• Title/Summary/Keyword: moral decision-making

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Biomedical Ethics Education for Nursing Students: The Effect on Awareness and Application of Nursing Code of Ethics, Consciousness of Biomedical Ethics and Moral Sensitivity (생명의료윤리 교육 프로그램이 간호 대학생의 간호사 윤리강령인식, 간호사 윤리강령 활용 정도, 생명의료 윤리 의식 및 도덕적 민감성에 미치는 효과)

  • Choi, Young-Sil;Jeong, Gye-Seon;Rayborn, Michong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.214-224
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    • 2018
  • Purpose: This study examines the effectiveness of an educational program of nursing biomedical ethics for nursing students to increase awareness of the Code of Ethics for Nurses, moral sensitivity, and application of the Code of Ethics for Nurses. Methods: A quasi-experimental research design and t-test were used. The experimental group (n=31) and control group (n=32) were second-year university nursing students in two major cities. The experimental group received 15 hours of nursing ethics education during the 15-week semester. The training was not provided to the control group. Results: The application of the Code of Ethics for Nurses increased significantly in the experimental group (t=-1.06, p=.017), nurses and patient (t=-2.23, p=.029), obligation of nurse as an expert (t=-2.08, p=.042), nurse and cooperator (t=-2.54, p=.014). The consciousness of biomedical ethics increased significantly in the experimental group (t=4.28, p=.021), newborn's right to live (t=-2.61, p=.011), euthanasia (t=-2.36, p=.021). Conclusion: The results of the study show that providing a nursing biomedical ethics program to nursing students is an effective method to enhance the application of the Code of Ethics for Nurses and Consciousness of Biomedical Ethics. Implementing an intervention program of the Code of Ethics for Nurses in the regular nursing curriculum may reduce conflicts involving ethical decision making by nurses.

The Effect of confirmation bias on Intentionality Judgment: The Role of Crime Typicality and Seriousness (고의성 판단에 확증편향이 미치는 영향: 범죄의 전형성 및 심각성의 역할)

  • Choi, Seung-Hyuk
    • Korean Journal of Culture and Social Issue
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    • v.26 no.3
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    • pp.329-349
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    • 2020
  • Confirmation bias is well known to be the cause of widespread misjudgment in the field of forensic decision-making. In this study, we examined the psychological mechanisms by which confirmation bias affects intentionality judgment in serious injury and death cases that combine the moral characteristics of the perpetrator and victim differently. As a result, participants perceived the case as a more typical criminal case when both the perpetrator and victim were bad people, and gave higher intention to perpetrators' actions in these typical crimes. In particular, it was found that people with a high degree of confirmation bias highly judge the intention of the offenders in a consistent way with the stereotype of criminal cases. However, in serious criminal cases, the moderate effect of confirmation bias has disappeared and only the effect of crime typicality has existed. Finally, we discussed implications of this study and ways to reduce bias in intentionality judgment.

Trends of the researches related to ethical topic in Korean nursing students (국내 간호학생 대상 윤리관련 연구 동향)

  • Jin, Eunju;Kang, Hyunju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.4
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    • pp.402-411
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    • 2020
  • Purpose: The purpose of this study is to explore the trends of research related to ethical topics in Korean nursing students. Methods: A total of 131 articles that were published from 2000 to 2020 were analyzed and summarized according to publishing type, research design, subject, data analysis method, main research topic, research variables and instrument. Results: Most studies were journal articles (93.9%) and their most frequent research design was survey (75.7%). The research subjects covered all grades (35.1%) or they were divided between clinical nursing practicum (29.8%) or not (21.4%). The main research topics were biomedical ethics, ethical values, moral judgment and ethics education. Recently, ethical decision making and practical ability in nursing practice were reported. The instruments for measuring variables were limited and the same tools were used several times. Conclusion: Based on the findings of this study, it is suggested that the selection of various research topics and the application of research methods related to ethics for nursing students will continue in response to rapidly changing social phenomena in the future. In particular, it is necessary that research related to ethical and practical ability as well as ethical attitudes and perceptions of nursing students be actively carried out.

