• 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.

• 한국간호교육학회지
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• 제28권4호
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• pp.421-432
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• 2022

Purpose: As coronavirus disease 2019 (COVID-19) and other emerging infectious diseases continue to threaten health security, a strategy is required to increase nursing students' care intention for patients with such diseases. This study aimed to identify factors influencing Korean nursing students' care intentions in regard to patients with emerging infectious diseases. Methods: The care intention, COVID-19 knowledge level, ethical sensitivity, beliefs, attitudes toward the care intention, subjective norms, and perceived behavioral control were investigated using the theory of planned behavior. An online survey was completed from December 2020 to January 2021 by 227 nursing students who had complete a clinical practicum. Descriptive statistics, correlation, and hierarchical regression analyses were conducted on the data. Results: The care intention was higher in men than in women nursing students and in junior than in senior students. Behavioral and normative beliefs, attitude toward the behavior, and perceived behavioral control significantly predicted care intention. Ethical sensitivity increased the predictability of nursing students' care intentions for emerging infectious disease patients. Conclusion: The theory of planned behavior predicted nursing students' care intentions for emerging infectious diseases. Therefore, an experience-based response program on emerging infectious diseases is required for nursing students.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.76-84
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• 2019

본 연구는 간호대학생의 도덕적 자아개념, 윤리적 가치관, 연명치료중단 태도 정도를 확인하고 연명치료중단 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상은 G시에 위치한 2개 대학 간호학과 학생 296명으로, 자료수집을 위한 설문조사는 2017년 6월 12일부터 6월 23일까지 실시하였다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였다. 간호대학생의 도덕적 자아개념은 3.48±0.33점, 윤리적 가치관은 3.50±0.37점, 연명치료중단 태도는 3.13±0.43점이었다. 대상자의 일반적 특성에 따른 연명치료중단 태도는 학년(F=3.21, p=.024), 임상실습(t=2.06, p=.040), 간호윤리교육(t=2.98, p=.003)에 따라 유의한 차이가 있었다. 연명치료중단 태도는 도덕적 자아개념(r=-.14, p=.017) 및 윤리적 가치관(r=-.42, p<.001)과 유의한 음의 상관관계가 있었다. 간호대학생의 연명치료중단 태도에 영향을 미치는 요인은 윤리적 가치관(β=-.43, p=<.001), 간호윤리교육(β=.14, p=.010) 순이었으며 이들 예측요인들의 설명력은 22.5%로 나타났다(F=42.09, p<.001). 본 연구결과를 바탕으로 간호대학생의 연명치료중단 태도에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구와 연명치료중단에 대한 긍정적 태도 형성을 위해 공리주의적 가치관을 함양할 수 있는 체계적인 교육 프로그램 개발이 요구된다.

• 한국간호교육학회지
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• 제20권1호
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• pp.129-137
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• 2014

Purpose: The purpose of this study was to understand the positioning which was perceived by nursing students from their clinical practice experiences. Methods: The data were 80 narratives of practice experience written by 20 nursing students. Using qualitative contents analysis, nursing students' reflective narratives were analyzed in the aspects of the positioning which including personal characteristics, designated social role, and ethical order. Results: In personal characteristics, nursing students positioned themselves as they had vague fear and cold feet about the physical and personal environment of the clinical setting. In the aspects of the designated social role, they positioned themselves to learn more knowledge and skills of the nursing, to put effort in maintaining good relationship with their patients and other nurses, and to evaluate the nurses on their job performances and professional attitudes. In ethical order, nursing students positioned themselves as a person who worries about their work as a future professional nurse. Conclusion: The result of this study can be used to better understand nursing students and application of the nursing students' narratives in the clinical practice education, and to facilitate positive outcomes and transitions from nursing students to nurses.

