• Journal of Korean Academy of Nursing Administration
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• v.11 no.2
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• pp.185-194
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• 2005

Purpose: Although ethical dilemma is important concept in nursing and many research is accomplished, some difference in defining ethical dilemma among researchers. Therefore the purpose of this analysis was to correct understanding and using about ethical dilemma by clarify the attributes of ethical dilemma. Method: The concept analysis model suggested by Walker and Avant(1988) is used to clarify what is meant by the term 'ethical dilemma'. Results: The defining attributes of ethical dilemma identified in this study were as follows. First, It is simultaneously occurrence that above two conflictive ethical alternatives. Second, It is ought to choose one of the above two conflictive ethical alternatives. Third, It is difficult to compare with two alternatives. Fourth, It is cannot delay the choices. Fifth, It is cannot do satisfactory resolution. Six, It is broken out fix, loss or feeling of powerlessness to an individual. Conclusion: In this study, a concept analysis of ethical dilemma was performed to more clearly understand ethical dilemma. It is hoped that this analysis will stimulate further study for developing strategies for prevention of nurses' ethical dilemma.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.1
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• pp.75-83
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• 2004

This study was conducted to examine the ethical dilemma and coping types of nurses, and identify the relationship between ethical dilemma and coping types of nurses. The subjects of this study consisted of 210 nurses from two university hospitals in Taegu and one university hospital and one general hospital in Pohang. The data were collected with self reported questionnaire from June 2003 to July 2003. The data were analysed using the SPSS program. The results of this study were as follows : 1. The mean score of level of ethical dilemma was 0.55/1, and client area was the highest(M=0.65). 2. The mean score of level of coping about ethical dilemma was 2.22/4, and seeking social support area was the highest (M=2.42). 3. The conflict of proffering the best care with courtesy to impolite patient was the highest in total items of ethical dilemma. Criticized or lectured myself was the highest in total items of coping type. 4. In general characteristics, age(F=4.74, p<.01), marital status(t=2.67, p<.01), career (F=5.95, p<.01) were significantly related to level of ethical dilemma and religion(t=2.27, p<.05) was significantly related to types of coping. There was positive correlation between ethical dilemma and types of coping(r=.228, p<.01). On the basis of these findings, it is needed a correlation study according to category of ethical dilemma and coping types of nurses, and to develop the coping strategy that resolves ethical dilemma in nursing practice.

• Journal of Korean society of Dental Hygiene
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• v.16 no.2
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• pp.321-327
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• 2016

Objectives: The purpose of the study was to evaluate the level of ethical dilemma and related factors in some clinical dental hygienists. Methods: A self-reported questionnaire was filled out by 290 clinical dental hygienists in G metropolitan city from January 5 to February 27, 2015. The instruments used for this study were the modified ethical dilemma scale developed Lee, Kim and Park. The questionnaire consisted of dental hygienists & subjects(4 items), dental hygienists & professionals(12 items), dental hygienists & partners(7 items), and medical information(31 items). The questions were measured by Likert 5 points scale. The statistical analyses include descriptive statistics, t-test and stepwise multiple regression analysis using SPSS 12.0 program. Results: Dental hygienists perceived ethical dilemma scored 3.35 and 3.24 except medical information. Professionals and partners in sub-domain of ethical dilemma by experience of ethics education and ethical conflict were high and showed statistically significant difference. The strongest predictor of dental hygienists and subjects was job satisfaction. The strongest predictor of dental hygienists and partners was adequacy of ethics education in college/university. Conclusions: The results of this study suggest that it is necessary to develop the professional dental hygiene program for the prevention of ethical dilemma in dental hygienists and to make ethics education for ethical decision making.

• Journal of Korean Clinical Nursing Research
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• v.17 no.1
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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.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.128-135
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• 2009

Purpose: The purpose of this study is to explore the lived experience of ethical dilemma of nurses and to describe the structure of the meaning of their experience for nurses. Method: The participants in this study were seven nurses with 3years and more careers who worked at general hospital and university hospital in T, P, K city. The data were collected from May, 2004 to September, 2004 through in-depth interviews untill saturated. The data were analyzed by phenomenological method suggested Giorgi. Results: Five main meanings were identified: Role limitation, Difficulty of decision, Self defensive position, Difficulty of interpersonal relation, A custom of unable expose. Conclusions: Based on the results of this study, there is need to study for identify the ethical dilemma of nurses from the viewpoint of korea, and development of nursing ethics guidebook to guide ethical dilemma situation in nursing field.

