• 제목/요약/키워드: nursing ethics

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임상간호사의 윤리적 이슈 경험과 윤리교육 요구 (Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses)

  • 신자현;정석희;이명하;양영란
    • 간호행정학회지
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    • 제21권3호
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    • pp.327-339
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    • 2015
  • Purpose: This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. Methods: A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. Results: 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. Conclusion: The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.

간호대생의 스마트폰 중독과 신체증상 및 정신건강: 인터넷 윤리의식의 매개효과 (Relationship of Smartphone Addiction to Physical Symptoms and Psychological Well-being among Nursing Students: Mediating Effect of Internet Ethics)

  • 단현주;배노연;구종모;오향화;김미영
    • 간호행정학회지
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    • 제21권3호
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    • pp.277-286
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    • 2015
  • Purpose: This study was done to identify the status of smartphone addiction among nursing students and to examine the mediating effects of Internet ethics on the relationship between smartphone addiction, physical symptoms and psychological well-being. Methods: Data were collected between May 20 and June 23, 2014. Participants were a convenience sample of 214 nursing students of one university in Seoul. Structured questionnaires were used to measure degree of smartphone addiction, physical symptoms, psychological well-being and Internet ethics. Data was analyzed using Independent t-test, One-way ANOVA, Pearson correlation coefficient, multiple hierarchical regression. Results: Of the nursing students, 14.5% had high level of risk of smartphone addiction and 16.8% had potential risk. Higher frequency of physical symptoms and lower level of Internet ethics were related to the higher level of smartphone addiction. Voluntary-control in Internet ethics had mediating effects on the relationship between smartphone addiction and physical symptoms. Conclusion: The results suggest that the level of smartphone addiction may lowered in nursing students by intensifying Internet ethics especially voluntary-control. Based on these findings, Internet ethics program for nursing students should be developed to facilitate the effective use of smartphones.

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

  • 공병혜;이원희;김인숙;김수;이선희
    • 성인간호학회지
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    • 제19권4호
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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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간호윤리 교육현황 - 4년제 대학교육을 중심으로 - (The Status of Nursing Ethics Education in Korea 4-year-College of Nursing)

  • 한성숙;김용순;엄영란;안성희
    • 한국간호교육학회지
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    • 제5권2호
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    • pp.376-387
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    • 1999
  • 본 연구는 국내 대학교의 간호학과에서 이루어지고 있는 간호윤리교육의 현황을 파악함으로써 앞으로 나아갈 방향을 제시하는데 기초자료를 제공하기 위한 목적으로 조사되었다. 본 연구는 서술적 조사연구로써, 연구대상은 전국의 4년제 대학 간호학과 48개교이나 졸업생을 1회 이상 배출한 37개 대학을 대상으로 선정하여 31개 대학으로부터 자료를 수집하였으나 자료가 미비한 3개 대학은 제외하고 28개 대학의 자료를 최종 분석하였다. 자료수집방법은 현재 시행되고 있는 간호윤리 교육 현황을 조사하기 위하여 구조화된 질문지를 이용하였으며, 수집기간은 1999년 7월 19일부터 8월 4일까지였다. 자료분석은 빈도와 백분율을 사용하였다. 본 연구 결과는 다음과 같다. 1. 간호윤리학을 독립과목으로 운영하여 교육하는 대학은 6개교(21.43%)이며, 이수 학점은 모두 2학점으로 총 교육 시간의 평균은 28.67시간이었다. 2. 강의 목표는 간호전문직과 직업윤리관 확립, 간호윤리의 철학적 기초 및 윤리이론과 원리의 이해, 생명의료윤리의 주요주제들의 학습, 인간생명 존중의 가치관 확립, 간호전문직과 윤리강령의 학습, 간호현장에서의 도덕적인 제 문제에 윤리 이론 적용 간호사와 대상자, 협동자, 동료간의 윤리적 갈등의 이해와 해결 등이다. 3. 교육방법으로는 이론강의, 사례토론, 주제토론, 비디오상영 및 토론, 팀 교육, 역할 극, 보고서 제출 등 매우 다양하였다. 4. 교육내용으로 6개교 모두에서 다루는 것이 간호전문직과 윤리, 인간생명의 존엄성, 생명윤리의 필요성, 윤리이론 규칙, 간호사 윤리강령, 간호사와 대상자간의 윤리 문제, 간호사와 협동자간의 윤리문제, 간호사와 간호사간의 윤리문제이며, 5개교에서 윤리적 의사결정, 인공수정, 체외수정. 인공임신중절, 장기이식, 뇌사, 인간대상 실험연구, 자살, 안락사에 대하여 다루었으며, 말기환자 간호는 4개교에서, 기타 직업윤리 및 환자의 권리, 간호사와 사회기관, 생명의 관리자를 다루고 있었다. 5. 평가방법은 대개 필답시험과 리포트에 의존하고 있었다. 6. 간호윤리학이 독립과목이 아닌 22(78.57%)개 대학의 경우, 간호윤리를 간호학개론과목 (14개교)에서, 또한 간호관리학, 간호윤리.철학, 기타과목(간호특론, 간호와 법, 간호전문직론) 등에서 간호윤리학을 교육하였다. 7. 교육과정을 살펴보면, 1학년에서 가르치는 학교가 14개교로 가장 많았고, 가르치는 평균 시간은 9.32시간으로 나타났다. 교육내용으로는 독립과목에서 가르치는 내용과 유사한 것으로 나타났다.

