• Title/Summary/Keyword: Medical ethics education

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A review of the qualification criteria for the national examinations for emergency medical technicians (응급구조사 국가시험 응시 자격기준에 관한 고찰)

  • Kim, A-Jung;Park, Tae-Jun;Bak, Young-Seok;Kim, Jun-Ho;Kim, Yong-Seok;Son, Yu-Mi;Lee, Kui-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.39-53
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    • 2021
  • Purpose: Emergency medical technicians (EMTs) have so far been trained as professionals under the same conditions, with no change in the 1995 Act. We aimed to find ways for them to secure expertise in accordance with social needs by strengthening the quality of the EMT education. Methods: This is a descriptive study comparing the operation status of the national emergency medical examination conducted by the Korea Health Personnel Licensing Examination Institute, and the national examinations of EMT paramedic and EMT basic. The scope of the national examinations for EMT was compared by subject and area. Results: The national written exam for EMT paramedic consists of five areas. EMT basic does not include basic medicine in three related subjects, 11 areas, and 18 detail areas. Paramedic care does not include advanced pediatric life support. In addition, nine areas and 20 detail areas are not included. Conclusion: The study suggests the need for institutional supplementation so that those who have completed EMT basic and the subjects prescribed by the ordinance of the Ministry of Health and Welfare at universities, etc., in the Higher Education Act can take the EMT paramedic national exam.

Ethical Issues in the Forth Industrial Revolution and the Enhancement of Bioethics Education in Korean Universities (4차 산업혁명 시대의 윤리적 이슈와 대학의 생명윤리교육 방향 제고)

  • KIM, Sookyung;LEE, Kyunghwa;KIM, Sanghee
    • Korean Journal of Medical Ethics
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    • v.21 no.4
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    • pp.330-343
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    • 2018
  • This article explores some of the ethical issues associated with the fourth industrial revolution and suggests new directions for bioethics education in Korean universities. Some countries have recently developed guidelines and regulations based on the legal and ethical considerations of the benefits and social risks of new technologies associated with the fourth industrial revolution. Foreign universities have also created courses (both classroom and online) that deal with these issues and help to ensure that these new technologies are developed in an ethically appropriate fashion. In South Korea too there have been attempts to enhance bioethics education to meet the changing demands of society. However, bioethics education in Korea remains focused on traditional bioethical topics and largely neglects the ethical issues related to emerging technologies. Furthermore, Korean universities offer no online courses in bioethics and the classroom courses that do exist are generally treated as electives. In order to improve bioethics education in Korean universities, we suggest that (a) new course should be developed for interprofessional education; (b) courses in bioethics should be treated as required subjects gradually; (c) online courses should be prepared, and (d) universities should continually revise course contents in response to the development of new technologies.

Passive Euthanasia Attitude of EMT Students (응급구조과 학생의 소극적 안락사에 대한 태도)

  • Jeong, Myeong-Ae;Kim, Jae-Uk;Choi, Dae-Bum
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.1
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    • pp.89-99
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    • 2011
  • Purpose : This study was performed to examine the euthanasia attitude of EMT students. Method : The results were based on the revised questionnaires on euthanasia. Total 155 students filled out the questionnaires in September 17-18, 2009. Data were analyzed using SPSS 14.0 in terms of means, $x^2-test$, mean, standard deviation, and one way ANOVA. Results : The euthanasia attitude was no statistically significant difference between three groups. In the area of quality of life, there were no statistically significant difference between three groups. In the area of life respect, there were no statistically significant difference between three groups. In the area of medical ethics, there were statistically significant difference between three groups. In the area of client right, there were no statistically significant difference between three groups. Conclusion : This results showed that education of euthanasia attitude must be instructed to EMT students. It is necessary to make a further development euthanasia program of EMT.

A Study on Developing a Korean-type Model of Self-regulatory Body in Nursing (한국형 간호자율조정기구 모델(안) 개발 연구)

  • Yu, Sook-Ja;Yoo, Yang-Sook;Yong, Jin-Sun;Lee, Sun-Mi;Hong, Jin-Ui;Lee, Kee-Lyung;Yang, Soo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.1
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    • pp.52-63
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    • 2005
  • Purpose: This study purposed to develop a model of self-regulatory body in nursing (SRBN), which is efficient under the current situation of Korea. Method: The study was conducted in three stages: 1) Analysis of the functions and roles of domestic institutes related to SRBN in their activities 2) literature review and case studies of overseas SRBN; and 3) development of the proposal. Result: Mostly, in foreign countries, SRBN performs the functions of improving the quality of nursing through education, standardization, regulations, researches and activities toward the government and, consequently, enhances the reliability and quality of healthcare services. As a measure against the opening of the domestic medical market to the world in the future, this study proposed a model of SRBN in order to be equipped with functions to protect people and qualities to compete with healthcare services in advanced countries. Conclusion: This study explains the significance of SRBN to nurses and policy makers who do not recognize the necessity of a SRBN, and its results may be utilized as reference materials for the Korean Accreditation Board of Nursing, which is currently playing the role of a SRBN, to perform activities toward the government for expanding, improving and maintaining its roles.

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Ethics Involving Human Subject Research in Military Medicine (군진의학 연구에서 인간대상 연구윤리)

  • Kwon, Ivo
    • The Journal of KAIRB
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    • v.4 no.2
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    • pp.23-29
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    • 2022
  • The goal of the military medicine is not as same as that of the civil medical practice, and consequently the characteristics of military biomedical researches have their own uniqueness. In front of the prerogative of national defense, some of the human rights ordinarily ensured in normal researches with human subjects are not to be fully guaranteed. The hierarchic system of the military would complicate the issue when the soldiers are enrolled as human subject for the research. Some researches could be classified as a military secret, therefore, the confidentiality issues need to be well addressed. Institutional Review Board and review procedure should be modified for the military purposes. So, it is necessary to establish the appropriate regulatory system for the military biomedical researches with human subject to manage the complicated issues involved in them.

