• 중환자간호학회지
• /
• 제5권2호
• /
• pp.1-14
• /
• 2012

Purpose: This study was aimed to describe ethical dilemmas and types of coping behaviors among nurses who worked in intensive care units (ICUs). Methods: Data were collected by 2 focus group interviews with 12 ICU nurses in an academic affiliated hospital in Seoul, Korea. All interviews were tape-recorded and transcribed, and data were analyzed by modified qualitative content analysis. Results: Three themes emerged from the focus group interviews: "Respect for Persons (2 contents)", "Beneficence (13 contents)", "Justice (1 content)". Coping behaviors against the dilemmas were consultations with the doctors or colleagues, acceptance, guilt, reflection, forgetting, endurance, and frustration. Conclusion: The results of this study help us to understand ethical dilemmas that nurses experienced in ICUs and their coping behaviors. It would be useful to develop education programs for nurses in ICUs to support coping strategies for ethical dilemmas.

• 한국콘텐츠학회논문지
• /
• 제22권9호
• /
• pp.592-601
• /
• 2022

본 연구는 간호사의 윤리적 갈등과 관련된 국내 연구 동향과 간호윤리교육 현황을 분석하여 향후 간호윤리 교육의 방향성을 제시하고자 시도되었다. 국내 4개 데이터베이스에서 '간호사', '윤리', '도덕', '생명윤리', '갈등', '민감성', '고뇌', '딜레마', '이슈', '가치관'의 단어 조합으로 검색한 결과 2000년부터 2021년 12월까지 591편의 논문이 확인되었고, 이 중 111편의 논문을 최종 분석하였다. 간호윤리교육 현황은 간호교육 인증평가원에 등록된 4년제 학사학위프로그램 운영 203개교 중 184개교를 대상으로 분석하였다. 연구 결과 간호사 대상 윤리적 갈등과 관련된 연구는 꾸준히 증가하고 있고, 종합병원 간호사를 대상으로 한 양적연구가 가장 많았다. 주요 주제어는 도덕적 민감성, 도덕적 고뇌, 윤리적 딜레마, 생명의료 윤리의식 등으로 확인되었다. 간호윤리교육은 68% 대학에서 전공과목으로 운영하고 있었고, 과반수의 대학에서 1학점 또는 2학점으로, 주로 1, 2학년에 개설하였다. 본 연구 결과 사회적 변화에 따라 간호사가 경험하는 윤리적 갈등은 증가하고 있어, 대학의 간호윤리교육 비중은 더 확대되어야 하고, 교육 효과의 지속성을 위해 학년별 단계별 교육모형 구축이 필요함을 확인하였다.

• 간호행정학회지
• /
• 제7권3호
• /
• pp.415-423
• /
• 2001

This descriptive study was designed to find out the relation between self concept and ethical concept of nurses. The data were collected from 224 staff nurses in a tertiary hospital located in Suwon city during February 24 to March 7, 2001. Self concept was measured with questionnaire developed by chung (1965) and ethical concept was measured with the questionnaire developed by the researcher. The 5 point Likert scale questionnaire had 95 items. The results were summarized as follows: 1) The mean score of self concept was 3.11. The ethical concept were measured in 4 areas and mean scores were : accountability, 3,93; collaboration, 3.70; caring, 3.63; an advocacy, 3.15. So accountability was the area with the highest score in ethical concept. 2) Nurses' self concept was significantly related to ethical concept (collaboration, r=.34, p<.001; advocacy, r=.32, p<.001; caring, r=.28, p<.001; and responsibility, r=.23, p<.001). 3) The self concept was significant in age(F=3.28, p=.000) and the ethical concept was significant in age(F=15.88, p=.000), education level(t=2.16, p=0.03), career(F=5.16, p=.001) In conclusion, there was a significant relationship between self concept and ethical concept of nurses. High score in accountability may be related to high level of legal responsibility of nurses. This finding suggests that it is the length of nursing career is significantly related to both self-concept and ethical concept. Thus, it is important to improve self concept in order to improve ethical concept of nurses from early the beginning of their career.

• 간호행정학회지
• /
• 제9권3호
• /
• pp.459-480
• /
• 2003

Purpose: This study was done to analyze the contents of nurses' ethical decision-making in four of hypothetical dilemma cases using the Cameron's Ethical Decision-Making Model of 'Value, Be, Do'. Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do. Result: 1) In consistency, most of subjects showed a unified voice in 'Value, Be, Do'. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients(case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview procedure, the subjects evaluated Cameron's Model as it would help them build consistent value, carry right action, and cope to conflicts. Conclusion: On the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making model, and be applied to the curriculum of nursing colleges and continuing education program for clinical nurses.

