• 의학교육논단
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• 제11권2호
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• pp.3-14
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• 2009

The current medical practices in Korea have raised many new ethical issues. The current education system in medical colleges, however, is finding it difficult to cope with these rapidly arising medical issues. Many educators, therefore, became much more concerned about the importance of ethics and character education in medical colleges, but teaching methods or educational programs centered around the same have not yet been developed. Dilemma discussion is regarded as an available teaching method but is not frequently used in medical education. In this respect, this study aims to apply dilemma discussion programs to ethics and character education for medical students. It was discovered that dilemma discussion is an effective instructional method for enhancing the moral reasoning ability of medical students. According to $Rest^{\circ}{\phi}s$ theoretical framework, however, a dilemma discussion program focuses on two components of morality: moral judgment and moral sensitivity. Moral judgment and moral sensitivity are major components in predicting moral behaviors. Therefore, the target of dilemma discussion programs is to focus on these two components. It is reasonable to integrate moral judgment with moral sensitivity for ethics and character education in medical schools.

• 대한간호학회지
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• 제30권1호
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• pp.183-193
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• 2000

This main purpose of this study was to assess the effects of two different types of ethics education on the moral judgement of clinical nurses. One type was free discussions among nurses with given specific moral issues and the other type was discussions guided by experts on specific moral issues. The study employed a quasi-experimental, nonequivalent pre test-post test design using two different control groups. The conceptual framework of the study was derived from the Kohlberg′s Moral Development Theory (1969) and the Greipp′s Ethical Decision-Making Model (1992). The data was collected during the period of October 14 through December 15, 1998. Sample consists of 32 nurses working in the ICU who met research criteria. 16 nurses were assigned to the free discussion group and 16 nurses to the group for the guided discussion with experts group. For the pre-test, the DIT which was developed by Rest (1984) and JAND by Ketefian (1998) were used with some modification by the author. After the education, only JAND was used to assess the changes in moral judgement. The collected data was analysed using SPSS PC program. The findings are as follows: 1. There was no significant difference between two groups in their general characteristics. Only difference which was statistically significant between two groups was that realistic score on Case 3/Medical Research and Autopsy was higher in the free discussion group. 2. Hypothesis 1: "There will be a difference on the moral judgement of nurses before and after they receive an ethics education". This hypothesis was supported partially. Those who had low scores on moral judgement before the education tended to have higher scores after the education on the same issues. And, after the education, the nurses tend to give lower scores on the dilemmas they had experienced frequently at work; while giving higher scores on those dilemmas they had no prior experience. 3. Hypothesis 2: "The effect of education may differ depended upon the moral development index [P(%)] score of nurses". The effect of education was different depend on moral development level. The group who′s P(%) scores was low at the pretest has higher scores in realistic moral judgement after the education, while the groups with middle or high P(%) scores went down after the education. These changes were statistically significant in some cases, thus, the Hypothesis 2 was partially supported 4. Hypothesis 3: "The method of ethics education will have different effects on the moral judgement of nurses". Even though several nurses attended the guided discussion stated that the education program broadend their perspectives the difference between two groups was not significant and this hypothesis was not supported. In conclusion, both types of ethics education had helped the nurses to acquire the skills to deal some nursing dilemmas. The effects of ethics education may differ according to the moral development index - P(%) score. However, because of some of the limitations of this study, mainly small sample size, short term education, unable to control other variables which may affect moral judgement of nurses, further research is warranted.er research is warranted.

• 한국가족관계학회지
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• 제22권2호
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• pp.51-69
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• 2017

Objectives: The purpose of this study was to examine the associations and paths among parenting behaviors, cyber delinquency, and moral sensitivity in adolescents to reduce and prevent cyber delinquency. Method: The data was collected by a survey for 270 students from a middle school and a high school in G city. The valid 262 cases were analyzed by frequency, descriptive analysis with SPSS 18.0 and tested by structural equation model by using AMOS 18.0 program. Results: Results showed that 1) 'control' among the parenting behaviors has positive effects on the cyber delinquency in adolescents, 2) 'intimacy and rationality' among the parenting behaviors has positive impacts on the moral sensitivity, 3) it shows that moral sensitivity has negative effects on the cyber delinquency in adolescents, and 4) bootstrapping test for indirect effect of moral sensitivity was verified significantly. We founded the full mediation of moral sensitivity and the path of 'intimacy and rationality' to cyber delinquency through moral sensitivity. Conclusions: The results implied 1) provision of the parent education and program for parents and newlyweds to learn positive parenting behaviors and 2) application of moral education to develop moral sensitivity of adolescents in schools and communities.

• 한국간호교육학회지
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• 제22권3호
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• pp.376-386
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• 2016

Purpose: This study was conducted to exam the effect of a biomedical ethics education program on the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition in nursing students. Method: A quasi-experimental research design and repeated measured ANOVA were used. The participants were divided into an experimental group (n=148) and a control group (n=169). Each group underwent freshman university nursing training in two major cities. The mean age was 21.3 years and the time of providing the biomedical ethics education program was 15 hours for 15 weeks. The experimental group was provided biomedical ethics education during the semester; the control group was not provided any biomedical ethics education. Results: The consciousness of biomedical ethics was increased significantly in the experimental group (t=-4.724, p<.001). Moral sensitivity was increased significantly in the experimental group (t=-2.021, p<.004). Critical thinking disposition was increased significantly in the experimental group (t=-5.775, p<.001). Conclusion: The results of the study show that providing biomedical ethics education to nursing students is an effective method to increase the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition.

