• 제목/요약/키워드: Medical ethics

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자연 윤리학 구성의 제 요소 - 한의사 윤리를 중심으로 - (Elements of Natural Ethics - Focusing on Korean Medicine Ethics -)

  • 안영수;김민주;오정명;민유리;류정아
    • 대한한의학원전학회지
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    • 제33권2호
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    • pp.13-32
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    • 2020
  • Objectives : To define an everyday ethics for students and doctors of Korean Medicine, people who desire treatment, cultivation and healing through Korean Medical means by determining its conditions and characteristics. Ways of constructing its contents fit for contemporary society were discussed. Methods The threefold Heaven-Earth-Human theory, Yinyang theory, circulation of the Five Phases along with contents of classics such as 『Huangdineijing(黃帝內經)』, 『Guanzi(管子)』, 『Zhongyong(中庸)』, 『Daxue(大學)』, 『Beijiqianjinyaofang(備急千金要方)』, 『Donguibogam(東醫寶鑑)』 were newly interpreted or quoted for explanation. Results : The elements that construct natural ethics and Natural Ethics were established as following: the natural perspective of Nature and People, natural sustainability as fundamental principle, co-existence and initiative circulation as fundamental rules, education and cultivation of lay people, and professional character and competence. Conclusions : The authors suggest a reconstruction of the inherent philosophy, ethics, principle, rule, life guidelines of Korean Medicine within the framework of "natural ethics" and "Natural Ethics" as a prior task for better integration of traditional KM into contemporary society.

의과대학 윤리·인성 교육을 위한 딜레마 토론의 활용 (Application to the Dilemma Discussion Program: Ethics and Character Education for Medical Students)

  • 홍성훈
    • 의학교육논단
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    • 제11권2호
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    • pp.3-14
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    • 2009
  • The current medical practices in Korea have raised many new ethical issues. The current education system in medical colleges, however, is finding it difficult to cope with these rapidly arising medical issues. Many educators, therefore, became much more concerned about the importance of ethics and character education in medical colleges, but teaching methods or educational programs centered around the same have not yet been developed. Dilemma discussion is regarded as an available teaching method but is not frequently used in medical education. In this respect, this study aims to apply dilemma discussion programs to ethics and character education for medical students. It was discovered that dilemma discussion is an effective instructional method for enhancing the moral reasoning ability of medical students. According to $Rest^{\circ}{\phi}s$ theoretical framework, however, a dilemma discussion program focuses on two components of morality: moral judgment and moral sensitivity. Moral judgment and moral sensitivity are major components in predicting moral behaviors. Therefore, the target of dilemma discussion programs is to focus on these two components. It is reasonable to integrate moral judgment with moral sensitivity for ethics and character education in medical schools.

개정의료법 57조(의료광고 사전심의제도 개정)의 배경, - 광고의 사회적 윤리성과 공익적 가치 (Background of Revised Medical Law Article 57 (Revision of Medical Advertising Review System), - The Social Ethics and Public Value of Advertising)

  • 조은희
    • 한국병원경영학회지
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    • 제24권1호
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    • pp.77-80
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    • 2019
  • The medical advertising review system which was revised and implemented on September 28, 2018, was revived. In this paper, we examine the implications of social ethics and public value of advertising under 4 perspectives of advertising, present the direction of future medical advertising, and suggest the meaning and expected effect of the preliminary medical advertising review system.

플립러닝을 활용한 의료윤리학 교육에 대한 한의대생의 인식과 경험 (A Study on the Korean Medical Students' Perception of Medical Ethics Education Using Flipped Learning)

  • 박선주;최은지;김송이
    • 대한예방한의학회지
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    • 제22권2호
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    • pp.1-12
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    • 2018
  • Objectives : Recently, the interest on medical education in flipped learning has been growing. Competency-based curriculum is also required through changes in teaching methods within the Korean medicine education. In this study, flipped learning method was applied to 'medical ethics' class to examine the perception and experience of flipped learning from the Korean medical student's perspectives. Methods : The study was conducted on 15 preparatory course freshmen students who took the 'medical ethics' course, in the second semester of the year 2017 at 'A' University. The study was proceded in two steps; 1) fill-in the questionnaire twice (before and after the class), and 2) in-depth interview with semi-structured questionnaire. The $1^{st}$ questionnaire in the first step was consisted of 'Experience on flipped learning before the class', 'Which section of the flipped learning class do participants have expectation', 'Interest and expectation on flipped learning'. In the $2^{nd}$ questionnare, the participants were asked 'Which section of the flipped learning section that the learning effect was maximized', 'Association between 'flipped learning' method and 'Medical ethics' course' with 5-point Likert scale and frequency. Results : The results showed that flipped learning method works very effectively in the 'medical ethics' course (63.6%). After the flipped learning class, the participants showed positive change in a attitude of the class (72.7%). However, this teaching method might be inappropriate for participants who had difficulties in pre-learning or a passive attitude and lecture-centered instruction (LCI) classes. Conclusions : Though applying flipped learning method to the 'Medical Ethics' was effective, to make pre-learning better, the instructors should prepare countermeasures for passive participants, help interact well among the participants, and plan a lesson thoroughly for changing LCI classes to student-centerd instruction(SCI).

