• 제목/요약/키워드: issues of discussion

검색결과 591건 처리시간 0.032초

간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과 (Effects of Nursing Ethics Education on Moral Reasoning and Ethical Decision Making for Student Nurses)

  • 한성숙;안성희
    • 간호행정학회지
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    • 제1권2호
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    • pp.268-284
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    • 1995
  • This study was designed to test effects of nursing ethics education (NEE) on moral reasoning and ethical decision making of subjects. This NEE that was teached for 10 hours course was composed of these : Nurses' ethical code, moral responsibility, Moral value and professional accountability, Respect for human life, General ethics, Theory and Norms of biomedical ethics, Ethical decision making model and Discussion about hypothetical ethical dilemmas Twenty-five senior student nurses were sampled from four year college of nursing from Nov. 3rd, 1993 to Nov. 24th, 1993. Data were collected through self-reported 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), the stage 6 (universal ethical practice). In particular, the level of principled thinking (P) was measured by summing these 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, Mc Nemar's test and Pearson correlation coefficients. The results were as follows ; 1. For the Moral Reasoning both before and after NEE, The Mean score of the stage 5A was significantly higher than that of other stages.(P=0.0001) Before NEE, the mean score of the stage 4 was significantly different from stage 2, 3, 5A, and after NEE, different from stage 2, 5B,6. 2. The analysis of change of moral development level revealed that the score of stage 4 increased after NEE.(P=0.0004) 3. The Effect of NEE for the mean score of 5A, 6, P after education was significantly different by birth place. 4. 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, the mean score of the MS and the DS was no significant difference with general characteristics of the students. Effect of NEE morality score and dilemma score after education was no significant difference. 5. As for the correlations between moral reasoning and decision making, the score of the stage 2, 5A, 6, DS was positively correlated with the scores of before and after. Positive correlation was also observed between the scores of stage 2 and stage 4, stage 3 and 6. On the other hand, the score of P was negatively correlated with the scores of stage 2 and of stage 4 and of stage 5A. The score of the stage 5A was also negatively correlated with the score of the sge 6.

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Study of the Prior Review System about Medical Advertising on the Existing Laws

  • Kim, Woon-Shin;Joung, Soon-Hyoung
    • 한국컴퓨터정보학회논문지
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    • 제21권6호
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    • pp.97-106
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    • 2016
  • This study tries to seek the is the realistic improvements and legislative measures about current medical advertising which was in the Court on 12 May 2015 by presenting and discussion the understanding, problems and its alternative direction of pre-deliberation on the existing law which is the decision on the constitutionality of health care advertising regulated health care advertising General commercial advertising has the right which have to be protected as the terms of the protection of know and freedom of expression and advertiser's there are sure to be in a value to be protected. Medical advertising is also a person in addition to the absolute value that includes both Due to the particularity of medical advertising in terms of life and the right to health Until now, this has been the target of strong regulations are changing the policy of gradual deregulation in our country, including the country. Medical advertising on the current medical law had been to be checked by pre-deliberation of the executive power. However, due to unconstitutional, in the circumstances which a false hype is flooding and increasing, it has been realized that the fair competition of medical community, life and health rights of the people are threatened by in reverse. In this regard, the abolition of the pre-deliberation system of medical advertising can be welcomed by abolition of the old system which is the legal and institutional censorship. Since its abolition, the alternative policy direction is insufficient also it is not clear. Therefore we need to study this. Therefore, in this paper, we try to find general theoretical background and problem of pre-deliberation system of medical advertising. Also, as trying to find feasibility or ambiguity of regulation and issues about medical advertising on medical law, we argued the provision of special measures of the medical advertising for introduction of integrated medical advertising deliberation committee which can ensure the independence and autonomy, strengthening of the monitoring on the internet advertising, legal resolving through amendments, strengthening of penalties, and establish special measures of medical advertising for the medical privatization and demand for the foreign medical tourist, etc. Empirical study about practical regulatory measures of medical advertising which converged the various opinions of consumer groups, government and academia, and medical community, and we expect hope to see the more realistic alternative provision.