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Focus Group Study on Health Care Professionals' Experience of Patient Safety Education (의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구)

  • Park, Jeong-Yun;Lee, Yu-Ra;Lee, Eu-Sun;Lee, Jae-Ho
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.56-65
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    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

Health Promoting Lifestyle Behaviour in Medical Students: a Multicentre Study from Turkey

  • Nacar, Melis;Baykan, Zeynep;Cetinkaya, Fevziye;Arslantas, Didem;Ozer, Ali;Coskun, Ozlem;Bati, Hilal;Karaoglu, Nazan;Elmali, Ferhan;Yilmaze, Gulay
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8969-8974
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    • 2014
  • Background: The aim of this study was to determine the predictors of health promoting lifestyle behaviour among medical students attending seven of the medical schools in Turkey. Materials and Methods: This crosssectional descriptive study was performed during the second semester of the first and last (sixth) years of study from March to May 2011. A questionnaire with two sections was specifically designed. The first section contained questions on demographic characteristics; the second consisted of the Health Promoting Lifestyle Profile II (HPLP) Scale. From a total of 2,309 medical students, 2,118 (response rate 91.7%) completed the questionnaire. Data were analyzed using descriptive statistics, t, Anova, Tukey test and binary logistic regression analysis. The research was approved by the Ethics Committee of Erciyes University. Results: The mean age was $20.7{\pm}2.9$ years and it was found that 55.1% were men, 62.3% were in the first year. The overall prevalence of smoking was 19.1%, and for drinking alcohol was 19.4%. HPLP point averages of the first year students were $129.2{\pm}17.7$, and for last year $125.5{\pm}19.0$. The overall mean score for the HPLP II was $2.5{\pm}0.4$. They scored highest on the spiritual growth subscale ($2.9{\pm}0.5$), interpersonal relations ($2.8{\pm}0.5$), health responsibility subscale ($2.3{\pm}0.5$), nutrition subscale ($2.3{\pm}0.5$), stress management subscale ($2.3{\pm}0.4$), and the lowest subscale physical activity ($2.0{\pm}0.5$). It is established that student's grade, educational level of parents, economic status of family, marital status, smoking and general health perception of the students resulted in a significant difference in HPLP Scale total score average and the mean score of majority of subscales. There was no statistically significant difference between the total HPLP when evaluated for gender, chronic disease, alcohol drinking status and BMI. Conclusions: Based on these results, particularly in the curriculum of medical students in order to increase positive health behaviours including physical activity, health promotion issues, and giving more space to aim at behaviour change in these matters is recommended.

Review of overseas dental regulatory authorities for a discussion on self-regulation of the dentist : Focused on International Society of Dental Regulators, the U.K., Ontario in Canada, California in the U.S. and Japan (치과의사 자율규제 논의를 위한 해외 치과의사관리기구 검토 -국제치과의료인관리협의회, 영국, 캐나다 온타리오주, 미국 캘리포니아주, 호주, 일본을 중심으로-)

  • Kim, Kyung-Il;Hasegawa, Saori;Kim, Hyoung-Sung;Choi, Kyu-Jin
    • The Journal of the Korean dental association
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    • v.57 no.3
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    • pp.124-148
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    • 2019
  • Recently, there has been an increasing interest in the regulation of medical & dental profession in South Korea due to various medical scandals & exacerbated commercialism. Consequently, the voice asking for strengthening the license management of medical & dental profession is rising. However, there is an absolutely lacking discussion on self-regulation of the Korean dentist community. This study investigated International Society of Dental Regulators and dental regulatory authorities in the U.K., Ontario in Canada, California in the U.S. and Australia. In addition, this study examined what situations Japan was in, which was similar to Korea in terms of systems. In the U.K., the U.S., Canada and Australia, there are independent dental regulatory authorities, which place emphasis on lay personnel participation. In addition, the organizations prepared very specific and detailed ethics, standards, and punishment guidelines to be followed by professionals. And, various efforts are being made to secure transparency and trust. As a result of this study, self-regulation in Korea seems to require an open approach that embraces civil society, and it is considered that dentist should lead social discussion more positively.

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The Effect of Ethical Values on the Patient's Personal Information Protection of College Students Majoring in Healthcare Administration (보건행정 전공 대학생들의 윤리적 가치관이 환자 개인정보 보호인지에 미치는 영향)

  • Jung, Eun-Young
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.345-352
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    • 2020
  • This study was conducted to investigate 820 university students in C and G areas to analyze the effects of ethical values of health administration major college students on the perception of patient personal information protection and to present important basic data for the development of education programs. The data were analyzed through SPSS/WIN 18.0 Program. As a result of analysis, the average of personal information protection of college students majoring in health administration was low at 2.04 ± 0.24, and ethical values were idealistic tendency 2.51 ± 0.32 points, and relativistic tendency was 2.34 ± 0.34 points, which showed a high idealistic tendency. Ethical values were also significantly related to idealistic ethics and relativistic ethics in terms of the level of awareness of patient personal information protection and the perception of patient personal information protection exposure. Therefore, in order to increase the protection of patients' personal information of university students majoring in health administration, the correct ethical values should be established, and systematic and continuous education is needed for this purpose.

Hospice Medicine and Nursing Ethics (호스피스의료와 간호윤리)

  • Moon, Seong-Jea
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.385-411
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    • 2008
  • The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.

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