• 제목/요약/키워드: Ethical Conflicts

검색결과 42건 처리시간 0.022초

가정전문간호사의 윤리적 가치인식, 윤리적 갈등 및 직무만족도와의 관계 (The Relationship among Perception of Ethical Values, Ethical Conflicts, and Job Satisfaction of Home Care Nurses)

  • 조영이;한성숙
    • 가정간호학회지
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    • 제12권1권
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    • pp.1-40
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    • 2005
  • This study investigated the relationship among home care nurses' perception of ethical values and conflicts and job satisfaction. The subjects of the study were 257 home care nurses working at 101 institutions involved in home care practice, the data were collected between December 28, 2004 February 14, 2005. The instruments were perception of ethical values, ethical conflicts, and job satisfaction and it was revised by the author. The reliability of Cronbach's a was .74, .93, .85, respectively. SAS 8.0 program was used to analyze the data, and frequency, percentage, unpaired t-test, ANOVA, $Scheff\`{e}$ test, and Pearson's Correlation Coefficient were calculated for data analysis. Followings are the results of the study: The scores of home care nurses' perception of ethical values were average 3.8points (5points scale). There was no significant difference between the groups according to general characteristics such as age (P=.001), religions (P=.001), ethical standard (P=.018), and current job satisfaction (P=.000). The scores of home care nurses' ethical conflicts were average 2.9points (5points scale). There was significant difference according to pay (P=.008) and employment status (P=.001) of general characteristics; conflicts was showed to go up with higher pay and temporary employment status. The scores of home care nurses' job satisfaction were average 3.3points (5points scale). There was significant difference among the groups according to age (P=.023), pay (P=.001), job career of home care (P=.030), and current job satisfaction (P=.000) of the general characteristics. There was significant positive correlation between subject's perception of ethical values and ethical conflicts (P=.004) and perception of ethical values and job satisfaction (P=.005). However, ethical conflicts and job satisfaction (P=.772) showed negative correlation, but it was not significant. With the results, home care nurses showed firm perception of ethical values and relatively higher job satisfaction. However, they showed ethical conflicts regarding the lack of administrative support and dignity of human life. In conclusion, It requires some alternative measures to solve the ethical conflicts and to enhance job satisfaction of home care nurses through the support in policy, continuous ethics education, rewarding system, and introducing laws to protect individual home care nurses.

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Ethics in the Intensive Care Unit

  • Moon, Jae Young;Kim, Ju-Ock
    • Tuberculosis and Respiratory Diseases
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    • 제78권3호
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    • pp.175-179
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    • 2015
  • The intensive care unit (ICU) is the most common place to die. Also, ethical conflicts among stakeholders occur frequently in the ICU. Thus, ICU clinicians should be competent in all aspects for ethical decision-making. Major sources of conflicts are behavioral issues, such as verbal abuse or poor communication between physicians and nurses, and end-of-life care issues including a lack of respect for the patient's autonomy. The ethical conflicts are significantly associated with the job strain and burn-out syndrome of healthcare workers, and consequently, may threaten the quality of care. To improve the quality of care, handling ethical conflicts properly is emerging as a vital and more comprehensive area. The ICU physicians themselves need to be more sensitive to behavioral conflicts and enable shared decision making in end-of-life care. At the same time, the institutions and administrators should develop their processes to find and resolve common ethical problems in their ICUs.

간호사의 윤리적 갈등에 대한 국내 연구 동향과 간호윤리교육 현황 분석 (Domestic Research Trends on the Ethical Conflicts in Nurses and Current Status Analysis of Nursing Ethics Education)

