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A Study of Nurses¡¯ Ethical conflict in caring for Organ transplant Patients

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KMID : 1128620000040020001
¼ÕÈñÁø ( Son Hee-Jin ) - ¼­¿ïÁß¾Óº´¿ø °£È£ºÎ

ÃÖ¹ÌÇý ( Choi Mi-Hye ) - Áß¾Ó´ëÇб³ ÀÇ°ú´ëÇÐ °£È£Çаú

Abstract

This is description investigational research on ethical conflicts of nurses who have the experience of nursing organ transplant patients.
With the help specialists a researcher collected information through survey sheets on 171 nurses who have the experience of nursing organ transplant patients in one university hospital from 11th August 2000 to 17th August 2000. The Credibility rates of used tools are like these. Chronbach¡¯s ¥á= 0.794 for survey sheets on ethical conflicts and Chronbch¡¯s ¥á= 0.894 for survey sheets on decision makings.
The collected information was analysed with SPSS. Investigational variables of ethical conflicts and decision makings were arranged using real numbers, percentage, averages, standard deviations, and t-test and ANOVA was used on variables influencing ethical conflicts.
1. Conclusion
1) The nurses surveyed in this research are nursing 4.4 organ transplant patients on an average per month with their families. Livers were transplant with top frequencies. Most of the nurses themselves and their families had no experience of diseases.
2) Vocational morals of the 85% nurses surveyed are shaken sometimes and changes with circumstances.
3) Ethical conflicts rates concerning nursing organ transplant patients ranged from 40 minimum to 130 maximum with an average of 94.70.
The conflict rate of relationships with organ transplant patients and their families was especially high and that of brain death nursing showed a low conflict rate.
4) Nurses who had experineces of deciding against their own ethical sense of value to solve ethical conflicts problem rated 31.0%, 24.6% of them changed their moral standards. Firstly, the demands of doctors, secondly, the demands of their own protections, thirdly, the demands of supporters of families.
50% of the nurses followed the decisions with don¡¯t care attitudes when there are ethical conflicts and 40% of them developed their own opinion and sought alternatives.
5) General characters of the nurses had differences according to their religious background and disease experience.
2. Suggestion
Suggest that methodological researches are needed to develope ethical conflict investigation tools for organ transplant patients nursing.
KeyWords
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transplantation, ethical
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