뇌사판정위원회 관련 법령과 윤리적 고찰

엄영란 ( Young Rhan Um ) 한국의료윤리학회 2004 한국의료윤리학회지 Vol.7 No.2

새로운 간호윤리학 방법론: 통합된 사례방법론

엄영란(Young Rhan Um) 한국간호행정학회 1997 간호행정학회지 Vol.3 No.1

미국 생명의료윤리학의 최근 동향

엄영란 ( Young Rhan Um ) 한국의료윤리학회 2001 한국의료윤리학회지 Vol.4 No.1

전문직 윤리의 도덕적 실천을 위한 제안

엄영란(Young Rhan Um) 가톨릭대학교(성심교정) 인간학연구소 2014 인간연구 Vol.0 No.27

세월호 참사와 요양병원 화재 참사로 우리 사회 리더와 전문인들이 사회적 신뢰감을 상실하게 되었다. 이 총체적인 침몰 현상에서 희망을 찾으려면 신뢰와 도덕성을 회복해야 한다. 신뢰감을 회복하기 위해 전문인들은 율법학자들과 바리사이들의 의로움을 넘어서려는 노력을 하고 율법이 사람을 위한 것임을 인식해야 한다. 서랍 속 매뉴얼로 전락한 규제와 통제 중심의 소극적인 직업윤리를 전문인으로서 정체성과 이상을 실현하는 방향으로 전환할 것을 제안한다. 또한 전인적인 인간성 회복의 방향으로 전환해야 한다. 이러한 긍정윤리학의 필수 요소는 자기 성찰과 공동체 의식의 회복이다. 긍정윤리학적 직업 문화를 형성하려면, 대학 교육에서도 직업윤리의 지식을 학습하는 것을 넘어 학생들이 자기 분야의 전문인으로서 정체성을 형성하고 이상을 실현하려는 동기를 내면화해야 실제적인 행동 변화가 이루어진다. 이러한 직업윤리 교육 방법으로 윤리문화변용 모형이 적합하다. 입학하기 이전부터 갖고 있던 학생 자신의 가치들을 새로이 입문한 분야의 주요 가치에 자율적으로 통합해 가면서 도덕성을 갖춘 전문인다운 정체성을 형성하고 실천 방법을 터득해 나가는 것이다. 각 분야의 전문인들이 긍정윤리학적 문화를 형성하게 되면 일터에서 자신들의 행위와 결정에 포함되어 있는 도덕적 가치에 더 민감해지고, 공동체 의식이 높아지며, 도덕적인 상황에 더 개방적인 태도를 취하게 되어 자신들의 도덕적 잠재력을 발휘하게 될 것이다. 이를 통해 전문인들은 직업적인 이상을 실현하는 문화를 형성하여 사회적 신뢰를 회복할 수 있다고 생각한다. 이것이 바로 바리사이의 의로움을 능가하는 도덕적 실천이라 생각한다. The Sewol-ho tragedy along with the hospital fire in Jangsung-shi have led to a loss of public trust in the government and credibility for professionals. To find hope in this situation, we should try to revive morality. Leaders and professionals must go beyond the righteousness of the scribes and Pharisees (for example who regarded the rule of sabbath more important than human) and recognize that rules were made for humans. Professional ethics, such as ethical codes and guidelines, is seen as a kind of remedial approach. Accordingly, professionals attempt to avoid being punished or they focus only on meeting minimum standards. Ethics needs to move away from a focus on misconduct and regulations to a more active and positive approach that inspires professionals to focus on ethical ideals. For this shift, the author suggests the utilization of positive ethics. This paper explores what positive ethics is, why it is beneficial, and how to teach it. The major aspects of positive ethics are the motivation for self-reflection and the community critique. Positive ethics provides directions for realizing professional ideals and respecting people. The author suggests that the ethical acculturation model can be used for cultivating positive ethics competency and culture. This method helps students to integrate their own values into professional ethics and to establish a professional identity. By cultivating a positive ethics culture, professionals will become sensitive to the values of their work and become open to the community. As a result, they will be able to restore public trust and credibility for professionals. This is the professional ethical practice that will help people realize “The sabbath was made for man, not man for the sabbath”(Mar 2,27).

