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• Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals
  Jeong Ok Kwon, Eun-Young Kim
  Journal of Korean Academy of Nursing Administration.2012; 18(4): 414.     CrossRef
• Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses
  Eunhee Cho, Mona Choi, Eun-Young Kim, Il Young Yoo, Nam-Ju Lee
  Journal of Korean Academy of Nursing.2011; 41(3): 325.     CrossRef
• Predictors of the Clinical Competence in New Graduate Nurses
  Youn-Wha Shin, Haejung Lee, Yeonjung Lim
  Journal of Korean Academy of Nursing Administration.2010; 16(1): 37.     CrossRef

PURPOSE: This descriptive study was designed to find out the relationship between moral self concept and ethical sensitivity of nurse managers.
METHODS
Study data were collected from Aug 6, 2001 to Aug 24, 2001. Study subjects were 283 nurse managers working in university hospitals. Moral self concept was measured with questionnaire developed by Chung (1965) and ethical sensitivity was measured with the questionnaire developed by the researchers.
RESULTS
1. The score for degree of nurse managers' moral self concept was shown to be an average of 3.06 out of 4.00, which is relatively high. The score for degree of nurse managers' ethical sensitivity was shown to be an average of 2.84 out of 4.00 2. Analysis of correlation between moral self concept and ethical sensitivity showed a statistically significant positive correlation (r= .34, p=.00). 3. In general characteristics, a variable that caused significant difference in moral self concept was the total period of experience as a nurse (F=3.52, p=.02). A variable that caused significant difference in ethical sensitivity was the current working department (F=3.91, p=.01). 4. Nurse administrator's moral self concept was significantly related to ethical sensitivity (r= .34, p= .00).
CONCLUSION
It is important to intensify individual moral self concept in order to improve ethical sensitivity of nurse managers. Also, it is recommended that investigate variables affected moral self concept and develop a nursing education program to promote moral self concept in nurse administrators.

Citations

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• Compassion fatigue and moral sensitivity in midwives in COVID-19
  Reyhan Aydin Dogan, Sebahat Huseyinoglu, Saadet Yazici
  Nursing Ethics.2023; 30(6): 776.     CrossRef
• Ebelik ve Hemşirelik Öğrencilerinin Ahlaki Duyarlılığı
  Pervin ŞAHİNER, Belgin BABADAĞLI, Nermin ERSOY
  Kocaeli Üniversitesi Sağlık Bilimleri Dergisi.2019; 5(2): 86.     CrossRef
• Chinese insurance agents in “bad barrels”: a multilevel analysis of the relationship between ethical leadership, ethical climate and business ethical sensitivity
  Na Zhang, Jian Zhang
  SpringerPlus.2016;[Epub]     CrossRef
• Moral sensitivity and critical thinking disposition of nursing students in Korea
  Sung‐Hee Ahn, Hye‐A Yeom
  International Journal of Nursing Practice.2014; 20(5): 482.     CrossRef
• Sensitivity to Ethical Issues Confronted by Korean Hospital Staff Nurses
  Yong-Soon Kim, Jee-Won Park, Mi-Ae You, Ye-Suk Seo, Sung-Suk Han
  Nursing Ethics.2005; 12(6): 595.     CrossRef

PURPOSE: This study was conducted to study on 1) What is nursing students' experience of ethical problems involving nursing practice? 2) What is nursing students' experience of using ethical decision-making models?
METHOD
In order to answer these two questions, we selected 97 senior baccalaureate nursing students from two Korean universities using a conceptual framework and method of content analysis.
RESULT
From 97 ethical problems emerged five content categories, the largest being ethical problems involving health professionals (69%); the basic nature of the nursing students' experience of ethical problems consisted of conflict, resolution, and rationale; 94% of the students stated that using an ethical decision-making model was helpful.
CONCLUSION
Although additional research is needed, these findings have important implications for nursing ethics education and practice.

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• Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses
  Ja Hyun Shin, Seok Hee Jeong, Myung Ha Lee, Youngran Yang
  Journal of Korean Academy of Nursing Administration.2015; 21(3): 327.     CrossRef
• The Effects of Debate Classes based on an Ethical Decision-Making Model on Ethical Knowledge, Class Satisfaction, and Ethical Values
  Chang-Hee Kim, Sun-Young Jeong
  Journal of Digital Convergence.2014; 12(10): 405.     CrossRef
• A Study of Moral Judgment and Ethical Decision Making and Ethical Dilemmas Experienced in Practice by Nursing Students
  Yoon Goo Noh, Myun Sook Jung
  Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2915.     CrossRef
• Hospital Nurses' Experience of Do-Not-Resuscitate in Korea
  Myungsun Yi, Sang Eun Oh, Eun Ok Choi, In Gak Kwon, Sungbok Kwon, Kyung-mi Cho, Youngah Kang, Jeonghui Ok
  Journal of Korean Academy of Nursing.2008; 38(2): 298.     CrossRef
• Korean Nursing Students’ Ethical Problems and Ethical Decision Making
  Hyeoun-Ae Park, Miriam E Cameron, Sung-Suk Han, Sung-Hee Ahn, Hyo-Sook Oh, Kyeong-Uoon Kim
  Nursing Ethics.2003; 10(6): 638.     CrossRef
• Legal and ethical issues: our best ethical and spiritual values
  Miriam E Cameron
  Journal of Professional Nursing.2003; 19(3): 117.     CrossRef

