• 한국임상보건과학회지
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• 제3권2호
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• pp.361-371
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• 2015

Purpose. The purposed of this study was done to DNR attitude and terminal care performance among hospital nurses. Methods. The participants were 207 nurses working in hospital nurses in D and G cities. Data on DNR attitude and terminal care performance were collected via questionnaire between April 2015 and July 2015. Data analysis was done with SPSS 12.0 program and included one-way ANOVA, independent t-test, and Pearson correlation. Result. DNR attitude of participants in this study were shown to have high levels (DNR attitude: M=32.64/60, SD=6.14). Terminal care performance of participants in this study were shown to have poor levels (physical M=20.72/32, SD=3.77, psychological M=20.26/32, SD=3.85, spiritual M=9.62/24, SD=3.65). The attitude of the hospital nurse was significantly different according to the marital status. The terminal care performance was significantly different according to experience of terminal care. The DNR attitude by nurses was positively correlation to physioloical terminal care performance(r=.137, p<.049) but the relationship between the psychological terminal care performance( r=.016, p=.815) and spiritual terminal care performance showed no correlation(r=-.099, p=.157). Conclusion. The results of this study indicate that it is necessary to increase DNR attitude and to encourage terminal care performance among hospital nurses.

• 대한통합의학회지
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• 제8권1호
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• pp.77-86
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• 2020

Purpose : This study is a descriptive survey research that examines the effect of nursing students' satisfaction in major and consciousness of biomedical ethics on nursing professionalism. Methods : The research subjects consisted of junior and senior nursing students enrolled in four colleges located in City B, South Korea Structured questionnaires were distributed to the subject and a total of 262 copies of survey responses were analyzed. The collected data were analyzed by frequency, percentage, mean and standard deviation, t-test, and analysis of variance (ANOVA) using SPSS/WIN 22.0 program. The correlation relationship was investigated based on the Pearson correlation coefficient. Multiple regression was used to capture the effect on the nursing professionalism. Results : A positive correlation was observed between the nursing students satisfaction in major and consciousness of biomedical ethics (r=.280, p<.001), between satisfaction in major and nursing professionalism (r=.581, p<.001), and between consciousness of biomedical ethics and nursing professionalism (r=.290, p<.001). General satisfaction (β=.227, p=.001), and relationship satisfaction (β=.248, p=.000) among major satisfaction had the strongest prediction power for the nursing professionalism of nursing students, followed by right to life of fetus (β=.190, p=.000) among consciousness of biomedical ethics and motivation for admission (β=.137, p=.006). These predictors explained 36.9 % of the variable of nursing professionalism. Conclusion : Based on this study result, repeated studies are required that can confirm diverse influential factors on the nursing professionalism of nursing students. Operation of curriculums and development of programs that increase the nursing students' satisfaction in major and foster their nursing professionalism are required in the future.

• 한국산업융합학회 논문집
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• 제27권1호
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• pp.195-205
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• 2024

This study is descriptive research study to understand the impact of digital ethics-literacy, multicultural acceptance, and global citizenship of medical students' on cultural competency. The subjects for this study were the medical students of J city of Province of G, collecting data from first of October to 15th of October 2023. The tools used for this study consist of 178 questions which were 9 questions of general properties, 70 questions of digital ethics-literacy, 35 questions of multicultural acceptance, 3qustions of global citizenship and 33 questions of cultural competency. As a result of this study, the score of digital ethics-literacy was 2.67±0.85(out of 5), the score of multicultural acceptance was 3.62±1.08(out of 6), the score of global citizenship was 3.72±0.75(out of 5), and the score of cultural competency was 3.49±0.71(out of 5). There is a positive correlation between multicultural acceptance and global citizenship. The global citizenship was the factor affecting significantly on cultural competency. The power of explication was 20.8%. The education for accepting and understanding cultural diversity and offering opportunity of domestic and overseas volunteering programs so that global citizenship could be improved. There is also a need of development of integrative education programs in terms of multicultural education including direct and indirect digital media education which can perform medical service for various multicultural recipient on the medical site not an one-shot instiiled displine.

