• Title/Summary/Keyword: dilemma

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Ethical Dilemma and Empowerment among Dental Hygienists in Some Regions (일부 지역 치과위생사가 경험하는 윤리적 딜레마와 임파워먼트)

  • Kim, Mi-Jeong;Park, In-Suk
    • Journal of dental hygiene science
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    • v.12 no.4
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    • pp.383-391
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    • 2012
  • The purpose of this study was to examine the ethical dilemma of dental hygienists and the level of empowerment among them in an attempt to provide some information on how to alleviate the ethical dilemma of dental hygienists to boost their empowerment. The findings of the study were as follows: The dental hygienists got a mean of 1.58 out of possible four points in ethical dilemma. Among the subfactors of ethical dilemma, they scored highest in ethical dilemma about dental hygienists and profession (1.79), followed by dental hygienists and patients (1.53), life reverence and respect for human rights (1.51) and dental hygienists and cooperators (1.49). As for the general characteristics of the dental hygienists, those who were better educated and who intended to temporarily work just until marriage fell into a more ethical dilemma. The dental hygienists got a mean of 3.05 out of possible five points in empowerment. Among the subfactors of it, they scored highest in support structure (3.52), opportunity structure (3.18), information structure (3.08) and resources structure (3.04). There were significant gaps among the dental hygienists in empowerment according to their attitude toward the dental hygienist job as a profession. There was a significant negative correlation between ethical dilemma and empowerment. Regarding influential factors for the ethical dilemma of the dental hygienists, marital status and empowerment were identified as significantly influential factors, and empowerment had a significant relationship to age, academic credential and ethical dilemma. Given the findings of the study, the development of various intervention programs and empowerment-boosting strategies is required to relieve dental hygienists of ethical dilemma.

Analysis on Intersection Traffic Signal Locations Change and Characteristics of Dilemma Zone (교차로 신호기 위치 조정과 딜레마존 특성 분석)

  • Lim, Sam Jin;Lee, Young-Ihn;Kim, Kyung Hee
    • Journal of Korean Society of Transportation
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    • v.31 no.1
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    • pp.3-13
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    • 2013
  • This paper reviews the characteristics of dilemma zone by analysing the influence exerted by actual location of intersection traffic signal on behaviour of drivers approaching signalized intersection in urban area. The analysis of approach speed was based upon a 'before and after' comparison, measured at three sites where the locations of traffic signals were changed. The study demonstrated that, when traffic signal changed to yellow, the scales of dilemma zone were narrowed in case of stopping cars by moving up the starting point of the dilemma zone due to lowered spot speed. On the other hand, in case of passing cars, the end points of dilemma zone were moved further out to the rear due to increased spot speed. Therefore, changing traffic signal locations could make an impact to increase intersection safety through reducing the scales of dilemma zone. This study also found that, in cases involving vehicles with similar approach speeds, spot speeds could be differentiated following the change of signal locations due to the fact that there can be greater differences in both braking point and deceleration rate. Thus, when considering the appropriate measuring of dilemma zone, 'spot speed' rather than 'approach speed' appeared to be more appropriate criterion.

An Use of Dilemma Episodes in Science Teacher Education (딜레마 일화를 활용한 과학 교사 교육)

  • Yoon, Hye-Gyoung
    • Journal of The Korean Association For Science Education
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    • v.25 no.2
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    • pp.98-110
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    • 2005
  • This study aims to explore the usefulness and the way of practical use of dilemma episodes in science teacher education by the responses of teachers on the given dilemma episodes and connected discussions. The research based on the idea of constructivist teacher education, the assumption that dilemmas can provide teachers with an open investigation context, an understanding of nature of science education. The dilemmas episodes in Wallace and Louden(2002) were introduced and discussed in order during graduate course to 11 elementary teachers. Perception on the reality and importance of given dilemmas differed by topics, but many of them were very similar to their experiences, brought active discussion on the issues. Some could not arouse sympathy because of cultural differences. The teachers recognized the dilemma episodes provided thoughtful reflection on their own teaching, opportunity of sharing experience and knowledge with peers, overall view for science education. Most of them gave positive opinion on the use of dilemma episodes in teacher education. Upon these teachers' responses and exploratory research experiences, some practical suggestion were made for science teacher educators.

Dental Hygienist's Ethical Dilemma (치과위생사의 윤리적 딜레마)

  • Lee, Sun-Mi;Kang, Boo-Wol;Kim, Chang-Hee
    • Journal of dental hygiene science
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    • v.10 no.4
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    • pp.259-264
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    • 2010
  • The purpose of this study was to examine the awareness of dental hygienists on ethical dilemma. The subjects in this study were 356 dental hygienists who worked in dental clinics. After a survey was conducted, the collected data were analyzed with a SPSSWIN 14.0 program. The findings of the study were as follows: 1. In relation to awareness of ethical principles, 64.9 percent knew the fact that there were ethical principles to abide by, though they weren't aware of the principles in detail. When they were in ethical dilemma, most of them consulted with their colleagues(84.0%). 2. As to the necessity of ethical education, 86.8 percent felt the need for that. Concerning intention of receiving ethical education, however, as many as 41.6 percent didn't yet have any particular intention about that, and 50.0 percent intended to receive that education. 3. As for influential factors for ethical decision making, hospital policies and decision-making process were most influential(3.50), and fear for a possible loss of job exerted the smallest influence on that(2.49). 4. Regarding the cause of ethical dilemma, they fell into an ethical dilemma the most due to their own professional duties(2.56), followed by patients(2.33) and cooperators(2.28). Their overall dilemma score was 2.39.

