• 제목/요약/키워드: nursing ethics

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간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구 (A Study for Development of Competency-Based Continuing Education System Depending on Nurses Clinical Ladder)

  • 장금성;김희영;김남영
    • 한국콘텐츠학회논문지
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    • 제18권12호
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    • pp.503-515
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    • 2018
  • 본 연구의 목적은 간호사 보수교육을 위한 간호역량을 도출하고 간호역량의 정의와 지식기반을 규명하며, 경력단계를 구분하여 역량기반 보수교육시스템 개발을 위한 기초자료를 제공하는 것이다. 국내외 문헌 10개를 분석하여 간호역량을 도출 정의하였고, Carper와 Chinn & Kramer의 연구를 근거로 각 간호역량의 지식기반을 규명하였다. 간호사 경력단계별 간호역량 행동지표를 개발한 후, 국내 전문가 7인을 선정하여 내용타당도를 검증하였다. 연구결과 보수교육 이수를 위한 간호역량은 근거기반환자간호, 교육과 지도상담, 간호관리와 리더십, 법과 윤리, 직업가치와 전문성 개발, 연구와 정책개발이었다. 또한 보수교육 이수를 위한 임상경력 4단계 구분과 24개 간호역량 행동지표의 타당성을 확인하였고, 임상경력단계별 간호사 보수교육방법을 제안하였다. 본 연구결과를 토대로 임상경력단계에 따른 역량기반 보수교육시스템이 국내 간호사의 전문성 향상을 위한 효과적인 인적자원개발 전략으로 활용되기를 기대한다.

문제중심학습기반 시뮬레이션 실습교육이 간호대학생의 정보활용능력, 자기주도적 학습능력, 학업적 효능감에 미치는 효과 (Effects of Simulation Education with Problem-based Learning on Information Literacy, Self-directed Learning Ability, and Academic Self-efficacy of Nursing Students)

  • 조옥희;황경혜
    • 디지털융복합연구
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    • 제17권4호
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    • pp.239-247
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    • 2019
  • 본 연구의 목적은 SIM-PBL이 간호대학생의 정보활용능력, 자기주도적 학습능력, 학업적 효능감에 미치는 효과를 규명하기 위함이다. 대상자는 한국의 일개 대학교 간호학과 4학년 학생 81명이었다. SIM-PBL은 4주 동안, 주 1회(150분) 제공하였고, 교육 전후에 구조화된 설문지를 활용하여 정보활용능력, 자기주도적 학습능력, 학업적 효능감을 조사하였다. 교육 후에 정보활용능력의 하부영역 중 정보통합(${\acute{p}}=.030$), 정보표현(${\acute{p}}=.003$) 및 정보윤리(${\acute{p}}=.016$) 영역의 능력이 향상되었다. 그러나, 자기주도적 학습능력과 학업적 효능감은 교육 후에 변화가 없었다. SIM-PBL은 간호대학생의 정보활용능력을 향상시키는데 효과적인 교수법임을 확인하였다. 앞으로, 신뢰성 높은 유용한 정보를 윤리적으로 활용할 수 있도록 돕는 SIM-PBL 교육방안이 필요하다.

한방전문간호사 교육과정 개발 연구 (A Study for a Curriculum for the Oriental Clinical Nurse Specialist Program)

  • 이향련;김귀분;조결자;신혜숙;김광주;왕명자;김숙영;김정아;김현실
    • 대한간호학회지
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    • 제30권6호
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    • pp.1467-1478
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    • 2000
  • The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

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Stakeholders' Opinion on the Desired Characteristics of Nursing School Graduates and Factors Concerning Nursing Curriculum Development in Thailand

