간호대학생의 윤리적 의사결정에 영향을 미치는 요인
Factors Affecting Ethical decision-making of Nursing Students
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The aim of this descriptive research study was to identify the factors affecting the ethical decision-making of nursing students. Methods: A convenience sample of 193 nursing students from three nursing colleges in D city who were engaged in clinical practice completed an online Google Forms questionnaire from September 9 to September 20, 2021. Using SPSS 23.0, data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, Scheffé’s test, Pearson’s correlation coefficient, and a multiple regression analysis. Results: The influencing factors of ideal ethical decision-making were guilt (β=.38, p<.001), awareness of the nurses’ Code of Ethics (β=.18, p=.023) and motivation for entering school, among general characteristics (β=-.18, p=.033). The explanatory power of the model was 22.2%. Further, the influencing factors of realistic ethical decision-making were ideal ethical decision-making (β=.26, p=.001) and grade (among general characteristics) (β=.15, p=.029); the explanatory power of the model was 17.9%. Conclusion: Various educational tools and programs pertaining to making ideal and ethical decisions must be enhanced to promote ethical choices in clinical areas and realistic ethical decision-making ability to actually make such choices. This focus may enable nurses to improve their nursing professionalism in the future.
Abstract
Purpose: The aim of this descriptive research study was to identify the factors affecting the ethical decision-making of nursing students. Methods: A convenience sample of 193 nursing students from three nursing colleges in D city who were engaged in clinical practice completed an online Google Forms questionnaire from September 9 to September 20, 2021. Using SPSS 23.0, data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, Scheffé’s test, Pearson’s correlation coefficient, and a multiple regression analysis. Results: The influencing factors of ideal ethical decision-making were guilt (β=.38, p<.001), awareness of the nurses’ Code of Ethics (β=.18, p=.023) and motivation for entering school, among general characteristics (β=-.18, p=.033). The explanatory power of the model was 22.2%. Further, the influencing factors of realistic ethical decision-making were ideal ethical decision-making (β=.26, p=.001) and grade (among general characteristics) (β=.15, p=.029); the explanatory power of the model was 17.9%. Conclusion: Various educational tools and programs pertaining to making ideal and ethical decisions must be enhanced to promote ethical choices in clinical areas and realistic ethical decision-making ability to actually make such choices. This focus may enable nurses to improve their nursing professionalism in the future.
참고문헌 (30)
- 공병혜, "Covid-19 팬데믹에서의 간호윤리: 돌봄의 윤리적 관점에서", 한국의료윤리학회지, 24(3), pp.303~315 (2021), 한국의료윤리학회[DOI]
- 유명숙, "간호대학생의 생명의료윤리의식, 도덕적 민감성 및 도덕 판단력에 관한 간호윤리교육의 효과", 생명윤리, 12(2), pp.61~78 (2011), 한국생명윤리학회
- Ketefian S, "Moral reasoning and ethical practice in nursing: An integrative review", pp.i~79 (1988), National League for Nursing Publications
- 강세원, "간호학생의 간호사 윤리강령에 대한 인식과 전문직업관과의 관계", Journal of The Korean Data Analysis Society, 17(2), pp.1101~1114 (2015), 한국자료분석학회