Case Development on Nurses' Ethical Dilemmas with Physicians' and Nurses' Decision Making (간호사와 의사 간의 윤리적 딜레마 사례개발과 간호사의 의사결정 양상)

  • Jeong, Jeong-Mee;Park, Jung-Hyun;Jeong, Seok Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.5
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    • pp.668-678
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    • 2013
  • Purpose: This study was done to develop a realistic clinical case and investigate nurses' decision-making about nurses' ethical dilemmas with physicians in the fields of nursing practice. Methods: Case development and a hypothetical case study were used. Participants were 52 nurses. Data were collected in 2012 and 2013 using an open-ended questionnaire and interviews and analyzed using content analysis and descriptive statistics. Results: Various dilemma situations between nurses and physicians, such as violence, deathbed, medication prescription, and physicians' incapacity unfairness, were suggested. A clinical dilemma case about medication prescription was developed based on nurses' experiences. Nurses' responses to the developed case situation and responses were classified into five types. Various reasons were given for making the decisions and about 56% of the nurses decided to notify their supervisor without deleting nursing records. Conclusion: In this study, a realistic clinical dilemma case was developed, and nurses' ethical decision making was identified. These findings can be used in developing effective strategies for nurses to solve ethical dilemmas and to improve ethical decision-making abilities.

A Study on Dilemma Zone Safety Improvement using Drone Videos (드론을 이용한 교차로 딜레마구간 안전개선에 관한 연구)

  • Lee, Si-Bok
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.16 no.4
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    • pp.122-131
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    • 2017
  • This study was a drone-utilized case study motivated by that drones can obtain sophisticated video image data previously not feasible. The dilemma zones on selected intersection approaches were identified and locations of drivers' decision making to stop or go at the onset of yellow were determined by analyzing drone video images. The gap between the drivers' decision making location and invisible stop/go border line provided by the yellow time interval was defined as "risky passing zone". To improve the dilemma zone safety problems, re-optimization of yellow time intervals and introduction of new pavement marking that can help drivers decision making on yellow indication are suggested.

Analysis of Decision-Making in Ethical Dilemma Cases among Clinical Nurses (윤리적 딜레마 사례에 대한 간호사의 의사결정 분석)

  • Kim, Hyun-Gyung
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.459-480
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    • 2003
  • Purpose: This study was done to analyze the contents of nurses' ethical decision-making in four of hypothetical dilemma cases using the Cameron's Ethical Decision-Making Model of 'Value, Be, Do'. Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do. Result: 1) In consistency, most of subjects showed a unified voice in 'Value, Be, Do'. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients(case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview procedure, the subjects evaluated Cameron's Model as it would help them build consistent value, carry right action, and cope to conflicts. Conclusion: On the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making model, and be applied to the curriculum of nursing colleges and continuing education program for clinical nurses.

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Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality (의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구)

  • Ko, Chungmee;Koh, Chin-Kang
    • 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.

Validity Analysis of the Korean Version of the Moral Judgment Test (MJT) (도덕적 판단력 도구 MJT의 한국적 표준화 연구)

  • Park, Gyun-Yeol
    • Journal of Ethics
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    • no.94
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    • pp.249-275
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    • 2014
  • This study aims to standardize Moral Judgment Test (MJT) for measure the level of moral judgment to apply to Korean society. The questionnaire of MJT was composed of two stories: Worker's Dilemma; Doctor's Dilemma. The procedure of this study was started with translation, making final questionnaire through several times pre-test, survey, then did analyze. The degree of reliability was .669. To verify validity, this study carried 3 kinds of tests as follows: the Order of Preferences, Quasi-simplex Structure, Cognitive-Affective Parallelism. Through these tests, this study showed that Korean-translated version questionnaire of MJT is significant and good base to measure moral judgment.

Dynamic Dilemma Warning System of WISDOM Based on DSRC (단거리 전용 무선 통신 기반의 WISDOM 동적 딜레마 경고 시스템)

  • Jung, Sung-Dae;Park, Soon-Yong;Lee, Sang-Sun;Kim, Jong-Bok;Moon, Young-Jun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.8 no.2
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    • pp.53-59
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    • 2009
  • Integrating a field of transportation and IT is becoming a novel solution to social and economic problems which was previously focused on the investment in infrastructures. It also created new areas of industry such as ITS and telematics. Especially, vehicle communication is being considered very important and DSRC is also important in the field of rational ITS in recent. DSRC OBE has come into wide use through ETCS. In the field of traffic signal control, the research to implement an optimal traffic signal control system using a real-time information of good quality is being carried out and also the study of WISDOM was successfully completed. This paper shows the development of Dynamic-Dilemma zone warning service utilizing WISDOM and the evaluation of a reliability and a practicality through the field test. While the proposed Dynamic-Dilemma warning system transmits an information of signal time optimized by WISDOM, the OBE which receives this information makes dilemma zone based on its location and speed and gives warning to a driver.

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