• Title/Summary/Keyword: ethics of caring

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A Philosophical Inquiry into Caring in Nursing - Based on Ricoeur's Narrative Ethics - (간호에서의 보살핌에 대한 철학적 탐구 -리쾨르(Ricoeur)의 이야기 윤리에 기초하여-)

  • Kong Byung-Hye
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1333-1342
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    • 2005
  • Purpose: This paper was aimed to inquire into Ricoeur's self -hermeneutics and narrative ethics, and apply it to personal identity constituting caring and care ethics in the practice of nursing. Its purpose is to provide a philosophical foundation for caring in nursing. Method: According to Ricoeur's narrative identity, ontological caring was interpreted as personal identity constituting caring. His ethics were described as care ethics, which contributed to preserving and promoting the personal dignity of the client, as self in search for the good life in the nursing practice. Results: Narrative understanding of the client pointed to the ontological role of care in the constitution of personal identity. From an ethical aspect of the narrative, respect for personal identity and personal dignity of the client was crucial to an ethical caring attitude, promoting self-esteem in the nursing practice. Conclusion: This paper suggested that Ricoeur's ethics could provide a philosophical basis for understanding ontological and ethical caring in nursing. This contributed to protection of the client from the threat of personal identity, as well as respecting their personal dignity.

Aesthetical-ethical Paradigm of Care Ethics in Nursing (돌봄의 윤리를 위한 미감적 - 윤리적 패러다임)

  • 공병혜
    • Journal of Korean Academy of Nursing
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    • v.32 no.3
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    • pp.364-372
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    • 2002
  • The purposes of this study was to find aesthetical-ethical paradigm of care ethics by understanding the unique moral character of care as an art and to suggest the optimal direction of nursing ethics. Method: This study used meaning-heuristic and -interpretive methods of hermeneutics based on philosophical aesthetic theory; Baumgarten's aesthetics, Schiller's theory of aesthetical education and Kant's theory of aesthetical judgement. Result: The concept of care implied aesthetical and ethical character; caring as an art was related to moral feeling based on human dignity und emotional communication in interpersonal-relationship. Caring as an art was interpreted as a moral ideal for the promotion of the humanity und the interaction in personal-relationship according to nursing theories. Philosophical aesthetics could provide the theoretical base for the interpretation of caring as an art. The proper paradigm of care ethics in nursing could be found in character-trait ethics and communication ethics according to the philosophical aesthetics. Conclusion: This study could show aesthetical-ethical paradigm of care ethics in nursing by the heuristic interpretation of caring as an art according to the philosophical aesthetics

Exploring Science Education with Consideration of "Ethics of Care" ("보살핌 윤리"를 적용한 과학 교육 가능성 탐색)

  • Shin, Donghee;Lee, Jihee
    • Journal of The Korean Association For Science Education
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    • v.32 no.5
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    • pp.954-973
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    • 2012
  • To apply "ethics of care" into science education, this study summarized previous studies of care, ethics of care, and caring education. Through a wide range of literature review, we proposed science learning model with ethics of care. This model has steps of 'being in a context of issue, perception of issue-related value, choosing value with ethics of care, feeling empathy to caring subject, experiencing care, and verifying the effectiveness of caring, which are reflected characteristics of ethics of care, contextual, connected, and practical. It is expected that students will be able to solve science-related issues while keeping in mind consideration for nature as a caring subject.

A critical inquiry on the feminine ethics in nursing (간호에서의 여성적 윤리에 대한 비판적 탐구)

  • Kong, Byung-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.1
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    • pp.41-49
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    • 2003
  • Purpose : This study was to illuminate the main characteristics and limits of the feminine ethics of care when it applies to the nursing ethics, and suggested sufficient conditions of care ethics in nursing in order to actualize the autonomy for nurses. Method : This study inquired the relationship between the ethical trait of caring in nursing and Gilligan & Noddings's moral theory as feminine ethics in relation to supporting the nursing ethics. In contrast to traditional moral theories based on universal principles, Gilligan's moral theory emphasized the conscious of the interpersonal relationship on the basis of the empathy and the responsibility for the other's need in contextual situations, and Noddings developed her ethics based on mothering as a model for the caring relation, the moral feature of which was characterized as reciprocity, receptiveness and responsiveness. Result : The feminine ethics of care came to support nursing ethics considering the nterpersonal relationship and responsibility. However, it did not show a possible ideal of nursing ethics because it has some difficulties in actualizing the nurse's individual and professional autonomy in the health care system. Conclusion : Therefore, in order that ethics of care can be an ideal and universal nursing ethics, it should be studied in proper direction, that is, toward actualization of the autonomy of the universal ethical self in relation to the concern and responsibility for the other.

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The Relationship between Human Rights Sensitivity, Interpersonal Caring Behavior, and Biomedical Ethics in Nursing Students Who Have Experienced Clinical Practice (임상실습 경험이 있는 간호대학생의 인권감수성, 대인돌봄행위와 생명의료 윤리의식과의 관계)

  • Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.410-418
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    • 2020
  • This study examined the correlations between investigating human rights sensitivity, interpersonal caring behavior, and biomedical ethics in nursing students who have clinical practice experience. The data were collected using structured questionnaires for 3rd and 4th grade nursing students who were attending three universities in Gyeonggi-do and Chungcheong-do. As a result of this study, nursing college students' human rights sensitivity, interpersonal caring behavior, and biomedical ethics were scored as 112.23, 3.95, and 2.03 points, respectively. There were significant differences in human rights sensitivity according to major satisfaction (t=3.320. p=.001), clinical practice satisfaction (t=2.557, p=.012), and clinical peer relationship (t=4.234, p<.001), interpersonal care behavior according to major satisfaction (t=3.423. p=.001), clinical practice satisfaction (t=4.364, p<.001), and clinical peer relationship (t=3.708, p=.001), and biomedical ethics according to major satisfaction (t=-2.404, p=.018). Human rights sensitivity showed positive correlations with biomedical ethics (r=.27, p<.01), and interpersonal caring behavior showed a positive correlation with biomedical ethics (r=.17, p<.05). Based on these findings, it is necessary to develop systematic nursing education programs to strengthen interpersonal caring behavior, biomedical ethics, and human rights sensitivity.

