2005, Vol.8, No.2

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

pISSN : 2005-8284 / eISSN : 2234-3598
https://journal.kci.go.kr/medethics

Medical ethics education program needs to be evaluated just like other education programs. After 3 years of medical ethics education, we studied the effect of it by a questionnaire and DIT test developed by Rest. The results of the questionnaire survey revealed that the students had supportive attitude in general on the educational program which is composed of dilemma discussion. In addition, the DIT test showed that both the higher p-value group and the lower p-value group in the pre-educational test shifted toward the mean p-value after the education. This implicates that medical ethics education practically lowered the p-value of pre-test higher group(statistically meaningful) and raised the p-value of the pre-test lower group(statistically not meaningful). The lowering effect for the pre-test higher group could be explained by the “realization effect” of the education program. We think that the influences of discussion leaders and the natural lowering trends reported by other researchers could contribute to the “realization effect”.

We evaluated the moral judgment of nursing student using DIT test. The mean p value of the students was 45.68(±13.65). And there was no p value difference between student group divided by demographical parameters such as gender, grade, age, family size, sibling and family income. The only parameter which showed difference was religion. Catholic students showed lower p value but this result could not be generalized because the group size of Catholic students were very small. The fact that grade showed no difference means that the curriculum of this school had no effect on students’ whole person education. In conclusion, nursing school need to improve the curriculum to develop students’personalities which is needed in future nurse’s ability.

In Korea, the existence of clear guidelines on DNR(Do Not Resuscitate) has been insufficient. Generally, the procedure is done after assigned doctors and family members subjectively make decisions on DNR. Also, because patients who need DNR have been receiving the procedure inconsistently, the need for clear DNR guidelines is increasing. Through the research, the main purpose is to develop the guidelines. As the first step of the research procedure, various documentary records and DNR related database were used as references. Secondly, based on the reference, the first draft of DNR guidelines that can be applied to hospital settings was created by our researchers. On the next step, a group of professional experts was invited to review the first draft and rectify any controversial contents. To be specific, the guideline proposal was reviewed and corrected by professionals (doctors, philosophers, lawyers, etc) through 2 meetings by Delphi method. Finally, the draft was sent to Hospital Ethics Committee for a delicate examination. As a result, our guideline draft was ethically and legally acceptable according to the committee. Moreover, ethical issues were examined and discussed to provide deep understanding on the guideline draft.