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pISSN : 2005-8284 / eISSN : 2234-3598

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2016, Vol.19, No.1

  • 1.

    Parents’ Understanding of, and Satisfaction with, the Explanations Provided in Pediatric Clinical Trials

    안주희 | YOON, YOUNG RAN | 나연경 and 1other persons | 2016, 19(1) | pp.1~13 | number of Cited : 0
    Abstract PDF
    The purpose of this study was to assess parents’ understanding of, and satisfaction with, the explanations provided by researchers conducting pediatric clinical trials. Self-report questionnaires were collected from forty one parents of children treated at a national university hospital in South Korea. A Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation test were performed on the collected data using SPSS Statistics 20.0. The mean for understanding was 71.1 points out of 100. The item that was best understood was collective benefit (84.3 points); the item that was least understood was compensation for risk (40.9 points). The predictors of understanding were the explanation time of the researcher (p=.045) and the feelings of difficulty with the researcher’s explanation (p=.033). The mean for explanation satisfaction was 73.6 points and was related to understanding (p<.001). The results of this study suggest that researchers in pediatric clinical trials should identify items that parents are likely to find difficult to understand, spend sufficient time explaining procedures to parents, and match the level of the explanations they offered to individual parents’ general level of understanding.
  • 2.

    The Ethics of For-profit Healthcare and Medical Tourism in South Korea

    John M. McGuire | 2016, 19(1) | pp.14~35 | number of Cited : 0
    Abstract PDF
    On December 18, 2015, South Korea’s Ministry of Health and Welfare formally approved the establishment of Korea’s first corporate-owned for-profit hospital. The establishment of this hospital, which will be named Greenland International Hospital (GIH), raises two distinct but overlapping sets of ethical concerns. One set of concerns relates to the fact that GIH will be engaged in for-profit medicine, which some believe is incompatible with the ethical principles that are thought to govern medical practice. The second set of ethical concerns relates to the fact that GIH is being established in an effort to further develop Korea’s burgeoning industry in medical tourism, an industry that has recently attracted academic interest in light of the ethical concerns that it raises. In this paper I draw on some of the existing literature concerning the ethics of for-profit medicine and medical tourism in an attempt to shed light on the ethical issues involved in the recent decision by the South Korean government to approve the establishment of GIH.
  • 3.

    Online Monitoring about Illegal Surrogacy Arrangement on a Commercial Basis in Korea

    Moon Hannah | So-Youn Park | KIM MYUNG HEE | 2016, 19(1) | pp.36~46 | number of Cited : 4
    Abstract PDF
    In recent years surrogacy services in Korea, with increasing infertility as well as high quality Assisted Reproductive Technology, have emerged as serious problems. The Korea’s Bioethics and Safety Act on surrogacy bans illegal acts that provide or use an embryo, ovum or spermatozoon for money or act as broker for providing or using them. Since 2012, the Korea National Institute for Bioethics Policy (KoNIBP) performed online monitoring about these illegal acts by capturing the information and submitted the list of them to the Ministry of Health and Welfare to delete the posts. After the correction order, the number of illegal cases steadily declined from 2,025 illegal cases in 2012 to 748 cases in 2015 (decrease of nearly 4 cases per month). However, under current law, it is hard to regulate all improper behaviors from who seek or provide surrogacy services and this law is in dire need of reform. We call for legislation that regulates inappropriate surrogacy arrangement on a commercial basis. Furthermore, we also have an urgent need of social consensus involving parents, professionals and surrogate mother or father.
  • 4.

