• 제목/요약/키워드: Right of Autonomy

검색결과 75건 처리시간 0.026초

성교육 프로그램이 여대생의 성지식과 성적 자율성에 미치는 효과 (Effect of Sexual Education Program on Female College Student's Sexual Knowledge and Sexual Autonomy)

  • 전나미
    • 여성건강간호학회지
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    • 제18권2호
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    • pp.108-116
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effect of the sexual education program on female college students' sexual knowledge and sexual autonomy. Methods: The integrative 5-week (15 hour) sexual education program reflecting control and coping aspects of sexual autonomy was developed based on self-determination theory. 59 female students were assigned to the experimental (n=29) and the control group (n=30). Students completed the sexual knowledge and the sexual autonomy questionnaires at prior to the program, right after and 10 weeks after the completion of the program. Independent t-test were used to test the effectiveness of the program. Results: Significant group differences were found on sexual autonomy score right after and 10 weeks after the completion of the program. No significant group differences were found on sexual knowledge at any time after the program completion. Conclusion: The results indicate that the 5-week Sexual Education Program was effective in increasing female college students' sexual autonomy. Nursing professors majoring women's health nursing may contribute to improving college students' sexual autonomy by opening the sexual education program as a general elective curriculum. Strategies to improve sexual knowledge need to be considered for better effectiveness of the program.

환자 자기결정권과 충분한 정보에 근거한 치료거부(informed refusal): 판례 연구 (Patient's Right of Self-determination and Informed Refusal: Case Comments)

  • 배현아
    • 의료법학
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    • 제18권2호
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    • pp.105-138
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    • 2017
  • 이 글은 환자의 자기결정권에 관한 몇몇 대표적인 판례들을 연혁적으로 검토한 논문이다. 대법원은 과거 음주상태에서 농약을 음독하여 자살을 시도한 환자가 치료를 거부하자 치료를 포기한 의료진에게 특정 의학적 상태(응급상황)에서 의사의 생명보호의무가 환자의 자기결정권 존중보다 우선한다고 판단하여 의료과실을 인정하였다. 이후 대법원은 가족들의 요청에 의해 지속적 식물인간 상태인 환자에게 해당 환자의 의학적 상태(회복불가능한 사망의 단계 등)를 고려하고 환자의 의사를 추정하여 연명의료를 중단하게 하였다. 최근 대법원은 종교적 신념과 관련하여 수혈과 같은 필수적인 치료를 거부한 환자에 대하여 대법원은 환자의 생명 보호에 못지않게 환자의 자기결정권을 존중하여야 할 의무가 대등한 가치를 가지는 것으로 평가할 수 있는 판단 기준을 제시하였다. 인간의 존엄성에 근거한 환자의 자기결정권과 의사의 생명보호의무가 충돌하는 상황에 대하여 연혁적 판례 검토를 통해 법원의 입장이 우리 사회에서 환자의 주체적 역할과 자율성을 존중하는 방향을 반영하여 함께 변화되어 왔음을 확인할 수 있었다. 법원이 생명권이라는 최고의 가치만을 환자의 의사보다 더욱 우선하여 판단해오다가 적어도 명시적인 환자의 의사 또는 그렇지 못할 경우에 추정적 의사까지도 고려한 치료의 유보나 중단에 대하여 고려하기 시작한 것, 종교적 신념에 근거한 자기결정권의 행사로서의 수혈거부와 같은 치료거부에 대하여 충분한 정보에 근거한 치료거부의 몇 가지 적법한 요건들을 인정하기 시작했다는 것은 이후 우리나라 의료 환경에 적잖은 영향을 줄 것이고 의료현장에서 의료행위를 하는 의사들에게도 직 간접적인 지침이 될 것이다.

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부모와 교사의 자율성 지지, 아동의 기본심리욕구, 아동의 의사결정 참여 간의 구조적 관계 (Structural Relationships Among Parents' and Teachers' Autonomy Support, Children's Basic Psychological Needs, and Children's Participation in Decision-Making)

  • 채은영;이재연
    • 아동학회지
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    • 제38권1호
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    • pp.139-151
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    • 2017
  • Objective: The purpose of this study was to explore the structural relationships among parents' and teachers' autonomy support, children's basic psychological needs, and children's participation in decision-making. Methods: The participants were 687 elementary school students (5th and 6th grades) in Seoul and Gyeonggi-do. The data were analyzed using SEM. Results: First, parents' and teachers' autonomy support had a direct effect on children's participation in decision-making. Second, parents' and teachers' autonomy support had an indirect effect on children's participation in decision-making through the children's basic psychological needs. Third, children's basic psychological needs mediated the effects of parents' and teachers's autonomy support and children's participation in decision-making. Conclusion: The findings suggest the importance of the mediating effect of children's basic psychological needs, between parents' and teachers' autonomy support and children's participation in decision-making. The findings can be used as an important basis for prospective research and practices for improving children's participation in decision-making.

