건강사정과목의 교육현황에 대한 조사연구

성경숙 中央醫學社 1990 中央醫學 Vol.55 No.7

The purpose of this study is to improve the subject of health assessment. The study was carried out to analized the courses offered by. 50 percent (30 college) nursing educational facilities. The data was analized to get the mean, frequency, percentage, collected from October 20 to December 20, 1989. From the results of the study, researcher outlined the problems in educational ptesent condition of the subject of health assessment. The problems were as follows: 1. The acquired score, term, hour and class for student. 2. The professors' teaching abilities :end skills. 3. The practice setting for experience. 4. The use of thing and apparatus for practice.

연명의료결정법상 환자의 동의에 대한 고찰 - 미국의 연명의료결정법을 중심으로 -

성경숙 숭실대학교 법학연구소 2019 法學論叢 Vol.44 No.-

Patients generally possess the right to refuse unwanted medical treatment even if it will result in their death. Unwanted medical procedures make the patient keep alive against his will and subject him to invasive treatment. According to the act for Withdrawing Life-Sustaining Treatment, the patient and his family seek to terminate life-sustaining treatment. In America, The Patient Self-Determination Act is designed to increase the role that advance directives- both living wills and durable powers of attorney- play in medical decision-making. Futhermore, the Uniform Health Care Decision Act(UHCDA) substantially alters the form and utility of living wills and durable powers, and it provides a method of making health care decisions for incompetent patients who do not have advance directives. The UHCDA has explicitly determined that the decision maker should make a decision based on the principle of substituted judgment rather than the best interest principle. If it is impossible to apply the substituted judgment principle, the statute would apply the best interest principle. In patients without decisional capacity, one way to serve the underlying goal of autonomy is through the application of the doctrine of substituted judgment. Under this doctrine, a person attempts to determine what the patient would do if the patient had decisional capacity. It may be possible to review the values of a formerly competent proposed medical care. This can be done through a thoughtful analysis of the patient`s values during life, or more precisely, through review of formal statements made by the patient when the patient had capacity. Some have argued that the doctrine of substituted judgment is too speculative to be applied reliably and that there is simply no way to protect the autonomy of a patient without decisional capacity. In these circumstances, the doctrine of substituted judgment is serving beneficence, and the alternative to the doctrine of substituted judgment is the doctrine of “best interest” of patient. The more difficult it becomes to decide what the patient would do if that patient had decisional capacity, the more likely it is that the court will apply the principle of beneficence rather than the principle of autonomy. Life-sustaining treatment may be withheld or with drawn from an incompetent patient when it is clear that the particular patient would have refused the treatment under the circumstances involved. To decide refusing the life-sustaining treatment for the patient, the “subjective test”, “limited-objective test”, and “pure-objective test” should be satisfied. Through these tests, the patient without decisional capacity make their lives more honorable. 연명의료결정법은 환자의 최선의 이익 보장과 자기결정권의 존중을 통한 인간으로서의 존엄과 가치의 보호를 목적으로 하고 있다. 연명의료결정법에 따라 환자가 임종과정에 있는지의 여부를 판단한 이후에 환자의 의사를 확인할 수 있는 경우와 환자의 의사를 확인할 수 없는 경우로 나누어 중단여부를 결정하고 있다. 연명의료결정법에 있어서 환자의 의사를 확인한 경우에는 별다른 문제가 발생하지 않는다. 즉, 연명의료결정법은 사전연명의료의향서와 연명의료계획서를 도입하여 환자의 의사를 확인하고 있으며, 이와 같은 환자의 의사를 명확하게 확인할 수 있는 문서가 없는 경우에도 가족의 일치하는 진술에 의한 의사추정을 인정하고 있다. 뿐만 아니라 연명의료결정에 대한 환자의 자기결정권을 기대하기 어려운 경우에 연명의료결정법은 매우 제한적으로 자기결정이 아닌 타인결정에 의한 연명의료 결정에 대하여도 허용하고 있다. 따라서 환자의 의사를 확인할 수 없고 환자가 의사표현을 할 수 없는 의학적 상태에 있는 환자가 미성년자인 경우 법정대리인인 친권자의 의사에 근거하여 연명의료결정이 허용될 수 있도록 규정하고 있고, 성년인 경우에는 환자가족 전원의 합의가 있는 경우에도 이를 근거하여 연명의료결정을 허용하고 있다. 하지만 환자의 의식회복의 가능성이 없는 경우에 추정적 의사를 확인하기는 쉽지 않으며, 환자가 그 상황에서 그와 같은 선택을 했다는 것을 확신할 방법이 없다. 또한 환자의 의사를 확인할 수 없고 의사표시를 할 수 없는 의학적 상태에 있는 환자의 경우에 환자의 의사가 아닌 보호자 의사나 가족의 의사에 의한 연명의료결정은 환자 자신의 의사결정이 아닌 타인의 의사결정으로 경제적 이해관계 등에 따른 환자의 친권자 또는 가족에 의한 남용의 우려도 제기될 수 있다. 따라서 연명의료결정에 관하여 환자의 의사를 확인할 수 없는 경우에는 그 의사를 추정해야 하고 환자의 의사를 추정할 수 없는 경우에 환자 가족에 의한 대리결정을 내려야 하는 문제에 있어서, 연명의료결정에 대한 환자의 자기결정권을 기대하기 어려운 경우에는 최선의 이익 판단으로 환자의 연명의료결정을 이행할 수 있다. 미국법원에서 제시한 주관적 판단방법, 제한적 객관적 판단방법 그리고 순수 객관적 판단방법의 3단계 방식은 사전의사표시도 없고 의사결정능력이 없는 환자의 연명의료결정에 있어서 자기결정이 아닌 타인결정에 의한 연명의료결정을 이행하는데 유효한 판단방법일 것이다.

