Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Develop and Evaluate the Short Form Biomedical Ethics Tool for Medical Workers In Convergence Era

융합 시대의 의료종사자를 위한 단축형 생명의료윤리 도구 개발 및 평가

  • Je, Nam-Joo (Department of nursing, Changshin University) ;
  • Park, Mee-Ra (Department of nursing, Changshin University)
  • Received : 2019.11.21
  • Accepted : 2020.01.20
  • Published : 2020.01.28
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Abstract

The purpose of this study was to develop a short biomedical ethics tool for healthcare workers, compare it with pre-existing tool, and increase reliability. Data were collected from 211 healthcare workers working in G-do. Exploratory factor analysis was carried out using Varimax rotation extraction method in IBM SPSS WIN/21.0. Convergent validity of the tool was verified by regression and correlation analysis with original tool score. Reliability was verified by calculating intraclass correlation coefficient and internal consistency coefficient. The short, reduced 21 questions tool reflected 84% of pre-existing tool's biomedical ethics. Its reliability was higher than the 29 question tool for nursing students, but there were differences in the components of subdomains and reliability coefficient. Additional development of questions through qualitative research and interviews are needed to increase reliability of the subdomains. Measurement of biomedical ethics dilemma with the tool that has validity and reliability is needed, followed by replication studies.

본 연구는 의료종사자를 대상으로 단축형 도구를 개발하여 기존 도구와 비교하고, 생명의료윤리 의식 측정의 신뢰도를 높이기 위한 목적이었다. G도에 소재한 의료종사자 211명을 대상으로 자료수집 하였다. IBM SPSS WIN/21.0을 이용하여 베리맥스 회전추출방법을 이용하여 탐색적 요인분석을 하였으며, 원도구 점수와의 회귀분석 및 상관분석을 통해 도구의 수렴타당도를 검증하고, 급내상관계수와 내적일관성 계수를 산출하여 신뢰도를 검증하였다. 21개 문항으로 단축한 도구는 49개 문항 원 도구의 생명의료윤리의식의 84%를 반영하고 있으며, 간호대학생을 대상으로 한 29개의 단축형 도구보다 도구의 신뢰도가 높았으나, 하위영역의 구성문항과 신뢰도계수의 차이가 있었다. 추후 하위영역별 도구의 신뢰도를 높이기 위해 질적연구와 대상자 인터뷰를 통한 추가 문항개발이 필요하며, 다양한 윤리적 딜레마가 있는 임상현장에서 타당도와 신뢰도가 확보된 도구로 생명의료윤리 의식 측정이 필요하며 이에 대한 반복연구가 요구된다.

Keywords

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