Korean Journal of Medical Ethics
The Korean Society for Medical Ethics
Article

간호관리자가 경험한 윤리적 딜레마와 활용자원

김용순1, 박지원1, 손연정1, 한성숙2
Yong-Soon Kim1, Jee-Won Park1, Youn-Jung Son1, Sung-Suk Han2
1아주대학교 의과대학 간호학부
2가톨릭대학교 간호대학
1Divison of Nursing Science, School of Medicine, Ajou University
2College of Nursing, Catholic University

ⓒ Copyright 2002 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: 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.

Keywords: 간호관리자; 윤리적 딜레마
Keywords: Nurse Administrators; Ethical dilemmas