"자립적 지역사회개발론${\rceil}$에 대한 연구 (An Analysis of the Autonomous Regional Development)

  • 김수석
    • 농촌지도와개발
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    • 제4권1호
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    • pp.29-40
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    • 1997
  • This study aims to analyze the model of 'autonomous regional development', which was initiated in 1980s in Austria, then introduced into Germany and Switzerland. The basic ideas of autonomous regional development are constructed of the peculiarity, the autonomy, the integrity, and the project promotion. The subjects of the development-four poles of the model 'autonomous regional development' -are designed of the land residents, the regional advisers, the regional associations and the state. The concret measures to realize the autonomous regional development are the realization of independent regional economic structures, the autonomy of political decision-makings, and the development of peculiar rural cultures. The autonomous regional development is a new development model, which is founded on the right basic principles. In this model the initiative of the residents is emphasized, and the real autonomy of regional development is required. The principle of autonomy leads to the development of peculiar rural cultures, which keep the peculiarity of the region. The development of rural culture contributes in turn to restoring the identity of residents, which may become a driving force of the rural development.

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유아의 행동억제가 자기결정성에 미치는 영향: 어머니의 양육불안과 자율성 지지의 순차매개효과 (Effects of Behavioral Inhibition in Young Children on Self-Determination: Sequential Mediating Effects of Mother's Parenting Anxiety and Autonomy Support)

  • 김지효;신나리
    • 한국보육지원학회지
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    • 제19권6호
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    • pp.97-113
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    • 2023
  • Objective: The purpose of this study is to investigate the effect of young children's behavioral inhibition on self-determination, examining the sequential mediating effects of mothers' parenting anxiety and autonomy support. Methods: Participants in this study were 225 mothers with children aged 6 years. An online survey was conducted, and SPSS Statistics 23.0 was used for basic analysis. The research model used the Process Macro 4.0 program. Results: The higher the level of behavioral inhibition, the lower the child's self-determination. Furthermore, a mediating effect was confirmed when parenting anxiety was added. However, in the single mediation model and the sequential mediation model in which autonomy support was added, the direct effects of behavioral inhibition temperament and parenting anxiety on self-determination disappeared. As a result, behavioral inhibition characteristics were found to have an indirect effect on self-determination through the sequential mediating effects of mother's parenting anxiety and autonomy support. Conclusion/Implications: If a mother with a child with a behaviorally inhibited temperament properly handles the negative emotions experienced during parenting based on her understanding of the child and supports the child to have a high degree of autonomy, she can enhance the child's right to self-determination.

GA를 적용한 모의 UAV의 자율착륙 테스트베드 구축 (Generating an Autonomous Landing Testbed of Simulated UAV applied by GA)

  • 한창희
    • 한국시뮬레이션학회논문지
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    • 제28권1호
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    • pp.93-98
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    • 2019
  • 현대에서 사용되는 무인 비행체의 경우 자율화수준이 떨어져 사용자의 개입이 필요하다는 문제가 있다. 이에 본 연구는 자율화 달성의 방법론으로 유전자 알고리즘을 선택하고, 이것을 적용해 무인 착륙체의 자율화 가능성을 확인해 보는 것이다. 특별히 무인 비행체의 착륙은 비행체에서 매우 중요한 고전적인 과업 중의 하나이며, 착륙에 있어서 역사적 사건 중의 하나가 달착륙이라고 할 수 있다. 달 착륙선의 추동 메카니즘을 장착한 낙하체의 착륙 자율화 방법을 이용해 무인 착륙체의 자율화 가능성을 확인한다. 본 논문에서는 유전자알고리즘 적용시 게놈을 단지 4가지 액션 (좌회전, 우회전, 분출, 자유낙하) 으로 인코딩하여 무인 착륙체에 적용하고, 유전자 알고리즘의 주요 연산을 접목하여 실험을 성공적으로 진행하였으며 센서에 대한 의존도를 최소화할 수 있는 무인 비행체의 모의 UAV를 제작하였고, 유전자알고리즘을 적용해 그 가능성을 확인하는 테스트 베드를 구축하였다.

