• Title/Summary/Keyword: Right of Autonomy

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Effect of Sexual Education Program on Female College Student's Sexual Knowledge and Sexual Autonomy (성교육 프로그램이 여대생의 성지식과 성적 자율성에 미치는 효과)

  • Chun, Na-Mi
    • Women's Health Nursing
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    • v.18 no.2
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    • pp.108-116
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effect of the sexual education program on female college students' sexual knowledge and sexual autonomy. Methods: The integrative 5-week (15 hour) sexual education program reflecting control and coping aspects of sexual autonomy was developed based on self-determination theory. 59 female students were assigned to the experimental (n=29) and the control group (n=30). Students completed the sexual knowledge and the sexual autonomy questionnaires at prior to the program, right after and 10 weeks after the completion of the program. Independent t-test were used to test the effectiveness of the program. Results: Significant group differences were found on sexual autonomy score right after and 10 weeks after the completion of the program. No significant group differences were found on sexual knowledge at any time after the program completion. Conclusion: The results indicate that the 5-week Sexual Education Program was effective in increasing female college students' sexual autonomy. Nursing professors majoring women's health nursing may contribute to improving college students' sexual autonomy by opening the sexual education program as a general elective curriculum. Strategies to improve sexual knowledge need to be considered for better effectiveness of the program.

Patient's Right of Self-determination and Informed Refusal: Case Comments (환자 자기결정권과 충분한 정보에 근거한 치료거부(informed refusal): 판례 연구)

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.105-138
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    • 2017
  • This is case comments of several representative legal cases regarding self- determination right of patient. In a case in which an intoxicated patient attempted suicide refusing treatment, the Supreme Court ruled that the medical team's respect for the patient's decision was an act of malpractice, and that in particular medical situations (medical emergencies) the physician's duty to preserve life supersedes the patient's rights to autonomy. Afterwards, at the request of the patient's family, and considering the patient's condition (irrecoverable death stage, etc.) consistent with a persistent vegetative state, the Supreme Court deduced the patient's intention and decide to withdraw life-sustaining treatment. More recently, regarding patients who refuse blood transfusions or other necessary treatment due to religious beliefs, the Supreme Court established a standard of judgment that can be seen as conferring equal value to the physician's duty to respect patient autonomy and to preserve life. An empirical study of legal precedent with regard to cases in which the physician's duty to preserve life conflicts with the patient's autonomy, grounded in respect for human dignity, can reveal how the Court's perspective has reflected the role of the patient as a decision-making subject and ways of respecting autonomy in Korean society, and how the Court's stance has changed alongside changing societal beliefs. The Court has shifted from judging the right to life as the foremost value and prioritizing this over the patient's autonomy, to beginning to at least consider the patient's formally stated or deducible wishes when withholding or withdrawing treatment, and to considering exercises of self determination right based on religious belief or certain other justifications with informed refusal. This will have a substantial impact on medical community going forward, and provide implicit and explicit guidance for physicians who are practicing medicine within this environment.

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Structural Relationships Among Parents' and Teachers' Autonomy Support, Children's Basic Psychological Needs, and Children's Participation in Decision-Making (부모와 교사의 자율성 지지, 아동의 기본심리욕구, 아동의 의사결정 참여 간의 구조적 관계)

  • Chae, Eun Young;Lee, Jae Yeon
    • Korean Journal of Child Studies
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    • v.38 no.1
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    • pp.139-151
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    • 2017
  • Objective: The purpose of this study was to explore the structural relationships among parents' and teachers' autonomy support, children's basic psychological needs, and children's participation in decision-making. Methods: The participants were 687 elementary school students (5th and 6th grades) in Seoul and Gyeonggi-do. The data were analyzed using SEM. Results: First, parents' and teachers' autonomy support had a direct effect on children's participation in decision-making. Second, parents' and teachers' autonomy support had an indirect effect on children's participation in decision-making through the children's basic psychological needs. Third, children's basic psychological needs mediated the effects of parents' and teachers's autonomy support and children's participation in decision-making. Conclusion: The findings suggest the importance of the mediating effect of children's basic psychological needs, between parents' and teachers' autonomy support and children's participation in decision-making. The findings can be used as an important basis for prospective research and practices for improving children's participation in decision-making.

