• Journal of Korean Critical Care Nursing
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• v.11 no.3
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• pp.1-11
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• 2018

Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.2
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• pp.255-264
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• 2006

Purpose: This study was carried out to understand the in-patients' experiences related on informed consent for examination, treatment or surgery. Method: The study was conducted with 578 patients who were admitted to the departments of internal medicine and surgery for examination, treatment or surgery requiring informed consent from November 1 to 30, 2004 at three general hospitals in Daegu, Busan and Gyeongsangbuk-do. The data was analyzed by using SPSS 11.5 for Windows. Results: Although the one who explains during the process of informed consent should be doctors, 6.6% was informed by nurses or others. In addition, the majority has been told for complications and risk while relatively fewer patients were informed for necessity, method and costs of the procedure, and no one ever heard of other alternatives or the right to terminate the procedure at any time. While 40% of patients were not the final decision-makers of examination, treatment or surgery, 11.9% of patients answered their opinions were not considered during the final decision-making process. Conclusion: The study suggest that the ethically appropriate informed consent has not been achieved in the clinical practice, and therefore it is necessary to develop the specific behavioral guidelines and nursing ethics education program for nurses in order to settle down the desirable informed consent at the dimension of nursing management.

• Women's Health Nursing
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• v.6 no.1
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• pp.5-17
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• 2000

The purpose of this study is to identify the type of attitude toward the sexual violence and to analyze the structure of subjectivity about the sexual violence. Q-methodological method was used. The Q concourse for this study was formed through literature review, open question and in-depth interview, 171 Q statements were obtained and finally 33 statements were selected. The subjects for Q classifications were 20 persons. The Quanl PC program was used for analysis. The results of the study were as follows : The first type, blaming offenders consisted of 10 subjects has the recognition that victims must not be blamed ; offenders are responsible for any circumstances ; and sexual violence is an infringement of human rights. the second type, blaming victims consisted of 3 subjects has the recognition that victims carelessness is causal factor of sexual violence. They recognized the sexual violence as an identical concept with sexual intercourse. The third type, blaming social moral consisted of 7 subjects has the recognition that the collapse of social ethics and moral gives rise to sexual violence. They recognized the sexual violence as both sexual intercourse and the infringement of human rights. In conclusion, the result leads to understand the type of attitude toward sexual violence in Korean sociocultural reality. Consequently, the results will be conductive to provide guidelines for nursing intervention and education program for preventing sexual violence.

• Research in Community and Public Health Nursing
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• v.27 no.2
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• pp.163-172
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• 2016

Purpose: This study was conducted to investigate the relationship between cultural competency and the importance of nurses' qualities perceived by undergraduate nursing students. Methods: Researchers developed two tools for this study after reviewing the related literature and conducting research team workshops: questionnaire of cultural competency and the importance of nurses' qualities. 200 nursing students were recruited in convenient sampling to respond to these questionnaires. Of nurses' 10 qualities, major affecting factors on the cultural competency were identified by stepwise multiple regression analysis. Results: The nursing students perceived technical nursing skills and professional nursing knowledge as nurses' most important qualities. However, 'having a passion for patient care', 'demonstrating strong nursing profession's code of ethics' and 'teaching and research ability' were found as significant influencing factors on the variance of the cultural competency. These three factors explained 16% of the total variances of the cultural competency (F=13.98, p<.001). Conclusion: The educational strategies to improve cultural nursing competency need to incorporate students' expectations for the professional nurses' roles. Also, further studies need to develop reliable and valid measurement tools for cultural competency.

• Journal of Korean Academy of Nursing Administration
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• v.23 no.1
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• pp.52-62
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• 2017

Purpose: The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values. Methods: For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0. Results: Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance. Conclusion: Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice.

• Journal of the Korean Society of School Health
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• v.18 no.1
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• pp.27-36
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• 2005

Purpose: This study was a descriptive research to compare the teaching status of sex education and to examine differences in understanding teaching capability for sex education between school health educators and teachers working in elementary schools. Methods: A total of 307 subjects participated in the research including 182 school health educators and 125 teachers who gave sex education in elementary schools in Busan, Korea. Data were collected using a structured self-administered questionnaire and analyzed with frequency, t-test and $\chi^2$-test using SPSS WIN (version 10.0). Results: This study found that the school health educators carried out sex education more than the teachers, and perceived a higher level of teaching capability for sex education than the teachers when they were given four areas of sex education contents: physical and psychological development; sex and health; sex, culture and ethics; and understanding of personal relationships. In addition, a larger number of school health educators perceived that they were more qualified and more highly recognized as sex educators than the teachers. Conclusions: The results suggest that the school health educators must be more active as sex educators and that sex education should be adopted as a regular course and the school hours for sex education must be secured.