  • 한종희;정미정
    • 한국콘텐츠학회논문지
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    • 제22권9호
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    • pp.592-601
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    • 2022
  • 본 연구는 간호사의 윤리적 갈등과 관련된 국내 연구 동향과 간호윤리교육 현황을 분석하여 향후 간호윤리 교육의 방향성을 제시하고자 시도되었다. 국내 4개 데이터베이스에서 '간호사', '윤리', '도덕', '생명윤리', '갈등', '민감성', '고뇌', '딜레마', '이슈', '가치관'의 단어 조합으로 검색한 결과 2000년부터 2021년 12월까지 591편의 논문이 확인되었고, 이 중 111편의 논문을 최종 분석하였다. 간호윤리교육 현황은 간호교육 인증평가원에 등록된 4년제 학사학위프로그램 운영 203개교 중 184개교를 대상으로 분석하였다. 연구 결과 간호사 대상 윤리적 갈등과 관련된 연구는 꾸준히 증가하고 있고, 종합병원 간호사를 대상으로 한 양적연구가 가장 많았다. 주요 주제어는 도덕적 민감성, 도덕적 고뇌, 윤리적 딜레마, 생명의료 윤리의식 등으로 확인되었다. 간호윤리교육은 68% 대학에서 전공과목으로 운영하고 있었고, 과반수의 대학에서 1학점 또는 2학점으로, 주로 1, 2학년에 개설하였다. 본 연구 결과 사회적 변화에 따라 간호사가 경험하는 윤리적 갈등은 증가하고 있어, 대학의 간호윤리교육 비중은 더 확대되어야 하고, 교육 효과의 지속성을 위해 학년별 단계별 교육모형 구축이 필요함을 확인하였다.

국내 치과 학술지 투고규정 중 연구대상자 보호를 위한 연구 윤리기준 제시에 관한 조사 (A study on ethical requirements for the protection of human subjects in the publication guidelines of dental health journals)

  • 정은영
    • 한국치위생학회지
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    • 제14권2호
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    • pp.241-250
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    • 2014
  • Objectives : The purpose of the study was to examine the ethical requirements for the protection of human subjects in the publication guidelines of dental health journals. Methods : The guidelines of 27 dental health journals were reviewed to determine ethical standards alone, with Helsinki Declaration, by an institutional review board (IRB), informed consent, protection of subject privacy and confidentiality, and no conflicts of interest. Results : 1. Dentistry journals listed on National Research Foundation of Korea had a conflict of interest disclosure provisions of the contribution(76.9%) and the IRB approval(61.5%). 2. Half of the dental health journals were not listed on National Research Foundation of Korea Society but they agreed the advance posting provisions. 3. Dental hygiene journals provide 100% of ethics alone and receive 75% of IRB in the papers. 4. Dental health and dental hygiene journals have conflicts of interest disclosure regulations(59.2%) and IRB approval(51.8%). 5. There existed statistically significant differences between the dental health journals whether they were listed on the human subjects and ethical standards for protection in National Research Foundation of Korea or not. Conclusions : While the publication guidelines of dental health journals have followed to a greater extent in recent years, there is still a need for further instructions to ensure that the authors satisfy all ethical requirements in conducting research on human subjects. IRB approval for dental journals must be standardized and reinforced reflecting the characteristics of each journals. The researchers should obey the code of ethics suitable for education and the editors must review the paper continuously.

축산농장 동물복지의 윤리적 갈등과 딜레마 극복: 국내 산란계 농장에서의 윤리의식 수준에 따른 동물복지 관련법규 준수여부 상관관계 조사 (Overcoming Ethical Conflicts and Dilemmas in Farm Animal Welfare: Investigation of Correlation between Ethical Awareness Level and Compliance with Animal Welfare-Related Regulations in Korean Layer Farms)

  • 이본;김태식;최수원
    • 한국가금학회지
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    • 제50권2호
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    • pp.81-90
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    • 2023
  • 국내의 동물복지 개념의 도입은 해외 선진국에 비해 늦었으나 정부 주도에 의해 비교적 적극적인 동물복지정책들이 도입되고 있다. 그러나 축산업 현장에서 동물복지 인식이 충분치 못하기 때문에 자발적인 개선이 아닌 정부의 정책수단에 의하여 동물복지를 추진하고 있는 실정이다. 본 연구에서는 국내 산란계 농가를 중심으로 최근 5년간 도입된 동물복지 관련 정책이 현장에서 유발하는 갈등을 유형화하여 파악하기 위하여 산란 농장 운영자들의 동물복지 관련 의식수준 및 동물복지 관련 규정 준수여부를 조사하였다. 산란 농가 현장방문을 통하여 설문조사를 진행하였으며, 산란양계농장 운영자(소유자 혹은 관리 책임자)를 대상으로 53가구의 산란양계 농가를 조사하였다(2020년 산란양계농가 수 797가구 수 기준 90% 신뢰수준(Z-score: 1.65) 10.18% 허용 오차). 현장에서의 갈등을 윤리적 고려 수준에 따라 소극적, 중도적, 적극적 3가지로 유형화하였다. 또한 윤리적 고려 수준에 따라 동물복지 관련 규정 준수 여부와의 상관관계를 조사하였다. 결과적으로, 축산 현장에서의 동물복지 관련 규정 준수 여부는 축산 농장 운영자의 윤리적 고려수준의 영향을 받는 것을 확인할 수 있었다. 다만 예외적으로 농장 운영자의 동물복지 의식수준이 높음에도 동물복지 관련 규정은 준수하지 못하는 갈등상황이 확인되었는데, 이는 현장에서 인지하고 있는 규정과 정책의 충돌로 인해 발생한 갈등 상황임을 확인할 수 있었다. 이처럼 정책 수단에 의해 추진되는 동물복지가 효과적일 수는 있지만, 아직은 현장에서 갈등을 유발하고 있음을 확인할 수 있었다.

