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Objective:To analyze the ethical value of rehabilitation medicine and its influence on rehabilitation medicine services. Methods:The ethical value of rehabilitation medicine was studied with the literature review, investigation, and analysis method, integrating with the behavioral process of rehabilitation medicine, and relevant issues were proposed. Results:Rehabilitation medicine ethics was important for rehabilitation medicine services, and played a great role in improvement of qualities of services. Conclusion:The article proposes the significance and methods of how to practice medical ethical principles in rehabilitation medicine, and points out specific measures and practical countermeasures for implementing medical ethics.
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From the perspective of welfare culture, this paper analyzed the current status of care modes in China and explained the ethical value of multiple care mode:the development of multiple care mode was conducive to resolving the dilemmas of interpersonal relationships and strengthening community interaction;resolving the dilem-as of family relations and carrying forward the tradition of honoring and respecting the elderly;strengthening insti-tutional ethics and highlighting social concerns. Finally, this paper put forward three feasible suggestions for the development of multiple care mode:carrying forward the traditional filial piety culture and cultivating the concept of pension in the new period; developing the welfare of the combination of medical treatment and endowment and strengthening the linkage between family, community and care institutions;enhancing the quality of service of care institutions and strengthening the ethical support of caregivers.
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With accelerated population aging, traditional pension mode cannot adapt the diversified medical and nursing requirements of the elders. Therefore, it should reposition the function of medical service in pension career and encourage combining medical service with pension service. Through the methods of setting medical insti-tutions in pension institutions with conditions, developing social pension service in medical institutions, pension in-stitutions cooperating with medical institutions,both professional medical service and basic pension service would be offered to the elders, and thus to realize the integration of medical and nursing resources and to improve health con-dition of the elders.
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BACKGROUND: In this study, state-owned medical institutes, industrial accident hospitals, veteran hospitals, and private medical clinics including 16 university medical institutes in the Seoul metropolitan area were selected to examine the causality of ethical management, positive psychological capital, and organizational effectiveness. METHODS: The study analyzed 1,056 valid questionnaires to which a total of 1,325 nurses, medical technicians, doctors, and administrative staff in 34 healthcare organizations answered over two months from June to August 2015. The study also utilized a ‘structural equation model,’ and a ‘hierarchical linear model’ to conduct the analysis. RESULTS: It was first found that ethical leadership, ethical management systems, and organizational ethics values, which are the three factors of ethical management, had significant influence on organizational commitment, and behavior. These are the three factors of employee organizational effectiveness. Second, ethical management, ethical leadership, ethical management systems, and organizational ethics values had significant influence on positive psychological capital. Third, positive psychological capital had significant influence on organizational commitment, turnover intention, and organizational citizenship behavior. Positive psychological capital presented an indirect effect on the relationship between the ethical management and organizational effectiveness of employees. The effect of positive psychological capital consisting of self-efficacy, hope, resilience, and optimism was confirmed in the healthcare organizations. Fourth, in relations among ethical management variables, ethical leadership showed a significant impact on ethical management systems, which had significant impacts on organizational ethics values, which had significant impacts on ethical leadership.
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Humans , Academies and Institutes , Accidents, Occupational , Delivery of Health Care , Ethics, Institutional , Hope , Intention , Leadership , Optimism , Seoul , VeteransABSTRACT
Health care policy should follow principles of total efficiency, no-harm, fairness and justice as ethi-cal standards for public policy. Diagnosis Related Groups( DRGs) as a sign of new health care reform ( NHCR) is implemented as a pilot program across the country, with the obvious function of suppressing excessive growth in medi-cal costs and over-treatment. From the dimension of ethical values, the DRGs has avoided unethical individuals, fol-lowed the principle of total efficiency and achieved the equalization of social security. However it has also increased ethical risks and been adverse to the development of medical research. To realize the reasonable development of DRGS, the construction of DRGs must be improved, and security policies must be reasonable and feasible; orderly measures must be established to ensure promotion and implementation;the government’s financial investment must be increased to protect the social welfare of public hospitals;a sound communication mechanism must be implemented, and interaction between medical institutions and insurance institutions must be strengthened.
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The purse of this to identify whether ethical values of Korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of the literature and inter view of nurses in the clinical settings. Ethical problems are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship. The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee(1990). The analysis of data was done by Pearson's correlation coefficient, t-test and anova. The results of this study were as follows: 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical value of nurse-patient relationship slightly took up deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formulate higher ethical values.
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Humans , Education, Continuing , Marital Status , Surveys and QuestionnairesABSTRACT
Different cultural backgrounds between China and western societies determine the differences of their ethical value systems,which are both oriented by group interests and individual health interests.As the society develops,the new type medical service system enrolls various issues including social psychological service,embodying the characteristics and ethical values of medical social work.Therefore,it is necessary to fully make clear and take use of the differences of Chinese and western cultures in the practice of medical social work,apply ethical values in the construction of social welfare system building,and meanwhile guide the development of community social work.
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The present world being a world of multi-culture,culture is of great significance to human life and its existing value.The development of social economy,mutual exchange among nations,the change of medical model,all require multi-cultural nursing,the practice of which reflects the regain of humanitarianism spirit,the esteem of different culture and value,the demand for dialectical nursing of diseases.