A Study on the Liability Limitation Provision and Firms' Cost Behavior (이사책임감면규정 도입이 기업의 원가형태에 미치는 영향)

  • Rhee, Chang Seop;Woo, Sohee
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.423-431
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    • 2019
  • This study examines the effect of the liability limitation provision (LLP) adoption on firm's cost behavior. In April 2011, Korea introduced the LLP with the purpose of improving the management efficiency by mitigating the risks caused by the manager's failure to make decisions related to business operation. However, there are concerns that the adoption of LLP may lead the manager's moral hazard, so the need for empirical research to verify the effect of the LLP adoption is emphasized. In this study, we analyze the effect of the LLP adoption empirically, focusing on the cost behavior that is affected by the manager's decision making. From the empirical result, we find that LLP adopted companies have strengthened the cost stickiness of selling, general, and administrative costs rather than non-adopted companies. This suggests that the manager of LLP adopted company makes a more active decision to consider adjusting costs in order to prepare for future recovery in sales when sales is reduced. This study presents empirical evidence to prove the policy validity of the adoption of LLP, and we expect that our results can contribute to the capital market and academia.

A Bioethical Study of the Informed Consent for Organ Donor (장기공여를 위한 사전동의의 생의윤리학적 고찰)

  • Um, Young-Rhan;Han, Sung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.475-487
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    • 1998
  • This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

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The Effects on SSI program of elementary pre-service teachers in 'The Universe and the Earth' ('우주와 지구' 분야에서 초등 예비교사들의 SSI 프로그램 수업 적용 효과)

  • Lee, Yong-Seob;Kim, Soon-Shik
    • Journal of the Korean Society of Earth Science Education
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    • v.7 no.3
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    • pp.338-346
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    • 2014
  • In this study, find out of recognition of the effect of science, society and ethical aspects on natural disasters and understanding degree of knowledge applying for SSI class aimed at elementary pre-service teachers by developing SSI training program of the 'Earth and Space' field. Also, after SSI class application we examined the change perceptions of elementary pre-service teachers. SSI training program was that elementary pre-service teachers participated in the SSI class of a variety of subjects in the field of 'Earth and Space' and directly joined in the decision-making process and reflectional discussion with colleagues as conducted in this class reflective discussion with the pre-primary teachers pre-service teachers. Elementary pre-service teachers were understanding of the nature of the science and to understand in more depth about the SSI class characteristics. This study, second grade 115 people who was taking 'science and teaching materials' course in B National University of Education at B city participated. In order to apply for SSI class, one semester based on 15 weeks until seven weeks were science and teaching materials and based on the nature of science, after 8 weeks we set the theme of the contents related to the Earth and space and give lesson applied for SSI. During 8 weeks, test subjects 4 classes were taking 50 minutes a week 100 minutes. First time has theoretical lessons in topics related to the 'Earth and space' and on the second week, each classes participate in the decision-making processes respectivly by dicussing and debating on the first week's topic as regarding social and moral aspects of it. We obtained the following results. First, elementary pre-service teachers were acquiring the results of 67% in the knowledge aspects of the 'Earth and space'. This result was determined that most of the elementary pre-service teachers were liberal arts in high school. Second, while participating in the SSI class, elementary pre-service teachers were concretely aware of the nature of SSI and the characteristics of the class. Third, the elementary pre-service teacher are thaught that introduction education courses about 'Earth and space' are needed but most of the students responded that this would require a lot of effort of teachers. This was derived from not familiar class form that did not fulfill in the science teaching methods until now.

How Can Marketers Overcome Consumer Resistance to Innovations? - The Investigation of Psychological and Social Origins of Consumer Resistance to Innovations - (마케팅관리자들이 어떻게 혁신에 대한 소비자저항을 극복할 수 있는가? - 혁신에 대한 소비자의 개인적 사회적 저항의 근원 탐색 -)

