• 제목/요약/키워드: dignity

검색결과 508건 처리시간 0.018초

상급종합병원의 4대 중증질환 의료 서비스 품질과 보호받을 권리 및 존엄성 유지에 관한 연구 (A Study on the Quality of Healthcare Services for Four Critical Illnesses and the Maintenance of Right to Protection and Dignity in a Senior General Hospital)

  • 이우진;신민석
    • 품질경영학회지
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    • 제51권4호
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    • pp.531-550
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    • 2023
  • Purpose: The unique nature of life-and-death healthcare services sets them apart from other service industries. While many studies exist on the relationship between healthcare services and customer satisfaction, most of them focus on mildly ill patients, ignoring the differences between critically ill and non-seriously ill patients. This study discusses the actual quality of healthcare services for patients who are facing life-threatening illnesses and are on life support, as well as their right to protection and dignity. Methods: The survey conducted to 149 patients with the four major illnesses: cancer, heart disease, brain disease and rare and incurable disease, those who have experiences with senior general hospitals. Results: The basic statistics of this study are adequate to represent the four major critical illnesses, and the reliability and validity of this study's hypotheses, which were measured by multiple items, were analyzed, and the internal consistency was judged to be high. In addition, it was found that the convergent validity was good and the discriminant validity was also secured. When examining the goodness of fit of the hypotheses, the SRMR, which is the standardized root mean square of residuals that measures the difference between the covariance matrix of the data variables and the theoretical covariance matrix structure of the model, met the optimal criteria. Conclusion: The academic implications of this study are differentiated from other studies by moving away from evaluating the quality of healthcare services for mildly ill patients and focusing on the rights and dignity of patients with life-threatening illnesses in four senior general hospitals. In terms of academic implications, this study enriches the depth of related studies by demonstrating the right to protection and dignity as a factor of patient-centeredness based on physical environment quality, interaction quality, and outcome quality, which are presented as sub-factors of healthcare quality. We found that the three quality factors classified by Brady and Cronin (2001) are optimized for healthcare quality assessment and management, and that the results of patients' interaction quality assessment can be used to provide a comprehensive quality rating for hospitals. Health and human rights are inextricably linked, so assessing the degree to which rights and dignity are protected can be a superior and more comprehensive measurement tool than traditional health level measures for healthcare organizations. Practical implications: Improving the quality of the physical environment and the quality of outcomes is an important challenge for hospital managers who attract patients with life and death conditions, but given the scale and economics of time, money, and human inputs, improving the quality of interactions and defining them as performance indicators in hospital quality management is an efficient way to create maximum value in the short term.

남성의 검은색 의상에 대한 이미지 연구 (A Study on Image of Black Dress for Men)

  • 이정미;조진숙
    • 한국의상디자인학회지
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    • 제9권2호
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    • pp.1-13
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    • 2007
  • Black has played a more important role in the history of fashion than other colors. In general, black was regarded as a color of negative images. However, as people have recognized the aesthetic value of black color, they have expressed unique and various images of black through the medium of clothes. This study was based on both theory research and actual survey, where survey sheets were distributed to collect data. For data analysis, SPSS 10.0, a statistics software, was used, and frequency, pecentage, t-test, ANOVA test, and Duncan test were adopted and analyzed. The survey was conducted on 608 men over 20 in Seoul, Gyeonggi Province, Gangwon Province, and other areas for two months from May 20, 2005 to July 25, 2005. The analysis showed the following results. First, Dignity was the mostly cited image of black color among men followed by modernity, sorrow, feminineness, abstinence, and sensuality. Second, Men showed different responses according to their age. In sum, men more strongly recognize abstinence and sensuality in black dress as they become older. Marital status significantly affected men's recognition of black dress in terms of abstinence and sensuality. Abstinence was more strongly recognized by married men than single men. In addition, married men pointed out sensuality of black dress more frequently than single men. In short, married men tended to recognize abstinence and sensuality more easily than single men. Education level clearly affected men's recognition of dignity, modernity, and abstinence in black dress. In sum, as men got higher education, they tended to increasingly recognize dignity and modernity in black dress. In conclusion, this study has proved that black dress has unique aesthetic values and reflects various images according to age, marital status, education level.