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간호윤리 상황극을 통한 병원간호사의 긍정윤리관 변화 (Changing to Positive Ethics in Hospital Nurses through 'Theatre of Situations')

  • 엄영란;강소영;노원자
    • 임상간호연구
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    • 제18권1호
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    • pp.1-12
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    • 2012
  • Purpose: This study was done to examine changes towards positive ethics in registered nurses working in hospitals who took part in performing 'theatre of situations' in terms of issues of nursing ethics. Methods: This research was conducted with one-group pretest-posttest design. The sample, 232 registered nurses, voluntarily participated in a contest of 'Theatre of Situations' with themes of nursing ethics hosted by Hospital Nurses Association of Korea on September 8, 2011. For this contest, eight nursing situational scenario regarding ethical issues or dilemma were created. The theatre of situation was performed by volunteer nurses over a period of 160 minutes. Data were collected before and after the performance using 10 items to measure Positive Ethics. Item internal consistency had a Cronbach's alpha in this study of .716. Results: Before the theatre of situations was performed, the mean (${\pm}$standard deviation) level of positive ethics was 2.34 (${\pm}.37$). For the nurses who participated, there was a significant increase in the degree of positive ethics after the theatre of situations ($2.62{\pm}.36$, p<.001). Conclusion: This result implies that indirect experiences such as 'theatre of situations' in terms of ethical issues, created as well as performed, is effective for registered nurses in changing their ethical perspective positively and in realizing ethical ideals.

간호학생의 윤리교육 효과에 관한 연구;DIT(Defining Issues Test)를 사용하여 (A Study of an Effect of Ethics Education Being Provided to Nursing Students;Using the DIT(Defining Issues Test))

  • 이미애
    • 간호행정학회지
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    • 제14권1호
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    • pp.26-34
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    • 2008
  • Purpose: This Study was performed to measure the moral judgment of nursing students, and to identify an effect of ethics education being provided to nursing students. Method: This study is a kind of nonequivalent control group pretest-posttest using the Korean version of DIT which can measure the level of human's moral development. Result: In experimental group, the posttest scores on 4 stage and P are higher than the pretest of them, but these gaps between posttest and pretest are not statistically significant. The posttest scores of lower group on 4 stage and P are higher than the pretest scores of them, and these gaps are statistically significant in experimental group. The posttest scores of higher group on 4 stage and P are lower than the pretest scores of them, and these gaps are statistically significant in control group. Conclusion: It is concluded that the ethics education being provided to nursing students has an effect in this study. And it is suggested that it may be a good strategy to use the various scores of DIT to verify an effect of ethics education.

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의료계열 대학생들의 생명 윤리 의식 (Bioethical Perception between Nursing Students and Medical Students)

