Article

윤리적 딜레마상황에서의 간호사의 도덕적 의사결정

김용순1, 박지원1, 유문숙1, 현명선1, 김기연1
Yongsoon KIM1, Jeewon PARK1, Moonsook YOO1, Myungsun HYUN1, Giyon KIM1
Author Information & Copyright
1아주대학교 의과대학 간호학부
1Division of Nursing Science, School of Medicine, Ajou University

ⓒ Copyright 1999 The Korean Society for Medical Ethics. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: 도덕적 의사결정; 윤리적 딜레마
Keywords: Moral Judgments; Ethical Dilemmas


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