• Title/Summary/Keyword: ethical dilemma

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Medical Narrative Texts and Medical Ethics (의료 서사와 의료 윤리)

  • Choi, Sung-Min
    • Journal of Popular Narrative
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    • v.26 no.3
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    • pp.291-323
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    • 2020
  • In this paper, I review Pellegrino's Reader, The Philosophy of Medicine Reborn. Pellegrino has emphasized the humanities' reflection on the ethics of medicine. He insists that medical ethics should be re-established as modern society changes. This paper, based on Pellegrino's view, noted the problematic situation in literature and popular narrative texts. Indeed, I wanted to see what answer medical ethics could provide for us. Medical personnel had a philosophical dilemma or a conflict between reality and ethics. Pellegrino argues that medical personnel, above all, need to sympathize with the patient's pain and respond to their needs through interaction with them. This may seem like a very legitimate declaration. But a physician in literary texts and popular narrative texts is often exposed to this ethical dilemma. Through Lee Cheongjun's novel, we can reflect on how a medical personnel could lead a patient to a state of "goodness". And through medical dramas, we can grasp what ethical behaviors the public demands from a medical personnel. Now that the world is suffering from COVID-19, medical workers are in a great trouble, but at the same time, they are respected by the public and are also enhancing their value as ethical beings. Now that medical care has become an everyday narrative, medical ethics is becoming a prerequisite for living. This paper attempted to recognize the importance of medical ethics and to review the ethical issues embodied in medical narratives.

Phenomenological Study about Bodyguards' Ethical Dilemmas (신변보호요원의 윤리적 딜레마에 대한 현상학적 연구)

  • Park, Young-Man
    • Korean Security Journal
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    • no.46
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    • pp.31-62
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    • 2016
  • This study is about the phenomenological study of bodyguards' ethical dilemmas. Through this study, the meaning and essence of bodyguards' ethical dilemmas will be analyzed based on empirical facts. The purpose of this study is to provide basic information of the prevention and solutions for their ethical dilemmas and to understand and research the process and the essentials of them. To achieve this goal of the study, seven bodyguards who experienced ethical dilemmas working more than five years are selected as objects of the study. Colaizzi's six stage method are applied into this study so information gathered through interviews and questionnaire from 0ctober 1st, 2015 to November 20th, 2015 is analyzed. From the process of this research, these following conclusions are drawn considering validity of this study and ethical things. As a result, bodyguards' ethical dilemmas are divided into six centric meanings and 20 thematic statement. First, the centric meaning is conflict factors and the themes are discordance of pre-practice, regulatory or procedure problems, communication about sturcture and job and service disagreement. Second, the centric meaning is limited professional roles and the themes are institutional custom, decision making, priorities. Third, the centric meaning is difficulties of circumstantial judgement at work places and the themes are ambiguity of decision, conflict of knowledge, experience and opinion. Forth, the centric meaning is reasonable self-defense and the themes are lack of responsibility, rationalization, intentional negligence and sense of shame. Fifth, the centric meaning is difficulties of social network and the themes are the relationships between subordinates and superiors, the role of a moderator, uncooperative work and unpleasant sayings and doings. Sixth, the centric meaning is keeping secrets and the themes are burried for and illegal practice.

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Changing to Positive Ethics in Hospital Nurses through 'Theatre of Situations' (간호윤리 상황극을 통한 병원간호사의 긍정윤리관 변화)

  • Um, Young Rhan;Kang, So Young;Noh, Won Ja
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.1-12
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    • 2012
  • Purpose: This study was done to examine changes towards positive ethics in registered nurses working in hospitals who took part in performing 'theatre of situations' in terms of issues of nursing ethics. Methods: This research was conducted with one-group pretest-posttest design. The sample, 232 registered nurses, voluntarily participated in a contest of 'Theatre of Situations' with themes of nursing ethics hosted by Hospital Nurses Association of Korea on September 8, 2011. For this contest, eight nursing situational scenario regarding ethical issues or dilemma were created. The theatre of situation was performed by volunteer nurses over a period of 160 minutes. Data were collected before and after the performance using 10 items to measure Positive Ethics. Item internal consistency had a Cronbach's alpha in this study of .716. Results: Before the theatre of situations was performed, the mean (${\pm}$standard deviation) level of positive ethics was 2.34 (${\pm}.37$). For the nurses who participated, there was a significant increase in the degree of positive ethics after the theatre of situations ($2.62{\pm}.36$, p<.001). Conclusion: This result implies that indirect experiences such as 'theatre of situations' in terms of ethical issues, created as well as performed, is effective for registered nurses in changing their ethical perspective positively and in realizing ethical ideals.

