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정신과 병동 간호사의 도덕적 고뇌, 도덕적 민감성 및 윤리적 환경
노다복 ( Da Bok Noh ),김선아 ( Sun Ah Kim ),김상희 ( Sang Hee Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4
Purpose: The purpose of this study was to explore level of moral distress, moral sensitivity, and ethical climate of nurses working in psychiatric wards and identify factors that influence moral distress. Also this study was done to describe the content of moral distress. Methods: Data were collected through self-report questionnaires and focus group interviews. A survey was conducted with 108 psychiatric nurses and 8 volunteers were interviewed. Instruments used in this study were the Moral Distress Scale for Psychiatric Nurses, Korean version of the Moral Sensitivity Questionnaire, and Ethical Climate Questionnaire. Data were analyzed using SPSS/WIN 20.0 program and content analysis. Results: The mean score for moral distress was 3.74 and for moral sensitivity, 4.67. The significant factors influencing moral distress were clinical career in psychiatric wards, moral sensitivity, personal profit and friendship. As a result of content analysis, 3 domain of moral distress were found: moral distress situations, responses in moral distress situations, factors to overcome moral distress and resources that enable ethical nursing. Conclusion: The results suggest that in the development of interventions to decrease moral distress for nurses working in psychiatric wards, factors identified as influencing moral distress and content of moral distress should be considered.
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김선아 ( Sun Ah Kim ),김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),노다복 ( Da Bok Noh ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.2
Purpose: The purpose of this study was to explore levels of depression, anxiety, suicidal ideation in maladjusted Korean soldiers and identify factors that influence suicidal ideation. Methods: Instruments were the CES-D (Center for Epidemiologic Studies-Depression Scale), STAI (State Trait Anxiety Inventory), and SSI (Scale for Suicidal Ideation). The participants were 94 maladjusted soldiers from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires, and analyzed with the SPSS/WIN 20.0 program. Results: Mean scores were; for CES-D, 42.1±13.10, for STAI-I (state-anxiety) and STAI-II (trait-anxiety), 60.3±15.05 and 61.9 12.14 respectfully, and for SSI, 23.1±9.52. There were significant differences in suicidal ideation according the general characteristics of education, prospects for the future, and having someone to talk about troubles. Major variables showing significant correlations were prospects for the future, depression, trait anxiety, state anxiety, and suicidal ideation. Depression and prospect for future were significant predictors of suicidal ideation (Adjusted R2 65%). Conclusion: Based on the findings of this study, it is important to assess significant mental health problems at the clinical level and provide suicidal ideation prevention in maladjusted soldiers. Active input from experts such as nursing officers and intervention programs that focus on depression are needed.
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