• Title/Summary/Keyword: nursing ethics

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The Scope of Practice for Registered Nurses in 64 South Korean Laws

  • Choi, Sungkyoung;Jang, Seung Gyeong;Lee, Won
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.760-770
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    • 2019
  • Purpose: The role of registered nurses is expanding in scope as the healthcare paradigm shifts from acute, hospital-based care to community and population-based care. Given this paradigm shift, this study explores the legal aspects of the role of a registered nurse. Methods: We used document analysis for extracting laws and legal orders related to nursing from the entirety of Korean law. Using textualism approach, we examined the contents utilizing a framework that was developed based on the role classification of community nurses by Clark in this study. Results: A total of 119 items related to nursing were derived from 64 laws. Of these, 71.4 % can be performed by people in multiple types of occupations including nurses. As a result of analyzing required qualifications, 45.4% of 119 items required additional qualifications besides registered nurse license. Analysis of workplace and activity type demonstrated that 26.1% of the 119 items were related to medical institutions, with nurses performing mostly "Client-oriented role." More than half (68.9%) were non-medical institutions, with nurses performing mostly "Delivery-oriented role." Some, however, did not stipulate the nurse's roles clearly. Conclusion: Therefore, to match the enhanced scope and responsibilities of registered nurses and to appropriately recognize, guide, and hold these nurses accountable, laws and policy must reflect these changes. In doing so, these updated laws and policies will ultimately serve as a basis for improving the quality and safety of nursing services.

Development of Educational Program for Hospice Smart Patient Service Provider (호스피스 스마트 환자 서비스 제공자를 위한 교육과정 개발)

  • Park, Chai-Soon;Yoo, Yang-Sook;Park, Hyun-Jeong;Choi, Dong-Won;Choe, Sang-Ok;Kim, Seong-Eun;Kim, Hyo-Jung
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.43-51
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    • 2009
  • Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of 'Introduction to cancer', 'Treatment and treatment complications of cancer', 'Post-treatment nutritional care', 'Helpful information', 'Introduction to hospice and palliative care', 'Comprehension of life and death', 'Holistic hospice and palliative care', 'How to communicate as a smart patient', 'Hospice and ethics', 'Pediatric hospice', 'Bereavement management', and 'Clinical practicum'. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

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The Effects of Debate Classes based on an Ethical Decision-Making Model on Ethical Knowledge, Class Satisfaction, and Ethical Values (윤리적 의사결정모형 기반 토론식 수업이 윤리 지식, 수업만족도 및 윤리적 가치관에 미치는 효과)

  • Kim, Chang-Hee;Jeong, Sun-Young
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.405-414
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    • 2014
  • This research aims to strengthen the ethical decision-making capability of nursing students, and involves 82 fourth-year undergraduate nursing students in a nonequivalent control group pre-post quasi experimental research design from March 4 to June 3, 2013. Experimental group took a discussion-based class and control group took a traditional lecture-based class and we identified the differences in ethical knowledge, class satisfaction and ethical values between the two groups. Experimental group had higher scores for ethical knowledge after the class. There was no significant change in ethical values after the class in the two groups. The experimental group achieved significantly higher scores for the comprehension of class contents and practical application within the class satisfaction criteria. So we propose to use this model as an effect teaching method to apply ethical principles in nursing practice.

Nursing research trends for the consciousness of bioethics published in korea (국내학술지에 게재된 생명윤리의식에 관한 간호연구의 동향)

  • Choi, Mi-Sun
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.207-217
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    • 2018
  • The purpose of this study was to identify nursing research trends for the consciousness of bioethics published in korea. A total of 30 studies were analyzed using descriptive statistics. 70% of the studies was published for the last five years, and 76.7% of studies were conducted in a descriptive study. Nursing students accounted for 83.1% in terms of the participants, and a questionnaire was used for the data collections in the entire studies. The studies considered ethical aspect accounted for 90.0%. In the experimental studies, the nursing intervention was a education program, and dependent variables of the studies included consciousness of bioethics, moral sensitivity, critical thinking and moral judgment. Among the top 10 priorities in the key words, the first priorities was the bio-medical ethics. In conclusion, it is suggested to develop an expanding-iterative studies, qualitative studies, and development of bioethics programs for nurses.

