• Title/Summary/Keyword: Moral Care

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An Empirical Analysis of Price Elasticity of the Demand for Medical Care Services in Korean National Health Insurance Program (의료보험하에서의 의료수요의 가격탄력성에 관한 실증분석)

  • Kim, Chun-Bae;Lee, Do-Sung;Kim, Han-Joong;Sohn, Myong-Sei
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.2 s.50
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    • pp.450-461
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    • 1995
  • This paper tested by using Micro TSP, an empirical econometric analysis to approve officially a hypothesis of price elasticity of the demand for medical care services in Korean national medical insurance and the economic effect of health care delivery system with time-series datas of Medical Insurance Statistical Yearbook$(1981\sim1993)$. The results suggest that the Korean medical insurance system shows moral hazard due to the change of coinsurance and the economic effect according to intervention of the health care delivery system, but it is different by insurers regardless of the same structure of the medical insurance scheme.

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The Influence of Moral Behavior, Biomedical Ethics Consciousness, and Death Attitudes on Hospice Awareness in Nursing Freshman (간호학과 1학년의 도덕적 행동, 생명의료윤리 의식, 죽음 태도가 호스피스 인식에 미치는 영향)

  • Kim, Jeong-Sook;Je, Nam-Joo
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.275-284
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    • 2021
  • The purpose of this study was to provide basic data for developing hospice intervention strategies that can enhance hospice care perception plus attitude toward death of nursing students by grasping the factors affecting the perception of first grade students. Data were collected from 185 nursing students at J university in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/25.0. Hospice care perception was correlated to moral behavior (r=.22, p=.002) and biomedical ethics consciousness (r=.29, p<.001). The most influential factor on the subjects' hospice care perception was biomedical ethics consciousness (β=.224, p=.012), followed by high financial competence of parents (β=.187, p=.027). The explanatory power was 11.5%. Therefore, systematic programs that can enhance moral behavior and biomedical ethics consciousness are necessary to promote awareness of hospice care. Also, the following data can be utilized as basic data to help develop hospice education programs.

Effects of Moral Sensitivity and Self-Assertiveness on Ethical Decision-Making Confidence of Nurses Working in Long Term Care Hospitals (요양병원간호사의 도덕적 민감성과 자기주장성이 윤리적 의사결정 자신감에 미치는 영향)

  • Kim, Ji-Ah;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.144-153
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    • 2020
  • This study evaluated the moral sensitivity, self-assertiveness, ethical decision-making confidence and their correlations, and the factors that influence ethical decision-making confidence among nurses working in a long-term care hospital. Overall, 149 nurses working in a long-term care hospital in G Province were evaluated. The date was collected from November 30 2019 to December 18, 2019 and analyzed using SPSS/WIN 21.0 program. The mean of moral sensitivity among nurses was 4.94, the mean of self-assertiveness was 3.17 and the mean of ethical decision-making confidence was 3.49. The self-assertiveness will, according to the general characteristics, was significantly different according to experienced moral distress, and there was a significant difference in the degree of ethical decision-making confidence according to social positions and experience of ethical education. There were positive correlations between the ethical decision-making confidence and moral sensitivity (r=.382, p<.001) and self-assertiveness (r=.224, p<.01). Regression analysis revealed that the factors that significantly influenced ethical decision-making confidence were moral sensitivity, self-assertiveness and ethical education during nursing practice, which explained 25.0% of variance in ethical decision-making confidence. Therefore, to improve ethical decision-making confidence of nurses, programs should be developed that improve moral sensitivity and self-assertiveness by promoting ethical education.

The Effect of Adolescents' Callousness on Reactive and Proactive Aggression Through Moral Disengagement (청소년의 냉담성이 도덕적 이탈을 통해 반응적 및 주도적 공격성에 미치는 영향)

  • Han, Sae-Young;Choi, Hyesun
    • Korean Journal of Childcare and Education
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    • v.15 no.6
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    • pp.77-98
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    • 2019
  • Objective: The purpose of this study was to examine the effect of adolescents' callousness on reactive and proactive aggression through moral disengagement. Methods: The participants were 315 freshmen and sophomore high school student in Korea. The data were analyzed with Structural Equation Modeling(SEM). Results: First, adolescents' callousness did not show a significant influence on reactive aggression directly or indirectly through moral disengagement. Second, adolescents' callousness had a significant influence on proactive aggression directly and indirectly through moral disengagement. That is, adolescents' high level of callousness not only predicts a higher level of proactive aggression directly, but also influences moral disengagement which may result in a high level of proactive aggression. In addition, the gender difference in this model was confirmed. Conclusion/Implications: The results of this study indicated that adolescents' callousness could have different influences on aggression through moral disengagement by the types of aggression and gender. The results suggest that it is necessary to approach the emotional and cognitive process of adolescent aggression differently, depending on the type of aggression and gender.