An Analysis of the Autonomous Regional Development ("자립적 지역사회개발론${\rceil}$에 대한 연구)

  • Kim, Soo-Suk
    • Journal of Agricultural Extension & Community Development
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    • v.4 no.1
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    • pp.29-40
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    • 1997
  • This study aims to analyze the model of 'autonomous regional development', which was initiated in 1980s in Austria, then introduced into Germany and Switzerland. The basic ideas of autonomous regional development are constructed of the peculiarity, the autonomy, the integrity, and the project promotion. The subjects of the development-four poles of the model 'autonomous regional development' -are designed of the land residents, the regional advisers, the regional associations and the state. The concret measures to realize the autonomous regional development are the realization of independent regional economic structures, the autonomy of political decision-makings, and the development of peculiar rural cultures. The autonomous regional development is a new development model, which is founded on the right basic principles. In this model the initiative of the residents is emphasized, and the real autonomy of regional development is required. The principle of autonomy leads to the development of peculiar rural cultures, which keep the peculiarity of the region. The development of rural culture contributes in turn to restoring the identity of residents, which may become a driving force of the rural development.

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Effects of Behavioral Inhibition in Young Children on Self-Determination: Sequential Mediating Effects of Mother's Parenting Anxiety and Autonomy Support (유아의 행동억제가 자기결정성에 미치는 영향: 어머니의 양육불안과 자율성 지지의 순차매개효과)

  • Ji-Hyo Kim;Nary Shin
    • Korean Journal of Childcare and Education
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    • v.19 no.6
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    • pp.97-113
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    • 2023
  • Objective: The purpose of this study is to investigate the effect of young children's behavioral inhibition on self-determination, examining the sequential mediating effects of mothers' parenting anxiety and autonomy support. Methods: Participants in this study were 225 mothers with children aged 6 years. An online survey was conducted, and SPSS Statistics 23.0 was used for basic analysis. The research model used the Process Macro 4.0 program. Results: The higher the level of behavioral inhibition, the lower the child's self-determination. Furthermore, a mediating effect was confirmed when parenting anxiety was added. However, in the single mediation model and the sequential mediation model in which autonomy support was added, the direct effects of behavioral inhibition temperament and parenting anxiety on self-determination disappeared. As a result, behavioral inhibition characteristics were found to have an indirect effect on self-determination through the sequential mediating effects of mother's parenting anxiety and autonomy support. Conclusion/Implications: If a mother with a child with a behaviorally inhibited temperament properly handles the negative emotions experienced during parenting based on her understanding of the child and supports the child to have a high degree of autonomy, she can enhance the child's right to self-determination.

Generating an Autonomous Landing Testbed of Simulated UAV applied by GA (GA를 적용한 모의 UAV의 자율착륙 테스트베드 구축)

  • Han, Changhee
    • Journal of the Korea Society for Simulation
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    • v.28 no.1
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    • pp.93-98
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    • 2019
  • In case of unmanned aerial vehicles used in modern society, there has been a problem where a human operator should be still needed to control the UAV because of a lower level of autonomy. In this paper, genetic algorithm is selected as a methodology for the autonomy accomplishment and then we verify a possibility of UAV autonomy by applying the GA. The landing is one of the important classical tasks on aerial vehicle and the lunar Landing is one of the most historical events. Autonomy possibility of computer-simulated UAV is verified by landing autonomy method of a falling body equipped with a propulsion system similar to the lunar Lander. When applying the GA, the genom is encoded only with 4 actions (left-turn, right-turn, thrust, and free-fall) and applied onto the falling body, Then we applied the major operations of GA and achieved a success experiment. A major contribution is to construct a simulated UAV where an autonomy of UAV can be accomplished while minimizing the sensor dependency. Also we implemented a test-bed where the possibility of autonomy accomplishment by applying the GA can be verified.