형사정책 주요동향 : 정신질환의 의학적 모델(The Medical Model of Mental Illness) -정신이상항변에 적용(Its Application to the Insanity Defense)

성경숙 한국형사정책연구원 2005 형사정책연구소식 Vol.90 No.-

정신보건법상의 강제입원제도에 대한 치료사법적 대응

성경숙,정용기 용인대학교 자연과학연구소 2011 自然科學硏究所論文誌 Vol.16 No.1

Involuntary civil commitment law in Mental Health Law authorize the custody and restraint of person who, as a result of mental illness, are a danger to themselves or other or who are so gravely disabled that they can not care themselves. This restraint is usually accomplished by compulsory commitment to a mental hospital. In here, we can find out the criteria for obtaining a formal civil commitment according to the involuntary civil commitment law in Mental Health Law. In general, the person must be mentally ill and fulfill both of the following conditions: 1. be dangerous to self and others or so gravely disabled as to be unable to provide for his or her own basic needs, and 2. need treatment that is available in a setting no less restrictive than hospital. However, involuntary civil commitment creates a conflict between the individual`s right to liberty and government`s powers to shield vulnerable citizens from harm and to protect society from danger. To overcome these problems, we may adopt the new criminal justice system such as therapeutic jurisprudence to deal with mental disordered patients. Therapeutic jurisprudence is the "study of the role of the law as a therapeutic agent." It focuses on the law’'s impact on emotional life and on psychological well-being. Therapeutic jurisprudence turns the spotlight on previously under-appreciated aspect, humanizing the law and concerning itself with the human, emotional, and psychological side of law, legal process, and legal practice. Thus Therapeutic jurisprudence may play an important role to provide rules and safeguards for how these involuntary commitments are to be developed in future.

정신보건법상의 강제입원제도에 대한 치료사법적 대응

성경숙,정용기 용인대학교 산업경영연구소 2011 산업경영논총 Vol.18 No.-

Involuntary civil commitment law in Mental Health Law authorize the custody and restraint of person who, as a result of mental illness, are a danger to themselves or other or who are so gravely disabled that they can not care themselves. This restraint is usually accomplished by compulsory commitment to a mental hospital. In here, we can find out the criteria for obtaining a formal civil commitment according to the involuntary civil commitment law in Mental Health Law. In general, the person must be mentally ill and fulfill both of the following conditions: 1. be dangerous to self and others or so gravely disabled as to be unable to provide for his or her own basic needs, and 2. need treatment that is available in a setting no less restrictive than hospital. However, involuntary civil commitment creates a conflict between the individual`s right to liberty and government`s powers to shield vulnerable citizens from harm and to protect society from danger. To overcome these problems, we may adopt the new criminal justice system such as therapeutic jurisprudence to deal with mental disordered patients. Therapeutic jurisprudence is the "study of the role of the law as a therapeutic agent." It focuses on the law’'s impact on emotional life and on psychological well-being. Therapeutic jurisprudence turns the spotlight on previously under-appreciated aspect, humanizing the law and concerning itself with the human, emotional, and psychological side of law, legal process, and legal practice. Thus Therapeutic jurisprudence may play an important role to provide rules and safeguards for how these involuntary commitments are to be developed in future.

