• Title/Summary/Keyword: Nursing Ethical Value

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Attitudes on Organ Donation in Brain Dead Donors of Staff Nurses (일 지역 간호사의 뇌사자 장기기증에 대한 태도 조사)

  • Song, Young-Shin;Lee, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.2
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    • pp.216-223
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    • 2008
  • Purpose: The purpose of this study was to discover attitudes toward organ donation in brain dead donors and nursing ethical values of staff nurses. Method: The subjects were 196 nurses with direct patient care in a university hospital. Data collection was carried out for one month in September, 2008 using structured questionnaire. The data were analyzed using frequency, percentage, mean and standards deviation, ANOVA and Pearson's Correlation with SPSS program. Result: The mean score of a positive attitude toward organ donation in brain dead donors was 3.59 points, and a negative attitude score was 3.02 points. The mean score of nursing ethical value was 3.05 points. The age and the length of career had a reverse correlation with a negative attitude toward organ donation. Nursing ethical values had a positive correlation with a negative attitude toward organ donation. Conclusion: It is necessary to increase understanding and recognition of brain death organs donation in the nurses who participate in direct patient care so as to help facilitate organ donation.

Health Care Communications with Diverse Ethnic Groups

  • Savitri, Singh-Carlson
    • Women's Health Nursing
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    • v.16 no.4
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    • pp.419-423
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    • 2010
  • Purpose: The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client s perspectives of respect as an ethical principle of care, especially within Canada s diverse population is non-existent. There is limited research from the client s perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.

A Study on the Effects of Ethical Dilemma Discussion Program for University Students (대학생의 윤리적 딜레마 토의 프로그램 효과에 관한 연구)

  • Yang, Hyun-Joo;Park, Mee-Ra;Je, Nam-Joo
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.291-299
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    • 2019
  • This study is a nonequivalent control group pretest-posttest designed to understand the effect of ethical dilemma discussion program on human rights sensitivity and ethical values of university students. By providing ethical dilemma discussion program to university students in C university, G-do, the effectiveness was verified. Analyzed using IBM SPSS 24.0. The normality of the variables was verified by Shapiro-Wilk test. Homogeneity was verified using real number and percentage, Fisher's exact probability test and independent t-test. The program's effect was verified using paired t-test. The results of this study are as follows: after the ethical dilemma discussion program, the experimental group's human rights sensitivity(t=-2.32, p=.025), and ethical value(t=-2.43, p=.020) were higher than the control group. Therefore, the ethical dilemma discussion program of this study helped improve the human rights susceptibility and ethical values of the subjects. Further research is needed to verify the effects of ethics education on diverse groups.

The Differences of Nurses' Perception of the Code of Ethics, Degree of Application of Nursing Ethics and Biomedical Ethical Consciousness according to Nursing Students' Clinical Practice Experience, Ethical Values and Biomedical Ethics Education (간호대학생의 임상실습, 윤리적 가치관 및 생명의료윤리교육에 따른 간호사 윤리강령인식, 윤리강령 적용정도 및 생명의료윤리의식의 차이)

  • Jeong, Gye-Seon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.300-310
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    • 2018
  • Purpose: This study was conducted to investigate the differences of the Code of Ethics, level of application of the Code of Ethics and consciousness of biomedical ethics of nurses about clinical practice experience, ethical values and biomedical ethics education experience of nursing students. Methods: A descriptive research design, t-test and one-way ANOVA were used. The data were collected 1st June to 31st August 2016 from two large cities. The participants were 246 nursing students with a mean age of 22.57 years. Among them, 209 (84.6%) were female, 94 (38.2%) had clinical practice experience, 155 (63.0%) listed their ethical value as different depending on the situation, and 127 (51.6%) had biomedical ethics education experience. Results: The scores were: awareness of the Code of Ethics of Nurses $4.29{\pm}0.60$; application of the Code of Ethics of Nurses $4.24{\pm}0.6$4; and consciousness of biomedical ethics $2.91{\pm}0.19$. There were significant differences in application of the Code of Ethics of Nurses (t=-1.97, p=.050); consciousness of biomedical ethics (t=-2.25, p=.025) related to clinical practice experience; and consciousness of biomedical ethics related to biomedical education experience (t=2.67, p=.007). Conclusion: Clinical practice and biomedical ethics education experience contributed to enhance the level of application of the Code of Ethics of Nurses and consciousness of biomedical ethics of nursing students.

