• 제목/요약/키워드: Ethics of Care

검색결과 202건 처리시간 0.025초

장애아 보육교사의 전문성 인식과 직무스트레스의 관계 (Awareness of Professionalism and Job Stress in Child-Care Teachers of Children with Special Needs)

  • 이경화
    • 아동학회지
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    • 제28권3호
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    • pp.61-75
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    • 2007
  • This study defined awareness of professionalism and job stress in 353 child-care teachers of children with special needs and analyzed the relative contribution of professional awareness to job stress. Teachers showed high awareness of 'ethics' and 'enthusiasm enhancing professionalism', and this awareness correlated highly with professionalism in the 'specialized knowledge and skills' sub-factors. Teachers showed high levels of stress in the 'general duty' and the 'guidance of children with special needs' categories, and this correlated highly with stress caused by 'child-care center management.' The results of canonical correlation analysis indicated that of professionalism sub-factors only the awareness of 'social services' contributed positively to job stress.

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경기도 일부 어린이집 조리종사자의 내분비계 장애물질 인식도 및 노출 저감화 행동 조사 (Recognition of Endocrine-Disrupting Chemicals and Behavior to Reduce Exposure to Endocrine-Disrupting Chemicals in Cooking Staff Working at Child Care Center Located in Gyeonggi Province)

  • 장수빈;임경숙;김영주;김형숙
    • 대한영양사협회학술지
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    • 제26권3호
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    • pp.183-195
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    • 2020
  • Endocrine-disrupting chemicals (EDCs) are chemicals present in the environment that interfere with the normal hormone functions of various organisms and cause genetopathy, deformities, or cancer. This study surveyed the awareness of EDCs with 242 cooking staff at 242 meal service facilities for children located in a part of Gyeonggi Province. To minimize infants' exposure to EDCs, the subjects were provided with information on EDCs for two months. The behavior of reducing exposure to EDCs was analyzed according to the awareness of EDCs and work ethics. In addition, the effects before and after being provided with the information were evaluated. According to the results, the levels of awareness of EDCs and work ethics' scores of the cooking staff were high with 3.95 and 4.39 points, respectively, out of five points. In addition, a higher awareness of EDCs and a higher work ethics' score were associated with an improved behavior of reducing exposure to EDCs (P<0.05). The overall cooking and cleaning behavior for reducing exposure to EDCs showed improvement after providing information (P<0.01). Therefore, these results suggest that it is important to provide continuous education to enhance the awareness of EDCs, work ethics, and behavior to reduce exposure to EDCs.

A Q-methodological Study on Nursing Students' Attitudes toward Nursing Ethics

  • Yeun Eun-Ja;Kwon Young-Mi;Kim Hung-Kyu
    • 대한간호학회지
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    • 제34권8호
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    • pp.1434-1442
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    • 2004
  • Purpose. Professional nursing ethics is a living, dynamic set of standards for nurses' professional moral behavior. Furthermore, in daily clinical nursing training, nursing students are constantly confronted with decision-making that is moral in nature. The aim of this study was to identify the perceived ethical attitudes in the clinical training process of senior nursing students using Q-methodology to offer basic strategies for nursing ethics education and thereby improve patients' care. Methods. Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty-seven participants in a university rated 38 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results. Principal component analysis identified 3 types of ethical attitudes in nursing students in Korea. The categories were labeled Sacred-life, Science-realistic and Humane-life. Sacred-life individuals think that a life belongs to an absolute power (God), not a man, and a human life is a high and noble thing. Science-realistic individuals disagreed that allowing an induced abortion or embryo (human) duplication is unethical behavior that provokes a trend, which takes the value of a life lightly; most of them took a utilitarian position with respect to ethical decisions. Humane-life individuals exhibit a tendency toward human-centered thought with respect to ethical attitudes. Conclusion. This study will be of interest to educators of students of nursing and hospital nursing administrators. Also, the findings may provide the basis for the development of more appropriate strategies to improve nursing ethics education programs.

End of Life Issues in Cancer Cases: Ethical Aspects

  • Taghavi, Afsoon;Hashemi-Bahremani, Mohammad;Hosseini, Leili;Bazmi, Shabnam
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.239-243
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    • 2016
  • This article investigates ethical challenges cancer patients face in the end stages of life including doctors' responsibilities, patients' rights, unexpected desires of patients and their relatives, futile treatments, and communication with patients in end stages of life. These patients are taken care of through palliative rather than curative measures. In many cases, patients in the last days of life ask their physician to terminate their illness via euthanasia which has many ethical considerations. Proponents of such mercy killing (euthanasia) believe that if the patient desires, the physician must end the life, while opponents of this issue, consider it as an act of murder incompatible with the spirit of medical sciences. The related arguments presented in this paper and other ethical issues these patients face and possible solutions for dealing with them have been proposed. It should be mentioned that this paper is more human rational and empirical and the views of the legislator are not included, though in many cases human intellectual and empirical comments are compatible with those of the legislator.