Nursing Ethics Values of Nursing Students (간호대학생의 간호윤리 가치관)

  • Kim, Mi-Hwa
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.59-66
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    • 2019
  • This study was to investigate the effect of deontology and utilitarianism on the ethical values of nursing students and to provide basic data. Data collection was conducted from May 14 to June 1, 2018 in 180 students of a university nursing student in Daegu who explained their research and agreed to the study. The collected data were analyzed using the SPSS 21.0 program. In order to confirm the difference between the subjects' demographic characteristics and nursing-related characteristics, the independent t-test and ANOVA were used, and the post-test was conducted using the $Sch{\acute{e}}ffe$ post-test. The ethical values of the nursing students were $97.51{\pm}8.96$ out of 150, indicating that they were inclined toward the position of deontology. The first grade students were more dominant, and the higher the grade, the more inclined toward utilitarianism. It is necessary to develop education to establish ethical values so that ethical decision making can be done through philosophical thinking when various nursing dilemma situations in the clinical field are based on the results.

Neuroscientific Challenges to deontological theory: Implications to Moral Education (의무론에 대한 신경과학의 도전: 도덕교육에의 시사)

  • Park, Jang-Ho
    • Journal of Ethics
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    • no.82
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    • pp.73-125
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    • 2011
  • This article aims to search for moral educational implication of J. D. Greene's recent neuro-scientific approaches to deontological ethics. Recently new technique in neuroscience such as fMRI is applied to moral and social psychological concepts or terms, and 'affective primacy' and 'automaticity' principles are highlighted as basic concepts of the new paradigm. When these principles are introduced to ethical theories, it makes rooms of new and different interpretations of them. J. D. Greene et al. claim that deontological moral judgments or theories are just a kind of post hoc rationalization for intuitions or emotions by ways of neuroscientific findings and evolutionary interpretation. For example, Kant's categorical imperative in which a maxim should be universalizable to be as a principle, might be a product of moral intuition. Firstly this article tries to search for intellectual backgrounds of the social intuitionalism where Greens' thought originates. Secondly, this article tries to collect and summarize his arguments about moral dilemma responses, personal-impersonal dilemma catergorizing hypothesis, fMRI data interpretations by ways of evolutionary theory, cultural and social psychological theories, application to deontological and consequential theories, and his suggestion that deontological ethics shoud be rejected as a normative ethical thought and consequentialism be a promising theory etc. Thirdly, this tries to analyse and critically exam those aspects and argumentation, especially from viewpoints of the ethicists whose various strategies seek to defeat Greene's claims. Fourthly, this article criticizes that his arguments make a few critical mistakes in methodology and data interpretation. Last, this article seeks to find its implications for moral education in korea, in which in spite of incomplete argumentation of his neuroscientific approach to morality, neuroethics needs to be introduced as a new approach and educational content, and critical materials as well.

The Development of Issue-Oriented Dilemmas for Measuring Information Ethical Judgments (정보윤리판단력 측정을 위한 이슈 중심의 딜레마 개발)

  • Kim, Min-Sun;Kim, Han-Sung;Lee, Won-Gyu
    • The Journal of Korean Association of Computer Education
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    • v.15 no.4
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    • pp.13-24
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    • 2012
  • The problem with the Information Ethics is an issue recently since the increase of using Internet by young people. In this study, we developed dilemmas before developing a tool to measure the judgment of secondary school students on the Information Ethic. For this purpose, we selected issues consisted of four kinds of issues(PAPA) by Mason and add recent young people's issues in Korea. By experts in the related fields, we have developed dilemmas for each issues. we have proven the validity of completed dilemmas through pilot test by 30 secondary school students. As a result we completed 12 dilemmas able to measure the judgment of young people on the Information Ethics.

