Korean Journal of Medical Ethics 2021 KCI Impact Factor : 1.27

Korean | English

pISSN : 2005-8284 / eISSN : 2234-3598

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2018, Vol.21, No.4

  • 1.

    Improvement of Capability to the Self-Determination of Disabled Women in Abortion

    KIM MOONJEONG , Shim Jiwon | 2018, 21(4) | pp.5~19 | number of Cited : 3
    Abstract PDF
    Women have been entrusted with responsibility for pregnancy, childbirth, and nurturing by means of socially imposed ‘maternity’ along with their physical characteristics. Abortion too involves the bodies of women, and women are the ones most affected by it. However, women do not yet have the right of self-de-termination over their bodies. In the “pro-choice versus pro-life” abortion debate in South Korea, women’s self-determination is often treated with less significance than the alleged “respect for life.” Moreover, as Korea’s declining fertility rate has become a serious social problem, women’s perspectives on the issue of abortion have been sidelined. Yet even in this context, there is a double standard between the treatment of disabled and able-bodied women. The purpose of this study is to examine the issue of self-determination, especially for women with disabilities, from the perspective of a capability approach. The following three recommendations are proposed: (a) that the various contextual variables of disabled women are included in the concept of self-determination; (b) that a solid relationship between individuals and communities is established in order to ensure the realization of the right of self-determination for disabled women; and (c) that the discourse of “reproduction rights” (i.e. comprehensive rights of women with disabilities) be expanded.
  • 2.

    Maintaining Professional Dignity in the Age of Social Media

    Claire Junga Kim , BHAN Yoowha | 2018, 21(4) | pp.20~33 | number of Cited : 4
    Abstract PDF
    Although the use of social media by doctors raises important issues concerning medical professionalism, the relevant professional bodies in South Korea have failed to issue clear guidelines on social media usage. The Korean Medical Association’s newly revised ethics guidelines do require members to maintain dignity while using social media, but the idea of “maintaining dignity” is far from clear, and its premodern con- notation prevents it from being reliably used in professional codes of conduct. The authors of this article examine the concept of maintaining dignity and conclude that once it is clarified and redefined it can and should be used as a viable ethical standard in a variety of contexts, including the use of social media. Social media’s unpredictability and uncontrollability, and the blurred distinction between professional/public and personal/private can be a threat to medical professionalism. In order to deal with this threat, the concept of dignity is important. We present three examples in which the dignity of medical professionals is under- mined and explain why these jeopardize public trust. We conclude that in order to maintain public trust the Korean Medical Association should provide more detailed guidelines on the use of social media by itsmembers.
  • 3.

    Ethical Issues in the Forth Industrial Revolution and the Enhancement of Bioethics Education in Korean Universities

    Sookyung Kim , Kyunghwa Lee , SANGHEE KIM | 2018, 21(4) | pp.34~47 | number of Cited : 7
    Abstract PDF
    This article explores some of the ethical issues associated with the fourth industrial revolution and sug-gests new directions for bioethics education in Korean universities. Some countries have recently devel-oped guidelines and regulations based on the legal and ethical considerations of the benefits and social risks of new technologies associated with the fourth industrial revolution. Foreign universities have also created courses (both classroom and online) that deal with these issues and help to ensure that these new technologies are developed in an ethically appropriate fashion. In South Korea too there have been at-tempts to enhance bioethics education to meet the changing demands of society. However, bioethics edu-cation in Korea remains focused on traditional bioethical topics and largely neglects the ethical issues relat-ed to emerging technologies. Furthermore, Korean universities offer no online courses in bioethics and the classroom courses that do exist are generally treated as electives. In order to improve bioethics education in Korean universities, we suggest that (a) new course should be developed for interprofessional educa- tion; (b) courses in bioethics should be treated as required subjects gradually; (c) online courses should be prepared, and (d) universities should continually revise course contents in response to the development of new technologies.
  • 4.

    How Patients in Clinical Trials Understand Informed Consent

    YEO Wonkyeong , Sook Ja Yang | 2018, 21(4) | pp.48~63 | number of Cited : 0
    Abstract PDF
    The purpose of this study was to identify how patients with chronic kidney disease understand informed consent and related factors for clinical trials. Data from a paper-based survey was collected from July 1, 2017 to April 30, 2018. The subjects for this study were 85 adult patients with chronic kidney disease who were participating in clinical trials. Surveys were conducted by a tool modified from QuIC as designated by Joffe in 2001. The QuIC consists of two parts: objective and subjective cognition. These tools were modi- fied for this study. The average score for the objective understanding (OU) of informed consent for clinical trials was 69.56; the average score for the subjective understanding (SU) of informed consent for clinical trials was 3.28. It was found that health literacy predicted OU (F=27.709, p<.001) while SU was predict- ed by additional information (F=-3.095, p<.003), question (F=13.603, p<.001), and informed consent (F=-4.833, p<.001). In conclusion, the results of this study indicate that the understanding of informed consent for clinical trials among patients with chronic kidney disease is relatively low. Accordingly, alterna-tive methods that consider each patient’s health literacy levels and related factors need to be considered in order to improve their understanding of informed consents during the clinical trial process.
  • 5.

    The Influence of Moral Distress and Moral Sensitivity on Moral Courage in Nursing Students

    YUN Hyeyoung , Kim Sunki , Jang Hyo Eun and 2 other persons | 2018, 21(4) | pp.64~80 | number of Cited : 10
    Abstract PDF
    Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of prac-tice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing col-leges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson’s correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were 3.53±2.18, 57.33±43.35, 134.98±13.98, and 56.33±12.75, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students.