• 한국방재학회:학술대회논문집
• /
• 한국방재학회 2008년도 정기총회 및 학술발표대회
• /
• pp.377-379
• /
• 2008

This study was focused on the ethical dilemmas of fire fighters in Korea. There was no research on ethical dilemmas and experience of fire fighters and paramedics(emergency medical technician, EMT) in Korea. So I am going to survey this ethical problems through questionnaires and propose the basic data for the legal and ethical solutions.

• 보건의료산업학회지
• /
• 제9권1호
• /
• pp.67-79
• /
• 2015

The aim of this descriptive cross-sectional study was determine the effect of critical thinking and clinical decision-making on ethical dilemmas. A survey of dental hygienists residing in Busan and South Gyeongsang, Korea was conducted using convenience sampling between September and December, 2013. A total of 153 responses were used in the final analysis. Data analysis and structural equation modeling were performed with IBM SPSS Statistics(version 21.0) and AMOS(version 18.0) programs. A negative(-) correlation coefficient(-0.37) was observed between critical thinking and ethical dilemmas on statistical analysis, i.e., higher critical thinking led to less ethical dilemmas(p=0.024, CR=-2.264). The values from the structural equation model were ${\chi}^2=98.124$ df=66, GFI=0.919, AGFI=0.871, and RMSEA=0.057. This study proposed a theoretical model in which critical thinking, ethical values, and decision-making skills should be firmly established to effectively respond to specific situations, such as ethical dilemmas, and that greater tendencies for critical thinking led to less ethical dilemmas, thereby demonstrating a negative(-) correlation between the two parameters.

• 중환자간호학회지
• /
• 제5권2호
• /
• pp.1-14
• /
• 2012

Purpose: This study was aimed to describe ethical dilemmas and types of coping behaviors among nurses who worked in intensive care units (ICUs). Methods: Data were collected by 2 focus group interviews with 12 ICU nurses in an academic affiliated hospital in Seoul, Korea. All interviews were tape-recorded and transcribed, and data were analyzed by modified qualitative content analysis. Results: Three themes emerged from the focus group interviews: "Respect for Persons (2 contents)", "Beneficence (13 contents)", "Justice (1 content)". Coping behaviors against the dilemmas were consultations with the doctors or colleagues, acceptance, guilt, reflection, forgetting, endurance, and frustration. Conclusion: The results of this study help us to understand ethical dilemmas that nurses experienced in ICUs and their coping behaviors. It would be useful to develop education programs for nurses in ICUs to support coping strategies for ethical dilemmas.

• Journal of Hospice and Palliative Care
• /
• 제25권4호
• /
• pp.159-168
• /
• 2022

Purpose: This study aimed to investigate the impacts of end-of-life care competency and ethical dilemmas on psychological burnout in nurses who care for terminal cancer patients. Methods: A cross-sectional study of 160 nurses who cared for terminal cancer patients was conducted. The participants were recruited from the hospice-palliative care wards, hematology or oncology wards, or intensive care units of three general hospitals in a single metropolitan area. Data were collected using a self-administered survey to assess end-oflife care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent ttest, analysis of variance, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows (version 26.0). Results: Psychological burnout was significantly correlated with end-of-life care competency (r=-0.23, P=0.003) but not with ethical dilemmas. The results of the hierarchical linear regression analysis indicated that endof-life care competency (β=-0.280, P=0.010) and ethical dilemmas (β=0.275, P=0.037) were significant predictors of psychological burnout, after adjusting for age, religious status, clinical experience, and unit type. Conclusion: The current study's findings demonstrate that end-of-life care competency and ethical dilemmas are crucial factors that affect psychological burnout in nurses who care for terminal cancer patients. Substantive education programs must be developed to improve nurses' competencies in end-of-life care and ethical dilemmas to decrease psychological burnout.