Academic Value and Outcome of the Journal of Korean Academy of Nursing Administration (간호행정학회지 게재논문의 학문적 가치와 성과)

  • SeoMun, Gyeong-Ae;Koh, Myung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.546-552
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    • 2007
  • Purpose: This study was performed to identify current characteristics(Academic Value and Outcome) of the Journal of Korean Academy of Nursing Administration. Method: This 57 papers analyzed the Journal of Korean Academy of Nursing Administration(2006) and comparisons were made with similar studies in Health and Social Science(2006). Results: The analysis of the contents for the papers were suggested according to research purposes: research compatibility, research creativity, research excellence. Conclusion: It is suggested that in depth research be made on nursing management based on evidence practice, nursing informatics, legal and ethical issues. It is developmental direction for academic value and outcome of the Journal of Korean Academy of Nursing Administration.

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Experiences of Hospice and Palliative Nurses in Response to the COVID-19 Pandemic: A Qualitative Study

  • Kwon, Sinyoung;Choi, Sujin
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.245-253
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    • 2021
  • Purpose: This study aimed to explore the experiences of hospice and palliative care (HPC) nurses at inpatient hospice centers in South Korea during the coronavirus disease 2019 pandemic. Methods: Data collection was conducted through individual interviews with 15 HPC nurses using face-to-face interviews, telephone calls, or Zoom videoconferencing. Data were analyzed using the thematic analysis method. Results: This study found that HPC nurses experienced practical and ethical dilemmas that reinforced the essential meaning and value of hospice and palliative care. The participants emphasized their practical roles related to compliance with infection prevention measures and their roles as rebuilders of hospice and palliative care. Conclusion: The findings of this study indicate that inpatient hospice centers must mitigate the practical and ethical dilemmas experienced by nurses, consider establishing explanation nursing units, and provide education to support nurses' highlighted roles during the pandemic. This study can be used to prepare inpatient hospice centers and the nurses that work there for future infectious disease outbreaks.

Effects of Nursing Ethics Education on Moral Reasoning and Ethical Decision Making for Student Nurses (간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과)

  • Han, Sung-Suk;Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.268-284
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    • 1995
  • This study was designed to test effects of nursing ethics education (NEE) on moral reasoning and ethical decision making of subjects. This NEE that was teached for 10 hours course was composed of these : Nurses' ethical code, moral responsibility, Moral value and professional accountability, Respect for human life, General ethics, Theory and Norms of biomedical ethics, Ethical decision making model and Discussion about hypothetical ethical dilemmas Twenty-five senior student nurses were sampled from four year college of nursing from Nov. 3rd, 1993 to Nov. 24th, 1993. Data were collected through self-reported questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism), the stage 6 (universal ethical practice). In particular, the level of principled thinking (P) was measured by summing these scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, Mc Nemar's test and Pearson correlation coefficients. The results were as follows ; 1. For the Moral Reasoning both before and after NEE, The Mean score of the stage 5A was significantly higher than that of other stages.(P=0.0001) Before NEE, the mean score of the stage 4 was significantly different from stage 2, 3, 5A, and after NEE, different from stage 2, 5B,6. 2. The analysis of change of moral development level revealed that the score of stage 4 increased after NEE.(P=0.0004) 3. The Effect of NEE for the mean score of 5A, 6, P after education was significantly different by birth place. 4. With regard to the five dilemmas postulated such as forcing medication performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, the mean score of the MS and the DS was no significant difference with general characteristics of the students. Effect of NEE morality score and dilemma score after education was no significant difference. 5. As for the correlations between moral reasoning and decision making, the score of the stage 2, 5A, 6, DS was positively correlated with the scores of before and after. Positive correlation was also observed between the scores of stage 2 and stage 4, stage 3 and 6. On the other hand, the score of P was negatively correlated with the scores of stage 2 and of stage 4 and of stage 5A. The score of the stage 5A was also negatively correlated with the score of the sge 6.