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인간(人間)의 존엄(尊嚴)과 가치(價値)·행복추구권(幸福追求權) (Human Dignity and the Right of Pursuing Happiness)

  • 전찬희
    • 한국콘텐츠학회논문지
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    • 제10권4호
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    • pp.317-326
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    • 2010
  • 인간의 존엄과 가치의 존중은 모든 기본권의 이념적 전제인 동시에 모든 기본권 보장의 목적이므로, 이러한 목적을 달성하는데 필요한 자유와 권리는 그 어느 것이나 보장되어야 한다. 인간의 존엄과 가치의 실현이라는 목적 달성을 방해하는 행위는 금지되어야 한다. "인간으로서의 존엄과 가치를 가진다."는 개인 대 국가의 관계에서 국가는 개인을 위하여 존재한다는 반 전체주의적 이념을 선언한 것이며, 헌법의 각 조항과 법령의 효력이 문제될 경우 그에 관한 궁극적 해석기준이 된다. 또한 행복추구권은 인간이 행복을 추구하는데 필요한 것이며 헌법에 열거되지 아니한 자유와 권리까지도 그 내용으로 하는 포괄적 기본권으로 보고 있으나, 최소한의 수준에서 사회적 기본권과 같은 적극적 권리성의 성격도 볼 수 있다. 헌법재판소의 결정례에 따르면 행복추구권은 일반적 행동의 자유권, 개성의 자유로운 발현권, 자기결정권의 영역으로 범주화되고 있기에 의의와 연혁입법례를 통해 행복추구권의 중요성을 강조하고자 한다.

존엄사에 대한 미국의 법제 (The Legal Framework of the Death with Dignity in U.S.A.)

  • 김장한
    • 의료법학
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    • 제9권2호
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    • pp.53-75
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    • 2008
  • The end of life problem in the United States has been evolved from the development of concept of brain death over last 50 yr. The invention of ventilator and the development of emergency medicine also played a key role to elongate the end stage of life and which caused the American people to ask a question about the patients self determination and refusing the unwarranted medical treatment in the view of the death with dignity. With regard to the patient unable to self determination, surrogate decision was also considered. To guarantee the self determination, The patient self determination act also enacted on the level of Federal regulation in 1990s. But no law has effectively dealt with the situation when medical treatment became futile. Along with the significant debates on literature and court cases. The American Medical Association's Council on Medical and Judical Affairs presented formal opinion and the Texas was the first states to regulate the medical futile situation in 1999. Even though that definition was in controversy, the concept of medical futility mainly focused on the doctors' right to refuse the treatment.

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생명권과 자기결정권, 그리고 의사의 진료의무 (Death with Dignity and the Right to Decide)

  • 유승룡
    • 의료법학
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    • 제9권2호
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    • pp.11-52
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    • 2008
  • Based on foreign examples and past debates, the minimal conditions for passive euthanasia can be suggested as following; (1) The patient is incurable by modem medical practice and his death is impending (less than 6 months), (2) Euthanasia is practiced solely to relieve physical pain of the patient, (3) If the patient can express his will, there should be a clear and sincere request or consent, (4) More than 2 doctors including doctor in charge should consent, (5) Euthanasia should be practiced in ethical way, (6) Patient family should agree(when the patient will is assumed.) It is hard to resolve issues regarding euthanasia based on past rulings and cases without concrete law. As in United States and Germany, clear and objective provisions of euthanasia and definitive method for patient's advanced directive should be legislated to resolve medical conflict and to relieve patient and family from agony. And death with dignity debate will not be able to proceed if it is only substantively approached because of unclear definition of euthanasia and benefit comparison way of thinking. Thus it is important to establish definitive process to decided legislation of euthanasia act and resolving conflicts arising from each step of the process among interested parties exchanging medical/ethical opinions.

