• Journal of muscle and joint health
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• v.29 no.3
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• pp.194-204
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• 2022

Purpose: This study was to build a path model geared toward explaining the relationships of influential variables for the moral distress of clinical nurses by analyzing literatures of earlier studies. Methods: Data were collected from four hospitals with 300 beds or more. The participants were 257 nurses with more than 1 year of clinical experience. The data collection period was from June 14 to October 24, 2017. The questionnaire included general and ethical education-related characteristics, personality type, moral dilemma experience, moral sensitivity, moral climate and moral distress. Results: The direct influencing factors of moral distress were the individual's experience of moral dilemma, moral sensitivity, and the moral climate of the organization. Factors that indirectly affected via moral sensitivity were personality type, experience in ethical education, and moral climate. The explanatory power was 40.3%. Conclusion: It is necessary to develop an intervention program that can reduce moral distress by considering the factors influencing the moral distress of clinical nurses. In addition, it is necessary to identify additional influencing factors of moral distress.

• Journal of the Korean Society for Library and Information Science
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• v.55 no.1
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• pp.161-180
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• 2021

This study investigates ethical dilemmas of teacher-librarians in their professional practice. Within the framework of "Librarians' Statement of Ethics" by Korean Library Association, the study used the survey and semi-structured interview with teacher-librarians. 259 teacher-librarians responded the survey and 5 teacher-librarians participated the interview. The survey was analyzed using descriptive statistics to find how often teacher-librarians experience ethical dilemmas. The semi-structured interview was transcribed and analyzed to draw the individual cases of teacher-librarians' ethical dilemmas. The results indicate that teacher-librarians experience ethical dilemmas in relation to information access and intellectual freedom most often. It was difficult for teacher-librarians to relate their professional duties with their expertise and that they were not clear on how to avoid copyright issues and how to deal with the balance between users and copyright holders. This study had implications that individual dilemma cases are so context-dependent that teacher-librarians had to make decisions individually. They tried hard to find the balance between protecting students from harmful resources and library ethics. Researchers and practitioners need focus more on finding where the balance is and how teacher-librarians deal with their ethical dilemmas.

• Korean Journal of Child Studies
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• v.37 no.6
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• pp.185-200
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• 2016

Objective: This study examined the code of ethics, which offers guidelines for early childhood teachers' ethical decisions and practices. Results and Conclusion: In the second section of this paper, the meaning of the code of ethics is reviewed. The issues of the code of ethics are also investigated to resolve moral and ethical dilemmas and to maintain high standards of professional conduct in early childhood care and education. In the third section of this paper, a comparison of the ethical codes in South Korea, Japan, the United Kingdom, and the United States is conducted. Based on the results raised in relation to the code of ethics principles and the results of comparing domestic and international ethics codes, the fourth section of this paper focuses on three topics in the current and future direction of the Korean code of ethics: (a) concreteness and clarity, (b) switching from the viewpoint of least harm to the viewpoint of maximum benefit, and (c) the range of benefits of the code of ethics. Then, including the existence of the last two codes of ethics, we discuss the direction of future difficulties currently associated with the situation in Korea.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.592-601
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• 2022

This study was attempted to suggest future directions for nursing ethics education by analyzing research trends related to ethical conflicts among nurses and the current status of nursing ethics education. In four domestic databases, it was searched as a combination of words 'nurse', 'ethics', 'moral', 'bioethics', 'conflict', 'sensitivity', 'dilemma', 'issue', and 'value'. As a result, 591 papers were confirmed from 2000 to December 2021, of which 111 papers were finally analyzed. The status of nursing ethics education was analyzed for 184 out of 203 schools that operated a four-year bachelor's degree program registered with the Korean Accreditation Board of Nursing Education. As a result of the study, the number of studies related to ethical conflicts among nurses steadily increasing, and quantitative studies on nurses in general hospitals were the most common. The main keywords were identified as moral sensitivity, moral agony, ethical dilemma, and biomedical ethics awareness. Nursing ethics education was operated by 68% of universities as a major subject, and more than half of universities opened it in the first and second grades with one or two credits. As a result of this study, ethical conflicts experienced by nurses are increasing according to social change. Therefore, it is necessary for universities to further expand the proportion of nursing ethics education and to establish an educational model for each grade level for the continuity of the educational effect.

