• 간호행정학회지
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• 제21권3호
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• pp.327-339
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• 2015

Purpose: This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. Methods: A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. Results: 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. Conclusion: The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.

• International Journal of Advanced Culture Technology
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• 제9권4호
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• pp.204-212
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• 2021

Ethical sensitivity is a basic competency required for nursing students to work as professionals who will care patients in the clinical field after graduation. Therefore, efforts are needed to improve the knowledge on ethical sensitivity in undergraduate education. This study aimed to identify the demographic characteristics that influence ethical sensitivity among nursing students. This study was a secondary analysis that referred to a previous work measuring ethical sensitivity in nursing students. The participants were 128 nursing students, who had experienced clinical practicums. Among the participants, those who were third-year (t=2.345, 95% CI=[1.24, 14.64], p=0.021), female (t=2.635, 95% CI=[3.65, 25.69], p=0.009) and were satisfaction with major (t=-2.389, 95% CI=[-16.54, -1.50], p=0.019) consistently reported significantly higher mean scores on ethical sensitivity. The explanatory power of the model was 13.3%. Gender (Exp (B)=0.875, 95% CI=[0.804, 0.952], p=0.002) and year at universtiy were the strongest predictors of ethical sensitivity (Exp (B)=0.921, 95% CI=[0.873, 0.971], p=0.002). Based on the results, an appropriate ethics education that considers the following issues should be provided for undergraduate nursing students: both genders' perspectives, seniors' further development, and students experiencing low satisfaction with their major. Future nursing education should consider these individual demographic characteristics to develop nursing students' ethical sensitivity that will further affect their ethical behavior and ultimately improve the quality of nursing.

• 한국간호교육학회지
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• 제29권4호
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• pp.371-380
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• 2023

Purpose: The purpose of this study is to determine the relationship between nursing students' biomedical and artificial intelligence (AI) ethical awareness, ethical values, professional self-concept, and ethical decision-making confidence, and to then identify factors that can influence their ethical decision-making confidence. Methods: This study employed a descriptive research method and was conducted from June 8 to 12, 2023, with 204 students from three nursing colleges in Korea. The collected data were analyzed by frequency and percentage, independent t-test, Pearson's correlation coefficient, and multiple regression using IBM SPSS 23.0. Results: The results of the multiple regression analysis showed that the regression model was significant (F=18.88, p<.001) and that professional self-concept (β=.46, p<.001), ethics education (β=.23, p<.001), AI ethical awareness (β=.16, p=.020), and relativistic ethical values (β=.14, p=.035) explained 34.6% of the nursing students' ethical decision-making confidence. Conclusion: It is necessary to include professional self-concept, AI ethical awareness, and ethical values contents when constructing the curriculums of educational programs in order to improve nursing students' ethical decision-making confidence.

• 한국간호교육학회지
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• 제18권2호
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• pp.248-258
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• 2012

Purpose: The purpose of this study was to compare the effects of CEDA (Cross Examination Debate Association) debate with those of traditional lecture education on moral judgment and ethical values using the Korean version of DIT and the ethical values. Methods: The experiment was performed for 9 weeks, from September 2 to November 12, 2010. Participants were 71 undergraduate nursing students in a nursing college, assigned to an experimental group (36 students) or a control group (35 students). The design of this study was a non equivalent control group pretest-posttest design. Results: The experimental group reported significantly higher scores of the 4 stage scores of moral judgment (t=-2.19, p=.036) and ethical values (t=3.04, p=.004) than the control group. However, no significant differences were found in the P score of moral judgment between the two groups. Conclusion: The findings of this study showed the benefits of providing a CEDA debate course for nursing ethics education. Therefore, in further studies, it is necessary to develop various teaching strategies or educational programs to improve nursing ethical values and moral judgment.