IPA를 활용한 음악치료사의 내담자 개인정보보호의 인식도와 실천도 분석 (Personal Information Recognition and Practice of Music Therapists through IPA Tool)

  • 이규희;윤영미;조미란;김하영;류황건
    • 보건의료산업학회지
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    • 제14권1호
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    • pp.103-110
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    • 2020
  • Objectives: In this paper, we propose the ethical education direction by analyzing the personal information recognition and practice of music therapists. Methods: For the analyses, we selected 60 music therapists who answered a questionnaire from members of K Music Therapy Association, and analyzed task recognition and practice ask performance using IPA method. Results: In the IPA table, the areas of high recognition and practice (1) are the areas of personal information protection information management. In the IPA table, the areas of low awareness and high practice (2) are areas of privacy communication for those who have completed ethics education. In the IPA table, the areas of low awareness and low practice (3) are areas of privacy communication when ethics education is not completed. In the IPA table, areas of high awareness and low levels of practice (4) are areas of privacy protection. Conclusions: Continuing education should be provided to improve the curriculum on the protection of personal information for music therapists, thereby raising the awareness and practice of privacy.

임상 간호사의 안락사에 대안 인식과 태도 (Perceptions and Attitudes of Nurses toward Euthanasia)

  • 손행미
    • 기본간호학회지
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    • 제11권3호
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    • pp.309-316
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    • 2004
  • Purpose: The purpose of this study was to identify the perceptions and attitudes of nurses toward euthanasia. Method: In this descriptive study, data were collected from 485 nurses using a self-report questionnaire. The attitudes toward euthanasia scales were composed of four sub dimensions; quality of life, client's right, respect for life and medical ethics. The data were analyzed with descriptive and parametric statistics using SPSS WIN program. Results: Of the nurses, 84.7% were in agreement with constituting a law for euthanasia and 57.6% accepted passive euthanasia. Further, 80.1% would accept euthanasia for their own end-of-life situation. The most frequent reason for pro euthanasia was pain relief, and for con, respect for lift. The mean attitude score was 54.64 and that of sub dimensions, were 2.81 for quality of life, 3.21 for client's right, 2.87 for respect for life, and 2.84 for medical ethics. The nurses who were positive in their thinking about euthanasia had higher attitude scores. Among general characteristics of the nurses, attitudes scores were significantly different according to religion. Conclusion: Although many nurses had a positive concept of euthanasia, they still have ethical dilemmas in lift-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines for end-of-life care.

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간호대학생의 윤리적 의사결정에 영향을 미치는 요인 (Factors Affecting Ethical decision-making of Nursing Students)

  • 유명숙;진주현
    • 가정∙방문간호학회지
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    • 제30권2호
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    • pp.163-173
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    • 2023
  • Purpose: The aim of this descriptive research study was to identify the factors affecting the ethical decision-making of nursing students. Methods: A convenience sample of 193 nursing students from three nursing colleges in D city who were engaged in clinical practice completed an online Google Forms questionnaire from September 9 to September 20, 2021. Using SPSS 23.0, data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, Scheffé's test, Pearson's correlation coefficient, and a multiple regression analysis. Results: The influencing factors of ideal ethical decision-making were guilt (β=.38, p<.001), awareness of the nurses' Code of Ethics (β=.18, p=.023) and motivation for entering school, among general characteristics (β=-.18, p=.033). The explanatory power of the model was 22.2%. Further, the influencing factors of realistic ethical decision-making were ideal ethical decision-making (β=.26, p=.001) and grade (among general characteristics) (β=.15, p=.029); the explanatory power of the model was 17.9%. Conclusion: Various educational tools and programs pertaining to making ideal and ethical decisions must be enhanced to promote ethical choices in clinical areas and realistic ethical decision-making ability to actually make such choices. This focus may enable nurses to improve their nursing professionalism in the future.

치매 간호 표준 개발 (Development of Dementia Care Standards)

  • 하주영
    • 대한간호학회지
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    • 제40권5호
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    • pp.631-641
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    • 2010
  • Purpose: This study was done to develop standards for dementia care as a baseline for professional nurses to provide a framework for dementia care evaluation Methods: The dementia care standards were developed through a literature review and focus group discussions. According to the Delphi method, the data analysis was conducted using the Content Validity Index (CVI). Results: The final set of 18 standards on dementia care was developed through one round of CVI. The standards included four structural standards: 'Organization of nursing system', 'Operating system', 'Management of human resources', 'Management of material resources', 13 procedural standards: 'Advanced assessment', 'Nursing diagnosis', 'Nursing plam', 'Advanced nursing implementation', 'Evaluation', 'Education', 'Research', 'Consultation', 'Counseling and cooperation', 'Development of specialty', 'Utilizing resources', 'Nursing quality assurance', 'Ethics', and one standard concerning outcome ('Evaluation of nursing tasks in care of patients with dementia'). The final set of 55 criteria on care of patients with dementia was confirmed through two rounds of CVI. The final 171 indicators were confirmed through four rounds of CVI. Conclusion: These dementia care standards provides a framework that allows registered nurses to clarify their roles and tasks in the care of patients with dementia and provides evaluation criteria.

의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구 (Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality)

  • 고정미;고진강
    • 중환자간호학회지
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    • 제11권3호
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    • pp.1-11
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    • 2018
  • Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.