• Title/Summary/Keyword: ethical dilemma

Search Result 59, Processing Time 0.028 seconds

A Study on the Application of Curriculum for Strengthening SWP for Adult Learners

  • Cho, Woo-Hong
    • Journal of the Korea Society of Computer and Information
    • /
    • v.26 no.2
    • /
    • pp.193-199
    • /
    • 2021
  • The purpose of this study was to apply a teaching method that fits the characteristics of learners through the improvement and application of subjects for reinforcing SWP, and to seek ways to strengthen field practice. As a result of the study, first, as a method of applying learner motivation, it is necessary to conduct discussions by inviting practitioners in the field, and to watch the progress of projects by type of social welfare site. Second, as a way to participate in learners, it is necessary to analyze excellent proposals, participate in events held at welfare sites, present various dilemma cases in the field, and try to overcome ethical dilemmas by sharing cases overcoming dilemma, and to make efforts to list practical skills required in social welfare field practice. Third, it is necessary to apply such methods as phone calls, e-campus, Kakao Talk, Zoom, and counseling techniques that are conducted in the case management process as a way to apply interaction, and discuss issues that are important in the welfare field.

The Influence of Moral Behavior, Moral Anguish, and Critical Thinking Tendency on Clinical Decision-making Ability in Nurse (간호사의 도덕적 행동, 도덕적 고뇌, 비판적 사고성향이 임상적 의사결정능력에 미치는 영향)

  • Je, Nam-Joo
    • Journal of Digital Convergence
    • /
    • v.19 no.2
    • /
    • pp.275-288
    • /
    • 2021
  • This study was attemted to grasp the factors affecting the clinical decision-making ability of nurse. Data were collected from 156 nurse working in hospital in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. The most influential factor on the subjects' clinical decision-making ability was nursing Research 'very interest', critical thinking tendency, 'master/doctor', clinical experience 'more than 20 years and 1 month', moral behavior, nursing research 'important', 'single', clinical work experience '5 years, 1 month-10 years', department work experience '3 years 1 month-5 years'. The explanatory power was 51.4%. It was significant in that it was confirmed that interest and importance, moral behavior, academic background, and career are variables that influence clinical decision-making ability. The results of this study can be utilized as basic data for the development of intervention plans and programs that can increase clinical decision-making ability in the context of an ethical dilemma. In addition, developing and verifying educational programs that can increase clinical decision-making abilities in ethical dilemmas is needed.

Scale Development of Job Stress for Home Care Nurses (가정전문간호사의 직무스트레스 측정 도구 개발)

  • Hong Jeong-Sook;Lee Ga-Eon
    • Journal of Korean Academy of Nursing
    • /
    • v.34 no.6
    • /
    • pp.1097-1107
    • /
    • 2004
  • Purpose: The purpose of this study was to develop a job stress scale for hospital-based home care nurses in Korea. The process was construction of the conceptual framework, development of the preliminary items, verification of the content validity, item analysis and test of the reliability. The preliminary items were based on literature review and in-depth interviews with home care nurses. As a result, eight categories and sixty items were selected. These were reviewed by seven specialists for content validity and finally fifty one items were chosen. Data was collected from 180 home care nurses who were engaged in 87 hospitals from August to September 2003. The result of item analysis one was excepted, The final item count was 50. Categories were as follows: overload work(8 items), lack of specialized knowledge and technique(5 items), ethical dilemma(4 items), role conflict(5 items), interpersonal relationships(6 items), visiting home environment(9 items), driving conditions(4 items) and lack of administrative support(9 items), The reliability of the scale by Cronbach's alpha was .948 and the domain's reliability ranged from .649 to .841. The result of this study could be used to measure the job stress of home care nurses. However, for further validity and reliability, repeated studies will be necessary.

Nurse's Perception on Do-Not-Resuscitate Orders (심폐소생술 금지에 대한 간호사의 인식)

  • Jo, Jeong-Lim;Lee, Eun-Nam;Byun, Sook-Jin
    • Journal of Korean Critical Care Nursing
    • /
    • v.4 no.1
    • /
    • pp.11-24
    • /
    • 2011
  • Purpose: The purpose of this study was to grasp the subjectivity of the nurses toward DNR (Do not resuscitation) order. Methods: Q methodology was employed to explore the nurses' subjectivity. Q population consisted of 292 statements that were obtained through individual in-depth interviews targeting 30 employees(nurses, doctors, staff members) and literature review. Finally, 30 nurses classified 34 statements using a 9 point scale. Results: The current survey that probed into the subjectivity of the nurses relative to DNR order abstracted four categories. The first type (restrictive acceptance type) perceived the determinants of DNR as the patient's hopeless state. The second type (evidence-based type) emphasized the decision based on the guideline. The third type (medical personnel-centered type) showed the characteristic that depends passively on the professional judgement. The fourth type (rationalistic type) emphasized rational characteristic that DNR decision needs to be made by considering several situations such as economic and psychological burden of family and the quality of life. Conclusion: These types of nurse's perception need to be considered in the nurses' continuing educational program in order to confront affirmatively and positively with ethical dilemma.

