• 융합정보논문지
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• 제10권8호
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• pp.60-67
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• 2020

본 연구는 간호학생의 카데바 실습 경험을 확인하여 간호학과 맞춤형 카데바 실습 프로그램 개발 및 생명·간호 윤리 교육을 위한 기초자료를 제공하고자 40명을 대상으로 4팀의 포커스 그룹 인터뷰 통해 도출된 자료를, Colaizzi 분석방법으로 인체 해부 관찰 경험의 의미와 본질을 파악하고자 하였다. 간호학생의 인체 해부 관찰 경험에 대한 분석결과는 3개 범주와 6개의 주제모음 및 12개의 주제가 도출되었다. 각 범주별 주제모음은 다음과 같다: 불안(걱정, 직면), 성찰(삶과 죽음의 경계선, 시신스승의 가르침), 성장(전진, 다시없을 값진 경험). 간호학생은 카데바 실습 경험으로 인체의 신비와 생명의 소중함을 깨닫고, 죽음 또한 넓은 의미에서 생명의 한 과정임을 인식하며 기증을 통한 이타적인 삶도 고민해보는 기회였다. 이상의 연구결과를 바탕으로 효과적인 카데바 실습 오리엔테이션과 감정 대처법 제시, 가상 죽음체험과 같은 죽음준비 프로그램을 통해 생명과 죽음, 인간의 존엄성에 고민해볼 수 있는 기회를 간호학생들에게 제공할 필요가 있다.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.626-637
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• 2021

본 연구는 코로나19 상황에서 언론에 드러난 간호사 이미지를 파악하기 위한 목적으로 수행되었다. 국내 주요 일간지 11개의 기사 451건을 바탕으로 월별 보도내용, 간호사 호의도 및 보도비중을 분석하였으며 주제 분석을 통해 5개 주제와 9개 하위주제를 도출하였다. 도출된 주제는 빈도순으로 "열악한 직업환경(47.9%)", "간호, '소명의 직업'(40.4%)", "'전문의료직'으로서의 면모가 부각됨(10.6%)", "엄격한 기준으로 평가됨(1.6%)", "간호의 영역을 확장함(1.1%)"이었다. 전문 의료진으로서의 지식과 술기, 상담·교육·협력 특성보다 노고, 헌신, 이타성과 같은 간호사의 직업윤리가 훨씬 부각되었고, 간호사 처우개선에 대한 국가적 관심이 높아진 것을 확인할 수 있었다. 비대면 원격의료 시대에서의 간호사의 역할과 같은 새로운 면모도 일부 보도되었으나 언론을 통해 대중들에게 각인되는 간호사의 모습은 여전히 제한적임을 확인할 수 있었다. 따라서 간호사의 다양한 역할을 대중들에게 알리고 간호전문직 이미지를 고취시킬 수 있는 간호계의 적극적인 홍보 활동이 필요하다.

• 한국융합학회논문지
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• 제11권12호
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• pp.439-449
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• 2020

본 연구는 간호대학생들의 임종치료선호도에 영향을 미치는 요인을 확인하기 위해 수행되었다. 이 조사 연구는 2017년 12월부터 2018년 2월까지 수행되었으며, 최종 217명의 간호대학생의 자료가 수집되었다. '자율적 의사결정' 선호도에 영향을 미치는 요인은 교육수준(학년), 생명의료윤리 교육 수강, 죽음에 대한 태도, 연명치료에 대한 태도였다. '의료인의 의사결정'에 대한 선호도는 종교를 가지는 것과 관련이 있었다. '영성'에 대한 선호도에 영향을 미치는 요인은 교육수준(학년), 종교를 가짐, 전공만족도였다. '통증 조절'에 대한 선호도는 교육수준(학년), 사망한 환자 관찰경험, 나쁜 주관적 건강상태, 죽음에 대한 태도, 연명치료에 대한 태도와 관련이 있었다. 본 연구 결과는 간호학 전공 커리큘럼에서 연명치료, 생애말기간호 및 생애말기 의사결정에 관한 교육이 필수적임을 시사한다.