치과위생사의 윤리적 성향이 윤리적 가치관에 미치는 영향 (The Effect of Ethical Propensity of Dental Hygienists on Ethical Values)

  • 권준영;김형주;탁나연;임희정
    • 대한치위생과학회지
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    • 제6권1호
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    • pp.1-12
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    • 2023
  • 연구 배경 : 치과위생사는 보건의료인으로서 윤리성이 강조되고 있으며, 다양한 윤리적 갈등 상황에 효율적으로 대처하기 위하여 합리적 윤리적 가치관 정립이 필요하다. 이에 본 연구는 윤리 교육 프로그램 및 윤리적 가치관 평가 도구 개발을 위한 기초자료로 활용하고자 한다. 연구 방법 : 2023년 1월 1일부터 1월 15일까지 치과위생사 251명을 대상으로 설문조사를 실시하였다. SPSS Win 25.0 프로그램을 이용하여 빈도 분석, T-test, one-way ANOVA, chi-square test, 다중회귀분석을 수행하였다. 연구 결과 : 연구대상자의 윤리적 성향은 이상주의 성향이 3.82점으로 상대주의 성향 3.42점보다 높게 나타났으며, 협동자 관계 영역과 치위생 업무 관계 영역에서 절대론자가 의무주의적 입장을 보였다(p<0.001). 윤리적 가치관에 영향을 미치는 요인에 대한 회귀분석 결과, 윤리적 성향 중 이상주의 성향(β=,444, p=0.000)과 결혼 유무(β=-,123, p=0.035), 직급(β=-.154, p=0.009)이 유의한 관련 요인으로 나타났다. 결론 : 치과위생사의 윤리적 성향을 고려한 윤리 교육 프로그램을 개발하고, 많은 변화와 갈등에 대응할 수 있는 상황 중심적인 윤리 교육을 시행하여 확고한 윤리관을 정립할 수 있도록 구체적인 방안이 모색되어야 할 것이다.

공학 분야의 윤리적 문제해결방법: 매트릭스 가이드 (Ethical Problem Solving in Engineering: Matrix Guide)

  • 한경희;허준행;윤일구;이강택;강호정
    • 공학교육연구
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    • 제15권1호
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    • pp.61-71
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    • 2012
  • The core issue of ethical problem solving in engineering is to understand what exactly happened and to define its nature. Problems often arise mostly in morally complex situations. Traditional philosophical theories usually focus on extreme conflicts of interest and suggest moral theory-centered problem solving methods. However, these methods are not only difficult to specifically apply to real situations, but also are likely to fail to deal with actual moral issues in engineering fields. This study aims to develop more desirable ethical problem solving methods, based on STS (Science and Technology Studies) and engineering ethics combined. First, we have examined the engineering ethics with implications of an STS perspective, then have analyzed traditional ethical problem solving methods in a critical point of view. This study will suggest a new ethical problem solving method named Matrix Guide, based upon those analyses. Specifically, this study classifies four stages of problem definition, analysis, solving, and feedback. Here, we focus on how to combine technological and non-technological factors in each stage, when we are facing morally complex situations in engineering sectors.

