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Journal of Korean Critical Care Nursing 2018;11(3):1-11.
Published online October 31, 2018.

의료처치 및 환자 비밀유지에 대한 중환자실 간호사와 일반병동 간호사의 윤리적 갈등 경험 비교연구
고정미, 고진강
1성신여자대학교 간호학과
2서울대학교 간호대학, 간호과학연구소
Comparison of Experiences of Ethical Dilemma between Intensive Care Unit and General Unit Nurses regarding Treatment Decisions and Confidentiality
Chungmee Ko, Chin Kang Koh
1Professor, Department of Nursing Science, Sungshin Women's University, Seoul, Korea.
2Associate Professor, College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea. ckoh@snu.ac.kr
Abstract
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.
CONCLUSION
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.
Key Words: Ethical dilemma, Intensive care unit nurse, Treatment, Confidentiality
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