• 제목/요약/키워드: Nursing ethical education

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융복합 간호윤리수업 개발을 위한 학생의 인지양식에 따른 윤리지식, 윤리적 가치관과 수업만족도 비교 (Comparing the Ethical Knowledge, Ethical Values and Class Satisfaction by Students' Cognitive Style to Develope the Convergent Nursing Ethic Class)

  • 정선영;김창희
    • 디지털융복합연구
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    • 제13권11호
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    • pp.205-216
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    • 2015
  • 본 연구는 인지양식을 고려한 융복합적 간호윤리수업을 개발하기 위하여 간호학생의 인지양식에 따른 윤리지식, 윤리적 가치관과 수업만족도를 비교하기 위한 조사연구이다. 간호대학생 1학년 149명을 대상으로 간호윤리수업을 4주 동안 12시간 시행한 후 2013년 10월 1일부터 10월 30일까지 설문지를 이용하여 자료를 수집하였고 잠입도형검사로 인지양식을 파악하였다. 대상자의 62.4%가 장의존형 인지양식으로 나타났다. 인지양식과 윤리지식은 졸업한 고등학교 계열에 따라, 윤리적 가치관은 학과 만족도에 따라, 간호윤리수업 만족도는 간호학과지원동기와 학과 만족도에 따라 차이가 있었다. 간호대학생의 인지양식에 따른 윤리지식, 윤리적 가치관은 유의한 차이가 없었다. 그러나 간호윤리수업 만족도는 장의존형 학습자에서 유의하게 높았다. 본 연구의 결과는 간호학과 전공과목에서 인지양식을 활용한 교육프로그램 개발을 위한 기초 자료로 이용될 수 있을 것이다.

의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구 (Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality)

  • 고정미;고진강
    • 중환자간호학회지
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    • 제11권3호
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    • pp.1-11
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    • 2018
  • Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

A Q-methodological Study on Nursing Students' Attitudes toward Nursing Ethics

  • Yeun Eun-Ja;Kwon Young-Mi;Kim Hung-Kyu
    • 대한간호학회지
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    • 제34권8호
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    • pp.1434-1442
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    • 2004
  • Purpose. Professional nursing ethics is a living, dynamic set of standards for nurses' professional moral behavior. Furthermore, in daily clinical nursing training, nursing students are constantly confronted with decision-making that is moral in nature. The aim of this study was to identify the perceived ethical attitudes in the clinical training process of senior nursing students using Q-methodology to offer basic strategies for nursing ethics education and thereby improve patients' care. Methods. Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty-seven participants in a university rated 38 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results. Principal component analysis identified 3 types of ethical attitudes in nursing students in Korea. The categories were labeled Sacred-life, Science-realistic and Humane-life. Sacred-life individuals think that a life belongs to an absolute power (God), not a man, and a human life is a high and noble thing. Science-realistic individuals disagreed that allowing an induced abortion or embryo (human) duplication is unethical behavior that provokes a trend, which takes the value of a life lightly; most of them took a utilitarian position with respect to ethical decisions. Humane-life individuals exhibit a tendency toward human-centered thought with respect to ethical attitudes. Conclusion. This study will be of interest to educators of students of nursing and hospital nursing administrators. Also, the findings may provide the basis for the development of more appropriate strategies to improve nursing ethics education programs.

간호대학생의 환자 프라이버시 보호행동 영향요인 (Factors Influencing Patient Privacy Protection Behavior among Nursing Students)

  • 이은주;신현숙;하은채
    • 한국간호교육학회지
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    • 제24권3호
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    • pp.225-234
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing patient privacy protection behavior among nursing students and examine the relationships between these factors. Methods: Participants in this study were 144 nursing students who have experienced clinical practice. The data were analyzed using descriptive statistics, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression with IBM SPSS Win 23.0 program. Results: Professional self-concept and ethical values were factors influencing patient privacy protection behavior among nursing students. These variables explained 21.9% of the variance for patient privacy protection behavior. A higher level of patient privacy protection behavior was associated with higher levels of professional self-concept and ethical values. Conclusion: The findings demonstrate that strategies for enhancing patient privacy protection behaviors of nursing students should include methods for forming images of positive nurses and firming ethical values.

