• Journal of Convergence for Information Technology
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• v.9 no.9
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• pp.78-86
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• 2019

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.

• Korean Journal of Medical Ethics
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• v.21 no.4
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• pp.360-376
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• 2018

Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of practice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing colleges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson's correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were $3.53{\pm}2.18$, $57.33{\pm}43.35$, $134.98{\pm}13.98$, and $56.33{\pm}12.75$, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students.

• Journal of Industrial Convergence
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• v.17 no.2
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• pp.53-61
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• 2019

This study was conducted to explore the effects of Moral Sensitivity(MS), Biomedical Ethics Awareness(BEA) on Attitudes toward Withdrawal of Life-Sustaining Treatment(AWLST) of nursing students. The data were collected from May 1, 2018 to May 20, 2018 for 302 nursing students. The collected data were analyzed using SPSS 22.0. The average degree of MS was 3.45, BEA was 3.69, and AWLST was 3.36. MS was positively correlated with BEA(r=.149, p=.010) and AWLST(r=.223, p<.001). BEA was negatively correlated with AWLST(r=-.129 p=.025). Models including MS(${\beta}=.2.47$, p<.001) and BEA(${\beta}=-.166$, p=.003) explained 7% of variance in the AWLST. It is necessary to provide education that consider the MS, BEA and AWLST level of nursing students to help them establish an acceptable view of AWLST.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.6
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• pp.240-251
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• 2018

This study was conducted to evaluate the moral distress, moral sensitivity, and the factors that influence moral distress and the experience of moral distress among nurse working in a long-term care hospital. Overall, 180 nurses working in long-term care hospital in G Province were evaluated. Date were collected from March 21 to April 8, 2016 and analyzed using the SPSS/WIN 23.0 program. The mean of moral distress among nurses was 3.57 and the moral sensitivity was 4.82, and these factors was significantly and positively correlated (r=0.494, p<0.001). Regression analysis revealed that the factors that significantly influenced moral distress were moral sensitivity and ethical dilemmas when conducting nursing practices. Situations that caused nurses to experience moral distress included inappropriate care behavior was not guaranteed the quality of nursing care, conditions related to unethical the human rights, conditions related to the lack of nursing staff and conditions related to the lack of support at the organizational and national level. Therefore, to reduce moral distress, nursing intervention programs that improve the moral sensitivity and ability to solve ethical-problems are needed for nurses working in long-term care facilities.

• Journal of Hospice and Palliative Care
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• v.16 no.4
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• pp.223-231
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• 2013

Purpose: This study was conducted to explore how nurses' attitude toward dignified death and moral sensitivity affect their end-of-life care performance. Methods: Study participants were 172 nurses who work at university hospitals in a metropolitan city in Korea. Data were collected from June 20 through August 13, 2012 using the Dignified Death Scale, Moral Sensitivity Scale, and End-of-Life Care Performance Scale. Data were analyzed using the SPSS/WIN 19.0 program. Results: Factors affecting nurses' end-of-life care performance included moral sensitivity, dignified death and education level. Conclusion: Moral sensitivity, dignified death and education level should be considered when developing an educational program for nurses' end-of-life care performance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.9
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• pp.6053-6060
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• 2015

The aim of this study was to examine relations among critical thinking disposition, professional self-concept and moral sensitivity in nursing students. This study was conducted on 280 nursing students between March 3th 2015 and March 10th. 2015. The data was analyzed by using SPSS/WIN 18.0 program. Moral sensitivity significantly differed depending on one's experience in biomedical ethic education. Significant positive correlations were witnessed between critical thinking disposition and professional self-concept as well as between critical thinking disposition and moral sensitivity. Considering the results, the ways to develop critical thinking disposition and to ameliorate the current clinical training system are needed to firmly establish professional self-concept. Finally, I Suggest a study to develop and validate training program for the improvement of nursing students' moral sensitivity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.128-136
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• 2019