• 한국사회복지학
• /
• 제60권1호
• /
• pp.53-76
• /
• 2008

본 연구는 아동보호전문기관 사회복지사들의 윤리적 딜레마와 의사결정을 중심으로 연구를 진행하여 그들의 윤리적 고충을 이해하는 동시에 실천적이고 정책적인 제언을 하는 데에 목적이 있다. 본 연구의 수행을 위하여 질적연구방법론 중에서도 현상학적 연구방법을 사용하였고, 14명의 아동보호전문기관 사회복지사와의 인터뷰 내용을 Colaizzi(1978)의 분석단계에 따라 분석하였다. 총 8개의 주제묶음과 26개의 소주제들을 통해 아동보호전문기관 사회복지사는 '정책/제도의 미흡함과 업무의 과다 속에서 피학대 아동을 만나면서 직접적이고 간접적인 윤리적 딜레마에 빠짐'을 대주제로 도출하고, 총 4개의 주제묶음과 9개의 소주제들을 통해 '책임과 부담을 떠안은 채로 최선이라 생각하며 의사결정을 수행함'을 대주제로 도출할 수 있었다. 이에, 이와 관련된 향후 논의점들을 제시하였다.

• 대한간호학회지
• /
• 제25권3호
• /
• pp.496-509
• /
• 1995

This study was conducted to identify the attitude of ethical dilemmas in hospital nurses. Ethical dilemmas were categorized into four areas : human life area, clients area, nursing practice area, and nurses-co-worker area. 354 nurses working in clinical settings were selected in Seoul and Kangwon area. Data were gathered from 26, June to 10, July, 1994 by structured guestionnaires. Descriptive statistics were employed to analyze the data. The results obtained from data were as follows : 1) In human life area mean score was 3.03. This area showed remarkabale individual differences between utilitarian and deontological position. 2) In clients area mean score was 3.94. It means that nurses tend to take a deontological position. 3) In nursing practice area mean score was 3.41. It means that nurses tend to take a slightly deontological position. 4) In nurses-co-worker area mean score was 3.88. It means that nurses tend to take a deontological position. To conclude, clinents area, nursing practice area, and nurses-co-worker area taken deontological position. Most nurse's primary concern was the 'welfare of the patients' which is to fundamental ethical professional practice. But nurses experienced more ethical dilemmas in human life area than others. Therefore, nurses should be prepared to make in-dependent decision that based on bio-ethics and professional ethics.

• 시큐리티연구
• /
• 제46호
• /
• pp.31-62
• /
• 2016

본 연구는 신변보호요원의 윤리적 딜레마에 대한 현상학적 연구로 신변보호요원을 대상으로 윤리적 딜레마에 대한 경험적 사실들을 근거로 의미와 본질을 찾아 신변보호요원들의 윤리적 딜레마에 대한 과정과 경험을 연구하여 본질을 이해하고 예방과 대처를 할 수 있는 기초적자료를 위한 방안을 제시하는데 목적이 있다. 이러한 연구목적을 달성하기 위하여 Colaizzi의 6단계 분석 절차를 사용하여 5년이상 근무를 한 7명의 윤리적 딜레마를 경험한 신변보호요원을 연구대상으로 선정하여, 2015년 10월 1일부터 2015년 11월 20일까지 면접 및 질문지를 통해 자료를 분석하고 연구의 타당성과 윤리적 고려사항을 통해 내용을 분석하여 다음과 같은 결과를 도출할 수 있었다. 연구 결과 신변보호요원의 윤리적 딜레마의 중심의미는 6개와 20개의 주제진술로 파악되었다. 첫째, 중심의미는 갈등요인으로 주제는 직전관행과의 충돌, 규정 절차 문제, 조직 직무소통, 서비스불일치이다. 둘째, 중심의미는 업무상 역할제한으로 주제는 제도적 관행, 의사결정, 우선순위이다. 셋째, 중심의미는 업무상 상황판단의 어려움으로 주제는 결정의 모호성, 지식 및 경험, 의견대립이다. 넷째, 중심의미는 합리적 자기 방어로 주제는 책임감결여, 합리화, 의도적 외면, 자괴감이다. 다섯째, 중심의미는 대인관계 어려움으로 주제는 상 하관계, 중간 관리자 역할, 비협조적 업무, 불쾌한 언행이다. 여섯째, 중심의미는 비밀유지로 주제는 묻혀진 행태, 불법관행이다.

