BackgroundThis study aimed to identify the healthcare providers’ experience and perspectives toward end-of-life care decisions focusing on end-of-life discussion and physician’s order of life-sustaining treatment documentation in Korea which are major parts of the Life-Sustaining Treatment Act.MethodsA cross-sectional survey was conducted using a questionnaire developed by the authors. A total of 474 subjects—94 attending physicians, 87 resident physicians, and 293 nurses—participated in the survey, and the data analysis was performed in terms of frequency, percentage, mean and standard deviation using the (...) SPSS 24.0 program.ResultsStudy results showed that respondents were aware of terminal illness and physician’s order of life-sustaining treatment in Korea well enough except for some details. Physicians reported uncertainty in terminal state diagnosis and disease trajectory as the most challenging. Study participants regarded factors (related to relationships and communications) on the healthcare providers’ side as the major impediment to end-of-life discussion. Study respondents suggested that simplification of the process and more staff are required to facilitate end-of-life discussion and documentation.ConclusionBased on the study results, adequate education and training for better end-of-life discussion are required for future practice. Also, a simple and clear procedure for completing a physician’s order of life-sustaining treatment in Korea should be prepared and legal and ethical advice would be required. Since the enactment of the Life-Sustaining Treatment Act, several revisions already have been made including disease categories, thus continuous education to update and support clinicians is also called for. (shrink)

The dominant position of e-commerce is especially being articulated in the retailing industry once again due to several constraints that the world faces in the COVID-19 pandemic era. In this regard, this study explores the significant role of trust transfer and the moderating effect of consumers’ neurotic traits in the framework of trust-satisfaction-repurchase intention in the e-commerce context based on a survey with 406 Korean e-commerce consumers. Moreover, a prediction-oriented segmentation technique combined with structural equation models was utilized to reveal (...) consumers’ probable hidden heterogeneous characteristics. The outcomes of the global model SEM analysis indicate that offline-online trust transference occurs in e-commerce, and the conveyed trust significantly influences satisfaction and consumers’ repeat purchase intention through satisfaction. Neuroticism also has significant positive effects on trust transfer in the global model. However, results in three subgroups generated by POS show heterogeneous characteristics that considerably differed from the global model test results. The implications from this study will be beneficial to field practitioners in the e-commerce industry in addressing the importance of trust transfer, negative neurotic traits as well as heterogeneous aspects of consumers. (shrink)

Die Idee des «Gesamtkunstwerks» war schon längst vor Wagner gegenwärtig. In zahlreichen Schriften der deutschen Frühromantiker wird das Auseinandergehen der einzelnen Künste betrachtet, aber ihr Zusammenwirken als Utopie ersehnt. Die Verfasserin versucht, ausgehend von der Stellung der Musik in der Frühromantik, die Möglichkeit im Blick zu behalten, die Sehnsucht nach der Einheit der Künste, die zunächst im literarischen sowie im philosophischen Bereich rein theoretisch, daneben jedoch auch praktisch in der Poesie und Malerei ihren Ausdruck fand, in die musikalische Romantik zu (...) übertragen, sowohl in kompositorischer als auch in wirkungsästhetischer Hinsicht. Dadurch erscheint der Zusammenhang zwischen Musik innerhalb der Idee des «Gesamtkunstwerks» in der Romantik in neuem Licht. (shrink)

Culture has been identified as a significant determinant of ethical attitudes of business managers. This research studies the impact of culture on the ethical attitudes of business managers in India, Korea and the United States using multivariate statistical analysis. Employing Geert Hofstede's cultural typology, this study examines the relationship between his five cultural dimensions (individualism, power distance, uncertainty avoidance, masculinity, and long-term orientation) and business managers' ethical attitudes. The study uses primary data collected from 345 business manager participants of Executive (...) MBA programs in selected business schools in India, Korea and the United States using Hofstede's Value Survey Module (94) and an instrument designed by the researchers to measure respondents' ethical attitudes (attitudes toward business ethics in general and toward twelve common questionable practices in particular). Results indicate that national culture has a strong influence on business managers' ethical attitudes. In addition to national culture, respondents' general attitudes toward business ethics are related to their personal integrity; their attitudes toward questionable business practices are related to the external environment and gender, as well as to their personal integrity. A strong relationship exists between cultural dimensions of individualism and power distance and respondents' ethical attitudes toward certain questionable practices. The analysis of the relationship between cultural dimensions of masculinity, uncertainty avoidance and long-term orientation and respondents' ethical attitudes toward questionable practices produced mixed results, likely due to the lack of notable differences in cultural dimension scores among the countries surveyed. (shrink)

