간호관리자가 경험한 윤리적 딜레마와 활용자원
Published Online: Jun 30, 2002
ABSTRACT
The purpose of this study was to investigate types of ethical dilemmas and resourses used by nurse administrators. Study data were collected from Aug 6, 2001 to Aug 24, 2000. Study subjects were 283 nurse administrators working in university hospitals. A structured questionnaire was used for data collection. Descriptive statistics and χ2- test were employed to analyze the data.
The results of study are summarized as follows
1) Concerning the frequent types of ethical dilemmas, the ranked one highest was "incompetent physicians", the second was "incompetent nurses", the third was “employee relations".
2) They were asked to identify three of the resources they used most frequently when resolving ethical dilemmas. "Personal values", "senior nurse manager", "Nursing colleagues" were named most often.
3) There was significant difference between general characteristics and frequent types of ethical dilemmas experienced by nurse administrators : hospital size and incompetent nurses(χ2=14.511, p=.024), institute hitory and incompetent nurses(χ2=10.343, p=.016), hospital location and employee relations(χ2=8.776, p=.032), the present role and employee relations(χ2=8.348, p=.039), highest degree and employee relations(χ2=19.338, p=.000).
4) There was significant difference between general characteristics and resources used by nurse administrators : hospital history and personal values(χ2=8.849, p=.031), age and personal values(χ2=11.825, p=.008), executive career and personal values(χ2=9.715, p=.021), total career and personal values(χ2=14.303, p=.003), the present role and personal values(χ2=13.603, p=.003). age and senior nurse manager(χ2=9.040 p=.029), executive career and senior nurse manager(χ2=17.443, p=.001), total career and senior nurse manager(χ2=9.327, p=.025), the present working place(χ2=14.943, p=.005), hospital size and nurse colleagues(χ2=15.152, p=.019), hospital religion and nurse colleagues(χ2=6.082, p=.048), total career and nurse colleagues(χ2=9.099, p=.028).
In conclusion, this study suggests that frequent types of ethical dilemmas experienced and resources used by nurse administrators are significant difference in personal and hospital characteristics.