  • Kittiboonthawal, Prapai;Siriwanij, Wareewan;Ubolwan, Kanyarat;Maneechot, Munthana
    • Asian Journal for Public Opinion Research
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    • 제5권4호
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    • pp.319-345
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    • 2018
  • Effective higher educational management in undergraduate nursing programs is an important issue from the viewpoint of stakeholders. This qualitative research aimed to examine the characteristics of nursing students and curriculum development of undergraduate nursing education from the opinions of Boromarajonani College of Nursing Saraburi, Thailand stakeholders. The population included 4 groups: 1) the alumni who have graduated within the past 5 years and currently work in primary, secondary, and tertiary care units, 2) the supervisors and colleagues of the alumni, 3) nursing lecturers, and 4) the current nursing students. The respondents who are the alumni, nursing lecturers, and current nursing student were selected using a purposive sampling, for the supervisors and colleagues were selected using snowball techniques. Semi-structured interview questions were used for data collection. Group discussions were conducted until saturation on 55 key informants. The qualitative data was analyzed using content analysis. Results showed the viewpoints of stakeholders on the characteristics of future nurse graduates were comprised of four elements: knowledge that meets standards; essential skills for self-development and lifelong learning process; good morals and professional ethics in providing nursing care; and nurse competencies in teamwork, communication, language, research, management, IT, life skills, and global literacy. The viewpoints on the development of the nursing curriculum focus on four elements: the learner, teaching and learning, course content, and instructor tasks. For learners, the admission criteria should include a minimum not only of knowledge, but also positive attitude, science, and art skills, since the nursing profession is both a science and the art of caring. Teaching and learning elements should be authentic, including exposure to real situations, an integrated network, and activities that improve nursing care. Course content was comprised of an updated curriculum, humanized nursing care, student center, theory and practice with moral integration, case-based study, critical thinking, multidisciplinary work, and love for the nursing profession. Instructor tasks are to elicit student ideas, provide opportunities to learn, support infrastructure, support technology use, and extra-curricular activities to develop the competencies of nursing students. Recommendations were that the curriculum administration should review the selection process of student candidates and instructional management to achieve expected outcomes of nursing characteristics in the future. The nurse lecturer should provide authentic and integrated instruction, decrease lecturing, cultivate a lifelong learning process, and sustain the nursing characteristics.

간호사의 소극적 안락사에 대한 태도 조사 (The Study of Attitude to Passive Euthanasia among Korean Nurses)

  • 김애경
    • 기본간호학회지
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    • 제9권1호
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    • pp.76-85
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    • 2002
  • Purpose: This study has been designed to identify attitudes to euthanasia held by Korean nurses. Method: Data were collected through a survey, and the participants in the study were 234 Korean nurses. Convenience sampling method was used and analysis of the data was done with SPSS PC for descriptive statistics, t-test and ANOVA. Results : 1. The mean score for euthanasia was 2.80. and the sub dimension mean scores were, patients' rights. 3.24, quality of life, 2 78, respect for life, 2.68, medical ethics, 2.50. 2. With respect to the general characteristics of participants there were statistically significant difference in total score according to religion (P= .01), and degree of influence of religion on behavior (P= .00). 3. There were statistically significant difference in score of quality of life according to religion (P= .04), degree of influence of religion on behavior (P= 00), decisions in euthanasia (P=.04), and legal permission (P= .04). 4. There was statistically significant difference in score of patient's right according to legal permission (P = .04). 5 There were statistically significant difference in the score of respect for life according to religion (P= .00), degree of influence of religion on behavior (P= .00), decision in euthnasia (P= .00), and legal permission (P= .00).

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Knowledge of Turkish Mothers with Children in the 0-13 Age Group about Cancer Symptoms

  • Demirbag, Birsel Canan;Kurtuncu, Meltem;Guven, Hadiye
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1031-1035
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    • 2013
  • Background: There have been few studies in Turkey on the incidence of childhood cancers. A mother's knowledge about signs and symptoms of cancer is important for early diagnosis, effective treatment, and improvement of life expectancy. This study was conducted with a group of mothers of children, aged 0-13, at a Family Health Center (FHC) in Turkey's Eastern Black Sea Region, to analyze their knowledge about cancer symptoms in childhood. Materials and Methods: The study group of this descriptive/cross-sectional research comprised 2,061 mothers, ages 19-49, at an FHC in the Eastern Black Sea Region in February 1, 2011 - June 1, 2011. Before the study, permission was obtained from the local ethics board and the institutions concerned. A value of p<0.05 was accepted as statistically significant. Results: Of the mothers, 34.9% were between the ages of 40-47, 40.5% had three children, 73.8% had no experience with children with cancer, 45.9% said they learned about cancer on television, 39.7% stated that the primary reason for childhood cancer was the mother's smoking during pregnancy, 68.8% said that early diagnosis would save a child, and 98% wanted to learn about childhood cancer. Conclusion: It was determined that the mothers' knowledge of cancer was deficient.