실무수행능력 중심의 교육모형 및 측정도구 개발

엄영란(Um, Young Rhan),서연옥(Suh, Yeon Ok),송라윤(Song, Rhayun),전경자(June, Kyung Ja),유경희(Yoo, Kyung Hee),조남옥(Cho, Nam Ok) 한국간호교육학회 1998 한국간호교육학회지 Vol.4 No.2

장기공여를 위한 사전동의의 생의윤리학적 고찰

엄영란(Young Rhan Um),한성숙(Sung Suk Han) 한국간호행정학회 1998 간호행정학회지 Vol.4 No.2

환자안전 증진전략으로서 사실대로 밝힘 정책

엄영란(UM Young-Rhan) 한국생명윤리학회 2005 생명윤리 Vol.6 No.2

The purpose of the study is to search the ground and the method of the disclosure of unanticipated outcome information as a strategy of patient safety. Health care error is increasing more and more. Patients/families tend to appeal their harm to the court increasingly. Patients need the information of diagnosis and treatment outcome. However, the accidents are usually managed only by punishing a individual professions in Korea. There is still no systematic approach to enhance patient safety in Korea. In some countries, the individual punishment was changed into systematic approach. The risk management for preventing institutional financial loss is changed into the patient safety for preventing harm from healthcare service. It is essential to analyze the root cause of the adverse event in patients safety policy. The patient-centered safety approach needs patient's participation. Clinical practitioners fear that the disclosure of unanticipated outcome might provoke a lawsuit. However, according to some report, the disclosure actually strengthen the care provider-patient relationship. The disclosure policy assure ethical healthcare serve without financial loss of the institute. Under the principle of autonomy, patients have a right to know their complete information of medical condition including unanticipated outcome which is essential in order to make reasonable decision about their health care. Under the principle of justice, patients have a right to receiving just compensation for any harms in terms of suffering, loss of function, lost income, and resulting costs of necessary care and rehabilitation. This study introduces practical guide whether, what, and how to disclose unanticipated outcome information to patients and families through literature review. Disclosure can change 'the culture of silence and blame' into 'the culture of safety'.

병원윤리위원회 역할의 활성화 방안 탐색 연구

엄영란 ( Young Rhan Um ) 한국의료윤리학회 2003 한국의료윤리학회지 Vol.6 No.1

간호학 학술지에 게재된 논문의 생명윤리기준 준수

정인숙 ( Ihn Sook Jeong ),엄영란 ( Young Rhan Um ),김금순 ( Keum Soon Kim ) 한국의료윤리학회 2008 한국의료윤리학회지 Vol.11 No.2

Purpose: The purpose of this study is to identify the presence/absence of ethical considerations in the published articles of nursing journals. Methods: The ethical considerations of 331 articles published in six nursing journals having ethical considerations in their "instructions for authors" were examined. The following ethical considerations were reviewed: compliance with the Helsinki Declaration, approval of an independent ethical review committee(IRB), informed consent, protection of privacy and confidentiality, and the notification of conflicts of interest. Results: Two hundred and seventy three of 331 (82.2%) articles had at least one ethical consideration, the most common of which was obtaining informed consent (80.1%). However, none of the articles included compliance with the Helsinki Declaration, and only 15.7% of the articles included obtaining written informed consent. The articles written in English showed more ethical considerations than those written in Korean in the aspects of IRB approval (p<0.0001) and obtaining written informed consent (p=0.050). For research methodology, qualitative studies had more ethical considerations than experimental studies or surveys in terms of protecting privacy and confidentiality (p=0.022) and obtaining written informed consent (p=0.011). Conclusion: The ethical considerations in the articles published in the nursing journals examined did not fully reflect the ethical considerations listed in the journals` instructions for authors. This study suggests that editors should pay greater attention in determining whether or not articles published in their journals follow the ethical considerations in their instructions for authors.

간호학생들의 임상실습 대처 경험

오두남(Oh, Doo Nam),엄영란(Um, Young-Rhan),김춘미(Kim, Chunmi),주세진(Ju, Sejin),최정현(Choi, Jung Hyun),박명숙(Park, Myung Sook) 한국간호교육학회 2016 한국간호교육학회지 Vol.22 No.4

Purpose: The purpose of this study was to understand the coping experience of nursing students in clinical practice. Methods: In-depth interview was done with semi-structured questionnaire on 32 nursing students taking clinical practice. Data was analyzed through the grounded theory. Results: Core category of coping experience of nursing students was ‘trying to be a meaningful presence’ while clinical practice. Students’ coping strategies were ‘overcoming inexperience’, ‘receiving the recognition from the clinical instructors’, and ‘governing mind and body’. Helping components for their coping behaviors were ‘support from people’, ‘personal experience before clinical practice’, ‘dynamics with partners’. Through the coping experience during clinical practice, nursing students became mature and confirmed their identities as student nurses. Conclusion: Nursing students taking clinical practice tried to be a meaningful presence.