• 제목/요약/키워드: Ethics of Care

검색결과 201건 처리시간 0.029초

Epidemiology and Preventive Medicine in Times of New Technologies

  • Jenicek Milos
    • 대한예방의학회:학술대회논문집
    • /
    • 대한예방의학회 1996년도 제48차 추계 학술대회 연제집
    • /
    • pp.3-26
    • /
    • 1996
  • Epidemiology and preventive medicine are changing together with Population and health and with ever expanding medical and non medical technologies. New technologies make epidemiology methodologically more sophisticated, but such advances risk overshadowing epidemiology's most important role: raising questions, providing answers, and helping the medical decision-making at ail levels of prevention. Epidemiology also plays a major role in the evaluation of new and other technologies whose effectiveness is poorly known. Epidemiological approaches, methods, techniques, and interpretations are widely used in new and rapidly expanding fields of medicine: research evaluation and synthesis (meta-analysis), establishment of guidelines for clinical preventive practices, new medical technology assessment, guidelines for national and international health policies, evidence-based medicine, outcomes research and disease management ('population-based' medicine and quality of care improvement). In the nearest future, infectious and noninfectious diseases may cease to be almost the sole subjects of epidemiology and they may share their place with other mass phenomena of the next millennium, such as medical practices and care, or political, social and economic actions and their consequences. Not only will primary, secondary, and tertiary Prevention will remain in the epidemiological mainstream, but health protection and health promotion will require perhaps a redefinition of epidemiology in these domains. Epidemiology and preventive medicine are both subjects of medical ethics and dilemma for right choices.

  • PDF

아동간호의 본질적 토대와 사명에 관한 논고(論考) (A Critical Discussion on the Academic Fundamentals and the Missions of Child Health Nursing)

  • 조갑출
    • Child Health Nursing Research
    • /
    • 제21권4호
    • /
    • pp.311-319
    • /
    • 2015
  • Purpose: To reilluminate academic fundamentals and missions of child health nursing (CHN). Methods: Critical review of literature. Results & Conclusion: The academic fundamentals of CHN were analyzed for three different basis; philosophical, theoretical, and legal & ethical basis. The philosophical basis of CHN was summarized as six beliefs; A child is an important human resource and a valuable asset for future society; A child should be respected as a unique and dignified human being; A child has his/her own unique developmental needs; A child is a vulnerable client and should be advocated for; Atraumatic care should be provided to each child; Child health care should be family-centered. The essence of the theoretical basis were reilluminated into caring theory and client advocacy theory. The legal basis of CHN was stated as pertaining to the various child-related laws and international conventions, such as UN Convention on the Rights of the Child. The ethical basis were stated as 4 principles of biomedical ethics and The UNESCO Universal Declaration on Bioethics and Human Rights. The mission of the CHN was stated and the role of CHN was described as one who is a child rights advocator, professional caring service provider, policy maker, health educator, researcher.

일 지역 간호사의 뇌사자 장기기증에 대한 태도 조사 (Attitudes on Organ Donation in Brain Dead Donors of Staff Nurses)

  • 송영신;이미영
    • 한국간호교육학회지
    • /
    • 제14권2호
    • /
    • pp.216-223
    • /
    • 2008
  • Purpose: The purpose of this study was to discover attitudes toward organ donation in brain dead donors and nursing ethical values of staff nurses. Method: The subjects were 196 nurses with direct patient care in a university hospital. Data collection was carried out for one month in September, 2008 using structured questionnaire. The data were analyzed using frequency, percentage, mean and standards deviation, ANOVA and Pearson's Correlation with SPSS program. Result: The mean score of a positive attitude toward organ donation in brain dead donors was 3.59 points, and a negative attitude score was 3.02 points. The mean score of nursing ethical value was 3.05 points. The age and the length of career had a reverse correlation with a negative attitude toward organ donation. Nursing ethical values had a positive correlation with a negative attitude toward organ donation. Conclusion: It is necessary to increase understanding and recognition of brain death organs donation in the nurses who participate in direct patient care so as to help facilitate organ donation.