• 간호행정학회지
• /
• 제23권1호
• /
• pp.52-62
• /
• 2017

Purpose: The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values. Methods: For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0. Results: Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance. Conclusion: Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice.

• 디지털융복합연구
• /
• 제18권10호
• /
• pp.285-296
• /
• 2020

본 연구는 다양한 규모의 의료기관에 근무하는 의료인을 대상으로 Ethical Issues in Clinical Practice 도구로, 윤리교육 요구에 대한 내용을 조사하여 추후 윤리교육 프로그램 개발에 도움이 되는 기초자료를 제공하고자 시도되었다. G도에 소재한 의료기관의 의료인 149명을 대상으로 자료수집 하였다. IBM SPSS WIN/21.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 윤리교육 필요성은 말기치료결정 이슈(r=-.22, p=.007), 환자간호 이슈(r=-.28, p<.001)와 역상관관계가 있었다. 대상자의 윤리교육 필요성에 가장 영향을 미치는 요인은 환자간호이슈(β=-.246, p=.035)이었고, 그 다음으로 불교(β=.208, p=.010)이었다. 수정된 설명력은 13.4%이었다(F=5.596, p<.001). 윤리교육 프로그램 내용을 구성할 때 대상자의 요구도를 반영하여 환자간호 이슈 내용과, 대상자의 종교를 반영한 맞춤형 프로그램 마련이 필요하며, 윤리교육 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

• 한국간호교육학회지
• /
• 제14권2호
• /
• pp.216-223
• /
• 2008

Purpose: The purpose of this study was to discover attitudes toward organ donation in brain dead donors and nursing ethical values of staff nurses. Method: The subjects were 196 nurses with direct patient care in a university hospital. Data collection was carried out for one month in September, 2008 using structured questionnaire. The data were analyzed using frequency, percentage, mean and standards deviation, ANOVA and Pearson's Correlation with SPSS program. Result: The mean score of a positive attitude toward organ donation in brain dead donors was 3.59 points, and a negative attitude score was 3.02 points. The mean score of nursing ethical value was 3.05 points. The age and the length of career had a reverse correlation with a negative attitude toward organ donation. Nursing ethical values had a positive correlation with a negative attitude toward organ donation. Conclusion: It is necessary to increase understanding and recognition of brain death organs donation in the nurses who participate in direct patient care so as to help facilitate organ donation.

• 간호행정학회지
• /
• 제5권2호
• /
• pp.337-353
• /
• 1999

This study is to provide the basic sources to develop educational data that can establish ethical values with research on the interrelation between moral development and ethical values of nurses. The subjects of this study are the convenience sample from 111 nurses working in clinical settings from 5 general hospitals located in Pusan area. The questionnairs for this study are comprised two parts: Part 1 is SRM-SF(1995) guestionnaire, and translated by Kil, 1m Ju(1997): Part 2 is the guestion papers about the ethical values, and disigned by Jung, Hee Ja. The data were collected from June lth to 31th, 1997 and analyzed by S.A.S(Statistical Analysis System) Package for frequency, percent, and Pearson's correlation coefficient. The results of the study is as the followings: 1) According to the moral development. the nurses are in the levels of Stage3 or Transition3/4, which are generally focused on the personal relations or personality. Thus, nurses are considered to need to get the stage4 of education that helps them recognize a person as a member of society. a family as an unit of society, and human life as the values of human dignity. 2) According to the ethical values, nurses have the positive ethical values of respecting the right of the patients, providing information, keeping the secret, truth. and credit of patients. But they also experience some troubles by the patients to care and the clinical situation. Thus, to overcome the problems, nurses are considered to need to get the education that establishs the right ethical values. 3) The analysis result on the interrelation between moral development level and ethical values shows as r=0.28 and p=0.003. This indicates that the interrelation between them is low. In conclusion, it is considered that the moral development level is viewed broadly from a person and family to a society, and then it can affect to the ethical values positively.