간호대학생의 한국어판 윤리적 민감성 측정도구 타당도와 신뢰도 (Validity and Reliability of the Korean Version of the Ethical Sensitivity Questionnaire for Nursing Students)

  • 민혜영;김윤정;이정민
    • 지역사회간호학회지
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    • 제31권4호
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    • pp.503-513
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    • 2020
  • Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean version of the Ethical Sensitivity Questionnaire for Nursing Students (KESQ-NS). Methods: The participants were 138 nursing students who have experience in clinical practice. The Korean version of ESQ-NS (KESQ-NS) was examined using content validity, construct validity, criterion-related validity, and testing of internal consistency reliability. Data were collected from November to December of 2019 through an online-survey. Results: The KESQ-NS that was composed of 13 items was divided into three dimensions: Critical understanding of the patient, patient holistic care, patient privacy, and confidentiality. The instrument explained 67.9% of the total variance for ethical sensitivity. Cronbach's α was .88. Conclusion: The KESQ-NS showed good validity and reliability. This instrument can be used to evaluate ethical sensitivity in nursing students in Korea.

간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과 (Effects of Nursing Ethics Education on Moral Reasoning and Ethical Decision Making for Student Nurses)

  • 한성숙;안성희
    • 간호행정학회지
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    • 제1권2호
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    • pp.268-284
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    • 1995
  • This study was designed to test effects of nursing ethics education (NEE) on moral reasoning and ethical decision making of subjects. This NEE that was teached for 10 hours course was composed of these : Nurses' ethical code, moral responsibility, Moral value and professional accountability, Respect for human life, General ethics, Theory and Norms of biomedical ethics, Ethical decision making model and Discussion about hypothetical ethical dilemmas Twenty-five senior student nurses were sampled from four year college of nursing from Nov. 3rd, 1993 to Nov. 24th, 1993. Data were collected through self-reported questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism), the stage 6 (universal ethical practice). In particular, the level of principled thinking (P) was measured by summing these scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, Mc Nemar's test and Pearson correlation coefficients. The results were as follows ; 1. For the Moral Reasoning both before and after NEE, The Mean score of the stage 5A was significantly higher than that of other stages.(P=0.0001) Before NEE, the mean score of the stage 4 was significantly different from stage 2, 3, 5A, and after NEE, different from stage 2, 5B,6. 2. The analysis of change of moral development level revealed that the score of stage 4 increased after NEE.(P=0.0004) 3. The Effect of NEE for the mean score of 5A, 6, P after education was significantly different by birth place. 4. With regard to the five dilemmas postulated such as forcing medication performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, the mean score of the MS and the DS was no significant difference with general characteristics of the students. Effect of NEE morality score and dilemma score after education was no significant difference. 5. As for the correlations between moral reasoning and decision making, the score of the stage 2, 5A, 6, DS was positively correlated with the scores of before and after. Positive correlation was also observed between the scores of stage 2 and stage 4, stage 3 and 6. On the other hand, the score of P was negatively correlated with the scores of stage 2 and of stage 4 and of stage 5A. The score of the stage 5A was also negatively correlated with the score of the sge 6.

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종합병원 간호사의 인공지능윤리의식, 생명윤리의식 및 인간중심돌봄간의 관계 (Relationship between Artificial Intelligence Ethical Awareness, Bioethics Awareness, and Person-Centered Care of General Hospital Nurses)

  • 조옥희;윤정은
    • 가정간호학회지
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    • 제29권3호
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    • pp.319-328
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    • 2022
  • Purpose: This study investigated the relationship between artificial intelligence ethical awareness, bioethics awareness, and person-centered care of general hospital nurses. Methods: The participants were 192 nurses. Data were analyzed using descriptive statistics, t-test, analysis of variance, and Pearson's correlation coefficient with the SPSS program. Results: The average points for artificial intelligence ethical awareness, bioethics awareness, and person-centered care were 2.93, 2.77, and 3.50, respectively. Artificial intelligence ethical awareness and bioethics awareness had statistically significant negative relationships. Artificial intelligence ethical awareness, bioethics awareness, and person-centered care were not significantly correlated. Conclusion: Education, training, and organizational support are needed to improve artificial intelligence ethics awareness, bioethics awareness, and person-centered care for general hospital nurses.