PURPOSE: The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients.
METHOD
For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital.
RESULTS
According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening.
CONCLUSION
The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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• Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey
  Eylem Pasli Gurdogan, Duygu Kurt, Berna Aksoy, Ezgi Kınıcı, Ayla Şen
  Death Studies.2017; 41(3): 180.     CrossRef
• Home-Based Hospice Care Provided by a Free-Standing Hospice Center: Patients’ Characteristics and Service Conditions
  Hyoung Suk Kim, Kyung Ja June, Young Sun Son
  The Korean Journal of Hospice and Palliative Care.2016; 19(2): 145.     CrossRef
• Korean hospice nursing interventions using the Nursing Interventions Classification system: A comparison with the USA
  Sung‐Jung Hong, Eunjoo Lee
  Nursing & Health Sciences.2014; 16(4): 434.     CrossRef
• Current and Future of Hospice and Palliative Care in South Korea
  Boon Han Kim
  The Korean Journal of Hospice and Palliative Care.2011; 14(4): 191.     CrossRef
• Nursing interventions to promote dignified dying in South Korea
  Kae-Hwa Jo, Ki-Wol Sung, Ardith Z Doorenbos, Elizabeth Hong, Tessa Rue, Amy Coenen
  International Journal of Palliative Nursing.2011; 17(8): 392.     CrossRef
• Cognition and Needs for Hospice Care among Parents of Children with Cancer
  Hyun Young Koo, Sun Hee Choi, Ho Ran Park
  Journal of Korean Academy of Child Health Nursing.2009; 15(3): 325.     CrossRef
• Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
  Bok Yae Chung, Yu Xu, Chanyeong Kwak
  Home Health Care Management & Practice.2005; 18(1): 73.     CrossRef
• Development of a Clinical Protocol for Home Hospice Care for Koreans
  Won-Hee Lee, Chang-geol Lee
  Yonsei Medical Journal.2005; 46(1): 8.     CrossRef

The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. For the organizational structure, the center is represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

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• Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
  Bok Yae Chung, Yu Xu, Chanyeong Kwak
  Home Health Care Management & Practice.2005; 18(1): 73.     CrossRef

This study was conducted to develop an education program of hospice care for the professional in order to care for nurses for terminally ill patients facing death and their families. The Modified Tyler-Type Ends-Means model was used to guide the curriculum development of the study. The curriculum include a philosophical conception of hospice education, fundamental concepts, purpose, objective and the educational contents. The content was developed based upon a 70% or more demand in educational demand analysis. The education program has a total of 360 hours consisting of 172 hours of theoretical study and 188 hours of practice including fundamental nursing care for hospice.

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• Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
  Bok Yae Chung, Yu Xu, Chanyeong Kwak
  Home Health Care Management & Practice.2005; 18(1): 73.     CrossRef

This primary study was done to develop an ethical guideline for organ transplantation, a life-saving treatment which helps improve the quality of life. This study tried to identify the current situation in Korea, in terms of ethical considerations in organ transplantations. This study collected basic data in organ transplantations, in the hope that procedure of organ transplantations could be developed that would be fair to both organ donors and recipients. The immediate goals of this study were : 1)to identify staff in charge of organ transplantations and their jobs in the hospital, 2) to survey whether there exists a Hospital Ethics Committee(HEC), 3) to research what consideration are formally taken in selecting recipients, and 4) to accumulate data on how consent from donors are currently obtained. The study used a survey questionnaire and received responses from 31 hospitals out of 45 hospitals where organ transplantation are being done. Organ transplantation coordinators were found in 16 hospitals, but the job description varied among hospitals. The survey showed that all 16 hospitals with and HEC that health care personnel unnecessarily dominate the committee. The study notes that HECs should be vitalized by recruiting, as members, ethicists, theologians, patients, guardians, as well as the general public outside of the hospital. The study revealed that in selecting recipients the hospital take into account ABO blood type, histocompatibility, age, waiting time, and level of patient compliance. Finally, it was shown that in the cases of living donors the transplanting hospitals seek a formal consent, whereas there are no common consenting practice established for cadaveric donors. The study concludes with three proposals. First, a nationwide institution responsible exclusively for procurement and distribution of cadaveric organs for transplantation should be established. Second, we should rebuild the national health insurance system so that have costly organ transplantation expenses are substantially covered. Last, but certainly not least, there is a need to emphasize the HEC's committment to prepare a proper ethical guideline for organ transplantation in general.

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• Changes in the Organ Procurement System in South Korea: Effects on Brain-Dead Donor Numbers
  S.D. Lee, J.H. Kim
  Transplantation Proceedings.2009; 41(9): 3551.     CrossRef