• Title/Summary/Keyword: Moral injury

Search Result 7, Processing Time 0.025 seconds

The Effect of Occupational Moral Injury on Career Abandonment Intention Among Physicians in the Context of the COVID-19 Pandemic

  • Arzu Sert-Ozen;Ozan Kalaycioglu
    • Safety and Health at Work
    • /
    • v.14 no.1
    • /
    • pp.78-84
    • /
    • 2023
  • Background: Since the advent of the COVID-19 pandemic, physicians have been the unsung heroes of the pandemic. However, many are about to give up the battlefield. This study investigated the effect of occupational moral injury on physicians' career abandonment intention, taking into account the possible mediating role of emotional exhaustion. Methods: Cross-sectional data collected from 201 physicians were analyzed using the partial least squares structural equation modeling (PLS-SEM) with SmartPLS to determine the relationship among physicians' moral injuries, emotional exhaustion, and career abandonment intention. Results: The results indicated that occupational moral injury was positively related to emotional exhaustion and career abandonment intention. In addition, emotional exhaustion was found to play a mediating role in the relationship. Conclusion: To reduce physicians' intention to leave their career, physicians should be prepared for moral injury and psychological issues by offering psychological support and meeting their needs early at both the individual and organizational levels during and after the pandemic.

Exploratory study on the Moral Injury among Female North Korean Refugees: Qualitative Content Analysis of Qualitative Studies on Female North Korean Refugees (탈북여성들이 경험하는 도덕적 손상에 관한 탐색적 연구: 탈북여성을 대상으로 한 질적 선행연구물 내용분석)

  • Shim, Woochan;Lee, Soon Min
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.4
    • /
    • pp.636-652
    • /
    • 2018
  • This study is about applying the concept of moral injury in reinterpreting and understanding the experience of female North Korean refugees who have experienced psychological trauma and are struggling with adjusting in their everyday lives. The database KISS and DBpia were used to search for academic peer-reviewed articles published before August 13th in 2017, using 'female or women North Korean,' 'female or women relocated North Korean,' and 'female or women North Korean defector' as keywords. In total 51 studies were finally selected for content analysis and the result were the following. First, listing from the most often occurring study topic to the least occurring topic in order: post-defection adjustment related, mothering experience, experience of North Korean regime and Korean War, work or job or employment related, recovering from psychological trauma as well as growth and resilience related, experiences in China, trauma and psychological difficulties, anxiety treatment process and effects. Second, words related to psychological aspect of moral injury appeared 260 times in 51 selected studies, changes in the existential belief appeared 82 times, cognitive aspects of moral injury appeared 71 times, and behavioral aspects 21 times. Third, two main contexts emerged to be the antecedent that led to moral injury and they were 'identity denial' and 'dismantled family.' In attempts to find opposite cases or stories where aspects of moral injury were not found despite the existence of its antecedents and it was 'identity restructuring.' Based on the finding, practice implications that could help female North Korean refugees prevent or recover from moral injury were suggested.

Whiplash Injury Conditions of Rear-End Collisions at Low-Speed (저속 추돌사고에서 목 상해 조건에 대한 연구)

  • Kim, Myeongju;Yun, Ilsoo
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.18 no.2
    • /
    • pp.58-76
    • /
    • 2019
  • As the number of reported injuries has tended to increase over time, large hospitalization expenditure from excessive medical treatments and hospitalization, and insurance frauds associated with moral hazard in minor collisions have caused a global societal problem. Many occupants of rear-ended vehicles involved in rear-end collisions complain of whiplash injury, which is also known as neck injury, without any anatomical and radiological evidence. With only clinical symptoms, stating that a whiplash injury is a type of injury defined by the Abbreviated Injury Scale would be difficult. Therefore, this study focuses on minor rear-end collisions, where the rear-ender vehicle collides with the rear-ended vehicle at rest. The mathematics dynamic model is employed to simulate a total of 100 rear-end collision scenarios based on various weights and collision speeds and identify how the weights and speeds of both vehicles influence the risk of whiplash injury in occupants involved in minor rear-end collisions. The possibility of an injury is very high when the same-weight vehicles are involved in accidents at collision speeds of 15 km/h or higher. The possibilities are 36% and 84% with collision speeds of 15 km/h and 20 km/h, respectively, if weights are disregarded.