  • 안혜영;조병선;최숙희;최원;고유미
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.98-107
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    • 2008
  • Purpose: The purpose of this study was to provide basic data which is necessary for educating nursing and medical students for establishing a desirable sense of ethics values Method: In this descriptive research, a total of 140 nursing students and 124 medical students were selected. The tools used for data analysis were descriptive statistics, t-test, one-way ANOVA, and Scheffe test by using SPSS/WIN 12.0 version. Result: When the differences in the consciousness of biomedical ethics of nursing and medical students were compared, statistically significant differences were found in the category of brain death (t=-3.26, p=.001). Statistically significant differences were found in the general characteristics of religion (F=3.05, p=.018), and participation in religious activity (F=3.34, p=.006). Statistically significant differences were found in the characteristics related to the subjects' ethical values such as satisfaction level of a nurse/doctor (F=7.39, p=.000) occupation, the experience of A Patient's Bill of Rights (F=2.97, p=.020), the intention to attend biomedical ethics (F=5.61, p=.000), and the possibility of increasing ethical problems according to the development in the field of medical science (F=7.92, p=.000). Conclusion: An effort should be made to overcome the differences in the perception of biomedical ethics between nursing students and medical students. Moreover, when investigating the course of an integrated education for the establishment of a desirable sense of biomedical ethics, an alternative plan that could promote ethical values must be considered so that the significant variables can promote bioethical perception.

생명의료 윤리교육이 간호학생의 도덕적 민감성, 비판적 사고성향, 생명의료 윤리의식에 미치는 효과 (Effects of Biomedical Ethics Education on Moral sensitivity, Critical thinking and Biomedical ethics Awareness of Nursing Students)

  • 김경아;정계선
    • 한국산학기술학회논문지
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    • 제20권2호
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    • pp.240-249
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    • 2019
  • 본 연구의 목적은 체계적인 생명의료 윤리교육이 간호대학생의 도덕적 민감성, 비판적 사고성향 및 생명윤리의식에 미치는 효과를 파악하는 것이다. 본 연구는 비동등성 유사실험연구이며, 수집된 자료에 대한 분석은 반복분산분석을 이용하였다. 자료수집은 2014년 9월 1일부터 12월 31일까지이다. A와 S 시 소재 대학의 간호대학생과 간호사가 본 연구에 대상자로 참여하였다. 본 연구의 대상자는 총 91명으로, 간호대학생 중 32명은 실험군에, 33명은 대조군 A에, 간호사 26명은 대조군 B에 배정되었다. 연구의 결과, 실험군과 대조군 A와 B에서 도덕적 민감성과 비판적 사고에는 교육의 유, 무에 따른 유의한 차이가 없었고 생명의료 윤리의식에서는 유의한 차이가 있었다(F=3.432, p=.037). 생명의료 윤리의식의 하위 범주에서 '태아의 생명권'(F=4.476, p=.014)과 '태아의 산전 진단'(F=6.207, p=.003), '신생아의 생존권' (F=6.207, p=.003)에서 실험군과 대조군 A, 대조군 B 간에 유의 한 차이를 보였다. 생명의료 윤리교육은 간호대학생들의 도덕적 민감성, 비판적 사고성향 및 생명의료 윤리의식에 긍정적인 효과를 나타냈으며, 따라서 생명의료 윤리교육은 간호대학생의 생명의료 윤리의식에 긍정적인 효과를 보였으며, 간호대학생들의 생명의료 윤리의식을 높이는 데 유의한 효과를 나타냈다.

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

  • 진은주;강현주
    • 한국간호교육학회지
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    • 제26권4호
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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 Q-methodological Study on Nursing Students' Attitudes toward Nursing Ethics

  • Yeun Eun-Ja;Kwon Young-Mi;Kim Hung-Kyu
    • 대한간호학회지
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    • 제34권8호
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    • pp.1434-1442
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    • 2004
  • Purpose. Professional nursing ethics is a living, dynamic set of standards for nurses' professional moral behavior. Furthermore, in daily clinical nursing training, nursing students are constantly confronted with decision-making that is moral in nature. The aim of this study was to identify the perceived ethical attitudes in the clinical training process of senior nursing students using Q-methodology to offer basic strategies for nursing ethics education and thereby improve patients' care. Methods. Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty-seven participants in a university rated 38 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results. Principal component analysis identified 3 types of ethical attitudes in nursing students in Korea. The categories were labeled Sacred-life, Science-realistic and Humane-life. Sacred-life individuals think that a life belongs to an absolute power (God), not a man, and a human life is a high and noble thing. Science-realistic individuals disagreed that allowing an induced abortion or embryo (human) duplication is unethical behavior that provokes a trend, which takes the value of a life lightly; most of them took a utilitarian position with respect to ethical decisions. Humane-life individuals exhibit a tendency toward human-centered thought with respect to ethical attitudes. Conclusion. This study will be of interest to educators of students of nursing and hospital nursing administrators. Also, the findings may provide the basis for the development of more appropriate strategies to improve nursing ethics education programs.