• 간호행정학회지
• /
• 제1권2호
• /
• pp.349-371
• /
• 1995

Professional nurse shall possess the firm nursing idea and ethical nursing philosophy based on the professional knowledge and technology but due to the rapid social situations has changed the value to man thus the nurse's sense of value in the nursing secenes has been confused and changed bringing the new ethical problems and discord due to the ethically difficult problems. This study is aimed to know about the discord between the ruling ethical sense of value and the ethical discord exeriencing in the clinical scenes of the nurse and to help them establish affirmative ethical sense of value and provide them with the materials which can effectively meet the ethical discord. The study research has been conducted by selecting 515 clinical nurses in 8 general hospitals as the subject from Mar. 13, 1995 to Apr. 3. The tool measuring the ethical sense of value disigned by Lee, Young Sook has been used and supplemented and the tool measuring the ethical discord was the question papers about the ethical dillemma of Han, Sung Sook. The collected materials have been analyzed by the statistical methods of arithmetical everage, t-test, ANOVA, Pearson's Correlation Coefficient and etc. The result of the study is as the below ; 1) The average point of the ethical sense of value of the nurse was 3.62(maximum point : 5) which showed that the ethical level was so high and the highest question item in the ethical level of the whole items of the ethical sense of value was "They conduct as directed by the doctor in case the disposition of the doctor looks mistaken"(4.56 point), "They keep the secret of the patients while serving them."(4.56) and the lowest item was "using placobo for the patients is not allowed" : (1.85 point). 2) Statistical variation which showed the significant difference in the relation with the ethical sense of value according to the general characters of the nurse has shown as scholarly years(F=3.47, p=.016), religion(F=1.66, p=.004), interest degree of ethical education(F=4.18, p=.006),attitude to the job of nursing(F=6.76, p=.006), ethical standard(F=3.28, p=.021), and recognition degree on ethical principles(F=4.53, p=.001). 3) The average point of the ethical discord of the nurse was 0.54(The maximum-1 point) point and the ethical discord in the clinical scenes : "the problems arising from the lack of manpower of the nurse"(0.86), "the discord from the uncooperative relation between them and the medical staff and"(0.75) and indifference of the doctor about the report of the nurse(0.73). 4) The variation which showed the significant difference statistically in the ethical discord according to the general characters of the nurse was that Age(F=19.88, p=.000), schooling(F=5.32, p=.001), Experience(F=15.77, p=.000), position(F=13.58, p=.000) and ethical standard(F=2.63, p=.049). 5) The results of the analysis of correlation between ethical sense of value and discord(r=0.519, p=.239) showed no significant correlation statistically.

• 한국산학기술학회논문지
• /
• 제18권3호
• /
• pp.501-512
• /
• 2017

본 연구의 목적은 임상간호사의 윤리적 의사결정 자신감 영향요인을 파악하고자 시도되었다. 임상간호사 125명을 대상으로 구조화된 설문지를 실시하여 자료를 수집하였다. 자료수집 기간은 2014년 11월 10일부터 동년 11월 29일까지였다. 자료분석은 SPSS/WIN 21.0. 프로그램을 이용하여 실수와 백분율 평균, 평균평점과 표준편차, t-test, ANOVA와 Scheffe's test, Pearson's correlation coefficients 및 stepwise multiple regression으로 분석하였다. 임상간호사의 제 특성에 따른 윤리적 딜레마 정도는 연령(F=3.14, p=.017)에 따라 통계적으로 유의한 차이가 있었으며, 윤리적 의사결정 자신감 정도는 교육정도(F=7.36, p<.001), 임상경력(t=-2.31, p=.024), 윤리강령 인지여부(t=3.17, p=.002)에 따라 통계적으로 유의한 차이가 있었다. 윤리적 의사결정 자신감은 윤리적 가치관과 정적인 상관관계를 보여 주었다(r=.25, p<.001). 윤리적 의사결정 자신감은 윤리적 가치관, 교육정도, 윤리강령 인지여부에 따라서 유의한 차이가 있었다. 전체 설명력은 15%였으며, 다른 영향요인 보다 가장 큰 영향력은 윤리적 가치관 (${\beta}=.28$) 으로 나타났다. 따라서 임상간호사의 윤리적 의사결정 자신감을 향상시키기 위해서는 윤리적 가치관, 교육정도, 윤리강령에 대한 지식 정도를 향상시켜야 할 필요가 있을 것이다. 따라서 임상간호사의 윤리적 의사결정 자신감을 향상시키기 위한 프로그램의 실행이 필요하다.