• 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.

• 한국직업건강간호학회지
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• 제32권1호
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• pp.20-29
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• 2023

Purpose: This study aimed to identify the effects of hospital ethical climate and communication self-efficacy on nursing care left undone. Methods: The participants were 142 nurses working in a general hospital. Data were collected from July 18 to August 30, 2021. Data were analyzed by t-test, ANOVA, Pearson correlation, and multiple regression analysis using the SPSS/WIN 25.0 program. Results: (a) The mean value of hospital ethical climate was 3.54±0.41, communication self-efficacy was 5.03±0.81, and the sum of nursing cares left undone was 3.68±3.14. (b) Nursing cares left undone had a negative correlation with hospital ethical climate(r=-.25, p=.003) but not with communication self-efficacy (r=-.13, p=.116). (c) Factors that affected nursing cares left undone included education (≥master) (β=.23, p=.005), marital status (single) (β=-.19, p=.018), age (26~27) (β=-.18, p=.022), and hospital ethical climate (β=-.18, p=.029); the explanation power was 18.0% (F=8.66, p<.001). Conclusion: Our study shows that hospital ethical climate plays a significant role in nursing cares left undone of nurses. It is important to strengthen hospital ethical climate to lower the incidence of nursing cares left undone. These results may serve as basic data to help develop strategies for reducing the incidence of nursing cares left undone.

• 한국보건간호학회지
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• 제33권3호
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• pp.326-339
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• 2019

Purpose: This study attempts to identify the level of awareness, ethical awareness, and decision-making among nursing students, in response to pandemic infectious diseases. Methods: Subjects were 210 nursing college students attending colleges in 5 cities and provinces nationwide. Data were collected from November 2017 to April 2018 using a self-administrated questionnaire, and analyzed utilizing descriptive statistics. Results: Considering the awareness of pandemic infectious diseases, the nursing students expressed high concern about the possibility of future outbreaks of pandemic infectious diseases and seriousness of the situation. There were numerous negative views on the response and stockpiling of drugs by the government. Ethical awareness of pandemic infectious diseases was high, with demands for accurate information and proper protective equipment. Overall, ethical decision-making when responding to pandemic infectious diseases represented a high score. Also, higher awareness levels of pandemic infectious diseases would result in increased ethical and ethical decision-making. Conclusion: In conclusion, we propose the introduction of an ethical education program for medical personnel and nursing university students, to enable the handling of future pandemic outbreaks of new infectious diseases.

• 한국간호교육학회지
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• 제21권3호
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• pp.382-392
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• 2015

Purpose: This study was performed to investigate the effects of moral sensitivity and ethical values on biomedical ethics awareness of nursing students. Methods: A descriptive survey design was used for this study. The participants were 324 nursing students from S University located in J city. The data were collected through a questionnaire survey done from September 30 to October 18, 2014. Data were analyzed using a t-test, ANOVA, Scheffe's test, Pearson correlation coefficients, and stepwise multiple regression. Results: The factors influencing nursing students' biomedical ethics awareness were identified as moral sensitivity(${\beta}=.34$), ethical values(${\beta}=.11$), awareness of Korean nurses' declaration of ethics(${\beta}=.15$), religion(${\beta}=.14$), and religious activity(${\beta}=.12$). Five factors explained 10.8% of nursing students' biomedical ethics awareness. Conclusion: The results of this study can be used to develop further educational programs on the moral sensitivity and ethical values for enhancement of nursing students' biomedical ethics awareness.

• 한국간호교육학회지
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• 제24권3호
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• pp.300-310
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• 2018

Purpose: This study was conducted to investigate the differences of the Code of Ethics, level of application of the Code of Ethics and consciousness of biomedical ethics of nurses about clinical practice experience, ethical values and biomedical ethics education experience of nursing students. Methods: A descriptive research design, t-test and one-way ANOVA were used. The data were collected 1st June to 31st August 2016 from two large cities. The participants were 246 nursing students with a mean age of 22.57 years. Among them, 209 (84.6%) were female, 94 (38.2%) had clinical practice experience, 155 (63.0%) listed their ethical value as different depending on the situation, and 127 (51.6%) had biomedical ethics education experience. Results: The scores were: awareness of the Code of Ethics of Nurses $4.29{\pm}0.60$; application of the Code of Ethics of Nurses $4.24{\pm}0.6$4; and consciousness of biomedical ethics $2.91{\pm}0.19$. There were significant differences in application of the Code of Ethics of Nurses (t=-1.97, p=.050); consciousness of biomedical ethics (t=-2.25, p=.025) related to clinical practice experience; and consciousness of biomedical ethics related to biomedical education experience (t=2.67, p=.007). Conclusion: Clinical practice and biomedical ethics education experience contributed to enhance the level of application of the Code of Ethics of Nurses and consciousness of biomedical ethics of nursing students.

