• Title/Summary/Keyword: autonomy of the profession

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A Study on the Method of Legislation on Withholding or Withdrawing of LST -In relation to the introduction of adult guardianship- (연명치료 중단의 입법화 방안에 관한 연구 - 성년후견제도의 도입과 관련하여 -)

  • Lee, Eun-Young
    • The Korean Society of Law and Medicine
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    • v.10 no.2
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    • pp.203-249
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    • 2009
  • It is the so-called Shinchon Severance Hospital Case brought to an end by the decision of the Supreme Court that opened the real discourse of withholding or withdrawing of LST (Life-Sustaining Treatment) in the legal profession as well as medical profession in Korea. Everyone has sympathy with the validity and necessity of legal regulation on withdrawing-including withholding-of LST save the requirements & procedure of withdrawing of LST. In this situation, the legislative bill of amendment to the Korean Civil Law introducing of adult guardianship was pre-announced by the Ministry of Justice on September 18th 2009. The adult guardianship is a guardianship system that supports an mentally handicapped adult to deal with his affairs by support of a guardian. The object of adult guardianship includes affairs of body or well-being as well as property of adult wards. In particular, affairs of medical matters are of importance in the duty and authority of adult guardians. So, the introduction of adult guardianship is of much importance de lege lata as well as de lege ferena in the discussion of withdrawing of LST as a medical treatment. Since the legislation on withdrawing of LST intents to protect the right of death with dignity on the basis of patients' autonomy, the ratio legis of withdrawing of LST is variant from that of adult guardianship. In this context, it seems reasonable to legislate the withdrawing of LST separately from the adultguardianship. In the meantime, the adult guardianship of the legislative bill of amendment to the Korean Civil Law is related to the withdrawing of LST, since the main purpose of adult guardianship is to protect patients' quality of lives and to regulate guardianship contracts based on patients' autonomy. In that context, it seems reasonable to incorporate the legislation of withdrawing of LST into the adult guardianship system. In the latter case, it is not easy to adopt the withdrawing of LST into the legislative bill of the Korean Civil Law for the bill is pre-announced already as previously stated. However, the legislation of withdrawing of LST is not inferior to the legislation of adult guardianship as a matter of urgency. Moreover, it is likely that the legislative bill of Amendment to the Korean Civil Law generates discrepancies in interpretation of the requirements & procedure of withdrawing of LST as the amended German Civil Law did. In short, it is desirable for the legislator to revise the legislative bill despite delay.

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Establishment and Decline of the Korean Librarian Association from the View Point of Professionalism (전문직관점에서 본 전국사서협회의 성립과 소강)

  • Lee, Sun-Woo;Kim, Gi-Yeong
    • Journal of the Korean Society for information Management
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    • v.26 no.1
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    • pp.259-278
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    • 2009
  • The Korean Librarian Association was established in 1990 for the professionalization of the librarian in Korea. So far there has been no research with the association as a main subject in spite of its importance in the history of Korean Libraries. In this study, we attempt to investigate the meaning and the importance of the association from the view point of professionalism. As a professional association, the Korean Librarian Association tried to get professional autonomy from the governing bodies and the market to reach higher level in professionalization. But the activities of the association has been radically declined since 1997, which would be affected by the character of librarianship that is mainly based not on individual characteristics but on organizational characteristics.

Influence of Job Stress, Professionalism, Job Satisfaction, and Intention- to- Retention of Visiting Nurses: A Descriptive Study (보건소 방문간호사의 직무스트레스, 전문직업성, 직무만족도과 재직의도)

  • Baek, Hee Chong;Kim, Hye Ryoung;Moon, Ji Hyun
    • Journal of Home Health Care Nursing
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    • v.26 no.3
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    • pp.319-328
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    • 2019
  • Purpose: The purpose of this study was to establish baseline data for the development of employment policies to improve the efficiency and stability of visiting healthcare services. It identifies factors affecting visiting nurses' intention-to-retention at healthcare centers in Seoul. Methods: This descriptive study investigated subjective health perception, job stress, professionalism, job satisfaction, and intention-to-retention of 269 nurses with more than one year of work experience as a visiting nurse. These factors were analyzed using t-tests, chi-square, partial correlation, and stepwise multiple regression. Results: The results indicate that satisfaction for professional status in job satisfaction, educational level, autonomy in professionalism, and visiting nursing career were significant factors that impacted the retention of visiting nurses. Conclusion: It is necessary to frame policies and provide support to enhance the satisfaction and autonomy for visiting nurse as a profession for the efficiency and stability of visiting healthcare services.