• 보건의료산업학회지
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• 제6권4호
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• pp.37-48
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• 2012

This study sought to provide basic for the establishment of desirable sense of ethics values by analyzing the consciousness of biomedical ethics of freshmen nursing students. The subjects of the study were 420 freshmen nursing students. The period of data collection was from April 1 to 6, 2012 and collected data were analyzed on SPSS/PC 19.0 program. The results is followed; First, the mean score of the consciousness of biomedical ethics was $2.39{\pm}0.25$. While the mostly high ranked category of biomedical ethics was the right to life of newborn($2.76{\pm}0.39$), the category with the lowest score was the artificial abortion($2.13{\pm}0.39$). Second, with respect to the characteristics of participants there were statistically significant difference in total score according to age, religion, and participation in religious activity, experience of hearing for biomedical ethics, sources of information for biomedical ethics, ethical values for biomedical ethics, and in intention to attend biomedical ethics in subjects. As a result, an arbitration program that could promote either changeable or controllable ethical values must be considered with attention to the significant variables that can promote the consciousness of biomedical ethics of freshmen nursing students.

• 한국산학기술학회논문지
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• 제16권4호
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• pp.2691-2703
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• 2015

본 연구는 중환자실 간호사들의 DNR에 대한 윤리적 문제의 인식과 태도를 파악하여 DNR 환자간호에 도움이 되는 기초자료로 활용하고자 시도하였다. G광역시 상급종합병원 1개소, 전라 남 북도 700병상이상 종합병원 각각 1개소 중환자실에 근무하는 간호사를 대상으로 2014년 8월 1일 부터 9월 5일까지 설문조사하여 154부를 최종분석 하였다. 첫째, DNR 결정 태도는 치료를 거부하는 환자의견에 반대, 예후가 좋지 않은 환자라도 생명의 연장에 찬성, 환자가 원했을 경우 어떠한 상태라도 DNR 미실시, 보호자의 요구에 의한 치료와 가망 없는 환자의 CPR실시에 반대하였다. 둘째, 환자가족에 의한 인공호흡기 및 다른 치료의 적극적 실시에 반대, 보호자의 중환자실 입실에 대립적인 입장을 보였다. DNR 환자에 대해 의사의 인공호흡기의 소극적 사용에 찬성, 환자의 신체적 심리적 안정을 위해 기본적인 간호도 줄여야 하고, 무균술을 지키지 않은 처치에 묵인하는 입장이며, 가족에 의한 환자의 상태변화를 주치의에게 여러 차례 보고하는 것에 반대하였다. 셋째, 의사의 관심감소를 인정하고, 이에 보호자의 항의가 있을 때 의료팀을 옹호하며, DNR 결정을 주치의가 내린 것에 대립적인 입장이며, DNR 지침에 따른 결정에 반대하였다. 예후가 좋지 않은 환자에게 그대로 설명하는 것에 반대 또는 중립적이며, 환자나 보호자에게 환자상태를 있는 그대로 설명하는 것과 사망에 가까운 경우 환자나 보호자에게 상태를 그대로 설명하는 것에 반대하였다. 결론적으로 DNR 주체는 환자이며, 환자의견이 충분히 반영 되어야 하며, 의료행위의 범위와 결정과정에서의 갈등을 최소화하고 환자중심의 윤리적 의사결정이 되도록 DNR 결정에 대한 표준과 지침이 필요하며, 충분한 설명을 근거로 한 동의가 이루어 져야하겠다.

• Journal of Hospice and Palliative Care
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• 제20권2호
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• pp.122-130
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• 2017

목적: 본 연구는 중환자실 간호사가 DNR 환자 임종을 경험하면서 수용하는 개인의 주관적 경험의미와 그 구조를 기술하는 것이다. 방법: 대상자는 종합병원 중환자실 간호사 8명이었으며, 심층면담을 통한 질적 연구로 현상학적 연구방법을 이용하였다. 결과: 중환자실 간호사들의 DNR 환자 임종경험은 '정답이 없는 죽음의 양면성, 죽음과 일의 경계에서 경험하는 딜레마', '가족이 안고 있는 죽음의 무게 감당하기', 상실로 얻은 삶에 대한 성찰',의 4가지 주제모음으로 나타났다. 결론: DNR에 대한 판단기준과 DNR 결정 절차에 대한 상세한 규정, DNR 환자 간호윤리 지침 및 교육이 필요하고, DNR 환자 가족에 대한 중재 프로그램 개발이 요구된다.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.403-413
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• 2015

