• Title/Summary/Keyword: Ethics of Care

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A Relational Geography of Consumption and Ethical Geography Education (소비의 관계적 지리와 윤리적 지리교육)

  • Kim, Byungyeon
    • Journal of the Korean Geographical Society
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    • v.50 no.2
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    • pp.239-254
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    • 2015
  • The purpose of this study is to explore the possibility of ethical geography education, based on the 'relational turn' of understanding of human/non-humans and place in the context of the student's daily consumption. To do this, first and foremost, due to the de-localization of product networks that students consume, it has been discussed the situation that the ethics of responsibility and care is reduced. Then, this paper suggests an understanding of place and human/non-humans in a relational view, as a basis for the student's ability to look at matters of consumption and ethics through the viewpoint of relational ethics of responsibility and care. Finally, this research examined relation of commodity consumption, relational geographies and ethics of responsibility and care through 'mobile phone connection'. It is argued in the paper that the role of ethical geography education lies also in allowing students to feel connected to various humans/non-humans as a absent presence in his own life and to acquire cognitive and practical skills to provide more responsibility and care for their socio-ecological environment, thus making a better world.

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An Ethical Appraisal of Informed Consent in the Clinical Setting (의료현장에서의 설명동의에 대한 윤리적 고찰)

  • Kong, Byung Hye;Lee, Won Hee;Kim, In Sook;Kim, Sue;Lee, Sun Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.556-566
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    • 2007
  • Purpose: This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals. Methods: Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics Results: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect. Conclusion: Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.

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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.

The difference of biomedical ethics consciousness, related knowledge, awareness, and attitude of nursing college students according to the completion of biomedical ethics education (생명의료윤리 교육 이수에 따른 간호대학생의 생명의료윤리 의식, 관련 지식, 인식 및 태도의 차이)

  • Park, Meera;Je, Nam Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.137-147
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    • 2018
  • This study is a descriptive evaluation of the differences in biomedical ethics consciousness, related knowledge, awareness, and attitude of nursing college students according to the completion of biomedical ethics education. The data were collected from 112 nursing students using self-report questionnaires and analyzed by t-test, Chi-Square test, Fisher's exact probability test and Pearson's correlation coefficient using SPSS 21.0. There were significant differences between the two groups in the sub-domains of biomedical ethics consciousness, artificial insemination, euthanasia and organ transplantation. The biomedical ethics consciousness was positively correlated with attitudes toward human tissue donation and transplantation, awareness of death, and awareness of hospice palliative care. The results of this study showed that after participating in the biomedical ethics education, nursing college students had statistically significant differences in the consciousness of artificial insemination, euthanasia, and organ transplantation. Moreover, the consciousness of biomedical ethics was related to attitude toward human tissue donation and transplantation and awareness of hospice palliative care. Based on the results of this study, we would like to suggest the need for development of various curricula related to death, hospice palliative care, human tissue donation and transplantation in the biomedical ethics curriculum. In addition, as the study was conducted in a single college, it is difficult to generalize the results; therefore, additional studies at different facilities are recommended.

Problems Related to the Act on Decisions on Life-Sustaining Treatment and Directions for Improvement

  • Heo, Dae Seog;Yoo, Shin Hye;Keam, Bhumsuk;Yoo, Sang Ho;Koh, Younsuck
    • Journal of Hospice and Palliative Care
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    • v.25 no.1
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    • pp.1-11
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    • 2022
  • The Act on Decisions on Life-Sustaining Treatment has been in effect since 2018 for end-of-life patients. However, only 20~25% of deaths of terminally ill patients comply with the law, while the remaining 75~80% do not. There is significant confusion in how the law distinguishes between those in the terminal stage and those in the dying process. These 2 stages can be hard to distinguish, and they should be understood as a single unified "terminal stage." The number of medical institutions eligible for life-sustaining treatment decisions should be legally expanded to properly reflect patients' wishes. To prevent unnecessary suffering resulting from futile life-sustaining treatment, life-sustaining treatment decisions for terminal patients without the needed familial relationships should be permitted and made by hospital ethics committees. Adult patients should be permitted to assign a legal representative appointed in advance to represent them. Medical records can be substituted for a patient's judgment letter (No. 9) and an implementation letter (No. 13) for the decision to suspend life-sustaining treatment. Forms 1, 10, 11, and 12 should be combined into a single form. The purpose of the Life-sustaining Medical Decisions Act is to respect patients' right to self-determination and protect their best interests. Issues related to the act that have emerged in the 3 years since its implementation must be analyzed, and a plan should be devised to improve upon its shortcomings.

