• Title/Summary/Keyword: Nursing ethical education

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

  • Jeong, Sun-Young;Kim, Chang-Hee
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.205-216
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    • 2015
  • The purpose was to compare the ethical knowledge, values and class satisfaction by students' cognitive style to develop the convergent nursing ethic class considering cognitive style. Questionnaires were collected from 149 freshmen after 12 hours classes for four weeks from October 1st to 30th 2013. Group Embedded Figure Test was used as a cognitive style measurement tool. 62.4% of them were field-dependent. There was a significant difference in cognitive style and ethical knowledge according to high school division. The ethical value was different significantly according to the nursing science satisfaction. Class satisfaction was different significantly according to reason for applying to nursing and nursing science satisfaction. There were no significant differences in ethical knowledge and values by cognitive style. Class satisfaction was higher in field-dependent students. This conclusion will give baseline data to develop nursing education program based on cognitive style.

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

  • Ko, Chungmee;Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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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
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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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.

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

  • Lee, Eun Joo;Shin, Hyun Sook;Ha, Eun Chae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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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.

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

  • Min, Hye Young;Kim, Yoon Jung;Lee, Jung Min
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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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.

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

  • Han, Sung-Suk;Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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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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Relationship between Artificial Intelligence Ethical Awareness, Bioethics Awareness, and Person-Centered Care of General Hospital Nurses (종합병원 간호사의 인공지능윤리의식, 생명윤리의식 및 인간중심돌봄간의 관계)

  • Cho, Ok-Hee;Yoon, Jeong Eun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.3
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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.

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

  • Lim, Mi-Hye
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.75-84
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    • 2017
  • The purpose of this converged study was to investigate the level of perceived ethical confidence, character, nursing professional value and moral sensitivity as well as to identify the factors influencing the perceived ethical confidence in nurses. The study evaluated on 174 nurses working in general hospital in D and S Province. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, Multiple regression. As a result, the level of perceived ethical confidence was moderate score. There were positive correlations between perceived ethical confidence and character and nursing professional value and moral sensitivity. The significant factors influencing the perceived ethical confidence were character, nursing professional value, moral sensitivity, which explained 25% of variance in perceived ethical confidence. Based on these findings, education programs that develop character and nursing professional value and moral sensitivity are necessary for nurses to promote perceived ethical confidence.

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

  • Kim, Ji-Ah;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.144-153
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    • 2020
  • This study evaluated the moral sensitivity, self-assertiveness, ethical decision-making confidence and their correlations, and the factors that influence ethical decision-making confidence among nurses working in a long-term care hospital. Overall, 149 nurses working in a long-term care hospital in G Province were evaluated. The date was collected from November 30 2019 to December 18, 2019 and analyzed using SPSS/WIN 21.0 program. The mean of moral sensitivity among nurses was 4.94, the mean of self-assertiveness was 3.17 and the mean of ethical decision-making confidence was 3.49. The self-assertiveness will, according to the general characteristics, was significantly different according to experienced moral distress, and there was a significant difference in the degree of ethical decision-making confidence according to social positions and experience of ethical education. There were positive correlations between the ethical decision-making confidence and moral sensitivity (r=.382, p<.001) and self-assertiveness (r=.224, p<.01). Regression analysis revealed that the factors that significantly influenced ethical decision-making confidence were moral sensitivity, self-assertiveness and ethical education during nursing practice, which explained 25.0% of variance in ethical decision-making confidence. Therefore, to improve ethical decision-making confidence of nurses, programs should be developed that improve moral sensitivity and self-assertiveness by promoting ethical education.