윤리적 딜레마 사례에 대한 간호사의 의사결정 분석 (Analysis of Decision-Making in Ethical Dilemma Cases among Clinical Nurses)

  • 김현경
    • 간호행정학회지
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    • 제9권3호
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    • pp.459-480
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    • 2003
  • Purpose: This study was done to analyze the contents of nurses' ethical decision-making in four of hypothetical dilemma cases using the Cameron's Ethical Decision-Making Model of 'Value, Be, Do'. Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do. Result: 1) In consistency, most of subjects showed a unified voice in 'Value, Be, Do'. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients(case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview procedure, the subjects evaluated Cameron's Model as it would help them build consistent value, carry right action, and cope to conflicts. Conclusion: On the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making model, and be applied to the curriculum of nursing colleges and continuing education program for clinical nurses.

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'천지공사'의 종교윤리적 의미에 대한 연구 (A Study on the Religious-Ethical Meaning of 'Reorganizing the order of Heaven and Earth' in the Scripture of Daesoonjinrihoe)

  • 류성민
    • 대순사상논총
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    • 제23권
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    • pp.1-36
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    • 2014
  • The purpose of this study is to research the religious-ethical meaning of the scripture (Jeongyung, 典經) of Daesoonjinrihoe, one of religious orders in Korea. It is 'the reorganizing in the order of heaven and earth' (ROHE, 天地公事)that the believers of Daesoonjinrihoe regard as the essence and basis of their religious belief in Jeongyung, and so I focus on it in this paper. And I have applied the method of religious ethics that recognize the relation religion and morality for understanding religious-ethical meaning of moral principles and norms. In the process of this study I have selected a lot of moral principles, norms and activities in ROHE, and sorted them with their social context of ROHE. In this research I have found some characteristics of ethical norms in the ROHE according to three divisions of ethical category such as personal, social and natural ethics. The understanding of mind is an important point of personal ethic in the ROHE. The mind is understood as the subject and object of personal ethical attitude and volition. So one could have ethical attitude by oneself with mind as subject, and reflect and correct on his ethical faults with the mind as ethical object. The distinctiveness of social ethic in the ROHE is special concerns to the weak at that time such as sick person, illegitimate children, shamans, farmhands and etc. This is a logical consequence of the ethical altruism of the ethic of mutual beneficence(相生) and the dignity of human(人尊) in ROHE. And the ethics of mutual beneficence is applied to natural ethic of ROHE. Since natural world including all sort of plants and animals is intimately related to the human worlds, so it is a desirable attitude for to accommodate to the changes of nature. Even if these characteristics of ethics in ROHE are justified by the religious beliefs, the norms from them are available in our religious pluralistic societies, since they have common ethical values of other religious ethics. It is my concluding remark that religious orders or denominations have to offer a lot of moral norms suitable to religious pluralistic situation. Because it is needed for our society to conquer various sort and kind conflicts among religions, and to act harmoniously together for public peace.

윤리적 소비, 이타주의인가 이기주의인가? - 인조 모피 소비자 문화 분석 - (Is Ethical Consumption Altruistic or Egoistic? - Consumer Culture of Wearing Faux Fur -)

  • 김윤정;권유진
    • 복식
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    • 제66권7호
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    • pp.17-33
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    • 2016
  • Consumption of faux fur is a part of ethical consumption, and is valuable in terms of protecting and caring for animals. The purpose of this study is to understand the meaning of consuming faux fur (i.e., characteristics of faux fur consumption and how consumers relate faux fur with ethical issues) from the perspective of consumer culture theory. Data were collected through semi-structured in-depth interviews with those who have purchased faux fur. Two overarching themes emerged in regards to consuming faux fur, altruistic and egoistic orientation. Regarding the altruistic orientation, participants were sympathetic to animals, and considered consumption as part of practicing social responsibility and ethics. Participants had concerns for animal rights and conflicts with others who consumed actual fur. They viewed faux fur as an alternative to actual fur. Regarding egoistic orientation, participants isolated themselves from ethical issues in order to be free from guilt. Despite the preference for actual fur, they compromised between their desire and social criticism. Furthermore, their intention was to pretend as if they were wearing actual fur or move onto a completely different style, and had a negative outlook on social change regarding the adoption of faux fur. The findings contribute to a better understanding of consumer culture of consuming faux fur. Further research on diverse aspects of ethical consumption is warranted.