자율주행자동차의 상용화와 관련한 형법적 과제

성경숙 한국IT정책경영학회 2019 한국IT정책경영학회 논문지 Vol.11 No.5

An autonomous vehicle means a vehicle that is operated by minimizing the driver's route manipulation, such as recognizing the surrounding environment, judging risk factors, and changing the route by integrating ICT with an existing vehicle. Currently, we enacted the “Act on the Promotion and Support for the Commercialization of Autonomous Vehicles” in April 2019, and aimed to establish a foundation for active technology development and pilot operation of autonomous vehicles. However, the Autonomous Vehicle Act only stipulates the operation of autonomous vehicles, and it seems to be inadequate to ask for criminal responsibility when an accident occurs during operation of autonomous vehicles. For the commercialization of autonomous vehicles, legal system solution was proposed for issues that could be criminally problematic in relation to the change or redefinition of the driver's concept, the attribution of criminal responsibility in case of an accident, and the protection of personal information.

개정 개인정보호호법상 자율주행자동차의 개인정보보호에 관한 법적 논의

성경숙 한국IT정책경영학회 2021 한국IT정책경영학회 논문지 Vol.13 No.4

An autonomous vehicle is a system that operates while inputting and processing a number of digital information by integrating advanced technology with existing automobiles. The collection and processing of personal information such as other vehicles, pedestrians, and surrounding environments is inevitable as the collection of vast and diverse data is essential for the operation of autonomous vehicles and for accurate judgments accordingly. Most personal information laws require the prior consent of the data subject to be imported and processed, and the use of personal information without the consent of the data subject is restricted. Therefore, in order to revitalize the autonomous vehicle industry and develop related technologies, it is necessary to improve the personal information protection system. The enforcement of the "Act on Promotion and Support for Commercialization of Autonomous Vehicles" and the revision of the Data 3 Act in 2020 aim to provide data subjects with appropriate protection of personal information and promote effective use. In this paper, we discussed the protection and utilization of personal information, focusing on the "Personal Information Protection Law" that corrects the problem of personal information protection by utilizing digital information for the commercialization of fully autonomous vehicles.

드론 활용에 관한 법적 쟁점 및 정책적 제안

성경숙 한국IT정책경영학회 2023 한국IT정책경영학회 논문지 Vol.15 No.4

Human-machine interfaces are already being used in modern applications such as drone piloting and other autonomous and semi-autonomous platforms. The rapidly developing technology of drones and their use are being used for video recording and surveillance activities using drones, which has resulted in problems such as invasion of privacy. Although law enforcement agencies such as the police are addressing the overall need for regulations related to drone photography and infringement of personal information that may occur when using drones for criminal investigation purposes, there is still a need to supplement and improve the legal system. However, discussions regarding the need for legal system supplementation and improvement are still ongoing. In this regard, we will attempt to interpret domestic laws related to drones and policy improvement measures by referring to the basis regulations and precedents regarding the use of drones by law enforcement agencies in each state of the United States.

국내 비만아동의 비만관리프로그램의 효과에 대한 메타분석

성경숙,윤영미,김은주 한국아동간호학회 2013 Child Health Nursing Research Vol.19 No.4

목적 국내에서 연구된 비만 아동의 관리프로그램의 효과를 확인하고 프로그램의 종류별, 종속변수별 효과크기를 산출하여 효과적인 아동의비만관리프로그램의 형태를 파악하기 위함이다. 방법 본 연구에서는 2000년에서 2010년까지 비만 아동을 대상으로 운동및 다양한 중재의 효과를 검증한 연구들이 주요 대상이었다. 본 연구에 포함된 연구는 대조군이 있는 실험연구, 비만 아동에게 중재를 제공한 연구, 서술 통계치와 추론 통계치가 사용가능한 연구들이 포함되었다. 선정기준에 적합한 연구들은 신뢰구간 95%, 통계적 유의수준5%로 정하며 이용된 프로그램은 STATA 10.0을 이용하였다. 결과 총 61편의 연구가 분석에 이용되었으며 개별연구들의 결과를 결합한 효과크기는 -0.23 (95% CI, -0.32 ~ -0.15)로 중간 이하의 효과를 보였다. 중재별 결합추정치 중에서는 운동요법과 영양교육을 포함한 중재방법이 중간 이상의 효과를 보였으며 종속변수 중에서는 혈중 렙틴, 인슐린이 큰 효과가 있었으며 중성지방, 혈당, 체지방률, 자아존중감이중간크기의 효과가 있었다. 마지막으로 분석에 이용된 논문들은 출판상의 편향을 보이지 않았다. 결론 확인된 비만 아동의 관리프로그램을 각 지역사회기반을 둔 프로토콜 개발이 필요할 것이다. 비만아동의 지속적인 체중 및 건강유지를위한 지속적인 연구가 진행되어야 할 것이다.

일제강점초기 조선의 형사사법구조 : 조선형사령을 중심으로

성경숙 성균관대학교 법학연구소 2012 성균관법학 Vol.24 No.2