The Conceptualization of Caring Justice and an Evaluation of Long-Term Care Policy in Korea (돌봄정의(Caring Justice) 개념구성과 한국 장기요양정책의 평가)

  • Seok, Jae-Eun
    • 한국사회정책
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    • v.25 no.2
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    • pp.57-91
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    • 2018
  • Despite the rapid growth of social care, understanding of care is segmental and caring is still marginalizing. The socialization of caring is actually a 'half-socialization' that is the result of injustice surrounding caring. Therefore, it is necessary to approach the problem of caring in terms of justice. In this paper, I discuss the limitations of social justice based on John Rawls 's social contract theory in the discussion of caring justice through feminists'writings on caring ethics. And then applying Nancy Fraser' s three scales of Justice-redistribution, recognition, and representation, the concept of caring justice has been newly constructed. The concept of caring is defined as a unified concept of caring including the aspect of the social rights of the care recipient as well as the labor rights of the care provider. Based on the analysis of care justice, we derive the ideal types of care policy and then evaluate the long-term care policy for the elderly, which is the central axis of Korean care policy. The results of this study are as follows: First, it is necessary to strengthen the labor rights of care providers especially for the socialization of care responsibilities and the proper allocation of social resources. Second, a service delivery system and care culture are needed to ensure the relational autonomy of care-receivers and care-givers for caring ethics and individualization of care. Third, the issue of care should be treated as the central agenda of politics in order to distribute care responsibility democratically and to distribute legitimate resources. This requires a paradigm shift from marginalization of care to mainstreaming of care. Ultimately, we should aim for a Caring Society.

An Ethical Appraisal of Informed Consent in the Clinical Setting (의료현장에서의 설명동의에 대한 윤리적 고찰)

  • Kong, Byung Hye;Lee, Won Hee;Kim, In Sook;Kim, Sue;Lee, Sun Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.556-566
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    • 2007
  • Purpose: This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals. Methods: Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics Results: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect. Conclusion: Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.

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Crisis in Women during COVID-19 Pandemic and Pastoral Theological Reflection on Care : Christian Educational Approach (코로나 19 팬데믹 시대 속 여성의 위기와, 돌봄에 대한 목회신학적 성찰 : 기독교 교육학적 접근)

  • Lee, Soo Young
    • Journal of Christian Education in Korea
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    • v.68
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    • pp.217-243
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    • 2021
  • As can be seen from the statement by the UN Secretary-General that "COVID-19 is a crisis with a woman's face," women have experienced great crisis, pain, and difficulties caused by the COVID-19 pandemic. This study examined the situations of women through statistical data and research studies. Through this study, economic, socio-cultural, and psycho-emotional aspects were dealt with in detail, and how these issues appeared in relation to "caring" were examined. In addition, as a response of the church to these problems and crises, pastoral theological reflection was promoted through "Ethics of Care" and "caring ministry". The "caring ministry" of the church extends not only to personal care within the church, but also to social, cultural, economic, political, and ecological issues, and the church has a missionary mission to respond to these issues related to disasters with a public nature. Furthermore, through educational ministry, the change of values and mindsets on "care" and inequality and Diakonia, the loving care of the church community, should be encouraged.

Analysis Of Childcare Policy From a Caring Democracy Perspective ('돌봄민주주의' 관점에서 본 보육정책)

  • Baek, Kyungheun;Song, Dayoung;Jang, Soojung
    • Korean Journal of Family Social Work
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    • no.57
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    • pp.183-215
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    • 2017
  • This study analyzes Korean childcare policy from a caring democracy perspective by using the normative policy analysis method. In the midst of emergent new social risks engendered by low fertility and aging population, feminist scholars proposed a transformative paradigm shift from economic growth to caring oriented development on a macro scale but researches on how this grand principle can be reflected into each policy have hardly been discussed. Thus, this study intends to contribute to such policy-driven discussion by analysing childcare policy on the basis of three normative values of freedom, equality and justice re-interpreted by caring democracy theory. Following are key findings. First, childcare policy does not guarantee public value and social solidarity due to the limitations of free choice from the perspective of freedom. Secondly, gender and class stratification has been worsened in a multiple and more complicated way by adding generational and racial dimensions to the existing gender inequality and vicious circulation of private care is observed from equality perspective. Thirdly, structural inequality aggravated injustice previously accumulated in the past rather than providing flat ground by adjustment.

Practical Considerations in Providing End-of-Life Care for Dying Patients and Their Family in the Era of COVID-19

  • Kim, Yejin;Yoo, Shin Hye;Shin, Jeong Mi;Han, Hyoung Suk;Hong, Jinui;Kim, Hyun Jee;Choi, Wonho;Kim, Min Sun;Park, Hye Yoon;Keam, Bhumsuk
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.130-134
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    • 2021
  • In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.