Pathological gaming among adolescents has been reported to hamper the achievement of a balanced life and to threaten the development of social competencies. Despite the increasing social concerns on the adolescent users, however, the mechanism of gaming behavior of adolescents has not been sufficiently examined. This study explored the mechanism of pathological gaming among adolescents from 3-year longitudinal data of 778 Korean adolescent gamers, by analyzing the effects of negative affects on the degree of pathological gaming through the mediation variables (...) based on the stimulus-organism-response framework. Latent class analysis was used to uncover potential risk groups, and through partial least squares-structural equation modeling analysis, the mediation pathways to pathological gaming were compared between the risk group and the non-risk group. The results highlighted the key role of academic stress on the degree of pathological gaming. In the entire group, academic stress primarily increased pathological gaming through self-control. The mediation path of self-control was the most influential result in the risk group. Aggression was the key mediator between loneliness and pathological gaming in the non-risk group. The theoretical and practical implications of the results were discussed. (shrink)

Why are human beings inclined to commit violence that finally brings themselves into conflict? How could human beings have maintained their society that is full of violence and conflicts? René Girard's theory of mimetic desire and the scapegoat mechanism are the answers to these two anthropological questions. Even though his theory basically belongs to the tradition of anthropological philosophy, it is not limited to that realm. In reality, his theory has been applied in other academic disciplines, in particular, in social (...) science, such as political science and economics.There are two remarkable features of Girard's theory that make it possible for its influence to extend beyond anthropology. The first one is that... (shrink)

Although corporate social responsibility appears to be mutually beneficial for companies and consumers, the modern marketplace has left both parties in vulnerable positions. Consumers are increasingly subjected to incongruent CSR messages such as greenwashing, while companies are trapped in a strategic positioning dilemma with regard to how to most effectively and ethically approach CSR communication. This has led some companies to instead adopt a strategically silent approach, such as greenhushing. To capture this CSR positioning dilemma and test the positioning effects (...) on consumers’ attributions, this study applies attribution theory to conceptualize four distinct CSR positions which reflect varying combinations of congruence or incongruence between a company’s external CSR communication and its actual internal CSR actions. Using an online experiment, the effects of the CSR positions on consumer attributions for intrinsic and extrinsic CSR motivations and purchase intentions were tested across three CSR domains: environmental; labor; and lesbian, gay, bisexual, and transgender inclusion. Overall, the findings attest to the significant effect of internal–external congruence-based CSR positioning on how consumers respond to CSR communication. Importantly, the results indicate that discreet positioning is perceived similarly to uniform positioning, while misleading and unethical tactics such as CSR-washing are sure to backfire. Theoretical and managerial implications are discussed. (shrink)

Lorsque nous parlons généralement d’un espace vide, ce vide n’est pas réellement vide physiquement. L’espace vide est rempli d’air, de matière invisible, mais il ne peut pas être vu ou capturé. Pourtant, nous savons bien que l’air, élément indispensable pour tous les êtres vivants, est également présent autour de nous. Devrions-nous alors considérer différemment l’espace vide et l’air dans l’installation? Pour Yasuaki Onishi, sculpteur et installateur in situ, l’espace vide est un lieu essentiel pour l’installation et l’inspiration. Il s’intéresse à (...) l’invisible, à l’espace, à l’air, à l’espace négatif, etc. Il révèle ce qui est invisible, en utilisant un matériau léger tel qu’un adhésif liquide noir et le support de matériaux immatériels tels que la lumière, l’air ou d’autres matériaux intangibles. Parmi ses travaux, en particulier, en analysant les œuvres de la série Vertical Volume, Daily Distance, Gawa, Shaping Air – A Breath of Mobility et Vertical Space, nous cherchons dans cette étude la signification de l’air invisible, du ki, du svi, du wonsang et le sens du vide du Tao et du bouddhisme. Quel est le sens du vide dans une installation de Yasuaki Onishi? Et quel est l’enjeu entre l’espace vide et l’espace plein, l’espace visible et l’espace invisible, la matérialité et l’immatérialité? Dans son travail, qui ne suit pas le processus général de la sculpture traditionnelle, nous trouverons le lien avec la signification de l’espace négatif et avec le terme coréen gan, l’espace-temps, avec le mot japonais ma qui constitue un concept esthétique au Japon. When we generally speak of an empty space, this empty is not really physically empty. The empty space is filled with air, invisible matter, but it cannot be seen or captured. However, we know that air, an essential element for all living things, is also present around us. So should we consider differently the empty space and air in the installation? For Yasuaki Onishi, sculptor and installator in situ, the empty space is an essential place for installation work and inspiration. The empty space that we think is empty is filled with substances that are invisible. The empty space is filled with air, but it can’t be seen or captured. He is interested in the invisible, space, air, negative space, etc. He reveals what is invisible, using a light material such as a black liquid adhesive, with the support of non-material materials such as light, air or other intangible materials. Among his works, in particular, by analyzing the works of the series Vertical Volume, Daily Distance, Gawa, Shaping Air – A Breath of Mobility and Vertical Space, we look for the meaning of invisible air, breath, ki, svi, the etymology of sunyata, wonsang 원상, and the meaning of emptiness of Tao and Buddhism. Through the work of Yasuaki Onishi, what is the meaning of the emptiness in his installation? And what is at stake between empty space and full space, visible space and invisible space, materialism and immateriality. In his work, which does not follow the general process of typical sculpture, we will find the connection with the meaning of “negative space” and the term Korean gan “간 ”, the space-time, as the Japanese word “ma ” that use as a concept of aesthetics in Japan. (shrink)