Professional Socialization of Oriental Medical Students (한의대생의 전문직 사회화과정 연구)

  • Kim Chang-Yup;Kim Kwang-Ho;Lim Byung-Mook
    • Journal of Society of Preventive Korean Medicine
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    • v.6 no.2
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    • pp.48-63
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    • 2002
  • The study aims to investigate the process of professional socialization of oriental medical students, to analyze influencing factors on it, and to compare the results with those of western medical students. Professional socialization, in the context of this study, means the process through which a layperson becomes a profession equipped with professional identity and values. A survey using specially designed questionnaire was carried out in 1999. The data were collected from 11 oriental medical colleges for 2,656 students. A total of 2,597 cases was finally included in the statistical analysis. Analysis of factors related to professional value found that oriental medical students thought highly of human-oriented factors, followed by science and status, and this trend remained unchanged as they moved on to qualification. Among professionalism related items, those involved in professional regulation and dominance factors showed high scores, while showing low scores on items related to bio-ethics and autonomy factors. Unlike items of professional value, those of professionalism showed a notable difference in attitude statistically by schooling level. The average scores of factors for professionalism increased with increasing schooling years. This trend proved that oriental medical students acquired professional norms and attitudes through their educational period. Multiple regression analysis with the factors related to professional value and professionalism as dependent variables found that independent variables had some impact on science, status, and clinical autonomy, but no impact on human, policy autonomy, and professional regulation factors. In conclusion, with increasing schooling years, professional norms and attitudes of oriental medical students were also strengthened. And, in spite of the differences in general propensity, they have a base consciousness in common with western medical students. The difference of mind-set and attitudes related to professionalism in the two groups, however, considering the necessity of future cooperative relations, indicated that a common curriculum between both schools is needed, and the education of social medicine should be strengthened in oriental medical colleges.

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Radiographers: Responsible Medical Professional or Detached Employee? (방사선사: 전문 의료직인가? 단순 기술직인가?)

  • Choi, Ji-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.10
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    • pp.234-240
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    • 2008
  • This article examines the professional status of radiographers in an attempt to answer the question "Radiographers: responsible medical professional or detached employee?" Comparisons are made on the past and present views of radiography with thoughts given into the possible change for the future. It can be clearly seen that the professional rights have been taken away as a result of overwhelming medical dominance but changes are slowly taking to place which are attempting to replace the lost autonomy to place radiography as a profession once again.

Variables Influencing the Role Performance of Public Kindergarten Teachers (공립유치원 교사의 역할수행에 영향을 주는 교사 내·외적 요인)

  • Cho, Boo-Kyung;Nam, Ok Jah
    • Korean Journal of Child Studies
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    • v.27 no.6
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    • pp.81-96
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    • 2006
  • The purpose of this study was to investigate the variables that influence public kindergarten teachers' role performance. A sample of 320 public kindergarten teachers in Gyeonggi-Do was selected randomly. Teacher's career, educational background, age, self-concept, and awareness of teaching profession, class size, age of classroom students, and organizational climate were examined as possible factors affecting teachers' role performance. Results showed that all factors except class size were related to teachers' role performance. The most significant impact on public kindergarten teachers' role performance was teacher autonomy in organizational climate.

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A Study on the Personality and Job Satisfaction of Nurses (임상간호사의 인성과 직무만족에 관한 연구)