• Journal of Korean Critical Care Nursing
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• v.6 no.2
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• pp.78-88
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• 2013

Purpose: The purpose of this study was to identify the trends in studies published in Journal of Korean Critical Care Nursing (JKCCN) from 2008 to 2013. Methods: A total of 65 studies published between 2008 to 2013 were reviewed using criteria developed by researchers. Results: Approximately 36% of studies were conducted with patients. Intensive care unit (ICU) was the most popular site as the study setting. Among 59 research papers, 42.4% were approved by institutional review board (IRB). Quantitative studies were 78.6%, while qualitative studies were 4.6%. The research designs for the quantitative studies were survey (52.3%), quasi-experimental (16.9%), and so on. There was no randomized controlled trial. The most frequently used methods to provide nursing intervention was education. In addition, "nurse" and "ICU" were most commonly used keyword. Conclusion: Considering the low rate of IRB approval, more stringent application of research ethics is necessary to improve the quality of JKCCN. In addition, more randomized controlled trials should be encouraged to support evidence-based practice in critical care.

• The Journal of the Korea Contents Association
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• v.18 no.6
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• pp.180-192
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• 2018

Purpose: This study is aimed to identify the ethical issues and needs for ethical education of nurses in long-term care hospitals. Methods: Data were collected in 2015. Participants were 142 nurses working in nine long-term care hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS WIN 24.0. Results: The degree of experienced ethical issues was 1.23 out of 3, and 'Providing care with a possible risk to your health' was an ethical problem most frequently experienced in nurses. In addition, the ethical problem that the nurse most disturb was identified by 'Determining when death occurs'. The degree of needs for ethical education was 3.11 out of 4, and the highest ethical topic was 'Legal/ethical issues in the use of restraints'. Ethical issues and needs for ethical education were not statistically significant differences according to the characteristic of participants. Conclusion: In this study, we identified the ethical problems and necessity of ethics education experienced by nurses working in long-term care hospitals. The results of this study can be used as basic data for the development of customized ethical education contents for nurses in long-term care hospitals.

• Journal of Korean Academy of Nursing Administration
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• v.11 no.3
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• pp.289-301
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• 2005

Purpose: This study was to examine the ego-identity of nursing students and their adjustment to home and university in an effort to identify the correlation of their ego-identity to their adjustability and lay the foundation for providing better personality education to them. Method: The subjects in this study were 400 nursing students at H and S universities in south Chungcheong province. The instruments used in this study were Park A-cheong(2003)'s Korean-version Ego-Identity Inventory and Jeong Jonggweon(1998)'s Home and School Adjustment Inventory. For data analysis, SPSS/PC+ Package was used, and statistical data on frequency and percentage were obtained. Besides, t-test, one-way ANOVA and Pearson correlation coefficient were employed. Result: The findings of the study were as follows: The nursing students investigated got a 3.46 and 3.53 in ego-identity and family life adjustment respectively out of possible five points, which were both above the average. Their score in school adjustment was 2.89, which wasn't high. As for connections between general characteristics and ego-identity, their academic school year, their type of residence, presence or absence of parents and their birth order made no statistically significant differences to their ego-identity. But as to motivation of choosing nursing, the students who chose their major at their own option were the best in that regard. Their adjustment to family life made no significant differences, and regarding school adjustment, ego-identity was better among those who lived in a lodging house or dormitory(F=4.01, p<.05) and who chose their major at their own option(F=4.88, p<.01). In addition, those with better ego-identity were better adjusted to home and school. Conclusion: As the above-mentioned findings suggested that nursing educators should teach students by mapping out specific plans to enhance the ego-identity of students and facilitate their school adjustment, and full-fledged nurses should be produced by teaching students to build the right work ethics and become qualified as a professional.

• 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.