노인시설의 물리적 환경에 대한 거주노인 의견 조사방법의 분석 : 1990년 이후 해외 학술논문자료를 중심으로 (An Analysis on the Research Method of Elderly Residents' Opinion towards the Physical Environments of the Facilities for the Elderly : Focusing on Foreign Academic Journal Articles since 1990)

  • 이민아
    • 가정과삶의질연구
    • /
    • 제33권2호
    • /
    • pp.35-51
    • /
    • 2015
  • The purpose of this study was to provide information for research about residents' opinion toward the physical environments of elderly facilities, through the analysis and investigation on the research methodology of foreign academic journal articles from 1990 to 2014. The study results were as follows: Firstly, purposive sampling was a large majority of both facilities and elderly residents. In quantitative studies, many researchers have conducted simple random, cluster, or stratified sampling. Diverse facilities in area, size, location, and etc. should be considered for participation. The qualifications for residents' participation should be considered as well, so that they all could have autonomy for study participation. Secondly, questionnaire and semi-structured guide were likely to be used in independent and resident care facilities. On the other hand in assisted living and long-term care facilities, open questions and visual material were used as well. A compatible scale should be developed so that elderly having variable functional level could participate independently in the study. Thirdly, in data collection process, compliance with research ethics and well trained interviewer's skill were important for residents' active responses and minimization of response errors. Enough research period of time and mixed study in data collection will decrease the response error.

루소의 건강관에 대한 현대적 고찰 -$\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$을 중심으로- (A Study on Rousseau's Health Theory and Health education in $\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$)

  • 반덕진
    • 보건교육건강증진학회지
    • /
    • 제16권1호
    • /
    • pp.187-201
    • /
    • 1999
  • A purpose of this study is to provide Rousseau's health theory and health education in 『Emil』. Though Rousseau was not so much a doctor as a philosopher, he was good at health care and health education. After he had thought over healthy children for 20 years, he had written 『Emil』 for 3 years. His health theory was included in the book. He was aware of the importance of mother's milk, clothes, and physical health. Especially, he told mothers to rear a child at the breast. He understood thoroughly the demerits of medicines, and made no account of doctors and medicines. But on the other hand, He emphasized natural healing power in human body. He thought that one oneself was a physician. He thought highly of inner healing. He thought that only hygiene of medicine was useful to mankind. He prescribed that hygiene was a kind of ethics education. Therefore, his hygiene was associated with mental health and moral evaluation. Because many years have passed, today we can not accept all his assertions. But we need to stress preventive medicines, spontaneous healing, and self-care in health education.

  • PDF

Mental stress of animal researchers and suggestions for relief

  • Ahn, Na;Park, Jaehak;Roh, Sangho
    • 한국동물생명공학회지
    • /
    • 제37권1호
    • /
    • pp.13-16
    • /
    • 2022
  • The use of animals heavily impacts the mental health of researchers performing the animal experiments. The animal researchers need to take care of animals but also give pain and sacrifice them at the same time. This circumstance can cause a variety of mental stress to the researchers. The stress generated in the laboratory would not only negatively affect the management of animals and the research results, but also would harm the researchers' physical and mental health. Because the feeling of sympathy for animals is a natural feature of humanity, psychological stress following a laboratory animal's death after use is not surprising. It is necessary to revise the relevant laws based on understanding the difficulties of animal researchers in society and to develop related educational programs at the national level to help the psychology and emotions of researchers who conduct animal experiments.

분자영상의 윤리 및 규제 (Ethical and Regulatory Problems of Molecular Imaging)

  • 정재민
    • 대한핵의학회지
    • /
    • 제38권2호
    • /
    • pp.140-142
    • /
    • 2004
  • As a molecular imaging is the most up-to-date technology in Nuclear Medicine, it has complicate ethical and regulatory problems. For animal experiment, we have to follow institutional animal care committee. for clinical experiment, we have to get approval of Institutional Review Board according to Helsinki declaration. In addition, approval from Korea Food and Drug Administration (KFDA) is essential for manufacturing and commercialization. However, too much regulation would suppress development of new technology, which would result in the loss of national competitive power. In addition, most new radioactive ligands for molecular imaging are administered to human at sub-pharmacological and sub-toxicological level. In conclusion, a balanced regulation is essential for the safety of clinical application and development of new technology.

임상가를 위한 특집2 - 치과의사-노인환자 커뮤니케이션 (Communication of dentists with geriatric dental patients)

  • 강명신
    • 대한치과의사협회지
    • /
    • 제49권10호
    • /
    • pp.599-608
    • /
    • 2011
  • Dentist-patient communication has long been recognized as an important part of dental care. It has many positive outcomes, including reducing patient dental anxiety and increasing patient satisfaction and patient compliance. Above all, the need to communicate through conversation with dentist must be perceived as a basic dental patient's need for good clinical outcomes. In the future, increasing geriatric dental patients will pose challenges to dental profession. Factors influencing dentist-geriatric patient communication should be researched and relevant techniques should be shared among dentists.

