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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

  • Received : 2014.07.07
  • Accepted : 2014.10.20
  • Published : 2014.10.28

Abstract

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.

본 연구는 간호학생의 윤리적 의사결정 역량 강화 방안으로 2013년 3월 4일에서 6월 3일까지 간호대학 4학년 82명을 대상으로 실시한 비동등성 대조군 사전 사후 유사실험연구이다. 토론식 수업을 적용한 실험군과 전통적 강의식 수업을 적용한 대조군 간의 윤리 지식, 수업만족도 및 윤리적 가치관 차이를 확인하였다. 토론식 수업은 공리주의, 의무론에 기초한 3단계 수정모형과 Value-Be-Do 모형을 포함한 윤리적 의사결정 모형을 적용하였다. 연구결과 수업 후 윤리 지식 점수는 실험군이 유의하게 높았다. 윤리적 가치관은 두 군 모두 수업 전 후 차이가 없었다. 두 군은 수업 전 후 협동자관계 영역, 대상자관계 영역에서 의무론적 성향을 보였지만, 인간생명 영역에서 공리주의적 성향을 보였다. 수업만족도는 내용이해와 실무적용 가능성 영역에서 실험군이 유의하게 높았다. 결론적으로 본 윤리적 의사결정모형 기반 토론식 수업을 효과적인 간호윤리 의사결정 훈련 방안으로 활용할 것을 제안한다.

Keywords

References

  1. S. D. Kim, A study on an ethical relationship between nurse and physician. Korean Academy of Nursing Administration Fall Conference seminar, 2000.
  2. H. J. Park, M. Y. Kim, Ethical dilemma and coping types in nurses. The Journal of Korean academic society of nursing education, Vol. 10, No. 1, pp. 75-83, 2004.
  3. K. J. Lee, S. Y. Yoo, Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in Korea. Journal of Korean Clinical Nursing Research, Vol. 17, No. 1, pp. 1-15, 2011.
  4. Y. S. Lee, A study on nurses' ethical values. Journal of Korean Academy of Nursing, Vol. 20, No. 2, pp. 249-270, 1990.
  5. M. W. Park, The patterns of change in ethical value of nursing students. The Journal of Korean academic society of nursing education, Vol. 6, No. 2, pp. 199-217, 2000.
  6. H. J. Park, Ethical Dilemma of Nurses. The Journal of Korean Nursing Administration Academic Society, Vol. 15, No. 1, pp. 128-135, 2009.
  7. H. M. Manson, The development of the core-values framework as an aid to ethical decision-making. Medical Teacher, Vol. 34, No. 4, pp. e258-e268, doi: 10.3109/0142159X.2012.660217
  8. M. Yeh, S. Wu, & H. Che, Cultural and hierarchical influences: Ethical issues faced by Taiwanese nursing students. Medical Education, Vol. 44, pp. 475-484, 2010. doi: 10.1111/j.1365- 2923.2009.03589.x. Epub 2010 Mar 19
  9. S. S. Han, H. A. Park, S. H. Ahn, M. C. Cameron, H. S. Oh, & K. U. Kim, Application of ethical decision-making models and nursing ethics experienced by nursing students. Journal of Korean Academy of Nursing, Vol. 31, No. 5, pp. 846-857, 2001. https://doi.org/10.4040/jkan.2001.31.5.846
  10. Y. M. Kwon, A study on moral judgement and ethical values of nursing students. The Journal of Korean academic society of nursing education, Vol. 8, No. 1, pp. 17-28, 2002.
  11. S. H. Lee, S. Y. Kim, & J. A. Kim. Ethical value of nursing Students. The Journal of Korean Nursing Administration Academic Society, Vol. 13, No. 2, pp. 145-155, 2007.
  12. H. J. Jung, H. J. Park, & I. S. Jang, Effects of nursing ethics education based upon CEDA debates on moral judgment and ethical values. The Journal of Korean academic society of nursing education, Vol. 18, No. 2, pp. 248-258, 2012. doi: http://dx.doi.org/10.5977/jkasne.2012.18.2. 248
  13. H. S. Kim, O. J. Kim, Ethical decision-making process model in counseling and psychotherapy. Korea Journal of Counselling, Vol. 10, No. 2, pp. 701-717, 2009. https://doi.org/10.15703/kjc.10.2.200906.701
  14. H. W. Yoon, The effects of activity-based learning on knowledge, attitude and performance of handwashing among elementary school students. Yonsei university Master's Thesis, 2009.
  15. K. S. Choi. Teaching medical ethics and critical thinking, Vol. 10, No. 2, pp. 232-246, 2004.
  16. E. K. Park, J. S. Shin, C. R. Ahn, M. W. Sung, & I. Kwon, Medical ethics education using "Student Symposium". Korean Journal of Medical Ethics, Vol. 5, No. 2, pp. 143-150, 2002.
  17. S. S. Kim, B. K. Park, C. L. Chang, H. K. Kim, S. Y. Kang, & S. W. Wan Baik, Assessing the effectiveness of medical ethics education. Korean Journal of Medical Education, Vol. 20, No. 1, pp. 73-82, 2008. doi: http://dx.doi.org/10.3946/ kjm e.2008.20.1.73
  18. M. J. Kim, Myung Hee Kim, A study on moral development and ethical values of the nurse. The Journal of Korean Nursing Administration Academic Society, Vol. 5, No. 2, pp. 337-353, 2009.
  19. Y. H. Kim, T. S. Yoo, & O. H. Cho. Nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. The Korean Journal of Hospice and Palliative Care, Vol 16, No. 1, pp. 1-9. 2012. https://doi.org/10.14475/kjhpc.2013.16.1.001
  20. C. F. Lin, M. S. Lu, C. C. Chung, & C. M. Yang, A comparison of problem-based learning and conventional teaching in nursing ethics education. Nursing Ethics, Vol 17, No. 3, pp. 373-382. 2010. https://doi.org/10.1177/0969733009355380
  21. K. U. Kim, Korean nursing students' ethical problems and ethical decision making. Nursing Ethics, Vol 10, No 6, pp. 638-653, 2003. https://doi.org/10.1191/0969733003ne653oa
  22. J. K. Kim, A study on the possibility of rational communication action theory as a methodology of medical ethics education - Focusing on Habermas' theory. Korean Journal of Medical Ethics, Vol. 10, No. 1, pp. 33-48, 2007.
  23. K. Choe, E. Song, & Y. Kang. Recognizing bioethical issues and ethical qualification in nursing students and faculty in South Korea. Nursing Ethics, Vol 20, No. 2, pp. 213-225. 2013. doi: http://10.1177/0969733012472734
  24. E. J. Park. The development and implications of a case-based computer program to train ethical decision-making. Nursing Ethics, Vol. 20, No. 8, 943-956, 2013. doi://10.1177/0969733013484489