• 제목/요약/키워드: Moral Care

검색결과 126건 처리시간 0.025초

Health Care Communications with Diverse Ethnic Groups

  • Savitri, Singh-Carlson
    • 여성건강간호학회지
    • /
    • 제16권4호
    • /
    • pp.419-423
    • /
    • 2010
  • Purpose: The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client s perspectives of respect as an ethical principle of care, especially within Canada s diverse population is non-existent. There is limited research from the client s perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.

개인적 지능과 정의적 교육 (Personal Intelligences and Affective Education)

  • 정태희
    • 아동학회지
    • /
    • 제20권4호
    • /
    • pp.119-139
    • /
    • 1999
  • The present study developed teaching-learning activities to improve personal intelligences and to investigate their effectiveness. Significant differences were found in both interpersonal and intrapersonal intelligence. Positive effects appeared in cooperative attitudes, capacity to care for and understand others, and in reflective thinking abilities. The results suggest the importance of a balanced educational curriculum in order to enhance human affective aspects, self-esteem, cooperative classroom climate formation and the moral and character development of students. Consistent and systematic investigation is needed on multiple intelligences theory, development of teaching-learning activities, their longitudinal effects, and a fair assessment instrument.

  • PDF

생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험: 국내 연구논문의 통합적 고찰 (Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea: An Integrative Review)

  • 최지연;손연정;이경훈
    • 중환자간호학회지
    • /
    • 제13권1호
    • /
    • pp.27-43
    • /
    • 2020
  • Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

간호학생의 비판적, 반영적 임상실습 경험 내용분석 - 임상실습 지식 습득 과정 - (Content Analysis of the Student Nurse's Critical-reflective Clinical Practice Experience)

  • 조계화
    • 한국간호교육학회지
    • /
    • 제9권2호
    • /
    • pp.310-319
    • /
    • 2003
  • The purpose of this study was to determine what effect reflection on clinical practice experience had students as learners and care providers. Qualitative research method was used to study a group of four-year undergraduate nursing course. Content analysis was done using the classification method of Carper's four patterns of knowing. Results of the study indicated that the use of the reflective process of clinical debriefing and journaling was impact on the aspect of nursing science, moral component of knowledge in nursing, personal knowing in nursing and the art of nursing. Especially, students moved from a passive to a more active mode of learning. The most significant finding was that over time, reflective processes resulted in the emergence of the client as the central focus of care. It was suggested that reflection was an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses.

  • PDF

응급의학은 어떤 의학분야이며 그 미래는? (What is Emergency Medicine and Its Agenda for Future)

  • 도병수;이삼범
    • Journal of Yeungnam Medical Science
    • /
    • 제19권2호
    • /
    • pp.92-98
    • /
    • 2002
  • Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

  • PDF

자 '화이부동(和而不同)'의 윤리적 함의와 현대적 가치 (Moral Implication and Contemporary Value of 'Harmony but not Sameness' Stated by Confucius)

  • 지준호
    • 동양고전연구
    • /
    • 제41호
    • /
    • pp.275-301
    • /
    • 2010
  • 공자는 춘추시대라는 혼란한 현실을 극복하기 위하여 인간의 내면적 가치에 대한 성찰뿐만 아니라, 그 가치를 어떻게 밖으로 끌러낼 것인가, 그리고 어떻게 인간관계를 맺을 것인가에 대하여 끊임없이 고민하였다. 공자가 언급한 '화이부동'의 정신은 인(仁)의 실천이라는 타자와의 올바른 관계 맺기를 위한 원론적인 의미를 던져주고 있다. 화이부동의 정신은 도덕적이며 공적인 그리고 중용적인 가치를 추구한다. 이는 개인이나 사회공동체 더 나아가 자연과의 관계에 있어서 화합과 공존을 모색하기 위한 것으로, 군자는 이러한 화이부동의 정신을 구현한 인격자이다. 화이부동의 정신은 현 시대의 화두인 '더불어 살기'란 사회 통합에 있어서 많은 점들을 시사하고 있다. '더불어 살기'가 구체화될 수 있는 대상은 다문화가정이나 북한이탈주민 등 우리 사회의 소수자 집단이며 권력이나 이익으로부터 상대적으로 소외된 사람들이다. 화합과 공존을 모색하는 이러한 열린 마음은 더 나아가 생태계와 모든 자연을 포괄하는 환경문제에 있어서도 중요한 시사점을 주고 있다.

Study on the Cultural Influence and Ethical Lessons in Korean Society with a Focus on the Novel "A Christmas Carol" by Charles Dickens

  • Wooyoung Kim
    • International Journal of Advanced Culture Technology
    • /
    • 제11권4호
    • /
    • pp.141-153
    • /
    • 2023
  • In the global context, particularly in Christian nations, Christmas is considered a culturally and ethically significant time. In this study, we examine Charles Dickens' novel, "A Christmas Carol," and the celebration of Christmas in Korea. We explore the values of Christmas in Korea derived from the significance and importance of this novel. These values include repentance, empathy, compassion, and the importance of humanity. Korean Christmas is regarded as a time for practicing these values, bearing a message akin to the transformation of characters like Scrooge. Furthermore, "A Christmas Carol" conveys a message of improvement and change over time, emphasizing change and growth in Korean Christmas. People reflect on their past, correct their mistakes, nurture hope for the future, and experience personal growth and transformation. Additionally, the novel raises awareness of social injustice and inequality, offering alternatives. In Korean society, Christmas encourages the willingness to care for and help others, facilitating discussions and understanding of societal issues. For these reasons, "A Christmas Carol" is considered a culturally and ethically significant time in Korean Christmas, and the two are intertwined in various aspects. This study explores the interaction between cultural change and ethical teachings by 'A Christmas Carol' and investigates the impact of this work on Christmas culture and social change. It serves as the basis for emphasizing moral principles and humanity during the Christmas season, and this research provides suggestions for future research directions, aiming to deepen the understanding of Dickens' work and the importance of "A Christmas Carol." Through these efforts, it is expected that valuable insights into the connection between Christmas culture and moral messages will be gained. In this study, we will delve into the enduring appeal and cultural significance of "A Christmas Carol," discussing how this novel has evolved into a beloved holiday tradition and a true symbol of Christmas. We will also examine the adaptation of this novel into various media and its influence on holiday season celebrations. Insights into the impact of this novel on Korean society and its continued significance in modern times will be provided, suggesting a direction for a healthier and more desirable path for Korean society.