• Journal of Veterinary Clinics
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• v.27 no.1
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• pp.29-34
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• 2010

To examine the attitude of students toward animals and its relation to veterinary ethical decision making, 302 pre-veterinary and veterinary students of three national universities (Seoul, Chungbuk and Kyungsang National University) were requested to answer the Animal Attitude Scale Test, an indicator of one's pro-animal attitude. A significant gender difference in the AAS scores was found with higher scores in females (female vs. male, 65.27 vs. 57.40; p < 0.0001). The students who have companion animals had higher AAS scores (62.55) than those who donot (58.03, p < 0.0001). However, years of study and experience with animal protection activities did not affect the AAS scores. The correlation between the attitude toward animals and ethical decision making was found in the investigation with two cases of a veterinary ethical dilemma: the medical treatment of a cow in its last gestation stage with ocular squamous cell carcinoma and the euthanizing of a 12 year-old dog with urinary incontinence. The students tend to support for veterinarians to influence clients' decisions in treatment by using their power as medical professionals, even if doing so could partly damage the interests of the clients or patients. The significant correlations between the AAS scores and veterinary ethical decision making were found in this study, which implies that the attitude toward animals should be considered as one of the major factors in making ethical decisions in veterinary practice.

• Journal of the Korea Safety Management & Science
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• v.9 no.1
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• pp.157-174
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• 2007

Corporation had been made by important action rule of business ethics that observes legal standard that is prescribed in each class of administration activity. But it does not keep ethicality of corporation action that conforms law. Law can not include all parts of business ethics because it is forcing essential class for public order preservation and public welfare in right. Moreover, partial corporations are doing to justify unethical action of other evasion of taxes, consultation, manufacturing etc. with legal basis meaning abusing legal standard. For these reason, Insistence that is in point of legal standard and ethical standard is not different each other that is in equal viewpoint is brought.

• Korean Journal of Social Welfare
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• v.60 no.1
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• pp.53-76
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• 2008

The aim of this study is to understand the ethical struggles of Child Protective Service(CPS) social workers and to indicate some implications for future studies by conducting research focusing on their ethical dilemmas and decision-making. This study used qualitative methods, in particular the phenomenological approach and 14 in-depth semi-structured interviews with CPS social workers, and were conducted and analyzed using the procedures of Colaizzi(1978). This study looks at the following research questions: 1) What kind of ethical dilemmas do CPS social workers encounter? This means what ethical dilemmas do they directly or indirectly encounter because of policy or system inadequacies and huge caseloads. 2) How do the CPS social workers make decisions when they are faced with ethical dilemmas? Making the best decisions with all of their responsibilities and burdens is the focus of this question. This study suggests the following discussions: First, efforts to emphasize 'ethics' at CPS are needed. Second, proper policies and systems based on the Korean situation are needed so that CPS social workers won't have to face 'needless' ethical dilemmas. Third, an index of ethical problems or ethical codes is necessary because principles are important to those social workers who face ethical dilemmas. Fourth, an ethical committee that protects the CPS social workers by supporting their decisions and being responsible for them is needed. Last, a debriefing system that reduces a CPS social worker's psychological trauma caused by ethical dilemmas should be available.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.501-512
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• 2017