간호과와 비 간호과 학생의 생명의료윤리 의식 비교 (A comparative study on the consciousness of bio-medical ethics of nursing and non-nursing students)

  • 조미경
    • 디지털융복합연구
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    • 제11권4호
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    • pp.311-320
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    • 2013
  • 본 연구는 일 대학 간호과와 비 간호과 학생의 생명의료윤리 의식을 파악하여 대학생들의 올바른 생명윤리 의식 함양에 필요한 윤리교육의 방향과 교육과정 내용을 위한 기초자료를 제공하고자 시도하였다. 생명의료윤리 의식은 4점 만점에 간호과 학생들이 평균 3.04점으로 비 간호과 학생들의 2.88점보다 높았고 이들 간에 유의한 차이가 있었다(t=6.79, p<.001). 두 그룹간에 태아의 생명권, 태아진단, 신생아 생명권, 안락사, 장기이식, 뇌사영역에서 통계적으로 유의한 차이를 나타내었다. 대상자들의 생명의료윤리 의식에 영향을 미치는 주요 요인은 간호과에서는 한 학기 이상 윤리관련 수업 경험 유무, 생명윤리 관련 문제로 고민한 경험 유무, 윤리적 가치관이었고, 비 간호과는 학년으로 나타났다. 결과적으로 대상자들의 낮은 생명의료윤리 의식은 각 학과별로 기본적인 생명윤리 교육부터 고학년으로 올라갈수록 체계적이고 복합적인 윤리적 사고 판단과 의사결정 능력, 가치관 고취를 위한 교육과정을 통해 충족되어야 할 것이다. 추후 생명의료윤리 의식의 하위영역별 집중연구나 질적 연구를 제언한다.

의료 서사와 의료 윤리 (Medical Narrative Texts and Medical Ethics)

  • 최성민
    • 대중서사연구
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    • 제26권3호
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    • pp.291-323
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    • 2020
  • 본 논문은 먼저 펠레그리노의 <의철학의 재탄생>에서 강조하는 현대적 의료 윤리의 가치 변화를 고찰하였다. 펠레그리노는 의료인의 윤리에 대한 인문학적 성찰을 강조해온 철학자이다. 그는 현대 사회의 변화에 따라 의료 윤리도 재정립되어야 한다고 주장한다. 이 논문은 펠레그리노의 주장을 바탕으로, 문학과 대중서사텍스트 속에서 문제적 상황을 주목하였다. 실제로 우리를 위해 의료 윤리가 무엇을 답변해야 하는지를 살펴보려 한 것이다. 의료인들은 철학적 딜레마를 겪거나 현실과 윤리 사이의 갈등을 겪어 왔다. 펠레그리노는 의료인은 질병과의 싸움에 앞서, 환자와의 상호작용을 통해 환자의 고통에 공감하고 그 요구에 응답해야 한다고 주장한다. 이것은 매우 당위적인 선언처럼 보이지만, 문학 작품과 대중서사텍스트 속의 의료인들은 이러한 윤리적 딜레마에 자주 노출된다. 이청준의 소설을 통해 의료인이 환자를 어떻게 '좋음'의 상태로 이끌어야하는 지를 성찰할 수 있으며, 메디컬 드라마들을 통해 대중들이 의료인에게 요구하는 윤리적 행위가 무엇인지를 포착할 수 있다. 코로나19로 전세계가 고통을 받고 있는 지금, 의료인들 또한 큰 고난에 처해 있지만, 동시에 대중의 존경을 받고 윤리적 존재로서의 가치를 높이고 있기도 하다. 의료가 일상의 서사가 된 지금, 우리에게 의료 윤리는 삶을 유지하기 위한 필요조건이 되고 있다. 본 논문을 통해, 의료 윤리의 중요성을 다시 인식하고, 의료 서사 속에서 구체화된 윤리적 문제를 성찰적으로 검토하는 의미를 얻을 수 있을 것이다.

