Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Moral Sensitivity and Self-Assertiveness on Ethical Decision-Making Confidence of Nurses Working in Long Term Care Hospitals

요양병원간호사의 도덕적 민감성과 자기주장성이 윤리적 의사결정 자신감에 미치는 영향

  • Kim, Ji-Ah (Department of Nursing, Kyungnam University) ;
  • Kang, Young-Sil (College of Nursing/Institute of Health Sciences, Gyeongsang National University)
  • 김지아 (경남대학교 간호학과) ;
  • 강영실 (경상대학교 간호대학/경상대학교 건강과학연구원)
  • Received : 2020.02.28
  • Accepted : 2020.06.05
  • Published : 2020.06.30
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Abstract

This study evaluated the moral sensitivity, self-assertiveness, ethical decision-making confidence and their correlations, and the factors that influence ethical decision-making confidence among nurses working in a long-term care hospital. Overall, 149 nurses working in a long-term care hospital in G Province were evaluated. The date was collected from November 30 2019 to December 18, 2019 and analyzed using SPSS/WIN 21.0 program. The mean of moral sensitivity among nurses was 4.94, the mean of self-assertiveness was 3.17 and the mean of ethical decision-making confidence was 3.49. The self-assertiveness will, according to the general characteristics, was significantly different according to experienced moral distress, and there was a significant difference in the degree of ethical decision-making confidence according to social positions and experience of ethical education. There were positive correlations between the ethical decision-making confidence and moral sensitivity (r=.382, p<.001) and self-assertiveness (r=.224, p<.01). Regression analysis revealed that the factors that significantly influenced ethical decision-making confidence were moral sensitivity, self-assertiveness and ethical education during nursing practice, which explained 25.0% of variance in ethical decision-making confidence. Therefore, to improve ethical decision-making confidence of nurses, programs should be developed that improve moral sensitivity and self-assertiveness by promoting ethical education.

본 연구의 목적은 요양병원 간호사의 도덕적 민감성, 자기주장성, 윤리적 의사결정 자신감의 정도, 상관관계, 윤리적 의사결정 자신감에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 G도에 소재한 6개의 요양병원에 근무하는 간호사 149명으로, 자료수집은 2019년 11월 30일부터 12월 18일까지 시행하였으며 SPSS win 21.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation 및 Multiple regression으로 분석하였다. 대상자의 도덕적 민감성 정도는 평균 4.94점, 자기주장성 정도는 평균 3.17점, 윤리적 의사결정 자신감 정도는 평균 3.49점이었다. 일반적 특성에 따른 자기주장성 정도는 도덕적 고뇌 경험 유무에서 유의한 차이를 보였고, 윤리적 의사결정 자신감 정도에서는 직위와 윤리적 교육 경험 유무에서 유의한 차이를 보였다. 윤리적 의사결정 자신감은 도덕적 민감성(r=.382, p<.001)과 자기주장성(r=.224, p<.01)과 유의한 정적 상관이 있었다. 요양병원 간호사의 윤리적 의사 결정 자신감에 영향을 주는 변인은 도덕적 민감성과 윤리적 교육 경험 여부, 자기주장성임을 확인하였고, 윤리적 의사결정 자신감에 대한 이들 변인의 설명력은 25.0%였다. 따라서 요양병원 간호사의 윤리적 의사결정 자신감을 향상하기 위해서는 윤리적 교육을 통한 도덕적 민감성과 자기주장성을 함께 향상할 수 있는 프로그램 개발이 필요하다.

Keywords

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