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      의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구 = Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality

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      https://www.riss.kr/link?id=A105893469

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.
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      Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive stud...

      Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

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      참고문헌 (Reference)

      1 Rigaud, J., "What are the ethical aspects surrounding intensive care unit admission in patients with cancer?" 5 (5): S42-, 2017

      2 Elizabeth K. Vig, "Weekly Rounding With the MICU Team: Description of a Clinical Ethics Project" SAGE Publications 36 (36): 290-293, 2018

      3 Mobley, M. J., "The relationship between moral distress and perception of futile care in the critical care unit" 23 (23): 256-263, 2007

      4 Lautrette, A., "Surrogate decision makers for incompetent ICU patients : A European perspective" 14 (14): 714-719, 2008

      5 Ganz, F. D., "Surgical nurses’perceptions of ethical dilemmas, moral distress and quality of care" 68 (68): 1516-1525, 2012

      6 Kinoshita, S., "Respecting the wishes of patients in intensive care units" 14 (14): 651-664, 2007

      7 Shoorideh, F. A., "Relationship between ICU nurses’moral distress with burnout and anticipated turnover" 22 (22): 64-76, 2015

      8 Kotecha, N., "Reducing unnecessary laboratory testing in the medical ICU" 130 (130): 648-651, 2017

      9 Ruth M. Kleinpell, "Reducing Unnecessary Testing in the Intensive Care Unit by Choosing Wisely" 대한중환자의학회 33 (33): 1-6, 2018

      10 Latour, J. M., "Privacy, dignity and confidentiality : A time to reflect on practice" 17 (17): 109-111, 2012

      1 Rigaud, J., "What are the ethical aspects surrounding intensive care unit admission in patients with cancer?" 5 (5): S42-, 2017

      2 Elizabeth K. Vig, "Weekly Rounding With the MICU Team: Description of a Clinical Ethics Project" SAGE Publications 36 (36): 290-293, 2018

      3 Mobley, M. J., "The relationship between moral distress and perception of futile care in the critical care unit" 23 (23): 256-263, 2007

      4 Lautrette, A., "Surrogate decision makers for incompetent ICU patients : A European perspective" 14 (14): 714-719, 2008

      5 Ganz, F. D., "Surgical nurses’perceptions of ethical dilemmas, moral distress and quality of care" 68 (68): 1516-1525, 2012

      6 Kinoshita, S., "Respecting the wishes of patients in intensive care units" 14 (14): 651-664, 2007

      7 Shoorideh, F. A., "Relationship between ICU nurses’moral distress with burnout and anticipated turnover" 22 (22): 64-76, 2015

      8 Kotecha, N., "Reducing unnecessary laboratory testing in the medical ICU" 130 (130): 648-651, 2017

      9 Ruth M. Kleinpell, "Reducing Unnecessary Testing in the Intensive Care Unit by Choosing Wisely" 대한중환자의학회 33 (33): 1-6, 2018

      10 Latour, J. M., "Privacy, dignity and confidentiality : A time to reflect on practice" 17 (17): 109-111, 2012

      11 Baggio, M. A., "Privacy in critical care units : The patient’s rights and implications for nursing professionals" 64 (64): 25-30, 2011

      12 McGowan, C., "Patients’ confidentiality" 32 (32): 61-64, 2012

      13 Wiegand, D. L., "Palliative and end-of-life ethical dilemmas in the intensive care unit" 26 (26): 142-150, 2015

      14 Cardona-Morrell, M., "Non-beneficial treatments in hospital at the end of life : A systematic review on extent of the problem" 28 (28): 456-469, 2016

      15 Burston, A. S., "Moral distress in nursing : Contributing factors, outcomes and interventions" 20 (20): 312-324, 2013

      16 McAndrew, N. S., "Moral distress in critical care nursing : The state of the science" 25 (25): 552-570, 2018

      17 National Law Information Center, "Medical Law"

      18 McCullough, J., "Maintaining patients’ privacy and confidentiality with family communications in the intensive care unit" 33 (33): 77-79, 2013

      19 Azoulay, E., "Involvement of ICU families in decisions : Finetuning the partnership" 4 (4): 1-10, 2014

      20 Harman, L., "HIPAA : A few years later" 10 (10): 95-110, 2005

      21 Gorka, C., "Growing an ethics consultation service : A longitudinal study examining two decades of practice" 8 (8): 116-127, 2017

      22 Yont, G. H., "Examination of ethical dilemmas experienced by adult intensive care unit nurses in physical restraint practices" 28 (28): 85-90, 2014

      23 Karnik, S., "Ethical issues surrounding end-of-life care : A narrative review" 4 (4): 1-6, 2016

      24 Fernandes, M. I., "Ethical issues experienced by intensive care unit nurses in everyday practice" 20 (20): 72-82, 2013

      25 Wagner, N., "Ethical dilemmas experienced by hospital and community nurses: An Israeli survey" 3 (3): 294-304, 1996

      26 Falco-Pegueroles, A., "Ethical conflict in critical care nursing : Correlation between exposure and types" 22 (22): 594-607, 2015

      27 Bull, E. M., "Ethical challenges when intensive care unit patients refuse nursing care : A narrative approach" 23 (23): 214-222, 2016

      28 Kon, A. A., "Defining futile and potentially inappropriate interventions : A policy statement from the Society of Critical Care Medicine Ethics Committee" 44 (44): 1769-1774, 2016

      29 Vincent, J., "Critical care-where have we been and where are we going?" 17 (17): S2-, 2013

      30 Park, M., "A comparison of ethical issues in nursing practice across nursing units" 21 (21): 594-607, 2014

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      연월일 이력구분 이력상세 등재구분
      2026 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 유지 (재인증) KCI등재
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      2016-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2014-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      2016 0.16 0.16 0
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