Ko Chung Mee, Koh Chin Kang, Lee Ye Sol
College of Nursing, Sungshin Women's University, 55, Dobong-ro 76ga-gil, Gangbuk-gu, Seoul, 01133, Republic of Korea.
College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehakro, Jongrogu, Seoul, 03080, Republic of Korea.
BMC Med Ethics. 2020 Oct 27;21(1):106. doi: 10.1186/s12910-020-00552-9.
The Constitutional Court of South Korea declared that an abortion ban was unconstitutional on April 11, 2019. The National Health Care System will provide abortion care across the country as a formal medical service. Conscientious objection is an issue raised during the construction of legal reforms.
One hundred sixty-seven perioperative nurses responded to the survey questionnaire. Nurses' perception about conscientious objection, support of legislation regarding conscientious objection, and intention to object were measured. Logistic regression was used to explore the factors associated with support of the legislation and the intention to conscientiously object.
Only 28.8% of the responding nurses were aware of health care professionals' conscientious objection. The majority (68.7%) felt that patients' rights should be prioritized over health care professionals' conscientious objection. On the other hand, 45.8% supported the legislation on conscientious objection to abortion, and 42.5% indicated a willingness to refuse to participate in an abortion case if conscientious objection was permitted. Religion, awareness of conscientious objection, and prioritizing of nurses' right to conscientious objection were significantly associated with supporting the legislation. Moreover, religion and prioritizing nurses' rights were significantly associated with the intention to conscientiously object.
This study provides information necessary for further discussion of nurses' conscientious objection. Nursing leaders, researchers, and educators should appeal to nurses and involve them in making policies that balance a women's right to non-discrimination and to receiving appropriate care with nurses' rights to maintain their moral integrity without compromising their professional obligation.
2019年4月11日，韩国宪法法院宣布堕胎禁令违宪。国家医疗保健系统将在全国范围内提供堕胎护理作为一项正式医疗服务。出于良心拒服兵役是法律改革建设过程中提出的一个问题。
167名围手术期护士对调查问卷做出了回应。测量了护士对出于良心拒服兵役的看法、对出于良心拒服兵役相关立法的支持以及拒服兵役的意愿。采用逻辑回归分析来探讨与支持立法和出于良心拒服兵役意愿相关的因素。
只有28.8%的受访护士知晓医疗保健专业人员的出于良心拒服兵役情况。大多数（68.7%）人认为患者权利应优先于医疗保健专业人员的出于良心拒服兵役。另一方面，45.8%的人支持关于出于良心拒服堕胎手术的立法，42.5%的人表示如果允许出于良心拒服兵役，他们愿意拒绝参与堕胎手术。宗教信仰、对出于良心拒服兵役的认知以及对护士出于良心拒服兵役权利的优先考虑与支持该立法显著相关。此外，宗教信仰和对护士权利的优先考虑与出于良心拒服兵役的意愿显著相关。
本研究为进一步讨论护士出于良心拒服兵役提供了必要信息。护理领导者、研究人员和教育工作者应向护士发出呼吁，并让他们参与制定政策，以平衡女性不受歧视的权利和获得适当护理的权利与护士维护道德操守且不损害职业义务的权利。
