A Survey of the Ethical Problems Faced by Healthcare Professionals and the Need for Clinical Ethics Consultation Services in University Hospitals in South Korea (한국의 대학병원에서 의료진들이 겪는 윤리적 문제 현황 및 임상윤리자문서비스의 필요성 조사)

KIM,MinSun (김민선); Kim Cho Hee (김초희); HONG，Jinui (홍진의); AN，AhRhem (안아름); CHOI，EunKyung (최은경); Bhumsuk Keam (김범석); YUN，YoungHo (윤영호); Heo, Dae Seog (허대석); Park Hye Yoon (박혜윤)

doi:10.35301/ksme.2017.20.4.376

A Survey of the Ethical Problems Faced by Healthcare Professionals and the Need for Clinical Ethics Consultation Services in University Hospitals in South Korea

Korean Journal of Medical Ethics
Abbr : 의료윤리
2017, 20(4), pp.376-385
DOI : 10.35301/ksme.2017.20.4.376
Publisher : The Korean Society For Medical Ethics
Research Area : Medicine and Pharmacy > General Medicine
Received : November 19, 2017
Accepted : December 11, 2017
Published : December 31, 2017

KIM,MinSun ¹, Kim Cho Hee ², HONG，Jinui ³, AN，AhRhem ¹, CHOI，EunKyung ⁴, Bhumsuk Keam ⁵, YUN，YoungHo ⁶, Heo, Dae Seog ⁷, Park Hye Yoon ⁸

¹서울대학교병원 공공보건의료사업단
²서울대학교병원 소아청소년과
³서울대학교병원 호스피스센터
⁴서울대학교병원 의학역사문화원
⁵서울대학교병원
⁶서울대학교병원 가정의학과
⁷서울대학교
⁸서울대학교병원 정신건강의학과

Accredited

ABSTRACT

The purpose of this study was to investigate the nature and number of ethical conflicts faced by physicians and nurses working at university hospitals in South Korea and also to assess the need for clinical ethics consultation services. Data collection was conducted from August 6 to 24, 2015 at three university hospitals in metropolitan areas; a total of 316 physicians and nurses participated in the study. The results showed that 85.1% of physicians and 76.6% of nurses answered that they had experienced ethical problems more than once a year during the course of their career, and about one third of respondents experienced such conflicts at least once every three months. For physicians, ethical dilemmas arose most often in the context of end-of-life care, mainly in terminating life-sustaining treatment (65.7%) and notifying patients of the end of medical treatment (63.6%). Ethical dilemmas experienced by nurses related primarily to difficult care decisions other than life-sustaining treatment (73.9%), impaired decision-making in patients (66.7%), and dealing with surrogate decision-makers (66.7%). When faced with ethical dilemmas, healthcare professionals usually made decisions informally by themselves or in consultation with close colleagues. More than 97% of respondents answered that they needed a clinical ethics consultation service. Future research should focus on how the ethics consulting services described in the Life-sustaining Treatment Decision-making Act of 2018 can be developed into an effective model for solving ethical problems that arise in medical practice.

KEYWORDS

ethical dilemma, clinical ethics consultation, health care ethics committee, clinical ethics support, the Life- Sustaining Treatment Decision-Making Act

Citation status

* References for papers published after 2023 are currently being built.

[journal] 최경석 / 2016 / Issues and Tasks in The Hospice, Palliative Care, and Life-sustaining Treatment Decision-making Act / 한국의료윤리학회지 / 한국의료윤리학회 19(2) : 121~140

[journal] 이일학 / 2017 / Perspective on Patient End-of-Life Decision Act and Clinical Ethics Service / 생명윤리 / 한국생명윤리학회 18(1) : 35~45

[other] / 호스피스완화의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률

[book] 허대석 / 2014 / 임상윤리학 / 서울대학교출판문화원 : 2~11

[report] 생명윤리정책연구센터 / 2011 / 병원윤리위원회 조사연구보고서

[journal] 김중호 / 2004 / The Organization and Function of Hospital Ethics Committees / 한국의료윤리학회지 / 한국의료윤리학회 7(1) : 47~63

[journal] 구영모 / 1999 / 의료윤리 문제에관한 우리 나라 의사들의 의식 조사 / 한국의료윤리학회지 2(1) : 43~61

[book] Fox E / 2005 / Ethics consultation: responding to ethics questions in health care / U.S. Department of Veterans Affairs

[journal] Fox E / 2007 / Ethics consultation in United States hospitals: a national survey / Am J Bioeth 7(2) : 13~25

[journal] 고윤석 / 2007 / Attitudes toward Medical Ethics among Resident Physicians in One Korean University Hospital / 한국의료윤리학회지 / 한국의료윤리학회 10(2) : 109~116

[journal] 문재영 / 2012 / 연명치료 중지에 대한 내과 전공의들의 인식과 심리적 스트레스 / Acute and Critical Care / 대한중환자의학회 27(1) : 16~23

[journal] 이광자 / 2011 / Relationships between Nurses' Ethical Dilemma, Coping Types, Job Satisfaction and Turnover Intention in Korea / 임상간호연구 / 병원간호사회 17(1) : 1~15

[journal] Kälvemark S / 2004 / Living with conflicts-ethical dilemmas and moral distress in the health care system / Social Sci Med 58(6) : 1075~1084

[journal] Hurst SA / 2005 / How physicians face ethical difficulties: a qualitative analysis / J Med Ethics 31(1) : 7~14

[journal] 고윤석 / 1999 / 대학병원 전공의들의 의료윤리 문제에 관한 지식 대도 및 실천에 대한 조사연구 / 한국의료윤리학회지 2(1) : 27~42

[journal] Sorta-Bilajac I / 2011 / How Nurses and physicians face ethical dilemmas—the Croatian experience / Nurs Ethics 18(3) : 341~355

[journal] DuVal G / 2004 / A national survey of US internists’ experiences with ethical dilemmas and ethics consultation / J Gen Intern Med 19(3) : 251~258

[journal] 엄영란 / 2003 / An Inquiry for Activating the Role of Hospital Ethics Committee / 한국의료윤리학회지 / 한국의료윤리학회 6(1)

KJCKorea
Journal Central

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

A Survey of the Ethical Problems Faced by Healthcare Professionals and the Need for Clinical Ethics Consultation Services in University Hospitals in South Korea

ABSTRACT

KEYWORDS

Citation status

* References for papers published after 2023 are currently being built.

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

A Survey of the Ethical Problems Faced by Healthcare Professionals and the Need for Clinical Ethics Consultation Services in University Hospitals in South Korea

ABSTRACT

KEYWORDS

Statistics

Tools

Issue List

Citation status

KCI Citation Counts (12)

REFERENCES (18) * References for papers published after 2023 are currently being built.

Search PDF

Citation

* References for papers published after 2023 are currently being built.