This study was conducted to investigate the relationship among professional self-concept, moral sensitivity and elderly care performance nurses in geriatric hospitals, as well as to clarify factors that affect nurses' elderly care performance. Participants consisted of 153 nurses working in geriatric hospital in G Province were evaluated. Date were collected from September 15 to October 15, 2018 and analyzed using the SPSS/WIN 23.0 program. The mean of professional self-concept was $2.87{\pm}0.35$ out of 4, that of moral sensitivity was $4.70{\pm}0.47$ out of 7 and that of elderly care performance $3.51{\pm}0.41$ out of 4. Elderly care performance was siginificantly positively correlated with professional self-concept (r=.48, p<.001) and moral sensitivity (r=.31, p<.001). Factors influencing elderly care performance were professional self-concept (${\beta}=.32$, p=.001), moral sensitivity (${\beta}=.18$, p=.021), educational experience of geriatric nursing (${\beta}=.17$, p=.029), which explained 31.6% of elderly care performance. The results of this study suggest that supporting systems should be arranged to provide various learning opportunities as a way to increase the professional self-concept of nurses with short career as well as intervention strategies may be necessary to make education of geriatric nursing obligatory.

• Journal of the Korea Convergence Society
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• v.8 no.6
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• pp.75-84
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• 2017

The purpose of this converged study was to investigate the level of perceived ethical confidence, character, nursing professional value and moral sensitivity as well as to identify the factors influencing the perceived ethical confidence in nurses. The study evaluated on 174 nurses working in general hospital in D and S Province. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, Multiple regression. As a result, the level of perceived ethical confidence was moderate score. There were positive correlations between perceived ethical confidence and character and nursing professional value and moral sensitivity. The significant factors influencing the perceived ethical confidence were character, nursing professional value, moral sensitivity, which explained 25% of variance in perceived ethical confidence. Based on these findings, education programs that develop character and nursing professional value and moral sensitivity are necessary for nurses to promote perceived ethical confidence.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.144-153
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• 2020

This study evaluated the moral sensitivity, self-assertiveness, ethical decision-making confidence and their correlations, and the factors that influence ethical decision-making confidence among nurses working in a long-term care hospital. Overall, 149 nurses working in a long-term care hospital in G Province were evaluated. The date was collected from November 30 2019 to December 18, 2019 and analyzed using SPSS/WIN 21.0 program. The mean of moral sensitivity among nurses was 4.94, the mean of self-assertiveness was 3.17 and the mean of ethical decision-making confidence was 3.49. The self-assertiveness will, according to the general characteristics, was significantly different according to experienced moral distress, and there was a significant difference in the degree of ethical decision-making confidence according to social positions and experience of ethical education. There were positive correlations between the ethical decision-making confidence and moral sensitivity (r=.382, p<.001) and self-assertiveness (r=.224, p<.01). Regression analysis revealed that the factors that significantly influenced ethical decision-making confidence were moral sensitivity, self-assertiveness and ethical education during nursing practice, which explained 25.0% of variance in ethical decision-making confidence. Therefore, to improve ethical decision-making confidence of nurses, programs should be developed that improve moral sensitivity and self-assertiveness by promoting ethical education.

• Journal of Industrial Convergence
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• v.20 no.12
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• pp.219-225
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• 2022

The purpose of this study is to investigate the effect of nursing professionalism and rejection sensitivity on moral courage of undergraduate nursing students. It was collected from August 26, 2022 to September 2, 2022 for nursing students at two universities in the metropolitan area, and the data were analyzed by descriptive statistics, correlation, and multiple regression using the SPSS 24.0 program. As a result of the study, the moral courage of nursing students showed a positive correlation with nursing professionalism, but did not show a correlation with rejection sensitivity. Nursing professionalism was found to have an effect on moral courage of nursing students(F=16.11, p<.001). In order to improve the quality of nursing in the clinical field, it is necessary to develop an education and non-regular program on moral courage with great interest in nursing professionalism in the undergraduate course.