요양병원 간호사의 윤리적민감성과 개인-환경적합성이 인간중심돌봄에 미치는 영향 (Influence of Ethical Sensitivity and Person-environment Fit on Person-centered Care of Nurses in Long-term Care Hospitals)

  • 이혜란;양남영
    • 가정간호학회지
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    • 제29권2호
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    • pp.175-182
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    • 2022
  • Purpose: The study examined the effects of ethical sensitivity and person-environment fit on person-centered care of nurses in long-term care hospitals. Methods: The participants were 111 nurses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The mean of person-centered care was 2.95±0.62 out of 5. There were significant differences in person-centered care in terms of age, shift pattern, total clinical career, and educational experience of person-centered care. Person-centered care and ethical sensitivity, person-centered care and person-environment fit showed a positive correlation. Factors affecting the person-centered care were the age (20-29), shift pattern (three shift), person-environment fit. The explanatory power was 42%. Conclusion: These results can be used to increase the person-environment fit and adopt a differented approach based on age and shift pattern in order to enhance person-centered care. Therefore, it is necessary to develop and apply an person-centered care program for nurses in long-term care hospitals.

사춘기 청소년의 성교육 활성화를 위한 인터넷기반 교수-학습 프로그램의 내용설계 및 평가도구 개발 (Design and Evaluation of the Program on the Internet for Sexuality Education of Adolescences)

  • 강남미;김영란;박영숙;손인숙;이성호
    • 여성건강간호학회지
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    • 제8권4호
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    • pp.595-607
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    • 2002
  • Sexuality education in the period of adolescents need much care and attention. The programs of sexual education through the Internet are excellent resources for adolescents to gain the information related to their sexual health. And systematic program which is necessary for adolescents to manage their sexual health has been rarely found in Korea. The purpose of this study was to offer valuable database for program design and evaluation on sexual education of middle school students through the Internet. Needs assessment for the information of sexual education on the internet among middle school students were carried out. A questionnaire survey was conducted with respondents of 602 middle school students from January to March in 2002. In the sexual counseling center for middle school students, counseling cases through internet were analyzed and evaluated from October, 2001 to September, 2002, We have selected 16 Sexual educational websites in Seoul confirmed Korean Educational Human Resource. Contents which was illustrated in 16 sexual educational websites were analyzed and evaluated by 12 sexual counselors. Design and evaluation of the program on the internet for sexuality education of adolescences was conducted on the basis of this study results by middle school expert teachers, sexual counselors, sexuality education professionals. Data was statistically analyzed using dBSTAT 4.0 for Windows. The extent and phase of the teaching-learning program of the sexuality education on the internet was seen as follows : 1. We evaluated to need for sexuality education on the internet by middle school student. 2. We assessed the properness of sexuality education curriculum on the internet frequently used by middle school students. 3. We designed teaching strategy and learning program for sexuality education of the middle school students. 4. We developed the assessment method for the teaching-learning program of the sexuality education in adolescences on the internet. Middle school students responded that sexual education through Internet is needed in the order of programs related to acquaintances with opposite sex, Sexual culture and ethics, Sexual health, Reproductive health structure and development, Marriage and family, Psychology of Sexuality, Pregnancy and birth. In the internet counseling, cases on the 'reproductive health structure and development' was ranked as the top. In short we have found the most needs as follows; Meaning of the marriage life and having family, Sexes and Love, Human relation, Sexual Culture.We recommend as follows on the basis of this study results: 1. It is necessary for sexuality education program on the internet to specify according to age and target the specific individual needs. 2. Sexual educators have to employ various educational materials such as flash, cartoon, multimedia in order to provide effective sexuality education. 3. Internet based sex education need to be evaluated regularly through reassessment of the effectiveness of sexuality education for content quality and richness.