• 간호행정학회지
• /
• 제19권5호
• /
• pp.668-678
• /
• 2013

Purpose: This study was done to develop a realistic clinical case and investigate nurses' decision-making about nurses' ethical dilemmas with physicians in the fields of nursing practice. Methods: Case development and a hypothetical case study were used. Participants were 52 nurses. Data were collected in 2012 and 2013 using an open-ended questionnaire and interviews and analyzed using content analysis and descriptive statistics. Results: Various dilemma situations between nurses and physicians, such as violence, deathbed, medication prescription, and physicians' incapacity unfairness, were suggested. A clinical dilemma case about medication prescription was developed based on nurses' experiences. Nurses' responses to the developed case situation and responses were classified into five types. Various reasons were given for making the decisions and about 56% of the nurses decided to notify their supervisor without deleting nursing records. Conclusion: In this study, a realistic clinical dilemma case was developed, and nurses' ethical decision making was identified. These findings can be used in developing effective strategies for nurses to solve ethical dilemmas and to improve ethical decision-making abilities.

• 아동학회지
• /
• 제27권2호
• /
• pp.127-151
• /
• 2006

This study examined ethical dilemmas experienced by child-counselors and coping behaviors they practiced in context. The analysis was performed for 30 child-counselors in Seoul and Kyunggi-do, Participants were asked to describe a self-report in an interview with the main researcher. Data were categorized, quantified and examined in terms of five ethical dimensions derived from antecedent research. The five ethical dimensions are "confidentiality and protection of privacy", "professional competence", "informed consent", "informing clients of the nature of treatment modality", and "adequacy and effectiveness of treatment". This study contributes basic data for the development of an inventory for the measurement of ethical practice for child counselors.

• 한국문헌정보학회지
• /
• 제55권1호
• /
• pp.161-180
• /
• 2021

본 연구는 사서교사의 윤리적 딜레마에 관하여 현황과 사례를 조사 분석하는 것을 목적으로 수행되었다. 『도서관인 윤리선언』의 내용을 틀로 윤리적 딜레마 경험 정도를 묻는 설문조사에 259명의 사서교사가 참여하였고, 5명의 사서교사를 대상으로 반 구조적 인터뷰를 수행하여 직접경험 사례를 수집하였다. 기술통계와 인터뷰 전사자료의 질적 분석을 통해 도출한 연구 결과는 다음과 같다. 첫째, 사서교사들은 정보 접근을 저해하는 검열에 관하여 가장 많은 경험을 딜레마 경험을 하였다. 둘째, 사서교사들은 직업적 책무를 수행하기 위해 전문성을 활용하기 어려울 경우 딜레마가 발생하였다. 셋째, 사서교사들은 지식재산권 존중과 이용자와 권리자 간 균형 추구에 관련하여 그 중요성은 잘 알지만 실제 사례에 당면하여 구체적인 적용 방법에 대해 잘 알지 못해 딜레마가 발생하였다. 넷째, 사서교사들은 사서교사 전문성 함양 분야와 학교에서 원하는 사서교사상 간의 차이로 인해 딜레마가 발생하였다. 다섯째, 사서교사들은 대출반납 업무와 학생 개인 대출 정보 공개에 관한 딜레마가 있었다. 여섯째, 사서교사들은 학교교육시스템과 도서관운영의 관습관련 딜레마가 있었다. 특히, 윤리적 딜레마 사례는 각각 맥락의존적으로 사서교사들의 균형적 판단이 중요함이 나타났다. 향후 윤리적 딜레마에서 사서교사의 균형적 판단을 위한 지점과 대처에 대한 도서관계의 고민이 필요하다.