WHO 침구임상 지침서 개정을 위한 국제회의 보고 (Reports on 'Meeting on the Revision of Guidelines for Clinical Research on Acupuncture')

  • 박히준;서정철;김세현;김상우;안경애;임사비나;김용석;최도영;강성길
    • Journal of Acupuncture Research
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    • 제22권5호
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    • pp.195-199
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    • 2005
  • The Working Group on the revision of Clinical Research Methodology for Acupuncture met in Seoul, Republic of Korea from 24 to 26 August 2005. The main objectives of the meeting were to review the regional publication guidelines for Clinical Research on Acupuncture, to make necessary revisions in the guidelines, to make recommendations on further collaboration and activities in the field of research on acupuncture, and to discuss scientific evidence-based approaches in the clinical research on acupuncture. Fourteen members from the eight Member States, one secretariat staff from the WHO Regional Office for the Western Pacific and ten observers from the Republic of Korea attended the meeting. The members presented their papers to review the current status of clinical research on acupuncture. The drafts of proposed revision to the previous guidelines for clinical research methodology on acupuncture were discussed extensively. The issues covered during the discussion included: the definition of the new terms; reorganization of clinical research design; revision and update of contents (e.g., control group); introduction of Institutional Review Board (IRB) on the section of ethical approval; additional outcomes including health-related quality of life (HRQOL), qualitative measures, etc. In the course of these discussions, the working group developed the revised guidelines for clinical research on acupuncture and made recommendations for promoting the dissemination of the revised guidelines.

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한국보건행정학회 30주년 기념 특별호 (Special Issue for the 30th Anniversary of the Korean Academy of Health Policy and Management)

  • 박은철
    • 보건행정학회지
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    • 제28권3호
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    • pp.195-196
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    • 2018
  • The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

Research Needs in Librarianship

  • Wilson, T.D.
    • 한국문헌정보학회지
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    • 제44권4호
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    • pp.5-18
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    • 2010
  • Library and information research is often directed towards either the management of resources (e.g., the economics of resource management), their storage and retrieval (e.g., much information retrieval research), and the users of these resources (the whole area of information behaviour. However, the question that is less often asked is, "What research do librarians want to have carried out to help them in their work?" Clearly, some of the topics just mentioned will fall into the priority areas, but what do librarians actually perceive will be of use to them. There is a notion that a research-practice gap exists in the field and perhaps the reason for that is that researchers do not ask the practioners what research will be of value to them. To find an answer to this question on a global basis would, of course, be impossible - at least impossible without the level of funding that would be difficult to obtain from any source. However, it is possible to carry out research on a national level that could prove useful both to practitioners and to the library and information research community. This was the aim of a project, supported by the Svensk Biblioteksf$\"{o}$rening (Swedish Library Association), which was carried out in 2008/2009. Ideas on potential research projects were collected from librarians themselves, from discussion group archives and from the professional journals in a number of countries. These ideas were then grouped thematically and formed the basis of two rounds of a Delphi process to solicit the opinions of a panel of librarians in different sectors, recommended by their peers as 'expert' in their field. The Delphi process was concluded with a workshop involving a subset of the panel. This paper will report on the results of the investigation, which attracted a great deal of interest within the profession in Sweden, and will also reflect on issues that were ranked lowly in the investigation. For example, not a great deal of priority was given to topics relating to the development and use of technology: why was this? And would the same result be found in other countries? One major area of research interest was into the future of libraries and a topic of relevance here, especially for academic and research libraries, is the changing information behaviour of researchers: what, now, do researchers want of libraries? Clearly, technology is playing a role here, but digitized resources and the World Wide Web may not be the answer to every researcher's need. Research into libraries and research for libraries ought to figure largely in the profession's view of its aims, objectives and visions of the future: but for it to do so requires a recognition that the work will not be done unless researchers and practitioners come together to determine how to approach the future.

맞벌이 부부의 일-가정 갈등이 결혼만족에 미치는 영향에서 스트레스 대처의 조절효과 (The Influence of Work-Family Conflict on the Marital Satisfaction of Dual-Earner Couples: Moderating effect of three types of coping strategies)

  • 임인혜;유성경
    • 한국심리학회지 : 문화 및 사회문제
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    • 제26권4호
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    • pp.551-578
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    • 2020
  • 본 연구의 목적은 맞벌이 부부의 일-가정 갈등이 결혼만족에 미치는 영향에서 스트레스 대처의 조절효과를 확인하는 것이다. 이를 위하여 만 6세 이하 자녀를 양육하고 있는 맞벌이 부부 369쌍(아내 369명, 남편 369명)을 대상으로 스트레스 대처(문제중심, 사회적 지지추구, 긍정화), 일-가정 갈등, 결혼만족에 대한 설문을 실시하였다. 수집된 자료는 자기-상대방 상호의존모형(APIM)을 기반으로 세 가지 스트레스 대처 전략 각각의 조절효과를 일→가정, 가정→일 갈등의 방향을 구분하여 6개의 연구모형을 통해 검증하였다. 스트레스 대처 전략의 조절효과 결과를 살펴보면 첫째, 문제중심대처에서는 남편의 일→가정 갈등이 남편자신과 아내의 결혼만족에 미치는 부정적인 영향을 아내의 문제중심대처가 완화하는 것으로 나타났다. 또한 남편의 가정→일 갈등이 본인과 아내의 결혼만족에 미치는 부정적인 영향을 남편 자신이 사용하는 문제중심대처가 조절하는 것으로 나타났다. 둘째, 사회적 지지추구에서는 남편의 일→가정 갈등이 남편의 결혼만족에 미치는 부정적인 효과를 아내가 사용하는 사회적 지지추구가 완화하는 것을 확인하였다. 셋째, 긍정화 대처의 경우에는 남편의 일→가정 갈등이 남편과 아내의 결혼만족에 미치는 영향을 아내가 사용하는 긍정화 대처가 조절하는 것으로 나타났으며, 아내의 가정→일 갈등에서도 아내가 사용하는 긍정화 대처의 조절효과가 나타났다. 마지막으로 연구결과를 바탕으로 본 연구에 대한 논의와 시사점을 제시하였다.