윤리적 의사결정 영향요인이 소방공무원의 직업윤리의식과 직무만족에 미치는 영향 (The effects of ethical decision making factors on vocational ethics and job satisfaction of firefighters)

  • 최보람;김진현
    • 한국응급구조학회지
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    • 제22권1호
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    • pp.61-72
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    • 2018
  • Purpose: The purpose of the study was to analyze the effects of ethical decision making factors on vocational ethics and job satisfaction of firefighters and to provide basic data to promote appropriate vocational ethics and improve job satisfaction. Methods: A self-reported questionnaire was filled out by firefighters in D metropolitan area from May 7 to 15, 2017. A total of 410 data were analyzed using SPSS 24.0 program. Results: Among influential factors of ethical decision making, "ethical environment of organization"(${\beta}=.266$), "coworkers' influence" (${\beta}=.216$), and "managers' ethical competence" (${\beta}=.148$), 'compensation and punishment'(${\beta}=.097$) had a positive effect on vocational ethics, while "coworkers' influence" (${\beta}=.281$), "ethical environment of organization" (${\beta}=.274$), and "managers' ethical competence" (${\beta}=.143$) had a positive effect on job satisfaction. Vocational ethics was found to have a significantly positive effect on job satisfaction (B=.657, t=8.802, p=.000). Conclusion: It is necessary to promote vocational ethics for improvement of firefighters' job satisfaction, and appropriate ethics education should be provided. It is important to actively manage the factors affecting ethical decision making.

의료계열 대학생들의 생명 윤리 의식 (Bioethical Perception between Nursing Students and Medical Students)

  • 안혜영;조병선;최숙희;최원;고유미
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.98-107
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    • 2008
  • Purpose: The purpose of this study was to provide basic data which is necessary for educating nursing and medical students for establishing a desirable sense of ethics values Method: In this descriptive research, a total of 140 nursing students and 124 medical students were selected. The tools used for data analysis were descriptive statistics, t-test, one-way ANOVA, and Scheffe test by using SPSS/WIN 12.0 version. Result: When the differences in the consciousness of biomedical ethics of nursing and medical students were compared, statistically significant differences were found in the category of brain death (t=-3.26, p=.001). Statistically significant differences were found in the general characteristics of religion (F=3.05, p=.018), and participation in religious activity (F=3.34, p=.006). Statistically significant differences were found in the characteristics related to the subjects' ethical values such as satisfaction level of a nurse/doctor (F=7.39, p=.000) occupation, the experience of A Patient's Bill of Rights (F=2.97, p=.020), the intention to attend biomedical ethics (F=5.61, p=.000), and the possibility of increasing ethical problems according to the development in the field of medical science (F=7.92, p=.000). Conclusion: An effort should be made to overcome the differences in the perception of biomedical ethics between nursing students and medical students. Moreover, when investigating the course of an integrated education for the establishment of a desirable sense of biomedical ethics, an alternative plan that could promote ethical values must be considered so that the significant variables can promote bioethical perception.

한의사(韓醫師) 윤리(倫理)에 대(對)한 한의철학적(韓醫哲學的) 연구(硏究) (A Study on Oriental Medical Doctors' Ethic with The Way of The Oriental Medicine Philosophy)

  • 하홍기;백유상;김수중;정창현
    • 대한한의학원전학회지
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    • 제20권4호
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    • pp.127-149
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    • 2007
  • The environment surrounding oriental medical' doctors made change in accordance with changes of the society to make change of the doctors' ethics. In particular, some of practitioners made light of patients to let people distrust all of the medical professions. To improve such a situation, oriental medical doctors' ethics should be examined historically and philosophically. This study examined the literatures of Oriental medicine on oriental medical doctors' ethics to investigate difference of medical ethics between the Western medicine and the Oriental medicine and to suggest a way promoting oriental medical doctors' ethical consciousness. The ethics of the literatures of Oriental medicine might be classified into the two, in other words, 'medical technology' and 'mental attitude'. 'Medical technology' laid emphasis upon not only a lot of researches on Oriental medicine but also doing best to give patients medical treatment carefully. 'Mental attitude' laid emphasis upon keeping 'humanity(仁心)' thinking much of patients not to pursue excessive profits. To recover ethical consciousness, not only 'reinforced school education' but also 'reinforced legal regulation' was required. And, oriental medical doctors, nongovernmental organizations, common people and other social members were demanded to make efforts together to elevate oriental medical doctors' ethical consciousness.

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