정신과 환자의 치료적 활동에 관한 문헌적 고찰 (Literary Review of Therapeutic Activity of Psychiatric Patients)

  • 이소우
    • 대한간호학회지
    • /
    • 제2권1호
    • /
    • pp.175-188
    • /
    • 1971
  • More and Tore emphasis is put on moral treatment in the care of psychiatric patients. Methods employed for moral treatment rake use of therapeutic activity for the mentally ill patient. In some psychiatric hospitals all of the therapeutic activities are categorized as occupational therapy, while in others these activities are departmentally categorized -recreational, musical, occupational and bibliotherapy. All of these constitute separate departmental therapies. By research, it is known at this time, that the above activities have been of great help in personality integration, reeducation and early recovery of patients, as well as in their social adjustment after discharge. The goal of these therapeutic activities incorporate the goals set by healthier interpersonal relationship and psychotherapy. Put the therapeutic activities require a prolonged time of therapy for effectiveness, economic support, special trained personnel, careful planning, guidance and proper evaluation. Therefore this treatment is a very complicated one. But it may be the most profitable therapy for certain patients. One true fact about this treatment is, that simple recreation, occupation, music, reading, etc., make the patients life in the ward more interesting and have a good effect on the interpersonal relationship between patients. Thus it has been proved that this kind of treatment demands the active and full participation of the personnel and the full support of the hospital administration.

  • PDF

민간의료보험 가입이 의료이용에 미치는 영향 (Effects of Private Insurance on Medical Expenditure)

  • 윤희숙
    • KDI Journal of Economic Policy
    • /
    • 제30권2호
    • /
    • pp.99-128
    • /
    • 2008
  • 민간보험은 공적보험과 보완적인 관계를 형성함에도 불구하고 우리나라의 민간보험은 소득계층에 따른 접근성 차이로 인한 사회적 불평등, 도덕적 해이로 인한 공적보험 재정악화 등의 우려를 낳고 있다. 그러나 이에 관한 실증적 분석은 그간 이루어지지 못하여 정책적인 방향을 정립하는 데 장애가 되어 왔다. 본 연구는 건강보험공단, 심사평가원, 민간보험사, 행정자치부 주민등록세대정보 등의 관련 정보를 종합하여 이에 대한 실증분석을 시도했다. 그 결과, 우리나라의 민간보험 가입률은 전 국민의 64%에 달하고 있으며, 고소득층과 저소득층 간에 민간보험 가입률의 차이가 나타나지 않았다. 이는 공적보험의 보장성이 미흡한 상황에서 저소득층 역시 갑작스런 의료지출에 대비하고 있으며, 민간보험이 의료접근성의 계층화를 초래하지 않고 있다는 것을 시사한다. 또한 민간보험 가입자는 평균적으로 미가입자에 비해 의료이용량이 높지 않았으며, Two-Part Model을 통해 다양한 변수를 통제했을 경우에도 동일한 결과가 나타났다. 연령대에 따른 차이로 미루어 이러한 결과는 노동시장과 연관된 한시적인 성격일 것으로 추측되나, 현재로서는 민간보험 가입에 따른 도덕적 해이가 강하게 나타나고 있다는 근거는 발견되지 않았다.

  • PDF

돌봄의 개념분석 (Concept Analysis of Caring)

  • 이병숙
    • 대한간호학회지
    • /
    • 제26권2호
    • /
    • pp.337-344
    • /
    • 1996
  • Caring is being rediscovered as a central and unifying concept of the nursing. Traditionally, nursing profession has emphasized spirit and activities of caring. But there is little efforts to study the caring phenomena scientifically and systematically in nursing, and then the concept of caring is still remained unclear and ambiguous. Changes of social, and health care environment are threatening the philosophy and practice of caring, so it is urgent to identify caring more scientifically and to rediscover the nature of nursing discipline. Knowledge of the caring is essential component for the development of nursing as a science and a profession. The first thing to study a concept is thought to be the analysis of the concept. So in this study, concept analysis of caring was performed to clarify the concept of caring as a basis for the study of caring afterward. The approach used for the concept analysis of caring was the approach presented by Walker and Avant. The defining(or critical) attributes of caring identified in this study were (1) a series of activities for helping others, (2) concern and devotion. (3) interpersonal relationship, and (4) scientific and systematic process. The identified antecedents of caring were (1) awareness of other's needs for help, and (2) moral and cognitive motivation for helping others. The identified consequences of caring were (1) healing, (2) satisfaction, and (3) growth. And the consequences of caring were revealed to both of the care giver and the care receiver. The empirical referents of caring could be the behaviors of interpersonal relationship through scientific and systematic process with concern and devotion for others.

  • PDF