융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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병원 간호사의 도덕적 민감성과 도덕적 고뇌와의 관계에서 생명의료윤리의식의 매개효과

The Mediating Effect of Biomedical Ethics Awareness in the Relationship between the Moral Distress and Moral Sensitivity of Hospital Nurses

  • 김옥현 (청암대학교 간호학과) ;
  • 안성아 (진주보건대학교 간호학부) ;
  • 오수미 (한국국제대학교 간호학과) ;
  • 공정현 (진주보건대학교 간호학부) ;
  • 최혜옥 (진주보건대학교 간호학부)
  • 투고 : 2019.07.10
  • 심사 : 2019.09.20
  • 발행 : 2019.09.27
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초록

본 연구는 병원 간호사를 대상으로 병원 간호사가 경험하는 도덕적 민감성이 도덕적 고뇌에 미치는 영향을 파악하고, 도덕적 민감성과 도덕적 고뇌의 영향관계에서 생명의료윤리의식의 매개효과를 검증하는 것이다. 연구대상자는 S시, J시에 소재하고 있는 종합병원에 근무하고 있는 병원 간호사 153명을 선정하였다. 자료분석은 SPSS WIN 21.0을 이용하여 t-test, ANOVA, Scheffe test, 상관관계분석, 단순 및 다중회귀분석과 Sobel test을 하였다. 병원 간호사가 경험하는 도덕적 민감성은 평균 4.70점(7점 만점), 도덕적 고뇌는 62.80점(336점 만점), 생명의료윤리의식은 2.21점(4점 만점)이었고, 도덕적 고뇌는 도덕적 민감성과 생명의료 윤리의식과 정적 상관관계, 도덕적 민감성과 생명의료윤리의식 간에 정적상관관계가 있었다. 마지막으로 생명의료윤리의식이 도덕적 민감성과 도덕적 고뇌의 관계를 부분 매개효과가 있는 것으로 나타났다. 병원 간호사의 도덕적 민감성 향상 및 도덕적 고뇌 감소를 위해 도덕적 문제를 해결할 수 있도록 능력을 향상시키는 생명의료윤리교육 프로그램 개발이 무엇보다 중요하다.

In the study, the moral sensitivity, moral distress, and biomedical ethics awareness levels of hospital nurses are examined, and the mediating effect of biomedical ethics awareness in the relationship between moral sensitivity and moral distress is verified. As the study subjects, 153 hospital nurses were selected from both university hospitals and general hospitals in S city and J city. Using the SPSS WIN 21.0 system, data analysis was conducted via t-tests, the Sheffe test, correlation analysis, multiple regression analyses, Sobel test. The average level of moral sensitivity experienced by the hospital nurses was 4.70(out of 7), moral distress was 62.80(out of 336), and biomedical ethics awareness was 2.21(out of 4). Moral distress had a static correlation with moral sensitivity and biochemical ethics awareness, and moral sensitivity had a static correlation with biomedical ethics awareness. Finally, biomedical ethics awareness showed a partial mediating effect in the relationship between moral sensitivity and moral distress. It is important to develop a biomedical ethics education program that can help hospital nurses to resolve moral issues, thereby improving moral sensitivity and diminishing their moral distress.

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