A Study How to Decide the Priority on choosing between National Health Insurance and Automobile Insurance In Korea -Focused on medical expenses of the Insured's own bodily Injury Coverage- (건강보험과 자동차보험의 선택적 우선적용에 대한 고찰 -경과실 자기신체피해 교통사고를 중심으로-)

  • Song, Ki-Min;Choi, Ho-Young;Kim, Jin-Hyun
    • The Korean Society of Law and Medicine
    • /
    • v.10 no.2
    • /
    • pp.287-307
    • /
    • 2009
  • A person is injured in car accident caused by his/her slight negligence except he / she causes accident by his / her willfulness or gross negligence. Because the National Health Insurance Corporation (hereinafter called "Corporation") shall not provide any insurance benefit "when he has intentionally or through gross negligence caused a criminal conduct or intentionally contributed to the occurrence of an accident" referred to in Article 48 (1) 1 of the National Health Insurance Act. So, if he / she is insured by his / her own bodily injury coverage, he / she can be compensated for his / her medical expenses. The injured have the rights to file either National Health Insurance claim and Automobile Insurance claim but there is no clear and definite adjustment clause. The claim disputes between National Health Insurance (hereinafter called "NHI") and Automobile Insurance (hereinafter called "AI") in the own bodily injury coverage makes some problems. Firstly, there are some differences in co-payments which he / she chooses between NHI and AI. Profit per a patient is higher in the NHI than in the AI. Secondly, it can provoke criticism that people shall unnecessarily pay double contributions. Lastly, it can raise moral hazards. For example, if he / she can cover the compensations when the insured receives the compensations from his / her insurer, the Corporation can be claimed by medical care institution payment of the health care benefit costs. In conclusion, first of all, to improve the national health and preserve the insured's rights the Corporation shall keep notice these facts.

  • PDF

What is Emergency Medicine and Its Agenda for Future (응급의학은 어떤 의학분야이며 그 미래는?)

  • Do, Byung-Soo;Lee, Sam-Beom
    • Journal of Yeungnam Medical Science
    • /
    • v.19 no.2
    • /
    • pp.92-98
    • /
    • 2002
  • Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

  • PDF

The Effect of confirmation bias on Intentionality Judgment: The Role of Crime Typicality and Seriousness (고의성 판단에 확증편향이 미치는 영향: 범죄의 전형성 및 심각성의 역할)

  • Choi, Seung-Hyuk
    • Korean Journal of Culture and Social Issue
    • /
    • v.26 no.3
    • /
    • pp.329-349
    • /
    • 2020
  • Confirmation bias is well known to be the cause of widespread misjudgment in the field of forensic decision-making. In this study, we examined the psychological mechanisms by which confirmation bias affects intentionality judgment in serious injury and death cases that combine the moral characteristics of the perpetrator and victim differently. As a result, participants perceived the case as a more typical criminal case when both the perpetrator and victim were bad people, and gave higher intention to perpetrators' actions in these typical crimes. In particular, it was found that people with a high degree of confirmation bias highly judge the intention of the offenders in a consistent way with the stereotype of criminal cases. However, in serious criminal cases, the moderate effect of confirmation bias has disappeared and only the effect of crime typicality has existed. Finally, we discussed implications of this study and ways to reduce bias in intentionality judgment.

Who Should Live? Autonomous Vehicles and Moral Decision-Making (자율주행차와 윤리적 의사결정: 누가 사는 것이 더 합당한가?)

  • Shin, Hong Im
    • Science of Emotion and Sensibility
    • /
    • v.22 no.4
    • /
    • pp.15-30
    • /
    • 2019
  • The reduction of traffic accidents is a primary potential benefit of autonomous vehicles (AVs). However, the prevalence of AVs also arouses a key question: to what extent should a human wrest control back from AVs? Specifically, in an unavoidable situation of emergency, should an AV be able to decide between the safety of its own passengers and endangered pedestrians? Should AV programming include well-accepted decision rules about actionsto take in hypothetical situations? The current study (N = 103) examined individual/situational variables that could perform critical decision-making roles in AV related traffic accidents. The individual variable of attitudes toward AVs was assessed using the Self-driving Car Acceptance Scale. To investigate situational influences on decisional processes, the study's participants were assigned to one of two groups: the achievement value was activated in one group and the benevolence value was triggered in the other through the use of a sentence completion task. Thereafter, participants were required to indicate who should be protected from injury: the passengers of the concerned AV, or endangered pedestrians. Participants were also asked to record the extent to which they intended to buy an AV programmed to decide in favor of the greater good according to Utilitarian principles. The results suggested that participants in the "achievement value: driver perspective" groupexpressed the lowest willingness to sacrifice themselves to save several pedestrians in an unavoidable traffic accident. This group of participants was also the most reluctant to buy an AV programmed with utilitarian rules, even though there were significant positive relationships between members' acceptance of AVs and their expressed intention to purchase one. These findings highlight the role of the decisional processes involved in the "achievement value" pertaining to AVs. The paper finally records the limitations of the present study and suggests directions for future research.