• 근관절건강학회지
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• 제29권3호
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• pp.194-204
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• 2022

Purpose: This study was to build a path model geared toward explaining the relationships of influential variables for the moral distress of clinical nurses by analyzing literatures of earlier studies. Methods: Data were collected from four hospitals with 300 beds or more. The participants were 257 nurses with more than 1 year of clinical experience. The data collection period was from June 14 to October 24, 2017. The questionnaire included general and ethical education-related characteristics, personality type, moral dilemma experience, moral sensitivity, moral climate and moral distress. Results: The direct influencing factors of moral distress were the individual's experience of moral dilemma, moral sensitivity, and the moral climate of the organization. Factors that indirectly affected via moral sensitivity were personality type, experience in ethical education, and moral climate. The explanatory power was 40.3%. Conclusion: It is necessary to develop an intervention program that can reduce moral distress by considering the factors influencing the moral distress of clinical nurses. In addition, it is necessary to identify additional influencing factors of moral distress.

• 간호행정학회지
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• 제7권2호
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• pp.253-263
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• 2001

Purpose : To determine the change of effects of nursing ethics education on the nurses' ethical decision making with the time relapse of one month, three months and six months. Method : Thirteen participated in free discussion group, and fourteen participated in expert-guided discussion group for five weeks. Two weeks before the education, DIT and JAND were assessed, and JAND was assessed again on month, three months and six months after the five weeks' education program. Results : 1) Average realistic scores of JAND did not showed significant differences as times went by. However, scores were highest at three months after the education in general. 2) In both of free discussion and expert-guided discussion group, JAND score increased after the education, and highest at three months in general. 3) Low level moral development group showed highest scores at one month after the education, and declined at three month. However, in middle and high level of moral development groups, scores were higher at three months than at one month after the education. Scores were declined again at six months after the education. Conclusion : Effects of moral education program were highest at three months after the education, and were lessened as times went by. Especially for the low moral development group, effect was not continued more than one month. Therefore, more persistent, periodic education program was required until the ability of ethical decision making is settled down.

• 한국농촌간호학회지
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• 제18권1호
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• pp.19-26
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• 2023

Purpose: This study was to evaluate the effects of a blended-learning based bioethics program on perceived ethical confidence, critical thinking disposition, moral sensitivity, and academic self-efficacy of the nursing students living in S city. Methods: The program was conducted 13 sessions (2 hours/session) and evaluated for perceived ethical confidence, critical thinking disposition, moral sensitivity, and academic self-efficacy. The collected data were analyzed with descriptive statistics and paired t-test using the SAS 9.4 program. Results: The blended learning based bioethic program was found to be effective for perceived ethical confidence (t=8.70, p<.001), critical thinking disposition(t=8.96, p<.001), moral sensitivity (t=6.43, p<.001), academic self-efficacy (t=20.5, p<.001), and program satisfaction(t=4.92, p<.001). Conclusion: The results of this study suggest that a blended learning program including TBL has advantages of case-based discussion and active interaction for nursing students' bioethics education.

• 한국환경교육학회지:환경교육
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• 제16권2호
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• pp.51-64
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• 2003

The ultimate objective of environmental education is to develop characteristics of the affective domain being the basis for environmental behavior. As this need, the researchers developed a modular program for environmental values education suited elementary school's actuality. In practice of program development, researchers analyzed the contents of environmental education in current curriculum. Researchers set up development principles of modular program according to the level of elementary moral development. The system of this modular program consists of three levels like environmental awareness, environmental literacy, environmental responsibility, and each module is made up of three subjects representing these levels. So this modular program is classified with three level's modular group like low grade, center grade, and high grade. And set in array after selecting value strategies suited each grade level. The expectant effects of this program for environmental values education are as follows: Students form sound environmental values and attitudes for environment through various strategies that develop environmental awareness and environmental literacy. And those strategies provides various experiences to construct knowledge, value, and attitude about environment by oneself working together with teacher. So teacher and students can utilize easily at school or in nature. Besides, since it relates with single environmental problem from awareness to participation about environment, teachers can conduct elementary environmental curriculum more systematically and effectively.

• 한국콘텐츠학회논문지
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• 제19권11호
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• pp.653-663
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• 2019

이 연구는 도덕성의 4구성요소를 활용하여 초등학교 수업에서 청렴교육을 구현하는 것에 주안을 둔다. 이 연구를 위한 수업은 도덕적 감수성, 도덕적 판단력, 도덕적 동기화, 도덕적 실천력의 다양한 도덕성의 개념들을 모두 동원했다. 이 연구를 위한 수업은 서울 소재 한 초등학교 6학년을 대상으로 교사경력 30년 이상의 수석교사에 의해 실시되었다. 연구결과, 교사와 학생들은 대체로 새롭게 도입되어 진행되는 수업방식에 대해 흥미롭다는 관심을 표명했고, 적극적으로 참여했다. 향후 이 수업방식은 보다 다양한 양적, 질적인 연구에 의해 더 검증되어야 하는 과제를 안고 있다.

• 한국간호교육학회지
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• 제29권1호
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• pp.51-59
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• 2023

Purpose: This descriptive cross-sectional study aimed to examine the influence of nurses' moral sensitivity and ethical values on their biomedical ethics awareness. Methods: The study participants included 140 registered nurses working at three hospitals in Jeollabuk-do Province over six months. The data were collected from June 22 to July 3, 2020, and were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis with the IBM SPSS/WIN 20.0 program. Results: As a result of an analysis using stepwise multiple regression, nurses' biomedical ethics awareness was found to be significantly influenced by ethical values (β=.36, p<.001), moral sensitivity (β=.21, p=.007), and education in biomedical ethics (β=.16, p=.042) (adjusted R²=.21, p<.001). Conclusion: These findings suggest that moral sensitivity and ethical values are key factors in hospital nurses' development of biomedical ethics. Furthermore, the devising and implementing of a practical education program based on practical cases in medical situations to enhance nurses' biomedical ethics awareness is needed.