The Influence of Nursing Students and Nurses' Awareness and Practice of Emerging Infectious Diseases, and Ethical Awareness on Ethical Decision-making (간호대학생과 간호사의 신종 감염병에 대한 인식 및 실천, 윤리인식이 윤리적 의사결정에 미치는 영향)

  • Pak, So Young
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.61-70
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    • 2021
  • This study is a descriptive research study to identify differences in awareness and practice of emerging infectious diseases, ethical awareness, ethical decision-making, and the effect on ethical decision-making among nurses and nursing students. 179 data were collected for nursing students and nurses in K city from August 20 to September 10, 2020. As a result of the study, there was a statistically significant difference between nursing students and nurses only in decision-making related to the principle of justice among ethical decision-making, and it was found that ethical education experience (𝛽=0.18, p=.013) influenced ethical decision-making. Based on the research results, it is suggested to develop a simulation-centered convergent ethics education program to improve ethical decision-making and provide regular education.

A Comparative Study on the Perceptions of Nursing Students and Clinical Instructors on the Importance of Learning Contents of Nursing Management and Practical Experience (간호관리학실습 교과내용에 대한 중요도와 실습 경험에 대한 간호대학생과 임상현장지도자의 인식 비교 연구)

  • Koo, OK-Hee;Hong, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.90-99
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    • 2021
  • This study was conducted to provide basic data for improving nursing management practice by comparing and analyzing the perceptions of nursing students and clinical instructors about the importance of the learning contents of nursing management and their practical experience. The final 343 copies were analyzed using the Mann-Whitney test and cross-analysis, targeting 4th-grade students and clinical instructors at three universities. Both nursing students and clinical instructors recognized 'communication', 'interpersonal relationship', 'responsibility', 'trust', and 'morality' as important factors in the evaluation items of practice. Among the top 10 most importantly recognized items among nursing-management practice learning content, six items ('infection control', 'nursing record management', 'patient nursing management', 'drug management', 'patient safety', and 'nursing malpractice') were matched in the two groups. Moreover, clinical instructors recognized that interpersonal relationships and relationship ethics were important, while nursing students chose legal responsibility. As a result of the practical experience analysis between the two groups, nursing students had high experience of indirect participation, but the clinical instructors had a high experience of direct instruction. A plan is needed to reduce the difference by establishing an organic partnership relationship between the university and practice institutions and increase the experience of direct practice of nursing students.

Experience of Nursing Professionalism among Nursing Students after Simulation-based Education: Focused on finding from a focus group interview (시뮬레이션 기반 실습 교육을 통한 간호학생의 간호전문직관 인식 경험: 포커스 그룹 인터뷰를 중심으로)

  • Lee, Eunhye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.268-279
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    • 2020
  • This study was undertaken to identify nursing professionalism perceptions among nursing students who had completed a semester of simulation-based education, and to provide the basis for presenting direction of the simulation curriculum that helps in the emergence of a positive nursing professional in future. Data obtained from focus group interviews of study participants determined 17 semantic categories and 6 themes through the process of identifying, comparing, and categorizing meaningful concepts. The perception of nursing students regarding the profession after simulation-based education include 'realization of professionalism', 'ethics and emotions as professional human subjects', 'cultivation of communication skills', 'integrative thinking for problem solving', and 'foundation', and also the importance of a 'foundational knowledge body' and 'reflection of self-capacity'. The results of this study reflect on 5 intuitional areas of a nursing professional: professional self-concept, social awareness, nursing expertise, nursing room role, and independence of nursing. The results of this study indicate that in order to enable nursing students to experience nursing professional intuition through simulation-based hands-on training, it is necessary to actively revise and apply courses for the development of a positive nursing professional intuition through simulation education.