This study examines ethical confidence among clinical nurses. Data were collected from the 10th to 29th November 2014 with a structured questionnaire from 125 clinical nurses. The data collected were analyzed by SPSS/WIN 21.0. to obtain percentage, average, mean rating, standard deviation, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and stepwise multiple regression. The degree of ethical confidence in research targets showed remarkable differences statistically by age (F=3.14, p=.017), education (F=7.36, p<.001), career duration (t=-2.31, p=.024), and code of ethics knowledge (t=-3.17, p=.002). Ethical Confidence was positively correlated, r=.25(p<.001) with the degree of ethical values. There was a significant difference in Ethical Confidence by ethical value, education, and code of ethics knowledge. The total explanatory power was 15.0% and the explanatory power of the degree of ethical value(${\beta}=.28$) was greater than other factors. To help clinical nurses improve ethical confidence, interventions should be provided to increase ethical value, education, and knowledge about the code of ethics. Therefore, it is necessary to develop and implement such programs to improve ethical confidence in clinical nurses.

• Journal of Korean Academy of Nursing Administration
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• v.1 no.1
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• pp.5-21
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• 1995

This study purports to investigate moral reasoning and ethical decision making among student nurses in the hypothetical moral dilemmas. The subjects consisted of 25 senior nursing students attending at a four-year college. Data were collected through self-reported questionnaires in November, 1993. The questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism). In particular, the level of principled thinking (P) was measured by summing those scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, and Pearson correlation coefficients. The findings are following. 1. The mean score of P was 52.93 (SD=12.82). The mean score of the stage 5A was significantly higher than the scores of other stages (17.92, p=.0001). 2. The mean score of P was not significantly different by general characteristics of the students. Of the scores of each stage, only the mean score of the stage 3 revealed significant difference by the status of living with parents(p=.0283). The score was highest when "living with both parents"(15.22), which was followed by "living with no parents"(10.0), "living with father only"(9.0), and "living with mother only"(7.50). 3. With regard to the five dilemmas postulated such as forcing medication, performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, most students perceived them as moral dilemma rather than nonmoral one. Most students made a positive decision according to moral reasoning in the above situations except for providing new-nurse orientation. 4. The mean score of the MS was 3.30 and that of the DS was 3.32. These scores did not show significant difference with general characteristics of the students. 5. As for the correlations between moral reasoning and decision making, the score of the stage 5A was positively correlated with the scores of P(.74, p<.0001) and DS(.56, p<.001). Positive correlation was also observed between the scores of stage 2 and stage 4(.68, p<.0001). On the other hand, the score of P was negatively correlated with the scores of stage 3(-.47, p<.05) and of stage 4(-.55, p<.001). The score of the stage 5A was also negatively correlated with the score of the stage 6(-.42, p<.05).

• Korean Medical Education Review
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• v.18 no.2
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• pp.90-98
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• 2016

Assessment tools for non-academic qualities such as ethics frequently employ hypothetical scenarios to lay out a contextual framework underlying the corresponding criteria of assessment. Due to the context-specific nature of the assessment criteria, details of the scenarios become very important in obtaining accurate results. This study aims to explore how medical school applicants differ in ethical decision making depending on the types of ethical dilemma scenarios, and how they correlate with academic achievements after admission. In 2014, all 82 applicants invited for an admission interview for a graduate-entry program were asked to complete a questionnaire comprised of 13 hypothetical scenarios. There were three domains (unethical business decisions, unethical academic decisions, and sexual quid pro quos) and participants were made to choose between the profitable-but-unethical choice or the unprofitable-but-ethical choice, using a four-point Likert-type scale. On average, tendencies toward unethical decisions were lowest for sexual favors ($1.34{\pm}0.46$), and highest for gaining academic advantages ($2.22{\pm}0.56$). Unethical decisions for academic advantages and sexual benefits showed significant correlation respectively with the female gender and those who graduated from overseas universities. In addition, the propensity for choosing unethical academic decisions was significantly correlated with high academic achievements in medical school (r=0.396). Not only does this study demonstrate that different levels of ethical decision making depend on the scenarios, but also those differences may be a determinant factor in subsequent academic performances in medical school. In conclusion, given the possible influence of the details of the hypothetical scenarios to the applicant's responses, careful consideration must be given during their development.