• 간호행정학회지
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• 제11권2호
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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.

• 한국간호교육학회지
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• 제10권1호
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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.

• 한국치위생학회지
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• 제16권2호
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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.

• 임상간호연구
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• 제17권1호
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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.

• 간호행정학회지
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• 제15권1호
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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.

• 디지털융복합연구
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• 제17권9호
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• pp.291-299
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• 2019

본 연구는 대학생을 대상으로 윤리적 딜레마 토의 프로그램을 적용하여 대상자의 인권감수성, 윤리적 가치관에 미치는 효과를 파악하기 위한 비동등성 대조군 전후설계이다. G도, C대학교 대학생을 대상으로 윤리적 딜레마 토의프로그램을 8주간 제공하고 그 효과를 검증하였다. IBM SPSS 24.0을 이용하여 자료 분석하였다. 변수들의 정규성 검증은 Shapiro-Wilk 검증, 동질성은 실수와 백분율, Fisher's exact probability test와 Independent t-test, 프로그램의 효과검정은 paired t-test를 이용하여 분석하였다. 연구결과, 실험군은 윤리적 딜레마 토의 프로그램 후 인권감수성(t=-2.32, p=.025), 윤리적 가치관(t=-2.43, p=.020)이 대조군보다 통계적으로 유의하게 높았다. 본 연구의 윤리적 딜레마 토의 프로그램은 대상자의 인권감수성, 윤리적 가치관 향상에 유의한 효과를 나타냈다. 추후 다양한 계층의 대상자를 대상으로 윤리교육의 효과를 검증하는 추후 연구가 필요하리라 생각된다.

• 디지털융복합연구
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• 제16권7호
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• pp.131-144
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• 2018

본 연구의 목적은 조직 구성원들의 정보비대칭 수준에 따른 비윤리 정보공유를 실증적으로 검정하는 것이다. 정보비대칭 상황에 따라 조직 구성원들의 정보공유 딜레마, 비윤리적 공유의도와 행동의 차이가 있는지를 확인하고자 한다. 연구방법은 구조방정식을 사용하였다. 분석결과, 정보공유의 윤리적 딜레마, 비윤리적 의도, 비윤리적 행동은 서로 인과적 영향력이 있다고 나타났다. 특히, 직급별로는 윤리적 딜레마와 비윤리적 의도 간에 윤리적 딜레마의 세부 요인들이 다르다고 나타났다. 이에 연구 결과로서, 조직은 직급 수준에 따라서 윤리적 이슈를 다르게 관리해야 한다. 본 연구의 기여도는 사회과학 관점에서 깨진 유리창 이론의 해석 범위를 넓혔으며, 실무적 관점에서 직급별로 윤리적 딜레마 관리가 다르게 요구된다고 설명하였다. 향후 연구는 정보보안 시스템에 의해서 비윤리적 행동이 감소하는지 조사할 필요가 있다.

• 치위생과학회지
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• 제10권4호
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• pp.259-264
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• 2010

본 연구는 치과위생사들의 윤리적 딜레마에 대한 인식정도를 파악하고자 치과에서 근무하고 있는 치과위생사 356명을 대상으로 설문조사 하였으며, SPSSWIN 14.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 윤리강령에 대한 인식정도에 있어서 64.9%가 내용은 알지 못하나 윤리강령이 있다는 것은 안다고 응답하였으며, 윤리적 딜레마 경험 시 상담대상에 있어서는 대부분의 경우 동료나 선후배 치과위생사(84.0%)라고 응답하였다. 2. 윤리교육에 대한 필요성에 있어서 86.8%의 대상자들이 필요하다고 응답하였으나 참여의사에 있어서는 그렇다가 50.0%인 반면 모르겠다는 반응도 41.6%나 되었다. 3. 윤리적 의사결정시 영향요인에 있어서는 병원의 정책과 절차가 3.50점으로 가장 높았고, 직업상실의 두려움이 2.49점으로 가장 낮게 나타났다. 4. 윤리적 딜레마 영역별로 치과위생사와 전문직 업무가 2.56점, 치과위생사와 대상자 2.33점, 치과위생사와 협동자 2.28점 순이었고, 전체적 딜레마 점수는 2.39점으로 나타났다. 5. 일반적 특성에 따른 전체적 딜레마는 연령에서 31-35세와 36세 이상, 학력은 대학원 이상, 결혼 상태는 미혼, 근무지는 종합병원인 경우, 근무경력이 1-3년 이하에서 점수가 높았으나 집단 간 차이는 크지 않았으며, 통계적으로도 유의한 차이가 없었다.

• 간호행정학회지
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• 제19권5호
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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.

• 간호행정학회지
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• 제9권3호
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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.