  • Bagozzi, Richard P.;Lee, Kyu-Hyun
    • Journal of Global Scholars of Marketing Science
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    • v.15 no.3
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    • pp.211-231
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    • 2005
  • It is important for marketers to understand both individual resistance and group resistance in order to successfully bring innovations into global markets. We suggest that consumers resist innovations as individuals and as members of a group and that they do this in different ways at different stages of decision-making. The individual resistance begins with forms of initial resistance, develops into emergent resistance and mature or belated resistance at the individual level. In addition, personal moral standards can influence decision making in relation to the adoption of innovations. Individual resistance is sometimes accompanied by or evolves into group resistance. We introduce a framework for thinking about consumer resistance to innovations that sees it as a consequence of social identity, which has functions for the individual, the group to which one belongs, and other individuals and groups. Consumers with membership in a certain group try to increase their self-esteem through the process of social comparison. The more consumers strongly identify with and bond with a certain group, the more in-group solidarity and out-group hostility will occur. Out-group hostility gives group members strong resistance toward products and services related to the out-group. Individual resistance and group resistance are threats to marketers and dampen performance. By considering the existence of resistance to innovations and seeking strategies to overcome it, marketers can transform these threat into new opportunities. A better understanding of consumer resistance can complement research on the adoption of innovations and help in the development of a universal model of consumer behavior.

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A Reconsidering on Setting for Philosophy and Curriculum Development in Nursing Education (간호교육과정틀에 관한 소고 -돌봄과학과 보건정책 중심으로-)

  • Kim Myung-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.1
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    • pp.55-66
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    • 1995
  • The goals of nursing education, and the bases for evaluating them depend on the goals of nursing practice. In order to prepare for the coming twenty first century and the meet changing societal demands and health needs, it is necessary to develop a new conceptual framework for future nursing education. While hospitals will still be in significant components of the health care system, will no longer be central focus or dominant influence. Health care services will be more usually delivered at community base. The nursing education required by that new approach must provide for reconsidered about a concept of caring as nursing curriculum. The changes in health care delivery that have occured, now being proposed, for nursing education undergoing its own changes. So the philosophy and objectives of education meed to reconsidering about the caring concept and general nursing. Nurse educators must prepare students to practic in condition of constant change. At the same time nurse educators must emphasize preparation about that. The practice of science of caring in nursing draws on a basic knowledge of the behavioral knowledge, biophysical processes, pathological processes, nursing skills and procedures and various treatment regimes and problem solving to help decision making in nursing situations. The concept of care is probably one of the least understood ideas used by professional and nonprofessional people, yet it is probably one of the most improtant concepts to be understood by nursing. Human caring and human relationships are closely interrelated. Humn caring remains an essential dimension of professional work and the science of caring as essental to the discipline of nursing. It is expected that the objectives of nursing education will be accomplished when the course and content of the curriculum are based on this conceptual framework. One recurrent education goal with some consistency is that of equipping the student with the necessary skills to live effectively and productivly in the world of tomorrow. In the new vision we are developing, professional education must also include exposure to liberal arts, encouragement of critical thinking, and a moral context for advanced professional education that is based upon a contextual health policy and caring science educational model.

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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.

Why do children loose their compliance with the law as they grow? (무법으로 태어나 준법을 거쳐 위법으로 성장하는 이유?)

  • Taekyun Hur
    • Korean Journal of Culture and Social Issue
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    • v.11 no.spc
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    • pp.117-131
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    • 2005
  • The present research integrated various theoretical perspectives of human unlawful behaviors in order to clarify the psychological mechanisms that underly the changes in compliance with and attitude toward law as time goes. Most well-known theories such as classical theory of crime, biosocial and evoluationary theories, and psychological perspectives including psycho-dynamic theory, personality, intellectual/moral development theories, and decision-making were discussed in their unique points in explaining human unlawful behaviors. Finally, social-learning theory and cognitive-dissonance theory has been suggested to explain the psychological mechanism of the phenomena in which people's attitude toward law and compliance with law become weaken through violation experiences of trivial lawful regulations. Especially, the logic of cognitive-dissonance theory (that people committed violation of trivial laws should experience dissonance with their original belief of compliance with law and negative arousal and try to remove the arousal by change their belief along with their behavior) were theoretically convincing to explain the phenomenon and supported by a series of experimental studies. Several practical implications for future constitutional and political activities were discussed in the basis of the cognitive dissonance theory.