한의학전문대학원 재학생들의 학업 스트레스와 학업소진에 관한 연구 (Study on Stress and Burnout in Medical Education at the School of Korean Medicine)

  • 김성혜;한승윤;김종대;최수미;이수진;임정화;채한
    • 동의신경정신과학회지
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    • 제26권2호
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    • pp.103-116
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    • 2015
  • Objectives: Medical students suffer from mental health and academic problems due to academic stress. We investigated academic stress and exhaustion along with psychological issues caused by medical education during the years in the School of Korean Medicine. Methods: Two hundred fifty-one university students from the School of Korean Medicine, Pusan National University, were asked to complete the Medical Stress Scale (MSS), Maslach Burnout Inventory-Student Survey (MBI-SS), Positive Affect and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) three times during each semester for two years from 2013 onwards. We analyzed the influence of school term and vacation on educational stress and negative affect with the T-test. The Pearson's correlation analysis and regression analysis were used to predict changes during the first semester or first years of study in the School of Korean Medicine. Results: Academic stress and burnout increased steadily until the first semester of third grade, which was measured with MSS and MBI-SS. The anxiety level was highest when the students started the first grade and it decreased significantly after the first semester. Negative affect repeatedly increased significantly after each school term; however, it reduced after each vacation. In the first grade, 19.5% of the last measure of MSS can be explained with the first measure of MSS. Discussion: This study extensively reviewed the trends and characteristics of four years of academic stress and its related psychological influence, and discussed its importance for developing a more efficient academic curriculum for traditional Korean Medicine.

Assessment of Environmental Radioactivity Surveillance Results around Korean Nuclear Power Utilization Facilities in 2017

  • Kim, Cheol-Su;Lee, Sang-Kuk;Lee, Dong-Myung;Choi, Seok-Won
    • Journal of Radiation Protection and Research
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    • 제44권3호
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    • pp.118-126
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    • 2019
  • Background: Government conducts environmental radioactivity surveillance for verification purpose around nuclear facilities based on the Nuclear Safety Law and issues a surveillance report every year. This study aims to evaluate the short and the long-term fluctuation of radionuclides detected above MDC and their origins using concentration ratios between these radionuclides. Materials and Methods: Sample media for verification surveillance are air, rainwater, groundwater, soil, and milk for terrestrial samples, and seawater, marine sediment, fish, and seaweed for marine samples. Gamma-emitting radionuclides including $^{137}Cs$, $^{90}Sr$, Pu, $^3H$, and $^{14}C$ are evaluated in these samples. Results and Discussion: According to the result of the environmental radioactivity verification surveillance in the vicinity of nuclear power facilities in 2017, the anthropogenic radionuclides were not detected in most of the environmental samples except for the detection of a trace level of $^{137}Cs$, $^{90}Sr$, Pu, and $^{131}I$ in some samples. Radioactivity concentration ratios between the anthropogenic radionuclides ($^{137}Cs/^{90}Sr$, $^{137}Cs/^{239+240}Pu$, $^{90}Sr/^{239+240}Pu$) were similar to those reported in the environmental samples, which were affected by the global fallout of the past nuclear weapon test, and Pu atomic ratios ($^{240}Pu/^{239}Pu$) in the terrestrial sample and marine sample showed significant differences due to the different input pathway and the Pu source. Radioactive iodine ($^{131}I$) was detected at the range of < $5.6-190mBq{\cdot}kg-fresh^{-1}$ in the gulfweed and sea trumpet collected from the area of Kori and Wolsong intake and discharge. A high level of $^3H$ was observed in the air (Sangbong: $0.688{\pm}0.841Bq{\cdot}m^{-3}$) and the precipitation (Meteorology Post: $199{\pm}126Bq{\cdot}L^{-1}$) samples of the Wolsong nuclear power plant (NPP). $^3H$ concentration in the precipitation and pine needle samples showed typical variation pattern with the distance and the wind direction from the stack due to the gaseous release of $^3H$ in Wolsong NPP. Conclusion: Except for the detection of a trace level of $^{137}Cs$, $^{90}Sr$, Pu, and $^{131}I$ in some samples, anthropogenic radionuclides were below MDC in most of the environmental samples. Overall, no unusual radionuclides and abnormal concentration were detected in the 2017's surveillance result for verification. This research will be available in the assessment of environment around nuclear facilities in the event of radioactive material release.