• 간호행정학회지
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• 제9권4호
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• pp.541-557
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• 2003

Purpose: This descriptive study was designed to explore the clinical nurse's ethical value regarding human life. Method: Data were collected from September to October, 2002. Study subjects were 527 clinical nurses working in General Hospital as tertiary located in Seoul. Ethical value was measured with questionnaire developed by researchers and consisted on items regarding ethical value on human life. Result: Among the items, most nurses highly agree with the item, "When a patient requests his/her health care provider to keep his/her personal secret, the health care provider is obliged to do so." and "When a patient asks for information on his/her medicinal and dietary contents, his/her wish must be granted." Most clinical nurses mainly agree with the item. "Health care providers must always be honest to the patient and/or his/her family". However, most nurses disagree with the item, "When a patient is on the verge of death after an accident, it is justifiable to soothe his/her family by saying 'he/she is OK' instead of telling them the truth, in order to avoid a sudden shock befalling on them". Most clinical nurses mainly disagree with the items, "When a patient is on the verge of death after an accident, it is justiable to soothe his/her family by saying 'he/she is OK' instead of telling them the truth, in order to avoid a sudden shock befalling on them" and "It is justiable that various new ways of treatment should be applied to patient at his/her terminal stage to prolong his/her life, even for the purpose of research". There were significant differences in some items of ethical value according by clinical nurse's age and professional experience, current position, religion, education, marital status, continued education on ethics, and the experience of holing on life saving treatment. Conclusion: It is intensifying the notion of ethical underpinning for human rights, truthfulness is essential to a trust relationship under what circumstances. Also most clinical nurses agree with that It is essential to trust in the nurse-patient relationship, patients have the right to know and it is the ethical thing to do as health care provider.

• 임상간호연구
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• 제17권1호
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• pp.1-15
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• 2011

Purpose: This study was to identify ethical dilemma, coping types, job satisfaction and turnover intention in order to examine nurses' ethical recognition. Methods: The subjects were 1,225 registered nurses who were working in 111 general hospitals with more than 300 beds in Korea. The data were collected from August 15 to September 15, 2010 by using the self-reported questionnaires. The data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test and Pearson's correlation coefficient, using the SPSS/WIN 17.0 program. Results: The mean score of the level of ethical dilemma was 0.69/1, and nursing practice area was the highest (M=0.75). The result showed that nurses experienced ethical dilemma in many cases in their practice. The mean score of the level of coping with ethical dilemma was 1.43/3. The score of the job satisfaction of the participants was 2.97/5, and that of the turnover intention was 2.94/5. The ethical dilemma demonstrated significant correlations with coping (r=.255, p<.001), turnover intention (r=.079, p=.005), and job satisfaction (r=-.212, p<.001). Conclusion: Nurses need to get education on reducing ethical conflict as well as training to develop strategies for effective coping with ethical dilemma in practice. Futhermore, it is necessary to take efforts as a whole to increase nurses' job satisfaction and to reduce their turnover intention.

• 디지털융복합연구
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• 제17권10호
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• pp.283-291
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• 2019

본 연구는 간호대학생의 윤리적 가치관이 환자안전에 대한 태도에 미치는 영향을 규명하고자 시도된 서술적 조사연구이다. 연구대상자는 S지역 2개 대학의 간호학 전공 4학년 학생 179명이며, 2017년 8월 21일부터 9월 15일까지 설문조사 하였고. 수집된 자료는 SPSS 24.0 Version을 이용하여 분석 하였다. 연구결과 연구대상자의 환자안전에 대한 태도 수준은 3.74점으로 중간단계였다. 윤리적 가치관의 대상자관계영역과 간호업무영역, 협동자관계영역은 환자안전에 대한 태도와 양의 상관, 인간생명영역은 음의 상관이 있는 것으로 나타났다. 환자안전에 대한 태도에 유의하게 영향을 미치고 있는 변수는 일반적 특성의 학업성적, 전공만족이며 윤리적 가치관의 하위영역인 대상자관계영역, 인간생명영역, 간호업무영역이었고 이들 변수의 설명력은 38.6% 이었다. 이러한 결과가 간호대학생의 교육 정책 개발 시 고려되어야하며 추후 효과 검증을 위한 연구가 요구된다.