Preschool Children's Judgment on Moral and Conventional Rules (유아의 도덕적 및 인습적 규칙에 대한 판단)

  • 최보가
    • Journal of the Korean Home Economics Association
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    • v.34 no.4
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    • pp.49-62
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    • 1996
  • This paper is to examine the development of Korean young children's judgement on moral and conventional rules. The subjects are 120 children, 30 each at four age levels; age 3(2.8-3.5), age 4(3.7-4.4), age 5(4.8-5.5), and age 6(5.7-6.5) in a day care center in Taegu. Results are summarized as follows: 1. In terms of nonpermissibility, there was a significant difference in regard to the moral and the conventional rule transgression between the group of age 3 years and three groups of ages 4, 5, and 6. 2. In terms of seriousness, there was a significant difference according to domain. Three groups ages 4, 5 and 6 years evaluate moral transgressions to be more serious than conventional transgressions. 3. In terms of rule contingency and generalizability, there was a significant difference in regard to the moral and conventional transgression between the group of age 3 years and three groups of ages 4, 5 and 6. 4. In terms of punishment, there was significant difference according to domain. Three groups of age 4, 5, and 6 years evaluate moral transgressions to be more punishable than conventional transgressions. 5. Children of age 5 with institutional experience do not make a distinction between moral and conventional rules on punishment criterion.

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Effects of Supplemental Insurance on Health Care Utilization and Expenditures among Cancer Patients in Korea (암 보험이 암 환자의 의료이용 및 의료비에 미친 영향)

  • Kang, Sung-Wook;Kwon, Young-Dae;You, Chang-Hoon
    • Health Policy and Management
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    • v.15 no.4
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    • pp.65-80
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    • 2005
  • This study examines the effects of supplemental insurance on health care utilization and expenditures among cancer patients, who were hospitalized in a general hospital in Korea 2003. We find that those who purchase the supplemental insurance in addition to the social health insurance use more health care services and pay more than those who do not, suggesting insurance effects. This paper, however, cannot distinguish the moral effects of the health insurance from the selection effects due to adverse selection.

The Relationship among Moral Sensitivity, Self-leadership, Fatigue and Compliance with Standard Precautions of Intensive Care Nurses (중환자실 간호사의 도덕적 민감성, 셀프리더십, 피로도와 표준주의지침 수행과의 관계)

  • Park, Ju Young;Woo, Chung Hee
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.229-237
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    • 2020
  • The study was done to identify relations among moral sensitivity, self-leadership, fatigue and compliance with standard precautions and to identify the influencing factors on compliance with standard precautions for intensive care nurses. Data were collected from 153 intensive care nurses in March 2019 and were analyzed using Descriptive statistics, Pearson correlation coefficients, and Stepwise multiple regression with SPSS/WIN 24.0 version. The compliance with standard precautions has positive correlation with their self-leadership (r=.17, p=.042). The self-leadership (β=.17, p=.042) was a significant predictor of the compliance with standard precautions. It was statistically significant (R2=.03, F=4.21, p=.042). Based on the findings of this study, each institution needs to make efforts to strengthen the capacity of nurses for self-leadership.

Perception of Parental Filial Piety and Child-Rearing Behavior (전통 '효'개념에서 본 부모역할 인식과 자녀양육행동)

  • Chung, Ock Boon;Kim, Kwang Woong;Kim, Dong Choon;Yoo, Ka Hyo;Yoon, Chong Hee;Jeong, Hyeong Hee;Choi, Kyung Soon;Choi, Young Hee
    • Korean Journal of Child Studies
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    • v.18 no.1
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    • pp.81-107
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    • 1997
  • This study investigated parental perceptions and practice of filial piety and in child rearing practices regarding filial piety. The subjects of this study were 681 parents. 1) The results showed that most parents perceive, practice and teach their children the 12 virtues of filial piety. 2) There were significant differences in fathers' view (perception, practices, education) of ancestor- worship as found according to child developmental stage. The significant of difference in mother's perceptions of emotional-care, ancestor-worship and persuasion and moral training was found according to child developmental stage. The significant differences in mother's practices in moral-training, economic-support, persuation, and ancestor-worship were found according to child developmental stage. The singificant differences in mother's child-rearing in gratefulness, moral-training, emotional-care, persuasion, obedience to parents, and ancestor-worship were found according to child developmental stage. 3) Traditional child-rearing behavior has declined.

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Factors Affecting Performance of End-of-Life Care among ICU Nurses (중환자실 간호사의 생애말 간호수행에 미치는 영향요인)

  • Kim, Mi Jung;Chang, Hee Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.135-146
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    • 2021
  • This study is a descriptive research study to identify the relationship between the performance of end-of-Life care of ICU nurses, moral distress, ethical climate, difficulties in end-of-life care, and positive psychological capital. Data were collected with structured questionnaires from 144 ICU nurses at a university hospital in J city, Gyeongnam, from October to November in 2020, and analyzed using SPSS/WIN 21.0. The subjects' performance of end-of-life care of ICU nurses is significantly different depending on marital status, experiences of end-of-life care education. The variables that had a significant effect on the performance of end-of-life care among ICU nurses were positive psychological capital and difficulties in end-of-life care. The explanatory power was 24.8%. Based on these results, it is necessary to intervention program and education to reduce difficulties in end-of-life care and increase positive psychological capital for ICU nurses.