'충서지도(忠恕之道)'의 윤리학적 함의와 초등 도덕과 교육에서의 적용 방안 연구 - 개인윤리와 사회공동체윤리의 통합적 접근을 중심으로 - (Research on the ethical implication of the principle of "Faithfulness" and "Benevolence" and application schemes in the ethics course of the elementary education - centering around the synthetic approach to the individual morality and the ethics of social community)

  • 지준호
    • 동양고전연구
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    • 제34호
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    • pp.311-338
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    • 2009
  • 과학의 발달과 사회의 발전에 따라 파생되는 도덕적 타락 또는 인성부재의 실상은 매우 심각하다. 특히, 이러한 문제에 대면하여 새로운 돌파구를 제시해야 할 도덕교육은 교육계 초유의 관심사이자 우리의 미래를 가늠하는 관건이 될 것이다. 본 연구는 이러한 시대적 요청에 대한 노력의 일환으로서, 유학의 충서지도(忠恕之道)가 표방하는 풍부한 윤리학적 함의를 도출하여, 현 시대의 초등교육 현장에 구체적으로 접근하려는 시도이다. 윤리적 사회공동체를 만든다는 것은 도덕 주체인 우리가 외형적인 규범의 제한에만 머무르지 않고 내면의 문제를 고민함으로써 자발적인 도덕적 실천을 해야만 한다는 것을 의미하고도 있다. 보편윤리로서의 충서지도(忠恕之道)는 인학(仁學)으로서의 덕윤리, 자기인식과 자존감 고취, 배려윤리로서의 사회공동체윤리 등의 의미를 표방하고 있다. 특히 이러한 의미는 '초등교육에서의 적용방안'을 문제의 중심에 놓고 볼 때, 다분히 인성교육과 관련된 학교에서의 폭력이나 따돌림 문제 등에 관한 교육적 예방 차원에서 보다 깊이 논의될 수 있을 것이다. 또한 더 나아가 한국사회가 처해있는 상황, 특히 사회공동체의 권익 주장이나 집단 이기주의, 또는 사회공동체 간의 갈등 문제 등에 있어서 현실적인 응답을 모색할 수 있는 담론의 장이 될 수도 있을 것이다.

중년 성인 원가족의 부모자녀관계가 자기효능감, 자녀양육과 노부모부양 및 행복에 미치는 영향 (The Effect of Korean Adults' Perception of Parent-Child Relation on Self-Efficacy, Child Rearing Practices, Elderly Parent Care Practices, and Happiness)

  • 박영신;안자영;남인순;유효숙;이영남;차연실
    • 한국심리학회지 : 문화 및 사회문제
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    • 제24권2호
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    • pp.153-192
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    • 2018
  • 이 연구의 주된 목적은 중년 성인 원가족의 부모자녀관계가 성인의 자기효능감, 자녀양육과 노부모부양 및 행복에 미치는 영향을 분석하는데 있다. 분석대상은 초, 중, 고, 대학생 자녀를 둔 성인 2,632명(남 1,275명, 여 1,357명)이었으며, 평균 연령은 45.44세(남 46.96세, 여 44.10세)였다. 분석 결과, 원가족의 부모자녀관계는 성인의 자기효능감과 자녀양육에 직접적인 영향이 있었고, 행복에 대해 간접적인 영향이 있었다. 즉 원가족의 부모자녀관계를 긍정적으로 지각할수록 자기효능감이 높고, 자녀양육에 헌신적이었으며, 높아진 자기효능감은 행복감을 증진하였다. 원가족의 부모자녀관계가 노부모부양에 미치는 영향은 성별로 차이가 있었다. 남자는 원가족의 부모자녀관계를 긍정적으로 지각할수록 노부모부양에 적극적이었으나, 여자는 직접적인 영향이 없었다. 이러한 결과에 토대하여 원가족의 부모자녀관계가 중년 성인의 심리특성 및 가족관계에 미치는 영향에 대해 논의하였다.