• 한국간호교육학회지
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• 제26권4호
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• pp.402-411
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• 2020

Purpose: The purpose of this study is to explore the trends of research related to ethical topics in Korean nursing students. Methods: A total of 131 articles that were published from 2000 to 2020 were analyzed and summarized according to publishing type, research design, subject, data analysis method, main research topic, research variables and instrument. Results: Most studies were journal articles (93.9%) and their most frequent research design was survey (75.7%). The research subjects covered all grades (35.1%) or they were divided between clinical nursing practicum (29.8%) or not (21.4%). The main research topics were biomedical ethics, ethical values, moral judgment and ethics education. Recently, ethical decision making and practical ability in nursing practice were reported. The instruments for measuring variables were limited and the same tools were used several times. Conclusion: Based on the findings of this study, it is suggested that the selection of various research topics and the application of research methods related to ethics for nursing students will continue in response to rapidly changing social phenomena in the future. In particular, it is necessary that research related to ethical and practical ability as well as ethical attitudes and perceptions of nursing students be actively carried out.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.398-407
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• 2018

본 연구는 Walker와 Avant의 방법을 이용한 학생간호사의 윤리역량에 대한 개념분석 연구이다. 최근 10년 간 윤리역량에 대한 국내 및 국외 선행연구 최종 11편을 선정하여 분석에 이용하였다. 본 연구에서 학생간호사의 윤리역량의 개념은 윤리적 민감성, 윤리적 판단력, 윤리적 행위에 대한 실천의지, 윤리적 행위의 실행력이 속성으로 도출되었다. 선행요인은 자기이해, 지지적 환경, 윤리적 갈등 경험, 윤리교육 경험이었으며, 결과는 간호전문직관, 간호직에 대한 만족도, 환자안전으로 나타났다. 즉, 학생간호사의 윤리역량 향상을 위해서는 다차원 간 균형적인 성장과 발달이 이루어져야 하며, 이를 통해 학생간호사의 윤리적 민감성, 윤리적 판단력, 윤리적 행위에 대한 실천의지, 윤리적 행위의 실행력이 향상될 수 있다. 이를 위해서는 학생간호사 스스로 충분한 자기이해와 학생간호사를 지원해줄 수 있는 지지적 환경, 과거에 윤리적 갈등상황에 직면했던 경험 및 윤리역량을 향상시키기 위한 교육의 경험이 선행되어야 하며, 학생간호사의 윤리역량 향상은 결과적으로 간호전문직관을 확립하고, 간호직에 대한 만족도가 높아지며, 환자안전에 기여할 수 있다. 이를 기초로 학생간호사의 특성을 반영한 윤리역량의 속성이 잘 반영된 도구 개발 연구를 제언하며, 학생간호사의 윤리역량을 향상시키기 위한 전략 및 효과적인 프로그램을 개발하기 위한 추후 연구를 제언한다.

• 대한간호학회지
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• 제20권2호
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• pp.249-270
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• 1990

The purpose of this study is to identify whether ethical values of korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of literature and interview of nurses in the clinical settings. Content validity was tested from three nursing faculties and staffs. Ethical problems are categorized into four areas : 1) human life area 2) nurse-patient relationship area 3) nurse - nursing task relationship area 4) nurse-collegue relationship area The data were obtained from the 404 nurses in the clinical settings from Feb. to Mar. in 1990 by ethical value questionnaire. The analysis of data was done by Pearson's correlation coefficient, t-test, anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical values of nurse - patient relationships slightly took up deontological position. 3. The ethical values of nurse - nursing task relationships slightly took up deontological position. 4. The ethical values of nurse - colleague relationships greatly took up deontological position. 5. The ethics of nurses related to demographic characteristics of religion, attitude of nursing, ethical standards, education level and post. Those who have religion took up more deontological position than those who have not. Those who have positive attitude of nursing and firm ethical standards took up more deontological position than those who have not. Those who have higher education level and post took up more deontological position than those who have not.