간호사의 윤리적의사결정 자신감 영향요인에 대한 융합적연구 (Converged Study of Influencing Factors on Perceived Ethical Confidence in Nurses)

  • 임미혜
    • 한국융합학회논문지
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    • 제8권6호
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    • pp.75-84
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    • 2017
  • 본 연구의 목적은 간호사들의 윤리적의사결정 자신감, 인성, 간호전문직관 및 도덕적 민감성 정도를 분석하고, 윤리적의사결정 자신감에 영향을 미치는 요인을 융합적으로 파악하는 것이다. 연구대상은 D, S시 소재 종합병원에 근무하는 간호사 174명으로, 연구 자료는 기술통계, t-test, ANOVA, Pearson's correlation and Multiple regression을 이용하여 분석하였다. 연구결과, 간호사들의 윤리적의사결정 자신감 정도는 중간정도이었으며, 인성, 간호전문직관, 도덕적 민감성과 유의한 양의 상관관계를 보였다. 윤리적의사결정 자신감에 영향을 주는 요인은 인성(${\beta}=.350$, p<.001), 간호전문직관(${\beta}=.172$, p<.001), 도덕적 민감성(${\beta}=.134$, p<.001)임을 확인하였고, 이들의 설명력은 25%이었다. 따라서 간호사의 윤리적의사결정 자신감 향상을 위해서 임상현장에서 인성, 간호전문직관 및 도덕적 민감성 향상을 위한 교육프로그램 개발이 필요하다.

요양병원간호사의 도덕적 민감성과 자기주장성이 윤리적 의사결정 자신감에 미치는 영향 (Effects of Moral Sensitivity and Self-Assertiveness on Ethical Decision-Making Confidence of Nurses Working in Long Term Care Hospitals)

  • 김지아;강영실
    • 한국산학기술학회논문지
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    • 제21권6호
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    • pp.144-153
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    • 2020
  • 본 연구의 목적은 요양병원 간호사의 도덕적 민감성, 자기주장성, 윤리적 의사결정 자신감의 정도, 상관관계, 윤리적 의사결정 자신감에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 G도에 소재한 6개의 요양병원에 근무하는 간호사 149명으로, 자료수집은 2019년 11월 30일부터 12월 18일까지 시행하였으며 SPSS win 21.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation 및 Multiple regression으로 분석하였다. 대상자의 도덕적 민감성 정도는 평균 4.94점, 자기주장성 정도는 평균 3.17점, 윤리적 의사결정 자신감 정도는 평균 3.49점이었다. 일반적 특성에 따른 자기주장성 정도는 도덕적 고뇌 경험 유무에서 유의한 차이를 보였고, 윤리적 의사결정 자신감 정도에서는 직위와 윤리적 교육 경험 유무에서 유의한 차이를 보였다. 윤리적 의사결정 자신감은 도덕적 민감성(r=.382, p<.001)과 자기주장성(r=.224, p<.01)과 유의한 정적 상관이 있었다. 요양병원 간호사의 윤리적 의사 결정 자신감에 영향을 주는 변인은 도덕적 민감성과 윤리적 교육 경험 여부, 자기주장성임을 확인하였고, 윤리적 의사결정 자신감에 대한 이들 변인의 설명력은 25.0%였다. 따라서 요양병원 간호사의 윤리적 의사결정 자신감을 향상하기 위해서는 윤리적 교육을 통한 도덕적 민감성과 자기주장성을 함께 향상할 수 있는 프로그램 개발이 필요하다.