- Hansen AC, "A conceptualization of decision-making its application to a study of role and situation-related differences in priority decisions", Nursing Research, 17(5), pp.436~443 (1968)
- Lee KM, "A prediction model for ethical decision-making of clinical nurses", pp.2021
- 황혜영, "한국 간호윤리교육의 현황 및 고찰", 한국의료윤리학회지, 20(3), pp.305~316 (2017), 한국의료윤리학회[DOI]
- Chen Q, "The relationship between moral sensitivity and professional values and ethical decision-making in nursing students", Nurse Education Today, 105, pp.1~6 (2021)[DOI]
- 민혜영, "간호대학생의 한국어판 윤리적 민감성 측정도구 타당도와 신뢰도", 지역사회간호학회지, 31(4), pp.503~513 (2020), 한국지역사회간호학회
- Jang SJ, "The influence of nurses' ethical dilemma, moral sensitivity, and confidence in ethical decision making on clinical decision making ability", master, pp.2021
- 정계선, "간호학생의 생명의료윤리의식, 도덕적 민감성 및 비판적 사고성향이 간호사윤리강령 인식에 미치는 영향요인", 한국산학기술학회논문지, 18(11), pp.544~555 (2017), 한국산학기술학회[DOI]
- Weaver K, "Ethical sensitivity in professional practice : Concept analysis", Journal of Advanced Nursing, 62(5), pp.607~618 (2008)[DOI]
- 황혜정, "간호대학생의 액션러닝 기반 간호윤리교육이 윤리적의사결정 자신감과 윤리적가치관에 미치는 영향", 학습자중심교과교육연구, 20(24), pp.221~237 (2020), 학습자중심교과교육학회[DOI]
- Kim YS, "A study on the persistence of nursing ethics education for nurses’ ethical decision making", Journal of Korean Academy of Nursing Administration, 7(2), pp.253~263 (2001)
- 전윤화, "임상간호사의 윤리적 의사결정 자신감 영향요인", 한국산학기술학회논문지, 18(3), pp.501~512 (2017), 한국산학기술학회[DOI]
- 오미정, "간호학생의 간호전문직관, 비판적 사고 및 윤리적 의사결정이 간호윤리 가치관에 미치는 영향", 예술인문사회 융합 멀티미디어 논문지, 7(11), pp.181~195 (2017), 사단법인 인문사회과학기술융합학회[DOI]
- Johnson JF, "Moral disengagement and ethical decision-making : The moderating role of trait guilt and shame", Journal of Personality and Social Psychology, 15(4), pp.184~189 (2016)[DOI]
- 한규은, "죄책감과 수치심의 억제가 도덕적 판단, 의도, 행동에 미치는 영향", 감성과학, 19(3), pp.121~132 (2016), 한국감성과학회[DOI]
- 이고은, "국내 간호대학생을 대상으로 한 간호윤리 연구의 통합적 문헌고찰(2011-2020)", 한국의료윤리학회지, 24(1), pp.59~80 (2021), 한국의료윤리학회[DOI]
- Muramatsu T, "The development and validation of the ethical sensitivity questionnaire for nursing students", BMC Medical Education, 19(1), pp.215~223 (2019)[DOI]
- Tangney JP, "The test of Self-Conscious Affect(TOSCA-3)", George Mason University, ~ (2000)
- 송수민, "수치심경향성과 죄책감경향성의 심리적 특성 비교", 한국심리학회지: 상담 및 심리치료, 20(1), pp.125~144 (2008), 한국상담심리학회
- Clinical nurses’ perspectives and application of codes of ethics for Korean nurses, "Kim YS", Ajou University, ~ (2012)
- Sulmasy DP, "Medical House Officers' knowledge, attitudes, and confidence regarding medical ethics", Arch Intern Med, 150(12), pp.2509~2513 (1990)[DOI]
- Kim CH, "The relationships among ethical dilemma, professional values, ethical confidence of clinical Nurses", master, pp.2014
- Kim YS, "Effect of ethics education on nurse's moral judgement", Journal of Korean Academy of Nursing, 30(1), pp.183~193 (2000)[DOI]
- Tuvesson H, "Demographic factors associated with moral sensitivity among nursing students", Nursing Ethics, 24(7), pp.847~855 (2017)[DOI]
- 이소영, "간호대학생의 윤리적 가치관과 도덕적 고뇌", 문화기술의 융합, 5(3), pp.119~124 (2019), 국제문화기술진흥원
- 김은희, "1학년과 4학년 간호대학생 간의 생명의료윤리 가치관에 대한 비교", 한국의료윤리학회지, 15(1), pp.78~95 (2012), 한국의료윤리학회[DOI]
- 최영실, "임상간호사의 간호사 윤리강령 인식의 영향 요인; 생명의료 윤리의식, 도덕적 민감성, 비판적사고 성향을 중심으로", 한국산학기술학회논문지, 21(12), pp.660~671 (2020), 한국산학기술학회[DOI]