• Journal of Korean Biological Nursing Science
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• 제7권1호
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• pp.15-28
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• 2005

Purpose: With post-Genome Project, nurses must be able to incorporate genetic knowledge into their practice. The purpose of the present study aimed at providing the basic information needed to establish an education program for the training of nurses specialized in genetic counseling by comparing and analyzing the education contents in genetics of the various domestic and foreign nursing education institutions, identifying the problems of the existing programs, and investigating the current state of domestic genetic counseling programs. Result: The results of literature review were summarized as follows: Common curricula contents in Korea, Japan and U.S.A. were basic genetic knowledge, genetic counseling and prenatal diagnosis. However, In Korea the curriculum was not included legal, ethical, and social issues. In U.S.A. the course was focused on health promotion related to genetics. The expanded role of nurses is to provide the genetic counseling for clients and their families. So, this articles provided a sample of the new genetic counseling program for nurses which are included basic genetics, genetic counseling, nurse's role and knowledge, legal, ethical, social issues and practicum. Conclusion: this study suggests that this educational program is to brought up genetic specialized nurses in the master's course in the near future.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.24-36
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• 2019

본 연구는 중소병원 간호사의 윤리풍토와 윤리적 민감성 정도를 확인하고 조직의 목표달성 정도를 의미하는 조직유효성에 어떠한 영향을 미치는지 알아보기 위해 시도된 서술적 조사연구이다. 1년 이상 근무한 155명의 중소병원 간호사로 편의 추출하였고, SPSS/Win 20.0 통계프로그램을 사용하여 결과를 분석하였다. 중소병원 간호조직의 조직유효성에 영향을 미치는 요인으로 최근 2년이내 간호윤리교육 경험이 있고, 윤리풍토가 높을수록 조직유효성은 유의하게 증가한 것으로 확인되었다. 설명력은 60.6%였다. 따라서 중소병원 간호부서 조직유효성을 위해 구성원들이 다양한 업무와 절차를 수행함에 있어 윤리적 문제를 어떻게 다루어야 하는지에 대한 올바른 행동과 그 문제들을 다루는 방식에 대한 조직 내 공유되는 인식들이 필요하다. 이를 공유하고 확산할 수 있는 문화적 배경과 함께 지속적이고 규칙적인 간호윤리교육 프로그램 개발과 적용이 필요할 것으로 생각된다.

• 한국간호교육학회지
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• 제14권1호
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• pp.98-107
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• 2008

Purpose: The purpose of this study was to provide basic data which is necessary for educating nursing and medical students for establishing a desirable sense of ethics values Method: In this descriptive research, a total of 140 nursing students and 124 medical students were selected. The tools used for data analysis were descriptive statistics, t-test, one-way ANOVA, and Scheffe test by using SPSS/WIN 12.0 version. Result: When the differences in the consciousness of biomedical ethics of nursing and medical students were compared, statistically significant differences were found in the category of brain death (t=-3.26, p=.001). Statistically significant differences were found in the general characteristics of religion (F=3.05, p=.018), and participation in religious activity (F=3.34, p=.006). Statistically significant differences were found in the characteristics related to the subjects' ethical values such as satisfaction level of a nurse/doctor (F=7.39, p=.000) occupation, the experience of A Patient's Bill of Rights (F=2.97, p=.020), the intention to attend biomedical ethics (F=5.61, p=.000), and the possibility of increasing ethical problems according to the development in the field of medical science (F=7.92, p=.000). Conclusion: An effort should be made to overcome the differences in the perception of biomedical ethics between nursing students and medical students. Moreover, when investigating the course of an integrated education for the establishment of a desirable sense of biomedical ethics, an alternative plan that could promote ethical values must be considered so that the significant variables can promote bioethical perception.