Cited 8 times in
Nurses' ethical decision-making during end of life care in South Korea: a cross-sectional descriptive survey
DC Field | Value | Language |
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dc.contributor.author | 김상희 | - |
dc.date.accessioned | 2021-09-29T01:25:41Z | - |
dc.date.available | 2021-09-29T01:25:41Z | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | * | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/184355 | - |
dc.description.abstract | Background: Although nurses are crucial to ensure patients' peaceful death in hospitals, many nurses experience various ethical conflicts during end-of-life care. Therefore, research on nurses' entire ethical decision-making process is required to improve nurses' ethical decision-making in end-of-life care. This study aimed to identify Korean nurses' ethical decision-making process based on their moral sensitivity to end-of-life patients. Methods: In total, 171 nurses caring for terminal patients responded to the survey questionnaire. To measure the participants' moral sensitivity and ethical decision-making process, we used the Korean version of the Moral Sensitivity Questionnaire and Nurses' Ethical Decision-Making around End of Life Care Scale. Finally, multiple linear regression analysis was used to investigate the effect of moral sensitivity on nurses' ethical decision-making. Results: The mean of moral sensitivity was 4.8 ± 0.5 (out of 7), and that of ethical decision-making was 4.6 ± 0.5 (out of 6). Among the sub-dimensions of ethical decision-making, the highest score was in perceived professional accountability (5.2 ± 0.5), and the lowest in moral reasoning and moral agency (3.9 ± 0.6); the score of moral practice was 4.4 ± 0.7. In the multiple linear regression model, moral sensitivity (β = 0.852, p < .001), clinical department (β = - 7.018, p = .035), ethics education (β = 20.450, p < .001), job satisfaction (β = 5.273, p < .001), and ethical conflict (β = - 2.260, p = 0.031) were influential ethical decision-making factors. Conclusions: This study revealed a gap between nurses' thoughts and practices through the ethical decision-making process. They failed to lead their thought to moral practice. It also implies that moral sensitivity could positively affect nurses' ethical decision-making. To make nurses morally sensitive, exposing them to various clinical cases would be helpful. Additionally, ethics education and clinical ethics supporting services are valuable for improving nurses' ethical decision-making. If nurses improved their ethical decision-making regarding end-of-life care, their patients could experience a better quality of death. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | BioMed Central | - |
dc.relation.isPartOf | BMC MEDICAL ETHICS | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Nurses' ethical decision-making during end of life care in South Korea: a cross-sectional descriptive survey | - |
dc.type | Article | - |
dc.contributor.college | College of Nursing (간호대학) | - |
dc.contributor.department | Dept. of Nursing (간호학과) | - |
dc.contributor.googleauthor | Arum Lim | - |
dc.contributor.googleauthor | Sanghee Kim | - |
dc.identifier.doi | 10.1186/s12910-021-00665-9 | - |
dc.contributor.localId | A00537 | - |
dc.relation.journalcode | J03987 | - |
dc.identifier.eissn | 1472-6939 | - |
dc.identifier.pmid | 34271891 | - |
dc.subject.keyword | Decision-making | - |
dc.subject.keyword | End-of-life | - |
dc.subject.keyword | Ethical decision | - |
dc.subject.keyword | Ethics | - |
dc.subject.keyword | Moral sensitivity | - |
dc.subject.keyword | Nurse | - |
dc.contributor.alternativeName | Kim, Sang Hee | - |
dc.contributor.affiliatedAuthor | 김상희 | - |
dc.citation.volume | 22 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 94 | - |
dc.identifier.bibliographicCitation | BMC MEDICAL ETHICS, Vol.22(1) : 94, 2021-07 | - |
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