Altitudes or EMT and Nursing students toward Euthanasia (일부 응급구조과 학생과 간호과 학생의 안락사에 대한 태도조사 연구)

  • Kim, Mi-Seon;Park, Mi-Hwa;Hwang, Seon-Young
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.39-53
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    • 2002
  • This descriptive study was conducted to identify the attitude toward euthanasia of EMT and nursing students and to compare their attitude before and after clinical practice. The convenience sample was comprised of 40 first grade and 40 second grade EMT students attended at G college in G-city, and 40 first grade and 40 third grade nursing students attended at C college in C-province. The variable was tested with an euthanasia attitude scale developed by Kim Ae Kyoung(2001). The valid responses were obtained and analyzed by using SPSS PC+ from November 25 to December 6, 2002. The results showed that most of the respondents agreed to have positive attitude toward euthanasia in terms of client's right and client's quality of life. Also, they thought that euthanasia should be legalized and the right to die with dignity should be guaranteed. The EMT respondents having a clinical experience showed significantly higher score than respondents having no experience in the subarea of medical ethics, and nursing respondents who had a clinical practice showed significantly higher score than others no experience in the subarea of quality of life. But, the other sub-areas had no significant difference between the respondents before and after clinical practice. The attitude toward euthanasia composed of sub-areas such as being after the quality of life, having a high regard for a life and recognizing client's right was not affected by the single factor of clinical practice. Therefore, much supportive intervention need to be done for the students about the significant affecting factors found in this study like a religion, values, education and observing experience of someone's death.

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Awareness about pandemic influenza, Ethical Awareness, and Ethical Decision-making among Nursing Students in the situation of COVID-19 pandemic. (코로나-19 대유행 시 간호대학생의 신종감염병에 대한 인식과 윤리 인식, 윤리적 의사결정)

  • Park, Mihwa
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.335-344
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    • 2020
  • This study was a descriptive research study to identify of awareness about pandemic influenza, ethical awareness, and ethical decision-making in the situation of COVID-19 pandemic. The subjects were 194 nursing students in H and Y city. Data collected from May 1 to June 20, 2020 and analyzed using the SPSS 24.0 program. The subject's awareness about pandemic influenza was moderate, and ethical awareness and ethical decision-making were high. Ethics awareness and ethical decision-making levels were higher for those who had a history of infection with new type of infectious disease than those who did not. Awareness about pandemic influenza is positively correlated with ethical awareness(r=.291, p<.001) and ethical decision-making related to pandemic influenza(r=.143, p=.046), ethical awareness is a positive correlation with ethical decision-making(r=.274, p<.001). Based on result, propose the development of an educational program to make correct ethical decisions in the social disaster caused by infectious diseases for nursing students.

Convergence Study of Reliability and Validity testing for Professional Moral Courage Scale Translated in Korean (Professional Moral Courage Scale(PMCS)의 한국어 번역의 신뢰도와 타당도에 관한 융합연구)

  • Moon, Suk Ja;Kim, Dal Sook
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.151-161
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    • 2017
  • This methodological study was conducted to test a Professional Moral Courage Scale(PMCS) translated in Korean for 196 nursing students in Changwon, Korea. Data were collected from January 13 to February 20, 2017. An internal consistency reliability and construct validity using exploratory and confirmatory factor analysis were conducted. These items were categorized into 4 factors explained 62.20% of the total variance. 4 factor model was validated by CFA(${\chi}2/df=1.89$, p<.001, RMR=.055, GFI=.93, AGFI=.89, CFI=.92, RMSEA=.067). The Cronbach's ${\alpha}$ was .79 and the reliability of subscales ranged from .44 to .80. The results show that this scale can provide scientific and empirical data when evaluating the PMCS of further clinical nurses, it is meaningful in the sense that it is the first attempt to measure the moral courage needed to provide a good nursing.