    The Ethics of Therapeutic Gene Editing Research

    Bang-Ook Jun | 2016, 19(1) | pp.47~59 | number of Cited : 5
    Abstract PDF
    The method of adding multiple copies of transgenes, which was adopted in early gene therapy, has had a variety of adverse effects as well as a problem of controlling experimental outcomes. The development of site-specific nucleases, specifically CRISPR-Cas9, has brought new promise to the field but has also given rise to ethical dilemmas. Pre-clinical research has been conducted to correct mutated genes by establishing induced pluripotent stem cells, and primary clinical research has been carried out on delivering gene editing tools and transplanting corrected cells to patients. Germline editing requires strict guidelines because it leads to permanent genetic change that will affect future generations. This article discusses how to avoid therapeutic misconceptions during translation from pre-clinical to primary clinical research, how to estimate the social risks and benefits often neglected in the risk/benefit analysis, and how to decide the specificity of gene targeting effects. In addition, this article addresses the status of embryos, a topic that is largely ignored in germline editing research. As gene editing technology advances, the legislation and regulations governing clinical practice based on conventional gene therapeutic research should be reconsidered.
  • 5.

    The Attitude of Doctors towards End-of-Life Care Decision-Makings in Korea: Focused on Palliative Sedation

    Kim, Pyung Man | Seung Min Oh | Park.Mihyun and 1other persons | 2016, 19(1) | pp.60~73 | number of Cited : 0
    Abstract PDF
    Palliative sedation (PS) is used to deal with refractory symptoms in terminally ill patients when all other palliative approaches have failed. While it is not performed with the intention of hastening death, it remains one of the most contentious medical practices in the context of palliative medicine. This study aims to investigate the perception of doctors towards PS and other types of end-of-life care, and to provide insight for developing medical guidelines for PS. A survey involving a written questionnaire was conducted on doctors in five hospitals in South Korea. The questionnaire contained five statements concerning medical decisions about types of end-of-life care, including PS. Doctors were asked whether they agreed or disagreed with each statement. A total of 84 questionnaires were analyzed, with a response rate of 93.2%. The percentages of agreement with the given statements on PS, voluntary active euthanasia (VAE), physician assisted suicide (PAS), withholding life-sustaining treatment, and withdrawing life-sustaining treatment are 47.6%, 8.3%, 4.7%, 73.8% and 20.2%. The majority of the doctors surveyed in this study do not support PS for terminally ill patients in severe pain. The results of this study suggest that appropriate medical guidelines and post graduate medical ethics education on the end-of-life decisions should be provided for doctors in Korea.
  • 6.

    The Ethical Leadership of Nurse Managers and Their Effects on the Perceived Ethical Confidence of Nurses

    Jung Min | 2016, 19(1) | pp.74~86 | number of Cited : 4
    Abstract PDF
    The purpose of this study was to assess the ethical leadership of nurse managers and to identify their effects on the perceived ethical confidence of nurses. Participants were 219 nurses drawn from three general hospitals in South Korea. The data were analyzed using a descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and a stepwise multiple regression. The mean scores of seven ethical leadership factors are as follows: people orientation (3.23±0.69), task responsibility fairness (3.53±0.79), relationship fairness (3.93±0.86), power sharing (3.21±0.54), concern for sustainability (3.50±0.62), ethical guidance (3.35±0.63), and integrity (3.50±0.66). The mean score of perceived ethical confidence is 3.31± 0.52. The factors found to influence perceived ethical confidence are ethical guidance (b=.38), clinical career (b=.34), ethics education experiences (b=.17), with an explanatory power of 27.2%. The results of this study indicate that the ethical leadership of nurse managers affects the perceived ethical confidence of nurses. Thus, improving nurse managers’ ethical leadership and ethics education for nurses would likely increase their perceived ethical confidence.
  • 7.

    An Examination of the Principles of Biomedical Ethics, Confucian Bioethics and Personalist Bioethics

    SON BO MEE | 2016, 19(1) | pp.87~97 | number of Cited : 0
    Abstract PDF
    This article examines the central principles and implications of medical ethics from three perspectives: biomedical ethics, Confucian bioethics, and personalist bioethics. The most basic principle of these three ethical frameworks is that all the three share respect for human dignity and human rights. However, in order to fully respect human rights it is necessary to protect human life. Therefore, this article argues that the principle of autonomy should not be regarded as the paramount ethical principle of medical decision-making.