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김현경 ( Kim Hyeun-Kyung ) - 연세대학교 대학원 간호학과
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Abstract
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Purpose: This study was done to analyze the contents of nurses´ ethical decision-making in four of hypothetical di-lemma cases using the Cameron´s Ethical Decision-Making Model of ´Value, 13e, Do´.
Method: Sixteen nurses who work at ICU at present or worked before, participated from April 10 to May 10 in 2002. The participants were interviewed three times each and for 40 minutes at once, with a structured questionnaire at their working places and locker rooms. The data was analyzed by a procedure of qualitative content analysis into three categories; what should I value, who should I be, what should I do.
Result: 1) )n consistency, most of subjects showed a unified voice in `Value, ]3e, Do´. Exceptionally 8 subjects showed inconsistency such as 3 in active treatment to the incurable patients(case 1), 1 in treatment truth-telling to the terminally ill patients case 2), 3 in conflict with uncooperative doctors(case 3), 3 in dying patients and euthanasia(case 4). Only one subject showed inconsistency in 3 dilemma cases. 2) Closing the interview .procedure, the subjects evaluated Cameron´s Model as it would help them build consistent value, carry right action, and cope to conflicts.
Condusion: C-n the basis of the results, it is recommended that nursing ethics should adopt the ethical decision-making rnodel, and be applied to the curriculum of nursing colleges ~~nd continuing education program for clinical nurses.
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KeyWords
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윤리적 딜레마, 윤리적 의사결정 모형,
ethical dilemma, ethical decision-making model
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원문 및 링크아웃 정보
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등재저널 정보
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