Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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The Effects of Moral Sensitivity, Biomedical Ethics Awareness on Attitudes toward Withdrawal of Life-Sustaining Treatment of Nursing Students

간호대학생의 도덕적 민감성, 생명의료윤리의식이 연명치료중단에 대한 태도에 미치는 영향

  • Jang, Young-Mi (Dept. of Nursing, Daejeon Institute of Science and Technology) ;
  • Ahn, EunKyong (Dept. of Nursing, Daejeon Institute of Science and Technology)
  • 장영미 (대전과학기술대학교 간호학부) ;
  • 안은경 (대전과학기술대학교 간호학부)
  • Received : 2019.05.16
  • Accepted : 2019.06.20
  • Published : 2019.06.30
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Abstract

This study was conducted to explore the effects of Moral Sensitivity(MS), Biomedical Ethics Awareness(BEA) on Attitudes toward Withdrawal of Life-Sustaining Treatment(AWLST) of nursing students. The data were collected from May 1, 2018 to May 20, 2018 for 302 nursing students. The collected data were analyzed using SPSS 22.0. The average degree of MS was 3.45, BEA was 3.69, and AWLST was 3.36. MS was positively correlated with BEA(r=.149, p=.010) and AWLST(r=.223, p<.001). BEA was negatively correlated with AWLST(r=-.129 p=.025). Models including MS(${\beta}=.2.47$, p<.001) and BEA(${\beta}=-.166$, p=.003) explained 7% of variance in the AWLST. It is necessary to provide education that consider the MS, BEA and AWLST level of nursing students to help them establish an acceptable view of AWLST.

본 연구는 간호대학생의 도덕적 민감성, 생명의료윤리의식이 연명치료중단에 대한 태도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상자는 D시 소재의 일개 간호학과 1, 2학년 학생 302명이었으며, 구조화된 설문지를 이용하여 자료를 수집하였다. 연구결과, 간호대학생의 도덕적 민감성 정도는 보통 수준이었고, 생명의료윤리인식정도는 높은 수준이었으며, 연명치료중단에 대한 태도는 긍정적인 것으로 나타났다. 또한 도덕적 민감성은 생명의료윤리의식(r=.149, p=.010), 연명치료중단(r=.223 p<001)과 유의한 정적 상관관계를, 생명의료윤리의식과 연명치료중단은 유의한 부적상관관계(r=-.129 p=.025)를 나타내었다. 도덕적 민감성(${\beta}=.247$, p<.001)과 생명의료윤리의식(${\beta}=-.166$, p=.003)은 연명치료중단에 대한 태도에 유의한 영향을 미치는 요인으로 확인되었다. 따라서 대상자의 도덕적 민감성, 생명의료 윤리의식 수준과 내용을 고려한 차별화된 연명치료중단에 대한 교육을 적용해야 할 것으로 생각된다.

