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윤리적 딜레마상황에서의 간호사의 도덕적 의사결정
Published Online: Nov 25, 1999
ABSTRACT
It is important for nurses to be knowledgeable about ethical theories, ethical principles, and professional obligations, when they should make a judgement in ethical dilemmas.
The main purpose of this study is to investigate nurses’ ethical decisions and moral judgements and to analyze the factors related to ethical decisions.
The data was collected during the period of October 14 through October 22, 1998. Sample consists of 63 nurses working in the ICU who met research criteria. The instrument used in this study was the Judgements About Nursing Decisions(JAND) developed in 1981 and modified in 1998 by Ketefian. Data analysis was done using SPSS WIN.
The results were as follows:
1. As for the ethical decisions, it was reported that they regarded pragmatism rather than deontology as an important ethical theory, considered the views of the patients and families and their own philosophy in ethical dilemma, and consulted with peer nurses and head nurse about an ethical dilemma.
2. As for the moral judgements, the scores in ideal moral judgements was higher than those in realistic moral judgements.
3. There were no significant differences in ethical decisions according to P % scores.
4. The factors that were related to ethical decision were age, employment year, religion, father’s education year, and ethical principle.
It is suggested that it is important to develop the programs that can help nurses to judge ethically and to provide with students the education from which students can experience the ethical dilemma.