Social Implication of Living Wills, Advance Directives and Natural Death Act in Korea (생전유언, 의료지시서, 자연사법(natural death act) 입법의 사회적 함의)

  • Lee, In-Young
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.413-459
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    • 2008
  • The Law has intervened to define rare circumstances in which a person should choose continuing life in United States. On the one hand, the law has traditionally acted to preservelife and to respect the sanctity of life. On the other hand, one's control over one's own body, and the right to determine what kind of medical care one will receive, is equally well respected and historically grounded. The competent patients have the right to forgo life-sustaining treatment, courts in United States have left many unanswered questions about the nature of that right. The right to choose to forgo life-sustaining treatment is a manifestation of a patient's autonomy interest. In United States, The Karen Quilan case gave rise to legislative activity in the host of state capitals, and several states had adopted statutes that formally recognized some forms of written directives describing some circumstances in which certain kinds of medical care could be terminated. These statues were sometimes dominated 'living will' acts, sometimes 'right to die' acts and ocasionally 'natural death' acts. Today virtually every state has produced a living will statue. In Korea, courts do not permit a terminally ill person to withhold or withdraw life-sustaining treatment. Living wills apply in case of terminal illness owing to a defect in legislation. Now In Korea, these lively dispute of legal policy on the preconditions and concrete procedure of living will act and natural death act. Through the legislation of living will act and natural death act, we should prepare some circumstances to respect patient's autonomy on the right to die. We should frame the cultural standard to make a decision of forgoing life-sustainin1g treatment under the discreet procedure.

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A Study on the Local Ordinance for the Rural Development Planning (지방정부의 독자적 농촌발전계획의 수립과 추진을 위한 조례제정에 관한 연구)

  • Yoon, Won-Keun
    • Journal of Agricultural Extension & Community Development
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    • v.12 no.1
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    • pp.57-68
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    • 2005
  • Since about 2000. local government has started making ordinance related to the rural development planning which is revitalizing rural area through using rural resource. But, the ordinance of local government have not any contents relating to the land use planning system that is necessary in rural development planning. According to the present local autonomy act, ordinance can not have any regulations restricting basic human right without being allowed by law. In recent, central government is considering to hand power making land use planning system over local government. This paper is to study how to expand the legislative power of local government. This study discussed on logical bases through examining disputes on legal theories, the nature of local ordinance, range of local autonomy affairs and cases of local ordinance.

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Effects of Job Autonomy on Career Maturity in High School Students: Focused on the Mediation Effect of Job Satisfaction (고등학생의 아르바이트 업무자율성과 진로의식성숙과의 관계: 업무만족도의 매개효과)

  • Choi, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.86-97
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    • 2017
  • The purpose of this study was to find the mediation effect of job satisfaction between job autonomy and career maturity in high school students. It sampled 849 students who have experienced part-time work. Data were analyzed by regression analysis with SPSS 18.0 version. Results showed significant relationships between socio-economic variables(gender, educational aspiration) and main variables. Females showed higher level of job autonomy, job satisfaction, and career maturity than males' ones. Second, job autonomy was a significant predictor of career maturity by gender and educational aspiration. In addition, job satisfaction proved to have a partial mediating effect on job autonomy and career maturity. Based on the results, this study suggest that adolescents actively participate when they work on the field, and employers have to recognize a role of collaborator about vocational education to increase the career maturity of adolescents. Also, communities and schools have to give adolescents right information on job and make an official system to find a good job.

The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students (건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과)

  • Shin YunHee;Chun YaungKyung;Cha SungMi;Cha YeRyung
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1304-1313
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students. Method: A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was 'sex, gender, and sexuality: all our concern', 'dangerous sex' for the second session, 'safe sex' for the third session, and 'right sex for you and me' for the fourth session. Result: At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group. Conclusion: A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.