• Journal of Digital Convergence
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• v.17 no.9
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• pp.291-299
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• 2019

This study is a nonequivalent control group pretest-posttest designed to understand the effect of ethical dilemma discussion program on human rights sensitivity and ethical values of university students. By providing ethical dilemma discussion program to university students in C university, G-do, the effectiveness was verified. Analyzed using IBM SPSS 24.0. The normality of the variables was verified by Shapiro-Wilk test. Homogeneity was verified using real number and percentage, Fisher's exact probability test and independent t-test. The program's effect was verified using paired t-test. The results of this study are as follows: after the ethical dilemma discussion program, the experimental group's human rights sensitivity(t=-2.32, p=.025), and ethical value(t=-2.43, p=.020) were higher than the control group. Therefore, the ethical dilemma discussion program of this study helped improve the human rights susceptibility and ethical values of the subjects. Further research is needed to verify the effects of ethics education on diverse groups.

• Journal of Digital Convergence
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• v.16 no.7
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• pp.131-144
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• 2018

The purpose of this study is to empirically examine the unethical information sharing by information asymmetry. I will confirm the effect of ethical dilemma, unethical intention and behavior by the information asymmetry. A research method used the structural equations. The analysis showed causal relationship that ethical dilemma and unethical intention and behaviors by the information sharing. In particular, The ethical dilemma by position level showed different from the factor between dilemma and intention. As a result, the organization should manage differently ethical issue according to position level. The contribution in this study has expended an interpretation scope of broken windows theory from social science and explained a discriminative management of the ethical dilemma by position level from the practical view. A Future study should investigate an unethical behavior reduce by information security systems.

• Journal of dental hygiene science
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• v.10 no.4
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• pp.259-264
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• 2010

The purpose of this study was to examine the awareness of dental hygienists on ethical dilemma. The subjects in this study were 356 dental hygienists who worked in dental clinics. After a survey was conducted, the collected data were analyzed with a SPSSWIN 14.0 program. The findings of the study were as follows: 1. In relation to awareness of ethical principles, 64.9 percent knew the fact that there were ethical principles to abide by, though they weren't aware of the principles in detail. When they were in ethical dilemma, most of them consulted with their colleagues(84.0%). 2. As to the necessity of ethical education, 86.8 percent felt the need for that. Concerning intention of receiving ethical education, however, as many as 41.6 percent didn't yet have any particular intention about that, and 50.0 percent intended to receive that education. 3. As for influential factors for ethical decision making, hospital policies and decision-making process were most influential(3.50), and fear for a possible loss of job exerted the smallest influence on that(2.49). 4. Regarding the cause of ethical dilemma, they fell into an ethical dilemma the most due to their own professional duties(2.56), followed by patients(2.33) and cooperators(2.28). Their overall dilemma score was 2.39.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.5
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• pp.668-678
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• 2013

Purpose: This study was done to develop a realistic clinical case and investigate nurses' decision-making about nurses' ethical dilemmas with physicians in the fields of nursing practice. Methods: Case development and a hypothetical case study were used. Participants were 52 nurses. Data were collected in 2012 and 2013 using an open-ended questionnaire and interviews and analyzed using content analysis and descriptive statistics. Results: Various dilemma situations between nurses and physicians, such as violence, deathbed, medication prescription, and physicians' incapacity unfairness, were suggested. A clinical dilemma case about medication prescription was developed based on nurses' experiences. Nurses' responses to the developed case situation and responses were classified into five types. Various reasons were given for making the decisions and about 56% of the nurses decided to notify their supervisor without deleting nursing records. Conclusion: In this study, a realistic clinical dilemma case was developed, and nurses' ethical decision making was identified. These findings can be used in developing effective strategies for nurses to solve ethical dilemmas and to improve ethical decision-making abilities.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.3
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• pp.459-480
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• 2003

Purpose: This study was done to analyze the contents of nurses' ethical decision-making in four of hypothetical dilemma cases using the Cameron's Ethical Decision-Making Model of 'Value, Be, Do'. Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do. Result: 1) In consistency, most of subjects showed a unified voice in 'Value, Be, Do'. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients(case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview procedure, the subjects evaluated Cameron's Model as it would help them build consistent value, carry right action, and cope to conflicts. Conclusion: On the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making model, and be applied to the curriculum of nursing colleges and continuing education program for clinical nurses.