  • Hong, Sang-Hee;Park, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.489-500
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    • 2002
  • Purpose : The objective of this research is to explore the correlation between personality and degree of job-satisfaction among nursing profession in order to provide effective guide for HR management and nursing care. Method : The research has been conducted on hundred sixty four nurses working in C university hospital in Seoul, from February 23 to March 7 of 2002, through survey. For the experimental tools, I have used Young-Hwan Kim's MMPI(1988) personality test and Slavitt's job-satisfaction test(1978) which were improved by Eun-Seuk Lee(1988). The acquired data are analyzed through SPSS program using descriptive statistical method, t-test, One way ANOVA and Pearson Correlation coefficient analysis. Results : Most survey score were within normal range of personality measurement and Masculinity-Femininity scored high compare with the rest. Overall job-satisfaction score showed fairly high level of 3.01; in the order of high score, 3.43 for reciprocal action, 3.41 for job requirement, 3.20 for autonomy, 3.15 for professional status, 2.96 for doctor-nurse relationship, 2.54 for administration and 2.38 for compensation. Analysis based of social demographics showed that the degree of paranoia depends on the age, marriage, nursing experience, education, professional status and salary. Also, marriage had significant influence on the score of hysteria, psychopathic deviation, paranoia, psychasthenia, schizophrenia and masculinity-femininity. Test score showed that, based on the general characteristic of nursing profession, job-satisfaction depends on the age and professional status. The relationship between personality and job-satisfaction showed that depression score and social introversion score have statistically significant negative correlation with job-satisfaction. Conclusion : this research revealed that depression and social introversion are characteristics identified to have significant influence over job-satisfaction of nurses, among many characteristics.

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Prospects for Future Multi-disciplinary Collaboration

  • Lai, Claudia K.Y.
    • Perspectives in Nursing Science
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    • v.4 no.1
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    • pp.9-18
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    • 2007
  • Background: Intersectoral and multidisciplinary collaboration is becoming more prominent in all facets of government, health, social services, and scientific endeavors. An interplay of a multitude of driving forces moves multiple disciplines forward to achieve quality outcomes in health and social sciences services and research. Aim: This paper aims at discussing the prospects for future multidisciplinary collaboration. If inter organizational integration and multidisciplinary collaboration are the ways of the future in academia and the scientific world, it then becomes crucial to examine what lies ahead for the nursing profession, Discussion: This paper argues that in order for multidisciplinary endeavors to succeed, the leaders in multidisciplinary teams shoulder the largest share of the responsibilities involved. In developing a lasting team constituting professionals from different disciplines, the leader needs to include the right individuals in the team, identify a common goal, build trusting relationships through open communication and interprofessional education, and empower members through creating room for autonomy and at the same time allowing space for personal development. The leader will need to utilize information technologies to manage communication issues in a large multi-site multidisciplinary project. Lastly, he or she must be able to demonstrate team productivity through process and outcome evaluation. It needs to be emphasized that it falls to each individual nurse to speak up and act upon what nursing believes and represents in our quest for success in multidisciplinary endeavors. Conclusion: The significance of the role of the leader is paramount for a team to succeed. Yet there is no prospect if only a handful of exceptional nurse leaders are moving ahead in multidisciplinary endeavors. Without the actualization of professional roles by each individual nurse, the profession will have no prospect in collaborations across disciplines.

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Literature Review with Collaboration Between doctors and nurses (간호사와 의사 간의 협력에 관한 이론적 고찰)

  • Woo, Seon-Hye
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.73-82
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    • 2000
  • Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.

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Nurses′ Image Perceived by Academic and Vocational High School Teachers in Korea (고등학교 교사가 지각한 간호사 이미지)

  • 강혜영;고미혜;양진주;김선민
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.792-801
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    • 2003
  • Purpose: The purpose of this study was to identify nurses' image and its related factors to make nurses' image among academic and vocational high school teachers in Korea. Method: Study samples were composed of 470 teachers who were from 12 high schools in G and J city located in southwestern part of Korea. Data were collected from August 26 to October 4, 2002. The internal consistency of the total scale was Cronbach's $\alpha$=.940. Result: In order to make nurses' image, 76.4% of respondents were influenced by the experience of their hospitalization in visiting hospitals. The mean score of nurses' image in general was 3.19$\pm$0.55; in four subcategories, 3.46$\pm$0.60 for professional image, 3.28$\pm$0.69 for traditional image, 2.93$\pm$0.70 for social image, and 2.91$\pm$0.64 for vision of nursing career. The mean score of nurses' image in general was more positive significantly in the 50's age group (F=6.43, p=.002) and in male groups (t=2.92, p=.002). Conclusion: On the basis of these findings, nursing professionals need to improve their working conditions, aspiration in job, and autonomy of nurses in their practice fields, monitor the mass media and other publishing materials continuously, and share the appropriate information on nursing profession to the school teachers and the public.