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4차 산업혁명 시대의 윤리적 이슈와 대학의 생명윤리교육 방향 제고 (Ethical Issues in the Forth Industrial Revolution and the Enhancement of Bioethics Education in Korean Universities)

  • 김수경;이경화;김상희
    • 한국의료윤리학회지
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    • 제21권4호
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    • pp.330-343
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    • 2018
  • 4차 산업혁명시대가 도래했다는 관심이 증가되면서 이에 따른 윤리적 이슈에 대한 탐구 및 대학 교육의 방향에 대한 제고가 필요하게 되었다. 본 논문의 목적은 4차 산업혁명 시대의 대표적 기술분야인 인공지능, 빅데이터, 유전체 기술, 가상현실의 윤리적 이슈 및 국내외 정책과 교육 현황을 살펴보고 앞으로 대학의 생명윤리교육이 나아가야 할 방향을 제안하는 것이다. 4차 산업혁명시대의 국내외 정책과 교육현황을 요약하면, 국외는 4차 산업혁명 기술의 잠재적 이득과 사회적 위험에 대한 법적, 윤리적 고려를 바탕으로 관련 가이드 라인 및 규제 권고안이 발표되었고, 과학 기술의 발전에 따른 학생들의 윤리적 가치 확립의 중요성이 정책적으로 강조됨에 따라 4차 산업혁명시대의 기술개발과 관련된 생명윤리교육과정이 개설된 바 있으며, 대학 내 윤리실험실 개설, 공개 토론회를 넘어 온라인 공개 강좌를 통해 생명윤리 교육의 접근성을 높이고 있다. 국내의 경우에도 최근 공청회 등을 통해 4차 산업시대의 정책방향에 대한 논의가 이루어지고 있으며, 대학교육 또한 시대적 흐름에 맞는 생명윤리 교육을 제공하기 위한 시도가 이루어지고 있다. 그러나 국내 대학의 생명윤리교육은 전통적인 생명윤리 주제에 새로운 과학기술로 야기된 윤리적 이슈를 일부 추가하여 운영되는 교육과정이 대부분이며, 단일 전공 교수자의 강의 운영, 선택 과목, 비정기적인 강의 개설, 그리고 온라인 공개 강좌의 부재 등의 제한점이 확인되었다. 이에 따라, 본 논문에서는 추후 국내 대학의 생명윤리교육을 개선하기 위한 방안을 다음과 같이 제안하고자 한다; 국내 대학의 생명윤리교육은 다직군 간 교육으로 개발되고, 점진적으로 필수 교육과정으로 지정하여 교육의 기회를 확보하며, 온라인 공개 강좌로 확대 개설할 필요가 있다. 또한, 대학 내 생명윤리 이슈에 관한 공개 토론의 장을 마련하고 과학기술의 발전과 그 변화를 함께할 수 있도록 주기적인 논의를 통해 생명윤리교육의 내용을 지속적으로 개선해야 할 것이다.

만성신장질환자의 임상시험 설명문 및 동의서 이해도와 관련 요인 (How Patients in Clinical Trials Understand Informed Consent)

  • 여원경;양숙자
    • 한국의료윤리학회지
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    • 제21권4호
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    • pp.344-359
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    • 2018
  • 본 연구에서는 임상시험에 참여한 만성신장질환자를 대상으로 임상시험 설명문 및 동의서 이해도와 관련 요인을 파악하기 위한 서술적 조사 연구이다. 자료수집은 임상시험에 참여하는 만성신장질환자 85명을 대상으로 2017년 7월 1일부터 2018년 4월 30일까지 설문조사를 통해 실시하였다. 본 연구의 결과로 설명문 및 동의서 객관적 이해도의 평균은 100점 만점에 69.56점, 주관적 이해도의 평균은 5점 만점에 3.28점으로 나타났다. 임상시험 설명문 및 동의서 객관적 이해도의 관련요인으로는 참여 동기(F=13.603, p<.001), 동의서 보유 유무(F=-4.833, p<.001), 건강문해력(F=27.709, p<.001)으로 나타났다. 주관적 이해도의 관련요인으로는 참여 동기(F=5.542, p<.002), 추가정보(F=-3.095, p<.003), 질문(F=-3.399, p<.001), 동의서 보유 유무(F=-5.712, p<.001), 건강문해력(F=5.941, p<.001)으로 나타났다. 결론적으로 만성질환자의 임상시험 이해도는 국외의 연구에 비해 이해도가 낮은 수준이며, 설명문 및 동의서의 내용을 일방적으로 전달하기보다는 이해도와 관련된 요인을 고려하여 동의과정에서 대상자의 충분한 이해를 도울 수 있도록 노력이 필요할 것으로 생각된다.