• 대한간호학회지
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• 제31권5호
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• pp.846-857
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• 2001

This study was conducted to study on 1) What is nursing students' experience of ethical problems involving nursing practice\ulcorner 2) What is nursing students' experience of using ethical decision-making models\ulcorner Method: In order to answer these two questions, we selected 97 senior baccalaureate nursing students from two Korean universities using a conceptual framework and method of content analysis. Result: From 97 ethical problems emerged five content categories, the largest being ethical problems involving health professionals (69%); the basic nature of the nursing students' experience of ethical problems consisted of conflict, resolution, and rationale; 94% of the students stated that using an ethical decision- making model was helpful. Conclusion: Although additional research is needed, these findings have important implications for nursing ethics education and practice.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.568-576
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• 2020

본 연구는 CEDA 토론학습을 이용한 윤리교육이 간호대학생의 간호전문직 자아개념, 윤리적 딜레마 및 윤리적 의사결정 자신감에 미치는 효과를 확인하기 위한 원시실험연구이다. 연구 대상자는 K도 C시 소재, 3학년 간호대학생 총 57명이었고, 연구기간은 2019년 3월 4일부터 5월 13일까지였다. CEDA 토론학습을 이용한 윤리교육은 이론교육 3주와 CEDA 토론학습 6주로 총 9주 동안 진행하였다. 수집된 자료는 SPSS WIN/21.0을 사용하여 일반적 특성에 따른 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 t-test, one-way ANOVA로 분석하였고, CEDA 토론학습을 이용한 윤리교육에 따른 연구대상자의 간호전문직 자아개념, 윤리적 딜레마, 윤리적 의사결정 자신감의 차이는 Paired t-test로 분석하였다. 연구결과 CEDA 토론학습을 이용한 윤리교육은 간호대학생의 간호전문직 자아개념(t=13.816, p<.001)과 윤리적 딜레마(t=6.205, p<.001) 및 윤리적 의사결정 자신감(t=11.950, p<.001)에 긍정적인 효과가 있음을 알 수 있었다. 또한 간호전문직 자아개념과 윤리적 딜레마 및 윤리적 의사결정 자신감은 순상관관계가 있었으며, 간호전문직 자아개념은 전공 만족도에 따라 차이를 보였다. 그러므로 간호대학생들이 긍정적인 간호전문직 자아개념을 형성하고 윤리적 딜레마 상황에서 자신있게 윤리적 의사결정을 할 수 있도록 윤리교육을 강화시킬 필요가 있다고 판단된다.

• 한국간호교육학회지
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• 제6권2호
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• pp.199-217
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• 2000

This descriptive longitudinal study was done to identify the ethical value of nursing students and to compare the differences of results with one year interval. The data were collected twice in 1999 and in 2000, from the 82 first year and 64 second year nursing students who have been attending at C college in Chonnam province. The analysis of data was done by frequency, mean, paired t-test, t-test, and ANOVA. The results of data were summarized as follows: 1. The total ethical value score of the first year students was 3.48 (maximum : 5) and, one year later, the score was lowered to 3.26. Especially, the degree of their ethical value was significantly decreased in the sub-areas of human-life and nurse-nursing task. 2. The total ethical value score of the second year students was 3.24 and, one year later, the score was increased to 3.39. The degree of their ethical value was significantly increased in the subarea of nurse- client relationship. 3. In the subarea of human-life, the mean score of ethical value was 3.25 and, one year later, the score was 2.95. The degree of ethical value was significantly lowered among the first year students with an utilitarian position. 4. In the subarea of nurse-client relationship, the mean score of ethical value was 3.39 and, one year later, the score was 3.67. The degree of ethical value was significantly increased among the second year students with a deontological position. 5. In the subarea of nurse-nursing task relationship, the mean score of ethical value was 3.38 and, one year later, the mean score was 3.08. The degree of ethical value was significantly decreased among the first year students. 6. In the subarea of nurse-collaboration relationship, the mean score of ethical value was 3.96 and, one year later, the mean score was 4.08 in second year students. There was no statistically significant difference. 7. The ethical values of nursing students were significantly different depending on their religion, length of study, attitude toward nursing and the experience of dying during their clinical practice.