간호윤리 상황극을 통한 병원간호사의 긍정윤리관 변화 = Changing to Positive Ethics in Hospital Nurses through ‘Theatre of Situations’

다국어 초록 (Multilingual Abstract)

This study was done to examine changes towards positive ethics in registered nurses working in hospitals who took part in performing 'theatre of situations' in terms of issues of nursing ethics. Methods: This research was conducted with one-group pretest-posttest design. The sample, 232 registered nurses, voluntarily participated in a contest of ‘Theatre of Situations’ with themes of nursing ethics hosted by Hospital Nurses Association of Korea on September 8, 2011. For this contest, eight nursing situational scenario regarding ethical issues or dilemma were created. The theatre of situation was performed by volunteer nurses over a period of 160 minutes. Data were collected before and after the performance using 10 items to measure Positive Ethics. Item internal consistency had a Cronbach’s alpha in this study of .716. Results: Before the theatre of situations was performed, the mean (±standard deviation) level of positive ethics was 2.34 (±.37). For the nurses who participated, there was a significant increase in the degree of positive ethics after the theatre of situations (2.62 ±.36, p<.001). Conclusion: This result implies that indirect experiences such as ‘theatre of situations’ in terms of ethical issues, created as well as performed, is effective for registered nurses in changing their ethical perspective positively and in realizing ethical ideals.

참고문헌 (Reference)

1 김만중, "움직이는 연기: 마임, 상황극, 즉흥연기" CNG MEDIA 2003

2 김길수, "우리시대 삶과 연극의 조망" 현대미학사 1997

3 Fletcher, J., "상황윤리" 종로서적 1989

4 김길수, "상황극고찰" 1 : 71-89, 1988

5 Sartre, J. P., "상황극" 영남대학교 출판부 2008

6 Aristotleles, "니코마코스 윤리학" 창 2008

7 정대현, "감성의철학" 민음사 1996

8 권수현, "감성의 윤리적 차원" 대한철학회 112 : 29-51, 2009

9 한성숙, "간호윤리학" 대한간호협회출판부 2008

10 이광자, "간호사의 윤리적 딜레마, 대처유형, 직무만족도 및 이직의도와의 관계" 병원간호사회 17 (17): 1-15, 2011

11 박현주, "간호사의 윤리적 딜레마" 간호행정학회 15 (15): 128-135, 2009

12 Kuther, T. L., "Promoting positive ethics: An interview with Michell M. Handelsman" 30 (30): 339-343, 2003

13 Knapp, S. J., "Practical ethics for psychologists: A positive approach" American Psychological Association 2005

14 Knapp, S, "Positive ethics, In The encyclopedia of positive psychology" Wiley-Blackwell 717-721, 2009

15 Handelsman, M. M., "Positive ethics, In Handbook of positive psychology" Oxford University Press 731-744, 2002

16 Peter, E., "Nursing resistance as ethical action: Literature review" 46 (46): 403-416, 2004

17 Sundin-Huard, D., "Moral distress, advocacy and burnout: Theorising the relationships" 5 (5): 8-13, 1999

18 McCarthy, J., "Moral distress reconsidered" 15 (15): 254-262, 2008

19 Dewitte, M., "Moral distress and burn-out in nurses on acutegeriatric wards" 19 (19): 19-20, 2010

20 Lapsley, D. K., "Moral agency, identity and narrative in moral development" 53 (53): 87-97, 2010

21 Zuzelo, P. R., "Exploring the moral distress of registered nurses" 14 (14): 344-359, 2007

22 Hollenberg, K., "Ethics in the 21st Century: The value of positive ethics"

23 Mashburn, D., "Essay: Positive ethics. Essay, 52"

24 Pasupathi, M., "Developing moral agency through narrative" 53 (53): 55-80, 2010

25 Sumner, J., "A moral framework for caring in nursing: Neo-stoic eudaemonism" 14 (14): 51-57, 2010

26 보건복지가족부, "2009 의료기관 평가지침서"