조경의 환경윤리에 대한 비판적 해석과 도덕적 위치 - 유진 하그로브의 '약한 인간중심주의'를 중심으로 - (Critical Analysis about Environmental Ethics and Moral Position of Landscape Architecture - Focusing on Eugen C. Hargrove's 'Weak Anthropocentrism' -)

  • 오창송
    • 한국조경학회지
    • /
    • 제43권2호
    • /
    • pp.105-113
    • /
    • 2015
  • 조경은 스스로 환경적 지위를 확보하기 위해 환경윤리를 이론으로 흡수하였다. 그러나 환경윤리는 자연 보전에 집중한 나머지 조경을 인공물로 취급하며 도덕 대상에서 배척하였다. 그 과정에서 조경은 인간과 자연의 중도적 입장을 주장하나 도덕적 정체성을 의심하게 한다. 오히려 조경은 '자연의 대리인'으로 자처하며 '인간을 위한' 조경의 전통적 도덕관을 밀어내고 있다. 따라서 본 연구는 환경윤리의 비판적 해석을 통해 인간중심으로서 조경의 도덕적 위치의 재정립을 연구의 목적으로 삼는다. 환경윤리의 여러 분파 중 하그로브의 '약한 인간중심주의'는 조경처럼 자연미학을 윤리적 덕목으로 삼는다. 그러나 상이한 자연관 때문에 환경윤리는 조경을 비판적 대상으로 삼는다. 그러한 이유로 필자는 하그로브의 조경 비판 내용을 살펴보고 그에 대한 반론을 도덕적, 미학적, 조경적 입장에서 살펴본다. 비판 내용은 다음과 같다. (1) 자연은 존재 자체로서 미적이고 도덕적인 반면 조경은 모조품으로서 자연에 대한 완화된 태도를 취한다. (2) 자연은 자기창조적이기에 완전한 미적 실체인 반면 조경은 상상을 통해 인간적 결함을 감추는 설계된 자연이다. (3) 자연에 기술을 부여하는 환경관리는 무의미하기에 도덕적 허무주의를 발생한다. 이에 대한 반론으로 환경윤리는 '도덕적 자율성'을 배제하고 '도덕적 선'을 단순화함으로써 조경이 내포하고 있는 자연을 넘어선 도덕적 실천 능력, 창조와 상상의 폭 넓은 도덕적 의미, '돌봄'으로서 환경관리의 도덕적인 면을 간과하고 있다. 그 결과, 현실에서 자연의 문제는 인간의 삶과 분리할 수 없기에 더 이상 보전만이 미덕이 될 수 없다. 또한 조경은 '선한 삶'을 기반으로 하기 때문에 중도적 위치보다는 인간중심적 도덕적 위치가 타당하다.

음악요법에 관한 연구 (The Literature Review of Music Therapy in the United States)

  • 이원유
    • 지역사회간호학회지
    • /
    • 제11권1호
    • /
    • pp.245-261
    • /
    • 2000
  • Based on the literature, status and role the music therapist in America was reviewed for this study. The process of developing a music therapy program in America suggests to us many things: In America, music therapists have sustained a mutually beneficial status with their clients for, over fifty years. Excellence in academic education and clinical training enable music therapists to continue to provide quality music therapy. The magnitude of change in to music therapy in the United States, however creates the challenge of providing real access to music therapy continues in the future. Music therapy is the use of music in the accomplishment of therapeutic aims: the restoration, maintenance, and improvement of mental and physical health. Music therapists work with individuals of all ages who require special services due to behavioral. social. learning, or physical disabilities. Employment may be in hospitals, clinics, day care facilities, schools, community mental health centers, substance abuse facilities, nursing homes, hospices, rehabilitation centers, correctional facilities, or private practices. The American Music Therapy Association (AMTA) was founded in 1998 as a result of a union between the American Association for Music Therapy (founded in 1971) and the National Association for Music Therapy(founded in 1950). Music therapists are highly qualified professionals who have completed approved degree programs and had clinical training in order to receive Board Certification(MT-BC), with the designation of Registered, Certified, or Advanced Certified Music Therapist(RMT. CMT - or ACMT). AMTA provides several mechanism for monitoring the quality of music therapy programs: Standards of Practice. a Code of Ethics, a system for Peer Review, a Judical Review Board, and an Ethics Board. According to the results of this study, the suggestions were as follows: 1. It is concluded that music therapy as a nursing intervention can be effective for the clients. 2. It is a great challenge to develope a music therapy program for nursing intervention however, it is also task and responsibility to further the development of nursing.

  • PDF