• 간호행정학회지
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• 제7권3호
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• pp.415-423
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• 2001

This descriptive study was designed to find out the relation between self concept and ethical concept of nurses. The data were collected from 224 staff nurses in a tertiary hospital located in Suwon city during February 24 to March 7, 2001. Self concept was measured with questionnaire developed by chung (1965) and ethical concept was measured with the questionnaire developed by the researcher. The 5 point Likert scale questionnaire had 95 items. The results were summarized as follows: 1) The mean score of self concept was 3.11. The ethical concept were measured in 4 areas and mean scores were : accountability, 3,93; collaboration, 3.70; caring, 3.63; an advocacy, 3.15. So accountability was the area with the highest score in ethical concept. 2) Nurses' self concept was significantly related to ethical concept (collaboration, r=.34, p<.001; advocacy, r=.32, p<.001; caring, r=.28, p<.001; and responsibility, r=.23, p<.001). 3) The self concept was significant in age(F=3.28, p=.000) and the ethical concept was significant in age(F=15.88, p=.000), education level(t=2.16, p=0.03), career(F=5.16, p=.001) In conclusion, there was a significant relationship between self concept and ethical concept of nurses. High score in accountability may be related to high level of legal responsibility of nurses. This finding suggests that it is the length of nursing career is significantly related to both self-concept and ethical concept. Thus, it is important to improve self concept in order to improve ethical concept of nurses from early the beginning of their career.

• 한국간호교육학회지
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• 제9권1호
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• pp.30-40
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• 2003

This study was conducted to identify the ethical values of clinical nurses. 119 nurses working in clinical setting were selected Gwangju city and Chunnam area. Data were gathered from April. 1 to June. 27, 2001 by structured questionares. Analysis of data was done by SPSS using percentage, t-test, one-way ANOVA, pearson's correlation. The results obtained from data were as follows : 1. The ethical values of human life area slightly took up the position of utilitarian. In human life area mean score was 2.41. This area showed remarkerble individual differences between utilitarian and deontological position. 2. The ethical values of clients area took up the position of utilitarian position. In clients area mean score was 1.75. 3. The ethical values of nursing practice area took up deontological position. In nursing practice area mean score was 2.58. 4. The ethical values of nurses-co-worker area took up deontological position. In nurses- co-worker area mean score was 2.94. 5. Those who have younger, higher education level, less job experience, singles, religion, lower position, positive attitude of nursing and firm ethical standard took up more deontological position than those who have not. 6. There were significant relationship between human life area & client area(r=.566 p=.000), nursing practice area(r=.698 p=.000). There were significant relationship between client area & nursing practice area(r=.342 p=.001). There were significant relationship between nursing practice area & nurses-co-worker area(r=.491 p=.001).

• 한국간호교육학회지
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• 제15권2호
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• pp.216-224
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• 2009

Purpose: This study was to describe the perception of biomedical ethics in 210 nurses working at a hospital in Busan. Method: Data were collected from September 1st to 9th, 2008 using a 4-point Likert scale which was designed by Kwon. Results: The average score of perception of biomedical ethics was $2.88{\pm}0.22$. The highest score, $3.13{\pm}0.35$, was seen in the category of the ethics for right to life, the lowest, $2.49{\pm}0.33$, was seen in the category of ethics of death. There was no significant difference in perception of biomedical ethics according to marital status, participation in religious activity or career length. There was a significant difference in reproductive ethics according to marital status (F=3.559, p= .001) and participation in religious activity (F=3.914, p= .011). There was a significant difference in ethics of death according to career length (F=3.779, p= .011). Statistically significant differences were shown in ethics for right to life according to the ethical values (F=4.421, p= .005) and attendance of a conference for biomedical ethics (F=4.133, p= .018). The difference of the perception of biomedical ethics was significant in ethical values (F=3.859, p= .010) and attendance of a conference for biomedical ethics (F=3.783, p= .025). Conclusion: Continuing educational programs need to be developed and more reinforced education should be offered.

• 간호행정학회지
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• 제19권4호
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• pp.513-524
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• 2013

Purpose: This study was conducted to identify ethical climate factors in hospitals and analyze their influence on job satisfaction and organizational commitment. Methods: A convenience sample of 196 nurses from one national university hospital in J city participated in this descriptive study survey. Instruments included the Ethical Climate Questionnaire, Job Satisfaction Scale, and Organizational Commitment Scale. Cronbach's ${\alpha}$ and factor analysis were done to test reliability and construct validity of the scales. Data were collected from March 15 to March 25, 2013 and analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson correlation, and multiple regression with SPSS/WIN 18.0. Results: Seven ethical climate factors were identified; laws and professional codes, social responsibility, company rules and procedures, self-interest, personal morality, efficiency, and friendship. Factors influencing job satisfaction were friendship (${\beta}$=.25), social responsibility (${\beta}$=.20), laws and professional codes (${\beta}$=.20), and educational level (${\beta}$=.27), explaining 37.6% of variance in job satisfaction. Factors influencing organizational commitment included social responsibility (${\beta}$=.29), friendship (${\beta}$=.27), laws and professional codes (${\beta}$=.23), and age (${\beta}$=.19), with explanatory power of 44.6%. Conclusion: Results can be used as preliminary data for developing new strategies to establish positive ethical climates in hospital environments and thus enhance nurses' job satisfaction and organizational commitment.

