expenses are substantially covered. Last, but certainly not least. there is a need to emphasize the HEC's committment to prepare a proper ethical guideline for organ transplantation in general.

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Proposal of Review on Criminal Law and Legislation about Euthanasia (안락사의 형법적 고찰과 법제화에 관한 시사점)

  • Joung, Soon-Hyoung;Jeon, Young-Ju
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.298-305
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    • 2011
  • The purpose of this dissertation is finding the meaning and form of Euthanasia, Considering by Criminal law that the core of the debate over the 'pros and cons' of euthanasia, And seeking measures about needs of currently Euthanasia legislation and institutional establishment. Through the remarkable progress, today's medical science makes to cure the Incurable patients, and artificially prolong human life by life-support system. These changes of Healthcare Environments extending a permissible range of Euthanasia over the series of criminal discussions about Euthanasia. And medical treatment has been discussed from negative side to positive side. So, In the current legal system, seeking for realistic measure is demands of the times behind the penally and ethical problems. Therefore, I will study the needs of legal system and reestablish values about Respect for Human Life.

A Study for Development of Competency-Based Continuing Education System Depending on Nurses Clinical Ladder (간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구)

  • Jang, Keum-Seong;Kim, Heeyoung;Kim, Nam-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.503-515
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    • 2018
  • The aim of this study was to develop a list of nursing competency for nurses' continuing education, and to propose a competency-based continuing education system according to nurses' clinical ladder. The definition of nursing competency was extracted by analyzing 10 studies. Also, the knowledge base of each nursing competency was confirmed through Carper and Chinn & Kramer's research. Nurses' clinical ladder and preliminary items of nursing competency behavior indicators were verified by seven experts for content validity. The results of this study were as follows; Nursing competencies were defined as 'evidence-based patient care', 'education and counseling', 'nursing management and leadership', 'law and ethics', 'professional value and development', 'research and policy development'. In addition, the validity of the 4 stages of clinical ladder and the 24 indicators of nursing competency were confirmed by experts. These findings suggest that the competency-based continuing education system according to the clinical ladder will be utilized as an effective human resource development strategy for improving the professionalism of nurses.

Patient Safety Education for Medical Students: Global Trends and Korea's Status (의과대학생을 위한 환자안전 교육의 국제적 동향 및 국내 현황)

  • Roh, HyeRin
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.1-12
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    • 2019
  • This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.

Research Records Management in Regional Public Hospital: Focusing on the Cases of Institutional Review Board (IRB) of Incheon Medical Center (지방의료원의 연구기록관리: 인천광역시의료원 임상연구윤리위원회(IRB) 사례)

  • Jiyeon Sim
    • Journal of Korean Society of Archives and Records Management
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    • v.23 no.1
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    • pp.127-132
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    • 2023
  • The Incheon Medical Center Institutional Review Board (IRB), a department that reflects the characteristics of Incheon Medical Center, a medical and public institution, was established in 2013. IRB contributes to performing its role as a local accountable care hospital and protecting researchers and subjects by proving the ethics of research conducted at the medical center. So far, IRB has reviewed a total of 80 research proposals for human subject research and human-derived material research, and it currently exists as an independent department directly under the president of the medical center. This paper aims to explain the registration and preservation of IRB-related records, the maintenance of the Records Management Standard Table and related regulations, and archives, as well as to present limitations and improvements in the disclosure, utilization, and classification of records.

Influence of Information Literacy and Perception of Patient Data Privacy on Ethical Values among Hospital Clinical Nurses (병원간호사의 정보활용능력과 개인정보보호에 대한 인식이 윤리적 가치관에 미치는 영향)

  • Seo, Hyung-Eun;Doo, Eun-Young;Choi, Sujin;Kim, Miyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.52-62
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    • 2017
  • Purpose: The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values. Methods: For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0. Results: Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance. Conclusion: Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice.

Effects of Hospital Ethical Climate and Communication Self-Efficacy on Nursing Cares Left Undone among Nurses (간호사의 병원윤리풍토와 의사소통 자기효능감이 미완료간호에 미치는 영향)

  • Noh, Yoon Goo;Sim, Bong Hee;Lee, Eun Su
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.1
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    • pp.20-29
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    • 2023
  • Purpose: This study aimed to identify the effects of hospital ethical climate and communication self-efficacy on nursing care left undone. Methods: The participants were 142 nurses working in a general hospital. Data were collected from July 18 to August 30, 2021. Data were analyzed by t-test, ANOVA, Pearson correlation, and multiple regression analysis using the SPSS/WIN 25.0 program. Results: (a) The mean value of hospital ethical climate was 3.54±0.41, communication self-efficacy was 5.03±0.81, and the sum of nursing cares left undone was 3.68±3.14. (b) Nursing cares left undone had a negative correlation with hospital ethical climate(r=-.25, p=.003) but not with communication self-efficacy (r=-.13, p=.116). (c) Factors that affected nursing cares left undone included education (≥master) (β=.23, p=.005), marital status (single) (β=-.19, p=.018), age (26~27) (β=-.18, p=.022), and hospital ethical climate (β=-.18, p=.029); the explanation power was 18.0% (F=8.66, p<.001). Conclusion: Our study shows that hospital ethical climate plays a significant role in nursing cares left undone of nurses. It is important to strengthen hospital ethical climate to lower the incidence of nursing cares left undone. These results may serve as basic data to help develop strategies for reducing the incidence of nursing cares left undone.

Ethical Values and Work Ethic of Clinical Dental Hygienists and Dental Technician (임상 치과위생사와 치과기공사의 윤리적 가치관과 직업윤리)

  • Lee, Sun-Kyoung;Seong, Jeong-Min
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.179-184
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    • 2021
  • This study obtained licenses for dental hygienists and dental technicians and analyzed the data by sampling convenience as those currently working in hospitals. It was selected as the final data using 75 dental hygienist questionnaires and 90 dental technician questionnaires. The analysis found that both groups had high ethical values and that they were willing to serve if given volunteer opportunities, indicating a high sense of professional and professional mission. In addition, more than a majority of both groups surveyed said ethical issues would emerge in clinical activities, and that job ethics education was desperately needed. Measures should be sought to foster professional expertise by developing sustainable professional education and programs with established ethical foundations.