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Suggested Improvement Strategies for the Efficient Review and Rational Operation of Institutional Review Board (IRB) Based on the Analysis of IRB Review Results (Institutional Review Board 심의 결과 분석을 통한 효율적 심사 및 합리적 운영에 대한 개선안 모색)

  • Lee, Yoon Jin;Jang, Hye Yun;Jang, Jung-Hee
    • The Journal of KAIRB
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    • v.4 no.1
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    • pp.5-15
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    • 2022
  • To suggest future directions for the improvement in the Institutional Review Board (IRB) review process and efficient operation of IRB, we have analyzed the IRB review results from 460 new research proposals submitted to the Review by the Convened IRB of the Keimyung University Dongsan Hospital IRB from January 2019 to July 2021. IRB is an independently established institutional committee to protect the human subjects by reviewing the research protocol in ethical as well as scientific aspects, so it is necessary to continuously contemplate the ethical versus scientific dilemma of 'what is ethical or scientific and what can actually protect human subjects.' Particularly, in this process, it is necessary to consider diverse ways to strengthen self-supervision through continuous Internal Audit rather than simple reporting outcomes. In addition, if it does not directly affect the protection of the human subjects, the discussion with the committee members is needed so that the comments such as administrative and typographical errors can be reduced as much as possible. Furthermore, as statistical analysis methods can have a significant impact on the safety of human subjects, if a legal basis and/or support related to statistics is provided for the composition of IRB members, a more specialized IRB review will be achieved.

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Content Analysis of Correctional Nurses' Job Stressors (교정간호사의 직무 스트레스 원인에 대한 내용분석)

  • Kim, Ki-Kyong;Hur, Her-Kung
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.2
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    • pp.147-157
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    • 2005
  • Purpose: The purpose of this study was to identify correctional nurses' job stressors. Method: The data were collected from 51 correctional nurses using a self-completion questionnaire. To analyze data, content analysis was done using an analysis scheme developed by the investigators. Results: 160 significant statements were analyzed and categorized. The analysis scheme consisted of 8 categories and 23 subcategories. 8 categories analyzed by the investigators were as follow: relationship with other corrections staffs, overloaded work, career development, role conflict, work environment, relationship with patients, legal & ethical dilemma and administration environment. Conclusions: The correctional nurses' job need legal support from society and systematic support to improve nurses' job satisfaction.

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Anesthesia for a Jehovah's Witness Patient Experiencing Unexpected Perioperative Hemorrhage - A Case Report - (수술 중 예상치 못한 과출혈이 발생한 여호와의 증인 환자의 마취 1 예)

  • Lim, Seoung-Ki;Jee, Dae-Lim
    • Journal of Yeungnam Medical Science
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    • v.23 no.1
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    • pp.96-102
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    • 2006
  • Jehovah's Witnesses refuse a transfusion of blood or blood products because of religious beliefs; this refusal at times presents a dilemma for the treating physician. We report a case of a 25-year-old Jehovah's Witness patient who underwent a reoperation for a previous proximal humerus shaft fracture and experienced unexpected massive hemorrhage intraoperatively and postoperatively. The postoperative lowest hemoglobin level was 2.9 g/dl. The patient recovered from the severe anemia without any clinical sequala. We review the legal, ethical and religious issues and suggest the best possible medical care that Jehovah's Witness patient would permit.

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Analysis of Daily Internet·Gaming·Smartphone Habit and Preference Factors of Moral Machine (인터넷·게임·스마트폰생활 습관과 모랄머신 선호도 요인 분석)

  • Park, SunJu
    • Journal of The Korean Association of Information Education
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    • v.24 no.1
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    • pp.21-28
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    • 2020
  • Technological advancements such as artificial intelligence, robots, and big data are revolutionizing the entire society. In this paper, we analyzed preliminary teachers' daily internet/gaming/smartphone habit and the difference between preference factors in gender and diagnosis group in the situation of ethical dilemma in driverless cars. The result shows most of the male students are in high risk group of daily internet/gaming usage, and male students tend to be more immersed in games compared to female students, which negatively affects their daily lives. Students who have at least one of the daily internet/gaming/smartphone habits are more likely to be classified as high-risk group in all three of daily internet/gaming/smartphone habit. Fortunately, the students perceived themselves addicted and wanted change their habits. An analysis by a moral machine of these students tells that there is no significant difference in preference between male and female students and among diagnosis groups. However, specifically in the ethical dilemma of driverless cars, all the groups of male, female, normal, high-risk showed they have priority in pedestrians over drivers, a large number of people over small, and people who obey traffic rules over who do not. The tendency was pronounced in female group and high-risk students prioritized people who are older and in lower social status.