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남성셔츠 줄무늬 특성이 감성지각에 미치는 영향 (Effect of Stripe Pattern for Men's Shirts on Emotion)

  • 공진희;권영아
    • 감성과학
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    • 제16권1호
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    • pp.65-74
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    • 2013
  • 본 연구는 남성셔츠 소재의 선염 줄무늬 특성에 따른 시각적 감성 이미지의 차원을 알아보고 소비자들의 감성을 만족시키는 남성셔츠 소재용 줄무늬 디자인 개발을 위한 기초정보를 얻고자 하는 것이다. 본 연구 결과 남성셔츠 줄무늬 감성은 매력성, 성숙성, 품위성, 실용성, 단순성의 5가지 차원으로 구분되었다. 남성셔츠 소재 줄무늬의 특성이 감성 차원 및 선호도와 구매 욕구에 밀접한 관계가 있었다. 색상, 배열, 간격 등 줄무늬의 특성이 남성셔츠 소재의 시각적 감성에 유의한 영향을 미치고 두 가지 두께의 부등간격 줄무늬 조합이 매력성, 실용성이 높기 때문에 선호된다는 것을 확인하였다. 또한 대조되는 복합색의 줄무늬가 매력성이 높으므로 선호되는 것으로 나타났다.

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Health Care Communications with Diverse Ethnic Groups

  • Savitri, Singh-Carlson
    • 여성건강간호학회지
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    • 제16권4호
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    • pp.419-423
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    • 2010
  • Purpose: The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client s perspectives of respect as an ethical principle of care, especially within Canada s diverse population is non-existent. There is limited research from the client s perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.

일본 여자 전통 혼례 복식에 나타난 미적 감성에 관한 연구 (A Study on Aesthetic Senses of Japanese Traditional Women's Wedding Dresses)

  • 양현주;권영숙
    • 복식
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    • 제51권7호
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    • pp.5-20
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    • 2001
  • The purpose of this study is to determine aesthetical characteristics of the Japanese traditional wedding dress for women by analyzing such dresses' aesthetical senses. For the purpose, the study showed four types of the dress, Zunihidoe, Iro-uchicake, Chiromuku, Hurisode and their photographed stimuli to subjects and then obtained data using the seven scale measures of meaning differentiation consisting of 25 pairs of adjective words. Results of the study are described as follows : Aesthetical senses shown in the Japanese traditional dressing dress for women included six factors in total, among which attractiveness was found as the main factor, followed by chastity. For the four types of the dress, its main factor while the remaining four types, were found having dignity as their main factors. adjective words which largely accounted for aesthetical senses included uncomfortable, unique, bright, dignity, classical, ornamental and beautiful, suggesting that the Japanese traditional wedding dress for women is somewhat unfunctional, high in dignity and aesthetic beauty. Aesthetical senses were most different according to nationality (Korea and Japan) when they were analyzed in terms of nationality, gender and whether of specialization or non-specialization.

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간호에서의 보살핌에 대한 철학적 탐구 -리쾨르(Ricoeur)의 이야기 윤리에 기초하여- (A Philosophical Inquiry into Caring in Nursing - Based on Ricoeur's Narrative Ethics -)

  • 공병혜
    • 대한간호학회지
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    • 제35권7호
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    • pp.1333-1342
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    • 2005
  • Purpose: This paper was aimed to inquire into Ricoeur's self -hermeneutics and narrative ethics, and apply it to personal identity constituting caring and care ethics in the practice of nursing. Its purpose is to provide a philosophical foundation for caring in nursing. Method: According to Ricoeur's narrative identity, ontological caring was interpreted as personal identity constituting caring. His ethics were described as care ethics, which contributed to preserving and promoting the personal dignity of the client, as self in search for the good life in the nursing practice. Results: Narrative understanding of the client pointed to the ontological role of care in the constitution of personal identity. From an ethical aspect of the narrative, respect for personal identity and personal dignity of the client was crucial to an ethical caring attitude, promoting self-esteem in the nursing practice. Conclusion: This paper suggested that Ricoeur's ethics could provide a philosophical basis for understanding ontological and ethical caring in nursing. This contributed to protection of the client from the threat of personal identity, as well as respecting their personal dignity.