Purpose The debate about the end-of-life care decision is becoming a serious ethical and legal concern in the Far-Eastern countries of Korea, China and Japan. However, the issues regarding end-of-life care will reflect the cultural background, current medical practices and socioeconomic conditions of the countries, which are different from Western countries and between each other. Understanding the genuine thoughts of patients who are critically ill is the first step in confronting the issues, and a comparative descriptive study of these perspectives (...) was conducted by collaboration between researchers in all three countries. Methods Surveys using self-reporting paper questionnaire forms were conducted from December 2008 to April 2009 in Korea (six hospitals in two regions), China (five hospitals in four regions) and Japan (nine hospitals in one region). The subjects were patients who were critically ill who had been diagnosed as having cancer. A total of 235 participants (Korea, 91; China, 62; Japan, 52) were eventually recruited and statistically analysed. Results Most respondents had sometimes or often thought of their own death, mostly fear of ‘separation from loved ones’. They wanted to hear the news regarding their own condition directly and frankly from the physician. A quarter of them preferred making end-of-life care decisions by themselves, while many respondents favoured a ‘joint decision’ with their family members. The most favoured proxy decision maker was the spouse, followed by the children. Most admitted the necessity of ‘advance directives’ and agreed with artificial ventilation withdrawal in irreversible conditions. The most common reason was ‘artificial prolongation of life is unnecessary’. Most respondents agreed with the concept of active euthanasia; however, significant differences were sometimes observed in the responses according to variables such as patient's country of origin, age, gender and education level. Conclusion Patients in Far-Eastern countries gave various responses regarding end-of-life care decisions. Although familial input is still influential, most patients think of themselves as the major decision maker and accept the necessity of advance directives with Westernization of the society. Artificial ventilation withdrawal and even active euthanasia may be acceptable to them. (shrink)

In the present paper we shall see that the different ways of understanding mind between Confucianism and Enlightenment in the 18th century. In this study each of these two different traditions is regarded as the East Asian context of mind study or as the Western European context of mind study. This idea comes from a kind of constructivism and constructive realism. The former, which comes from ideas of Lev Vygotsky, stresses that human mind is constructed on its cultural context. The (...) latter insisted by Fridriech Wallner approves that every truth constructed on its cultural context can be an absolute truth depending on its cultural context. Due to these two viewpoints, we can see that the truth about human mind is not singular but plural and it should be an important theme of discussionhow to communicate between different understandings of mind and cultural context. Therefore three steps to approach the difference between Asian and European should be discussed in the following way: first, I will explain Confucian ways of understanding mind. It is Confucian cultural context as a social being that used to be the basis of cultural construction of East Asian’s mind. There were three types of Confucianism in 18th century Korea; second I will explain Western European way of understanding mind and the philosophy of Enlightenment as the basic context of cultural construction of mind; and third, I will conclude by comparing these two different ways of understanding mind and mind construction and by looking for a feasible way to communicate and understand each other. (shrink)