• 대한간호학회지
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• 제28권1호
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• pp.26-36
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• 1998

This primary study was done to develop an ethical guideline for organ transplantation, a life-saving treatment which helps improve the quality of life. This study tried to identify the current situation in Korea, in terms of ethical considerations in organ transplantations. This study collected basic data in organ transplantations, in the hope that procedure of organ transplantations could be developed that would be fair to both organ donors and recipients. The immediate goals of this study were : 1)to identify staff in charge of organ transplantations and their jobs in the hospital, 2)to survey whether there exists a Hospital Ethics Committee(HEC), 3)to research what consideration are formally taken in selecting recipients, and 4)to accumulate data on how consent from donors are currently obtained. The study used a survey questionnaire and received responses from 31 hospitals out of 45 hospitals where organ transplantation are being done. Organ transplantation coordinators were found in 16 hospitals, but the job description varied among hospitals. The survey showed that all 16 hospitals with an HEC that health care personnel unnecessarily dominate the committee. The study notes that HECs should be vitalized by recruiting, as members, ethicists, theologians, patients, guardians, as well as the general public outside of the hospital. The study revealed that in selecting recipients the hospital take into account ABO blood type, histocompatibility, age, waiting time. and level of patient compliance. Finally, it was shown that in the cases of living donors the transplanting hospitals seek a formal consent, whereas there are no common consenting practice established for cadaveric donors. The study concludes with three proposals. First, a nationwide institution responsible exclusively for procurement and distribution of cadaveric organs for transplantation should be established. Second. we should rebuild the national health insurance system so that have costly organ transplantation expenses are substantially covered. Last, but certainly not least. there is a need to emphasize the HEC's committment to prepare a proper ethical guideline for organ transplantation in general.

• 간호행정학회지
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• 제10권4호
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• pp.485-493
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• 2004

Purpose: This study was to identify the degree of empowerment and ethical sensitivity of staff nurses and to examine the relationship between empowerment and ethical sensitivity. Method: Data were collected from 235 staff nurses in 4 hospitals in Gyeonggi Province using a questionnaire and collected data was analyzed by the SPSS PC program. Results: The degree of empowerment was 2.76(${\pm}$ .35) out of a possible score of 4 and that of ethical sensitivity was 0.71(${\pm}$ .11) out of a possible score of 1. The relationship of between empowerment and ethical sensitivity showed statistically significant positive correlation(r=.34, p=.00). For general characteristics, there was a significant difference in empowerment according to age(F=13.18, p=.00), educational background(t=-2.09, p=.04) and clinical practice career(F=15.15, p=.00) and in ethical sensitivity according to age(F=4.01, p=.02). In characteristics related to ethics, there was a significant difference in empowerment according to experience of ethics instruction in clinical practice(t=2.25, p=.03), attitude toward the nursing profession(F=7.96, p=.00) and ethical standards(F=9.39, p=.00) and in ethical sensitivity according to attitude toward the nursing profession(F=2.94, p=.03). Conclusion: Findings suggest that a systemic and effective training program reflecting the above general and related ethics characteristics be developed to enhance empowerment and ethical sensitivity.

• 한국간호교육학회지
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• 제10권1호
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• pp.75-83
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• 2004

This study was conducted to examine the ethical dilemma and coping types of nurses, and identify the relationship between ethical dilemma and coping types of nurses. The subjects of this study consisted of 210 nurses from two university hospitals in Taegu and one university hospital and one general hospital in Pohang. The data were collected with self reported questionnaire from June 2003 to July 2003. The data were analysed using the SPSS program. The results of this study were as follows : 1. The mean score of level of ethical dilemma was 0.55/1, and client area was the highest(M=0.65). 2. The mean score of level of coping about ethical dilemma was 2.22/4, and seeking social support area was the highest (M=2.42). 3. The conflict of proffering the best care with courtesy to impolite patient was the highest in total items of ethical dilemma. Criticized or lectured myself was the highest in total items of coping type. 4. In general characteristics, age(F=4.74, p<.01), marital status(t=2.67, p<.01), career (F=5.95, p<.01) were significantly related to level of ethical dilemma and religion(t=2.27, p<.05) was significantly related to types of coping. There was positive correlation between ethical dilemma and types of coping(r=.228, p<.01). On the basis of these findings, it is needed a correlation study according to category of ethical dilemma and coping types of nurses, and to develop the coping strategy that resolves ethical dilemma in nursing practice.