생전유언, 의료지시서, 자연사법(natural death act) 입법의 사회적 함의 (Social Implication of Living Wills, Advance Directives and Natural Death Act in Korea)

  • 이인영
    • 의료법학
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    • 제9권1호
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    • pp.413-459
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    • 2008
  • The Law has intervened to define rare circumstances in which a person should choose continuing life in United States. On the one hand, the law has traditionally acted to preservelife and to respect the sanctity of life. On the other hand, one's control over one's own body, and the right to determine what kind of medical care one will receive, is equally well respected and historically grounded. The competent patients have the right to forgo life-sustaining treatment, courts in United States have left many unanswered questions about the nature of that right. The right to choose to forgo life-sustaining treatment is a manifestation of a patient's autonomy interest. In United States, The Karen Quilan case gave rise to legislative activity in the host of state capitals, and several states had adopted statutes that formally recognized some forms of written directives describing some circumstances in which certain kinds of medical care could be terminated. These statues were sometimes dominated 'living will' acts, sometimes 'right to die' acts and ocasionally 'natural death' acts. Today virtually every state has produced a living will statue. In Korea, courts do not permit a terminally ill person to withhold or withdraw life-sustaining treatment. Living wills apply in case of terminal illness owing to a defect in legislation. Now In Korea, these lively dispute of legal policy on the preconditions and concrete procedure of living will act and natural death act. Through the legislation of living will act and natural death act, we should prepare some circumstances to respect patient's autonomy on the right to die. We should frame the cultural standard to make a decision of forgoing life-sustainin1g treatment under the discreet procedure.

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지방정부의 독자적 농촌발전계획의 수립과 추진을 위한 조례제정에 관한 연구 (A Study on the Local Ordinance for the Rural Development Planning)

  • 윤원근
    • 농촌지도와개발
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    • 제12권1호
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    • pp.57-68
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    • 2005
  • Since about 2000. local government has started making ordinance related to the rural development planning which is revitalizing rural area through using rural resource. But, the ordinance of local government have not any contents relating to the land use planning system that is necessary in rural development planning. According to the present local autonomy act, ordinance can not have any regulations restricting basic human right without being allowed by law. In recent, central government is considering to hand power making land use planning system over local government. This paper is to study how to expand the legislative power of local government. This study discussed on logical bases through examining disputes on legal theories, the nature of local ordinance, range of local autonomy affairs and cases of local ordinance.

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고등학생의 아르바이트 업무자율성과 진로의식성숙과의 관계: 업무만족도의 매개효과 (Effects of Job Autonomy on Career Maturity in High School Students: Focused on the Mediation Effect of Job Satisfaction)

  • 최은희
    • 한국콘텐츠학회논문지
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    • 제17권6호
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    • pp.86-97
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    • 2017
  • 본 연구는 아르바이트의 업무자율성과 진로의식성숙의 관계에서 업무만족도의 매개효과를 검토하여 고등학생의 진로의식성숙을 향상시킬 수 있는 실천적 방안을 모색하고자 하였다. 조사대상은 아르바이트 경험이 있는 고등학생 849명으로 연구결과는 다음과 같다. 첫째, 업무자율성, 업무만족도, 진로의식성숙은 전반적으로 남학생보다 여학생이, 교육포부에 따라서는 고졸 희망학생이 전문대졸, 대졸이상 학생보다 더 높았다. 둘째, 아르바이트 업무자율성은 성별과 교육포부에 따라 진로의식성숙에 정적(+)인 영향을 미쳤다. 셋째, 업무만족도는 아르바이트 업무자율성과 진로의식성숙의 관계에서 부분매개 하였으며, Sobel test 결과 업무만족도의 매개효과는 유의한 것으로 나타났다. 이러한 결과는 아르바이트를 통한 진로의식성숙을 위해 청소년들에게 일의 주체로서 적극적으로 참여할 수 있는 기회를 현장에서 부여해야 함을 시사한다. 또한 고용주들은 청소년 직업교육 협조자 역할을 인식할 필요가 있으며, 학교와 지역사회는 질 높은 아르바이트를 통해 청소년들이 진로의식을 높일 수 있도록 아르바이트 진입경로를 공식화 할 수 있는 지원체계를 마련할 필요가 있다.

건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과 (The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students)

  • 신윤희;전영경;조성미;조예령
    • 대한간호학회지
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    • 제35권7호
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    • pp.1304-1313
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students. Method: A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was 'sex, gender, and sexuality: all our concern', 'dangerous sex' for the second session, 'safe sex' for the third session, and 'right sex for you and me' for the fourth session. Result: At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group. Conclusion: A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.