• 한국간호교육학회지
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• 제10권1호
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• pp.75-83
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• 2004

This study was conducted to examine the ethical dilemma and coping types of nurses, and identify the relationship between ethical dilemma and coping types of nurses. The subjects of this study consisted of 210 nurses from two university hospitals in Taegu and one university hospital and one general hospital in Pohang. The data were collected with self reported questionnaire from June 2003 to July 2003. The data were analysed using the SPSS program. The results of this study were as follows : 1. The mean score of level of ethical dilemma was 0.55/1, and client area was the highest(M=0.65). 2. The mean score of level of coping about ethical dilemma was 2.22/4, and seeking social support area was the highest (M=2.42). 3. The conflict of proffering the best care with courtesy to impolite patient was the highest in total items of ethical dilemma. Criticized or lectured myself was the highest in total items of coping type. 4. In general characteristics, age(F=4.74, p<.01), marital status(t=2.67, p<.01), career (F=5.95, p<.01) were significantly related to level of ethical dilemma and religion(t=2.27, p<.05) was significantly related to types of coping. There was positive correlation between ethical dilemma and types of coping(r=.228, p<.01). On the basis of these findings, it is needed a correlation study according to category of ethical dilemma and coping types of nurses, and to develop the coping strategy that resolves ethical dilemma in nursing practice.

• 대한간호학회지
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• 제29권3호
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• pp.551-562
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• 1999

The purse 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 the literature and interview of nurses in the clinical settings. Ethical problem are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee (1990). The analysis of data was done by Pearson's correlation coefficient, t-test and 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 value of nurse-patient relationship slightly took up the deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formlulate higher ethical values.

• 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.

• 대한간호학회지
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• 제32권3호
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• pp.364-372
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• 2002

The purposes of this study was to find aesthetical-ethical paradigm of care ethics by understanding the unique moral character of care as an art and to suggest the optimal direction of nursing ethics. Method: This study used meaning-heuristic and -interpretive methods of hermeneutics based on philosophical aesthetic theory; Baumgarten's aesthetics, Schiller's theory of aesthetical education and Kant's theory of aesthetical judgement. Result: The concept of care implied aesthetical and ethical character; caring as an art was related to moral feeling based on human dignity und emotional communication in interpersonal-relationship. Caring as an art was interpreted as a moral ideal for the promotion of the humanity und the interaction in personal-relationship according to nursing theories. Philosophical aesthetics could provide the theoretical base for the interpretation of caring as an art. The proper paradigm of care ethics in nursing could be found in character-trait ethics and communication ethics according to the philosophical aesthetics. Conclusion: This study could show aesthetical-ethical paradigm of care ethics in nursing by the heuristic interpretation of caring as an art according to the philosophical aesthetics

• 산업융합연구
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• 제19권4호
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• pp.49-55
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• 2021

본 연구는 간호대학생을 대상으로 생명의료윤리에 대하여 분석한 국내연구의 동향을 파악하고자 하였다. 문헌조사에 사용된 검색엔진은 KISS, NDSL, RISS이었으며, '간호대학생'과 '생명의료윤리'를 주요어로 선정기준에 적합한 26편의 논문을 분석하였다. 생명의료윤리를 분석한 주요개념은 생명의료윤리의식이었으며, 태아생명권, 인공수정, 장기이식 등의 내용을 포함하였다. 또한 생명의료윤리의식은 대상자의 윤리교육경험(유무), 학년, 임상실습경험, 윤리교육 참여의사에 따라 차이가 있었으며, 생명의료윤리의식과 함께 분석된 주요 개념으로는 연명치료중단, 윤리적 가치관, 비판적사고, 성태도, 간호전문직관, 죽음에 대한 인식 등으로 나타났다. 이러한 결과는 향후 간호윤리교육 마련을 위한 기초 자료로 활용될 수 있을 것이다.