The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

Ethical Dilemma and Professionalism of Long-term Care Hospital Nurses

요양병원 간호사의 윤리적 딜레마와 전문직업성

  • Received : 2017.12.15
  • Accepted : 2018.01.27
  • Published : 2018.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate nurses' ethical dilemma and professionalism in long-term care hospitals. Participants in this study were 210 nurses working in 14 long-term care hospitals. Data analysis was done using SPSS / WIN 24.0 program. As a result of this study, the ethical dilemma of the nurse was moderate. The highest sub-area was 'nurse-patient relationship' and 'respect of life and human rights' was the lowest sub-area. The professionalism of the subjects was moderate, and the score of 'sense of mission' area was the lowest. Nursing ethics guidelines should be developed that reflect the ethical dilemma of nurses in long-term care hospitals, and will provide the right values for the ethical dilemma that nurses face in their workplace. When planning the nurses' professionalism education, it is necessary to have a strategy to enhance the sense of mission by emphasizing beliefs and values about nursing care.

본 연구는 요양병원에 근무하는 간호사들을 대상으로 윤리적 딜레마와 전문직업성 정도를 파악하여 윤리적 딜레마를 해결하기 위한 방안과 전문직으로서의 성장을 통한 질적인 간호를 제공하기 위한 자료를 마련하고자 시도하였다. 연구대상자는 14곳의 요양병원에 재직 중인 간호사 210명을 대상으로 하였고, 자료분석은 SPSS/WIN 24.0 프로그램을 이용하여 통계처리 하였다. 본 연구결과 요양병원 간호사의 윤리적 딜레마는 중간정도로 나타났고, 하위 영역 중 간호사와 대상자 영역이 가장 높았으며, 생명존중 및 건강의 권리 존중 영역이 낮게 나타났다. 대상자의 전문직업성은 중간정도로 나타났고, 소명의식 영역의 점수가 가장 낮은 것으로 나타났다. 요양병원 간호사들의 윤리적 딜레마 상황을 반영한 간호윤리 지침서를 개발하여 간호사들이 실무현장에서 겪게 되는 윤리적 딜레마상황에 대한 올바른 가치관을 심어주기를 제언한다. 또한 요양병원 간호사들의 전문직업성 교육을 계획할 때 간호직에 대한 신념과 가치관을 강조하여 소명의식을 높일 수 있는 전략이 필요하다.

Keywords

References

  1. Health Insurance Review and Assessment Service(HIRA), Data Base for the Number of Long-term Care Hospitals, accessed February, 2018.
  2. Han S.S., The Nature of Ethical Dilemmas and Decision Making in Hospital Nursing Practice, Ph.D. Thesis. Seoul National University, Seoul, Korea, 1992.
  3. M.P. Aulisto, R.M. Arnold, and S.J. Yiungner, Ethics Consultation: From Theory to Practice, The Johns Hopkins press, pp. 5-9, 2003.
  4. H.J. Park, and 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.
  5. I.W. Kang, "A Study on Attitude of Ethical Dilemmas in Clinical Nurses," Journal of Korea Community Health Academic Society, Vol. 12, No. 2, pp. 48-66, September 1998.
  6. H.G. Kim, "Analysis of Decision-Making in Ethical Dilemma Cases among Clinical Nurses," Journal of Korean Academy of Nursing Administration, Vol. 9. No. 3, pp. 459-480, 2003.
  7. H.J. Park, "Ethical Dilemma of Nurses," Journal of Korean Academy of Nursing Administration, Vol. 15. No. 1, pp. 128-135, March 2009.
  8. C. Haddad, "Ethics In Action," RN, Vol. 64, No. 5, pp. 25-26, 2001.
  9. Lee, 2000 S.K. Lee, "The Value of Nurses' Professionalism: From the Perspective of Health Care Consumer," Journal of Qualitative Research, Vol. 11, No. 2, pp. 119-133, 2010.
  10. Y.H. Han, I.S. Sohn, K.O. Park, and K.H. Kang, "The Relationships between Professionalism, Job Involvement, Organizational Commitment and Turnover Intention among Clinical Nurses," Journal of Korean Clinical Nursing Research, Vol. 16, No. 2, pp. 17-31, August 2010.
  11. J.A. Kim, "Living as a Nursing College students in Korea," International Journal of Advanced Culture Technology(IJACT), Vol. 4, No. 3, pp. 20-23, 2016. https://doi.org/10.17703/IJACT.2016.4.3.20
  12. S.Y. Lim, S.Y. Kim, and H.M. Choi, "The Relationships of major Satisfaction, Self-Esteem and Nursing Professionalism of the Nursing College Students," The Journal of the Convergence on Culture Technology(JCCT), Vol. 1, No. 2, pp. 45-51, May 2015. https://doi.org/10.17703/JCCT.2015.1.2.45
  13. Y.S. Hwang, and E. Cho, "Factors Influencing Nurse Turnover Intention of Senio Convalescence Hospitals in the Metropolitan Area," Korean Journal of Occupational Health Nursing, Vol. 25, No. 3, pp. 156-167, August 2016. https://doi.org/10.5807/kjohn.2016.25.3.156
  14. R.H. Hall, "professionalism and Bureaucratization," American Sociological Review," Vol. 63, pp. 92-104, 1968.
  15. Choo, H.S., A Study on Clinical Nurses' Professionalism and the Factors Affecting It, Unpublished Master's Thesis. Hanyang University, Seoul, Korea, 2001.
  16. K.J. Lee and 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, April 2011.
  17. Y.K. Yang, and S.E. Oh, "The Relationship between Ethical Dilemma and Job satisfaction of One General Hospital Nurses," Chonnam Journal of Nursing Science, Vol. 11, No. 1, pp. 109-120, August 2006.
  18. Kim, Y.S., The Influence of Ethical Education on Nurses' Moral Judgment, Ph.D. Thesis. Yonsei University, Seoul, Korea, 1999.
  19. E.H. Kim, E.J. Lee, S.J. Hong, "The Ethical Views of Clinical Nurses," Korean Journal of Medical Ethic, Vol. 13, No 3, pp. 243-254, 2010.
  20. H.J. Jung, and H.J. Moon, "A Study of Ethicl Sense of Value and Discord of the Clinical Nurses," Journal of Korean Academy of Nursing Administration, Vol. 1, No. 2, pp. 349-371, 1995.
  21. Y.S. Yang, and D.H. Kim, "Nurses' Professionalism and Job Satisfaction on the Level og Delegation of Nursing Activities in Long-term Care Hospitals," Journal of Korean Gerontological Nursing, Vol. 15, No 2, pp. 175-184, August 2013.
  22. S.H. Han, Y.R. Eom, S.H. An, et al, Nursing Ethics, Korean Nursing Association, pp. 185, 2004.
  23. B. Redman, and S.T. Fry, "Nurses' Ethical Conflicts: What is Really Known about Them?," Nursing Ethics, Vol. 7, No. 4, pp. 360-366, 2000. https://doi.org/10.1177/096973300000700409
  24. M.H. Lee, K.S. Jang, I.S. Kim, et al, Nursing Profession and Nursing Ethics, Hyunmoonsa, pp. 295, 2003.
  25. S.J. Hwang, and K.H. Lim, "Professionalism of the Nursing Staff," Keimyung Journal of Nursing Science, Vol. 21, No. 2, pp. 135-144, December 2017.
  26. Ki, E.H., Clinical Nurses' Ethical Dilemma and Professionalism, Unpublished Master's Thesis. Hanyang University, Seoul, Korea, 2008.