  • PDF

The Nurses' Perceptions and Experiences on the Older Adult's Dignity in Nursing Homes (노인의 존엄성에 대한 노인요양시설 간호사의 인식과 경험)

  • Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.15 no.1
    • /
    • pp.81-90
    • /
    • 2009
  • Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

  • PDF

Effect of Ethics Education on Nurse덕s Moral Judgement (윤리교육이 간호사의 도덕판단에 미치는 영향)

  • 김용순
    • Journal of Korean Academy of Nursing
    • /
    • v.30 no.1
    • /
    • pp.183-193
    • /
    • 2000
  • This main purpose of this study was to assess the effects of two different types of ethics education on the moral judgement of clinical nurses. One type was free discussions among nurses with given specific moral issues and the other type was discussions guided by experts on specific moral issues. The study employed a quasi-experimental, nonequivalent pre test-post test design using two different control groups. The conceptual framework of the study was derived from the Kohlberg′s Moral Development Theory (1969) and the Greipp′s Ethical Decision-Making Model (1992). The data was collected during the period of October 14 through December 15, 1998. Sample consists of 32 nurses working in the ICU who met research criteria. 16 nurses were assigned to the free discussion group and 16 nurses to the group for the guided discussion with experts group. For the pre-test, the DIT which was developed by Rest (1984) and JAND by Ketefian (1998) were used with some modification by the author. After the education, only JAND was used to assess the changes in moral judgement. The collected data was analysed using SPSS PC program. The findings are as follows: 1. There was no significant difference between two groups in their general characteristics. Only difference which was statistically significant between two groups was that realistic score on Case 3/Medical Research and Autopsy was higher in the free discussion group. 2. Hypothesis 1: "There will be a difference on the moral judgement of nurses before and after they receive an ethics education". This hypothesis was supported partially. Those who had low scores on moral judgement before the education tended to have higher scores after the education on the same issues. And, after the education, the nurses tend to give lower scores on the dilemmas they had experienced frequently at work; while giving higher scores on those dilemmas they had no prior experience. 3. Hypothesis 2: "The effect of education may differ depended upon the moral development index [P(%)] score of nurses". The effect of education was different depend on moral development level. The group who′s P(%) scores was low at the pretest has higher scores in realistic moral judgement after the education, while the groups with middle or high P(%) scores went down after the education. These changes were statistically significant in some cases, thus, the Hypothesis 2 was partially supported 4. Hypothesis 3: "The method of ethics education will have different effects on the moral judgement of nurses". Even though several nurses attended the guided discussion stated that the education program broadend their perspectives the difference between two groups was not significant and this hypothesis was not supported. In conclusion, both types of ethics education had helped the nurses to acquire the skills to deal some nursing dilemmas. The effects of ethics education may differ according to the moral development index - P(%) score. However, because of some of the limitations of this study, mainly small sample size, short term education, unable to control other variables which may affect moral judgement of nurses, further research is warranted.er research is warranted.

  • PDF

The Role of the Medical Person in the Drama (드라마 <태양의 후예>를 통해 본 의료인의 역할)

  • Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of Digital Convergence
    • /
    • v.15 no.6
    • /
    • pp.345-352
    • /
    • 2017
  • The purpose of this study is to examine the role of medical practitioner in the medical field during the drama 'Descendants of the Sun'. The research design is a qualitative research to analyze the role of medical staff in medical field through drama. To collect this study data, we selected the communication scenes in the medical field in the 'Dawn of the Sun'. The collected data were analyzed by content analysis method. The study results are classified into four categories; 'decision making in emergency situations', 'cooperation among medical teams', 'support for patients', 'responsibility as a medical person / ethical dilemma'. This study has limitations in analyzing the role of medical staff by analyzing a drama. However, it is meaningful that the drama explored the role of the medical staff from the third party 's standpoint.

Exploring of the Economy of Communion as Communities of Practice (실천공동체로서 나눔 경제 운영 탐색)

  • Kim, Jin-Hee;Kim, Byoung-Soo
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
    • /
    • v.7 no.6
    • /
    • pp.937-945
    • /
    • 2017
  • Economy of Communion (EoC) is an emerging economic principle that recognizes the dilemma of traditional perspectives and turns to human centered values and ideas. Furthermore the EoC encompasses all the principles derives from free market economy, ethical norm and social solidarity. This study aims to understand Economy of Communion concepts and its ripple effects under current Korean economy condition which mainly follows Neo-liberalism. Korean economy needs new paradigm to deal with intensifying economical inequality in Korea these days. By understanding EoC's primary value and studying research cases and Sungsimdang, Seokwangsa one of EoC enterprise cases in Korea, this study suggests new economic paradigm. In response to the needs, two important practices should be manifested through fraternity: 1) mutural equity, and 2) dissemination of giving culture. These are construct the economy of communion, which is defined as unique humanism. This study is also expected to suggest new paradigm that establishes new economy system that can cover current economy system's problems.

Factors affecting Disclosing conflicts of Interest on consultation: comparison with Role-oriented and Self-interest Groups (이익충돌 상황에서 공개가 자문행동에 주는 효과: 자문가역할수행집단과 사익추구집단의 비교)

  • Su-Bin Kim;Ji-Hye Kim;Kyong-Mee Chung
    • Korean Journal of Culture and Social Issue
    • /
    • v.22 no.1
    • /
    • pp.1-18
    • /
    • 2016
  • A conflict of interest (COI) places people in ethical dilemma when providing consultation in a field of business, medical/pharmaceutical industry, research etc. Disclosure is a commonly adopted strategy for the adverse effect of COI, but previous studies have reported inconsistent results. This investigated whether individual differences in pursuing self-interest influence differently on consultation behavior during voluntary- or no-disclosure of COI conditions. A total of 190 adults participated in an on-line experiment which consisted of two tasks. On the 1st task, participants were divided into either a role-oriented group or a self-interest group depending on their consultation choice on the task. On the 2nd task, participants were required to choose whether to disclose COI to his/her virtual partner and provided consultation to them. No group differences were found in frequency of choosing voluntary disclosure. For the role-oriented group, the voluntary disclosure group provided unbiased information to the virtual partners than the no disclosure group. However, no group difference between voluntary- and no-disclosure group in the self-interest group. Implications and limitations are further discussed.

  • PDF