Children's View of Environmental Value and Attitudes : On the basis of Age and Gender (유치원생과 초등 학생이 가지는 자연 환경에 대한 가치관 및 태도 -연령별, 성별 차이를 중심으로-)

  • 신동희;이동엽
    • Hwankyungkyoyuk
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    • v.13 no.2
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    • pp.63-73
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    • 2000
  • The purpose of this study are two-fold; 1) to identify the differences in the view of environmental value between 6-years-olds and 12-years-old, 2) to identify the differences in the attitude towards animals and plants between male-and female students. To accomplish the purposes of this study, two researchers deeply interviewed ten 6-years-old and 12-years-old boys and girls, respectively. First, the interviewees are asked to rank six constituents in nature, human-being, tiger, ant, gingko tree, weed, and stone, from their views of environmental value. Then, the interviewees were asked to talk about their various interaction with animals and plants. The results of this study are as follows; 1) In evaluating the value of nature constituents, 12-years-olds tended to be affected by scientific knowledge. On the other hand, 6-years-olds tended to evaluate the value of nature constituents by their emotional feeling; 2) From the perspectives of environmental ethics, 12-years-olds showed attitudes in anthropocentric or holistic ethics. On the other hand, 6-years-olds showed attitudes in nonanthropocentric ethics; 3) In evaluating the value of nature constituents, 12-year-olds tended to consider the constituent′s instrumental values and 6-years-olds tended to consider their intrinsic values; 4) From the perspectives of "ethics of care", females, especially 12-years females tended to take care of plants. The results propose more emphasis of environmental "sensuous" in school environmental education. And male- and female students should be expected fairly in their environmental attitudes, especially in taking care of natural creatures.

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Awareness of Biomedical ethics of Long-term Care Hospital Nurses (요양병원 간호사의 생명의료윤리 의식)

  • Kim, Moon-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4048-4055
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    • 2015
  • The purpose of this study is to examine the awareness of biomedical ethics of long-term care hospital nurses. A survey research was conducted in this study with 183 nurses that worked for over five months at long-term care hospitals located in Gwangju and Jeonnam region. Using SPSS 21.0 program, collected data were analyzed through descriptive statistics, independent t-test and one-way ANOVA. $Scheff{\acute{e}}$ test and Pearson's correlation analysis were also used for post hoc test. In terms of the awareness of biomedical ethics of the research participants, it was at an above average level. Among the sub-categories of biomedical ethics, awareness of right of life of fetus and awareness of artificial abortion showed most meaningful correlation. It would be necessary to provide bioethics education to new nurses or university students majoring in Nursing at related organizations or college of nursing to help them establish ethical values to seek patients' well-being.

The Influence of Moral Behavior, Biomedical Ethics Consciousness, and Death Attitudes on Hospice Awareness in Nursing Freshman (간호학과 1학년의 도덕적 행동, 생명의료윤리 의식, 죽음 태도가 호스피스 인식에 미치는 영향)

  • Kim, Jeong-Sook;Je, Nam-Joo
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.275-284
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    • 2021
  • The purpose of this study was to provide basic data for developing hospice intervention strategies that can enhance hospice care perception plus attitude toward death of nursing students by grasping the factors affecting the perception of first grade students. Data were collected from 185 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Hospice care perception was correlated to moral behavior (r=.22, p=.002) and biomedical ethics consciousness (r=.29, p<.001). The most influential factor on the subjects' hospice care perception was biomedical ethics consciousness (β=.224, p=.012), followed by high financial competence of parents (β=.187, p=.027). The explanatory power was 11.5%. Therefore, systematic programs that can enhance moral behavior and biomedical ethics consciousness are necessary to promote awareness of hospice care. Also, the following data can be utilized as basic data to help develop hospice education programs.

Survey on Ethical Issues, Ethical Dilemma, and Needs for Ethics Education in Healthcare Providers (의료인의 윤리적 이슈, 윤리적 딜레마와 윤리교육 요구도 조사)

  • Je, Nam-Joo;Park, Mee-Ra;Bang, Sul-Yeong
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.285-296
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    • 2020
  • The purpose of this study is to provide basic data for developing future ethics education programs by surveying healthcare providers working at institutions of various sizes, using Ethical Issues in Clinical Practice tool. Data were collected from 149 healthcare providers working at medical institutions in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/21.0. Needs for ethics education was inversely correlated to end-of-life treatment issues (r=-.22, p=.007) and patient care issues (r=-.28, p<.001). The most influential factor on the subjects' needs for ethics education was patient care issues (β=-.246, p=.035), followed by Buddhism (β=.208, p=.010). The explanatory power was 13.4% (F=5.596, p<.001). Therefore, when organizing the contents of ethics education program, patient care issues should be included to meet the needs of the subjects. Also, a customized program regarding the subjects' religion is necessary.

The Role of Islamic Work Ethics in Spiritual Leadership and Inclusion Practices Relationship During COVID-19

  • AHMAD, Uqba Saeed;NAWAB, Samina;SHAFI, Khuram
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.943-952
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    • 2021
  • The Covid-19 pandemic situation has changed all medical priorities. This has put pressure on the World's health sector, which also affects the economy of the whole world. This study aims to study how Islamic work ethics affects the relationship between spiritual leadership and organizational inclusion practices in the health care sector of Pakistan in the COVID-19 situation. This is a mix-method study. Data collected of 158 practicing doctors through survey-based questionnaire and interview was conducted from 30 doctors dealing with direct coronavirus. The organizational inclusion practices variable is used for the first time in a quantitative approach in this study. The reliability and validity of organizational inclusion practices are checked by Adanco, SPSS, and SmartPLS software. For this purpose, data on inclusion practices was also collected from the banking and education sector. Results show that spiritual leadership significantly relates to Islamic work ethics also has a positive connection between spiritual leadership and organizational inclusion practices. Still, Islamic work ethics as a moderator has an insignificant impact on the relationship between spiritual and organizational inclusion practices. Also, from the result, it is verified that the organizational inclusion practices variable is valid and reliable for further studies.