Byung Hye Kong | 3 Articles |
PURPOSE
This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals. METHODS Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics RESULTS: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect. CONCLUSION Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.
PURPOSE
The research aims to understand the lived experience of the caregivers of chronic renal failure(CRF) patients and its essential meaning. The results of the study can be used as basic materials for developing comprehensive intervention methods of care givers of CRF patients. METHOD: The research used van Manen's hermeneutic and phenomenological research methods in order to describe the lived experience and to understand its meaning. It concentrates on the understanding the essence of experience and consists of existential survey, hermeneutic and phenomenological reflection and hermeneutic writings. Participants in this research were five women care givers of CRF patients who had hemolysis at C university hospital in a metropolitan city, the period of data collection was from July 27 to Sep. 4, 2004 and major data of results in the following 5 essential themes. 'sole responsibility for the patient enduring everything', 'creating their own field', 'heavy and painful life without hope of their private life', 'wishing not to be inherited and consoling each other'. CONCLUSION: The above findings point out that the experience of care givers of CRF patient affected and changed all parts of an individual life and his or her family life. Therefore, it suggests that total family nursing care must be considered in order to provide the holistic caring for CRF patients and their care givers.
PURPOSE
The purpose of this study is to illuminate the relation between the aesthetics and qualitative nursing research, and especially to consider the aesthetical characteristics of phenomenological nursing research which may reflect works of art. METHOD Based on Heidegger, Merleau-ponty and Gadamer' philosophical aesthetics, this study shows how aesthetical thought can be is applied to artistic creation and aesthetical criticism in the phenomenological research of nursing. RESULT The result of aesthetical characteristics of phenomenological nursing research were as follows: 1) Poetical thought of the client's experience as the living is revealed as poetic expressions in forms of listening gazing, reflection and metaphor. 2) Literature works, paintings, poetry and fiction used as sources of lived-experience help to awaken insight into the essence of lived-experience. 3) Aesthetical evaluation of phenomenological product as art is related to the harmony as a whole, especially to the ability to do vicarious lived-experience of the client. CONCLUSION In order to produce creative phenomenological works in nursing research, two suggestions are made: aesthetical thought and poetic language in phenomenological reflective writing which enables researchers to transmit the essence of the lived-experience.
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