본 연구는 일 대학병원 간호사의 도덕적 고뇌 정도에 따른 이직의도 차이를 파악하기 위한 조사연구이다. 연구대상은 G시에 소재한 일 대학병원 간호사 129명이었고, 자료수집은 2014년 7월1일부터 8월8일까지 도덕적 고뇌와 이직의도에 대해 구조화된 설문지를 사용하여 이루어졌다. 수집된 자료는 SPSS 20.0 프로그램을 사용하여 분석하였다. 본 연구결과, 도덕적 고뇌는 3.18점이었고, 이직의도는 3.20점이었다. 도덕적 고뇌가 높은 간호사 그룹이 낮은 간호사 그룹에 비해 이직의도가 높았다(t = -2.11, p = .037). 영역별로는 인지적 영역(t = -3.29, p = .001)과 정서적 영역(t = -3.93, p < .001)의 고뇌가 높은 그룹이 낮은 그룹보다 이직의도가 높게 나타났고, 상황적 영역에서는 두 그룹 간 차이가 없었다(t= -1.66, p = .-099). 이 결과는 간호사가 단순히 도덕적 고뇌가 높은 상황을 만날 때 이직을 고려하기 보다는, 그러한 상황에서 간호사가 시간 부족, 감독자의 반대 및 여러 제도와 환경에 대한 부정적 인지와 정서로 인해 고뇌가 증가되어 이직의도가 증가함을 의미한다. 그러므로, 간호 실무에서 인지적 및 정서적 영역의 도덕적 고뇌 정도를 줄이기 위해 제도 개선, 윤리교육 프로그램 강화 및 도덕적 고뇌 관리 프로그램을 개발하여 간호사에게 적용하는 것이 필요하다.

• 치위생과학회지
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• 제14권3호
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• pp.276-286
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• 2014

2013년, 치과위생사 역사의 100주년을 맞이하였다. 1913년, Dr. Fones가 Bridgeport Junior College에 2년 과정의 치위생교육프로그램을 개설하며, 구강간호가 아닌 구강질환의 예방과 보건학을 전문으로 하는 '치과위생사' 라는 직종명칭을 사용한 것이 그 시초다. 미국에서 최초로 치과위생사 제도를 최초로 도입한 만큼, 미국치과위생사의 발전과정을 되짚어 보는 것은 국제적인 치위생계 발전과정을 확인하고, 각국의 제도를 비교할 수 있는 근간이 될 것이다. 이 연구는 지난 100년간 미국치과위생사가 전문직 역할을 수립해 나가는 과정을 '치과위생사 조직의 발전과정', '치위생학 교육제도의 발전과정', '치과위생사 면허 및 관련 자격제도의 발전과정', '치과위생사 관련 법령과 윤리' 및 '미국치과위생사의 역할 및 업무범위의 발전과정' 요건에 따라 고찰하는 것이다. 미국치과위생사는 전문직 요건을 형성하고 있고 사회적 분위기 역시 전문직으로 인식하고 있다. 이에 미국치과위생사가 오늘날의 모습으로 전문직화해 온 과정과 그 특징을 규명하는 데 연구목적을 두고, 이 목적을 달성하기 위해 요건 별 문헌자료를 수집하고 분석하였다.

• 대한치위생과학회지
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• 제1권2호
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• pp.61-71
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• 2018

This study set out to examine the characteristics and consciousness of biomedical ethics among dental hygiene and nursing students and provide basic data for the education of biomedical ethics in the department of dental hygiene. The subjects include 158 and 128 students in the dental hygiene and nursing departments, respectively, at a university in Gyeongnam. Collected data was analyzed with the SPSS 12.0 program. 1. The analysis results show that the dental hygiene and nursing students scored mean 2.72 and 2.65 points in biomedical ethics consciousness, respectively, with statistical significance(p<.000). 2. In the subareas of biomedical ethics, the two groups showed the highest and lowest level of consciousness in organ transplant and euthanasia, respectively. 3. The two groups had differences in characteristics related to biomedical ethics by the major such as ethical values(p<.05), experiences with biomedical ethics education(p<.01), time of biomedical ethics education(p<.001), sources of information and knowledge about biomedical ethics(p<.01), experiences with conflicts in biomedical ethics(p<.000), and willingness to participate in education(p<.05). 4. The nursing students recorded higher biomedical ethics consciousness than the dental hygiene students with no statistically significant differences between them. Biomedical ethics consciousness had positive correlations with ethical values(r=.122) and experiences with biomedical ethics education(r=.356). Based on these findings, the study proposed the development of educational content for biomedical ethics consciousness and research on its effectiveness to help dental hygiene students form desirable biomedical ethics consciousness.

• 간호행정학회지
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• 제4권2호
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• pp.475-487
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• 1998

This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.