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Domestic Research Trends on the Ethical Conflicts in Nurses and Current Status Analysis of Nursing Ethics Education (간호사의 윤리적 갈등에 대한 국내 연구 동향과 간호윤리교육 현황 분석)

  • Han, Jong Hee;Jung, Mijung
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.592-601
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    • 2022
  • This study was attempted to suggest future directions for nursing ethics education by analyzing research trends related to ethical conflicts among nurses and the current status of nursing ethics education. In four domestic databases, it was searched as a combination of words 'nurse', 'ethics', 'moral', 'bioethics', 'conflict', 'sensitivity', 'dilemma', 'issue', and 'value'. As a result, 591 papers were confirmed from 2000 to December 2021, of which 111 papers were finally analyzed. The status of nursing ethics education was analyzed for 184 out of 203 schools that operated a four-year bachelor's degree program registered with the Korean Accreditation Board of Nursing Education. As a result of the study, the number of studies related to ethical conflicts among nurses steadily increasing, and quantitative studies on nurses in general hospitals were the most common. The main keywords were identified as moral sensitivity, moral agony, ethical dilemma, and biomedical ethics awareness. Nursing ethics education was operated by 68% of universities as a major subject, and more than half of universities opened it in the first and second grades with one or two credits. As a result of this study, ethical conflicts experienced by nurses are increasing according to social change. Therefore, it is necessary for universities to further expand the proportion of nursing ethics education and to establish an educational model for each grade level for the continuity of the educational effect.

An Analysis of Nursing Students Attiudes Toward Life (간호학생의 생명에 대한 태도 유형 분석 : Q-방법론적 접근)

  • 엄영란;홍여신
    • Journal of Korean Academy of Nursing
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    • v.22 no.3
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    • pp.389-406
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    • 1992
  • This study was designed to identify nursing students' attitudes toward life through a Q-methodology. A Q-sample was formed through a review of the literature and interviews(n=160)l The final Q-sample consisted of 37 statements out of an initial 100 statements after consultation with an expert panel and pilot testing. The P-sample consisted of 14 university nursing students and 27 junior college nursing students, which was selected by convenience sampling method. Data were analyzed by the Q-analysis method. The correlation between type 2 and type 3 was relatively high (r=0.539) ; that between type 1 and type 3 was lowest (r=0.014). The first type of attitude was the “rational utilitarian” type. Students in this type valued life relative to the quality of life. They agreed with euthanasia and artificial abortion if the quality of life was threatened. The criteria for their judgement were scientific knowledge and rationality. The second type of attitude was the “Christian deontologic” type. These students appreciated the sanctity of life according to Christian dogma. They disagreed with euthanasia and artficial abortion. And they disagreed strongly that life should be created by scientific development, because only God creates life. The third type of attitude was the “unconditional deontologic” type. These students agreed with the sanctity of life, not from Christian belief but from belief in the sanctity of life. The final type of attitude was the “prima facie(conditional) deonologic” type. These students appreciated the value of life and humanity. They expressed concern for others' life and suffering. They do not want to afflict others with their own miseries. This group showed a dual value system toward themselves and others. So they experience conflict between their concern for their on and others' conditions. These nursing students' values may have been influenced by their clinical experience in hospitals and other nursing fields. Through this study, we may realize the importance of education in nursing ethics for discussion of ethical conflicts and to support ethical nursing practice.

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Comparison on Influencing Factors on Consciousness of Biomedical Ethics in Nursing Students and General Students (간호대학생과 일반대학생의 생명의료윤리의식 영향요인 비교)

  • Lee, Keum Jae;Lee, Eliza;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.377-388
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    • 2016
  • This study was done to compare consciousness of biomedical ethics in nursing and general students. Participants were 382 nursing and general students at a college in S city. Mean score of consciousness of biomedical ethics(range:1~4) in nursing students was 3.04 and general students, 3.12. Thus, mean score of consciousness of biomedical ethics of two group were above the average and general students significantly higher than nursing students. Life-respect consciousness, perceived ethical values in nursing students were shown as significant predictors on consciousness of biomedical ethics and life-respect consciousness, sexual attitude, value regarding child rearing in general students. The most influential predictor of two groups was life-respect consciousness. To establish desirable biomedical ethics of nursing students, it is necessary that subjects related to biomedical ethics should be mandatory, and it is necessary to raise the proportion of credit for the curriculum.