Keywords

References

  1. B.H. Kong. (2014). Nursing Ethics. Seoul : Hyunmoonsa.
  2. G.M. Kim, K.S. Sung & E.J. Kim (2017). Awareness of Nursing Students' Biomedical Ethics and Attitudes toward Withdrawal of Life-Sustaining Treatment. Child Health Nursing Research, 23(3), 292-299. https://doi.org/10.4094/chnr.2017.23.3.292
  3. G.N. Kim, E.H. Kang & M.Y. Kim (2019). Factors Influencing on the Attitude toward withdrawal of life-sustaining treatment of Nursing College Students. Journal of Korea Academia-Industrial cooperation Society, 20(3), 429-437. https://doi.org/10.5762/KAIS.2017.23.3.292
  4. Journal of Korean Geriatrics Society Chungcheong Branch (2018). Spring Conference, pp. 31-63.
  5. E.Y. Kim, E.H. Seo & E.Y Jung (2017). Knowledge and Attitudes toward the Withdrawal of Life-Sustaining Treatment among Nursing Students, Journal of East-West Nursing Research. 23(1), 1-8. https://doi.org/10.14370/jewnr.2017.23.1.1
  6. K.H. Jo (2010). The Meaning of Dignified Dying Perceived by Nursing Students. The Journal of Korean Academic Society of Nursing Education. 16(1), 72-82. https://doi.org/10.5977/JKASNE.2010.16.1.072
  7. E.Y. Kim (2018). Effects of Consciousness of Biomedical Ethics and Critical Thinking Disposition on Attitude toward Withdrawal of Life-Sustaining. Journal of Digital Convergence. 16(9), 453-463. https://doi.org/10.14400/JDC.2018.16.9.453
  8. E.J Choi, H.S Jung (2018). The Effect of Nursing Students' Consciousness of Biomedical Ethics, Good Death Recognition, and Self-Esteem on the Attitude toward Withdrawal of Life-Sustaining. Journal of Korea Academia-Industrial cooperation Society. 19(5), 275-284. https://doi.org/10.5762/KAIS.2018.19.5.275
  9. Y.H. Cho (2017). Factors Affecting the Consciousness of Biomedical Ethics of the Nursing Students before Clinical Practice In Convergence Era. Journal of the Korea Convergence Society. 8(10), 359-369. https://doi.org/10.15207/JKCS.2017.8.10.359
  10. Y.H. Kwon (2009). Factors affecting the conciousness of biomedical ethics of the nursing students. Journal of Korean Academy of Public Health Nursing. 23(2), 262-272.
  11. Thompkins. P.S (2009). Rhetorical listening and moral sensitivity. Journal of Listening. 23(2), 60-79. https://doi.org/10.1080/10904010802591912
  12. M.S. Kim (2015). Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students. The Journal of Korean Academic Society of Nursing Education. 21(3), 382-392. https://dx.doi.org/10.5977/jkasne.2015.21.3.382
  13. Comrie R.W. (2012). An analysis of undergraduate and graduate student nurses' moral sensitivity. Nursing Ethics. 19(1), 116-127. https://doi.org/10.1177/0969733011411399
  14. S.S Han, J. Kim, Y.S Kim & Ahn S (2010). Validation of a Korean version of the moral sensitivity questionare. Nursing Ethics. 17(1), 99-105. https://doi.org/10.1177/0969733009349993
  15. Y.H. Kwon (2003). A study on the consciousness of biomedical ethics of the nursing students and medical students. (Unpublished master's thesis Keimyung University, Daegu).
  16. E.K Byun, H.R. Choi, A.L. Choi, N.M Kim, K.H Hong & H.S Kim 2(003). An investigative research on the attitude of intensive care unit nurses and families on terminating life support. Clinical Nursing Resarch. 9(1), 112-124.
  17. K.S. Jeong (2013). The effect of gender, ethical values and characteristics of biomedical ethics on the consciousness biomedical ethics on nursing students in one nursing college. Journal of Korea Academia-Industrial cooperation Society. 14(11), 5672-5681. https://dx.doi.org/10.5762/KAIS.2013.14.11.5672
  18. D.B. No, S.A. Kim & S.H. Kim (2013). Moral distress, moral sensitivity and ethical climate of nurses working in psychiatric wards. Journal of Korean Academy Psychiatric Mental Health Nursing. 2013;22(4):307-319. https://doi.org/10.12934/jkpmhn.2013.22.4.307
  19. S.H. Lee, S.Y Kim & J.A Kim (2007). Ethical value of Nursing Students. Journal of Korean Academy Nursing Administration. 13(2), 145-155.
  20. H.Y. Ahn, B.S Cho, S.H. Choi, W. Choi & Y.M. Go (2008). Bioethical perception between Nursing Students and medical Students. Journal of Korean Academy Society of Nursing Education. 14(1), 98-107. https://doi.org/10.5977/JKASNE.2008.14.1.098
  21. H.J Kim (2009) Research on the role of moral sensitivity and the implication of morality and education (Unpublished master's thesis, Seoul National University, Seoul).
  22. Y.J. Lee, Y.S Kim (2017). The Difference of the Death Perception, Death Attitude and the Awareness of Biomedical Ethics of Nursing Students according to the completion of Bioethics Education. Journal of Korean Bioethics Association. 18(2), 95-109.
  23. M.S, Yoo, K.C. Shon (2011). Effects of Nursing Ethics Education on Biomedical Ethics Awareness, Moral Sensitivity and Moral Judgment of Nursing Students. Journal of Korean Bioethics Association. 12(2), 61-76.
  24. M.H. Lim, C.S. Park (2014). Factors Affecting the Consciousness of Biomedical Ethics of the Nursing Students. Journal of Korea Academia-Industrial cooperation Society. 15(7), 4423-4431. http://dx.doi.org/10.5762/KAIS.2014.15.7.4423
  25. Y.R. Jung, Y.H. Lee (2017). Affecting Factors of the Awareness of Biomedical Ethics in Nursing Students. Journal of Korean Academy Society of Nursing Education. 23(4), 389-397. https://doi.org/10.5977/jkasne.2017.23.4.389
  26. R.H. Kim, E.J. Lee (2012). A Comparison of First-Year and Senior Nursing Students' Ethical Values and Understanding of Biomedical Ethics. Korean Journal of Medical Ethics. 15(1). 78-95. https://doi.org/10.35301/ksme.2012.15.1.78
  27. S.D. Kim (2011). Research Ethics and Bioethics Education in Biomedical Science. Korean Journal of Medical Ethics. 14(4). 456-467. https://doi.org/10.35301/ksme.2011.14.4.456
  28. Bazrafcan L, Nabeiei P, Shokrpour N & Moadab N (2015). Medical ethics as practiced by students, nurses and faculty members in Shiraz University of Medical Sciences. Journal of Advances in Medical Education & Professionalism. 3(1), 33-38.
  29. J.R, Moo (2013). Attitude on the Withdrawal of Meaningless Life-Sustaining Treatment and Ethical Values of Clinical Nurses. (Unpublished master's thesis, Catholic University of Pusan).
  30. K.H. Jo, Y.J. Kim (2013). The Impact of Nurses' Attitude toward Dignified Death and Moral Sensitivity on Their End-of-Life Care Performance. The Korean Journal of Hospice and Palliative Care. 16(4). 223-231. http://dx.doi.org/10.14475/kjhpc.2013.16.4.223