Background Nurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading to moral distress. However, existing quantitative studies have examined moral distress using instruments that address general clinical situations rather than those specific to end-of-life care. Furthermore, qualitative studies have often been limited to participants from a single unit or those experiencing moral distress-induced circumstances. A comprehensive and integrated understanding of the overarching process of moral distress is vital to discern the unique circumstances surrounding (...) end-of-life care and its consequential impacts. Research objectives To explore the moral distress experiences of nurses who are frequently involved in caring for patients with end-of-life or terminal illnesses and apply it to two existing theories: the model of moral distress and the ecological model. Research design A qualitative descriptive approach was employed. Participants and research context Seven focus group interviews involving 30 nurses were performed. The subsequent transcriptions underwent rigorous content analysis. Ethical considerations We obtained Institutional Review Board approval from a university. Focus group interviews were conducted with nurses who agreed to participate and signed the consent form. Findings The moral distress-inducing factors and nurses’ perceived impact of moral distress were identified and categorized based on moral distress theories and ecological models. A total of 15 categories and 30 subcategories across the following 4 domains were derived: (1) intrapersonal, (2) interpersonal, (3) organizational, and (4) structural factors. Conclusions End-of-life-specific circumstances induced moral distress among nurses, with both negative and positive impacts identified. Effective organizational and policy support is essential to manage conflicts, form a healthy organizational culture, provide training, and prevent unnecessary expenses due to the negative consequences of moral distress. (shrink)

With a growing corporate interest in pursuing public goods, numerous firms today endeavor to practice corporate social responsibility. Utilizing a multilevel structural equation modeling approach, we investigated the topic of employees' pro-environmental behavior, contributing to the growing literature on “green” issues in the workplace. We incorporated self-determination theory to examine how individuals' perceptions regarding their corporate environmental policies reflected in firm-level green psychological climate influence their environment-specific self-regulation, and whether support of autonomy, relatedness, and competence psychological needs moderates this relationship. (...) The relationship between environment-specific self-regulation and employees' engagement in pro-environmental behavior was also further explained. Analysis of the data from 649 employees working in 37 major South Korean companies revealed that firm-level green psychological climate is positively related to employees' environment-specific self-regulation and that environment-specific self-regulation is also positively related to their pro-environmental behavior. Moreover, while we found that the positive association between firm-level green psychological climate and employees' environment-specific self-regulation was stronger when they had a higher level of relatedness need satisfaction, interactions between firm-level green psychological climate with autonomy and competence need satisfaction did not demonstrate any significant effects. Theoretical and practical contributions together with suggestions for related future research are discussed as well. (shrink)

Service providers working for a service organization are asked to express such positive emotions as joy, pleasure, and politeness required at the organizational level rather than their natural emotions they are experiencing at the moment. They cannot express their emotion they are actually going through and accordingly, their level of emotional labor and emotional dissonance influence on their job commitment and trust toward their organization. This study thus set out to investigate the effects of leading variables of emotional labor on (...) the level of emotional labor and the impact of emotional labor on organizational trust and organizational commitment with a subject group of college administrative staffs. Three underlying factors such as job stress, intimacy, and professionalism were identified as the determinants of emotional labor. Conceptual background about job stress, intimacy, emotional labor, and organizational effectiveness as the core variables of the study was investigated. Based on the conceptual background and our research questions, 5 research hypotheses and the proposed research model regarding the effects of emotional labor on organizational commitment and trust were developed. We also tried to include the moderating effects of work environment and gender of service providers on the research model. Unlike many different studies on emotional labor from the traditional perspective of service, this study also offers a practical implication by expanding and applying it to the field of college administrative service, which is an area where service providers are in the different working environment from the traditional company work environment. Finally, the managerial implications and the limitations of the study were also discussed. (shrink)

The experience of newborn screening for Krabbe disease in New York State demonstrates the ethical problems that arise when screening programs are expanded in the absence of true understanding of the diseases involved. In its 5 years of testing and millions of dollars in costs, there have been very few benefits, and the testing has uncovered potential cases of late-onset disease that raise difficult ethical questions in their own right. For these reasons, we argue that Krabbe screening should only be (...) continued as a research project that includes the informed consent of parents to the testing. (shrink)

本書係針對歐陸哲學中，現代與後現代對主體的爭議進行比較研究，並引申其教育涵義。共探討了笛卡爾、康德、黑格爾、結構主義、海德格、傅科及後現代對於人的自我定位之差異，提供了哲學上對人的各種假設。人從現代主 體的地位逐漸轉變成了後現代各式各樣的多元認同。 在教育上，因著各種對人的定位方式而有不同的教育模式。本書從自我成長和認同的角度來引申以上每個哲學家或主義的教育觀點。最後，探討台灣在二次戰後人們在認同上的重大轉變及今日所面臨的認同困境。也說明了今天在 教育上所要面對的任務.

Hom and colleagues (2016) argue in favor of allowing religious exemptions to congenital critical heart disease (CCHD) newborn screening, but the logic of their position is at odds with the moral ju...

In 'Yeogi (禮記)', the Chinese scriptures of Confucianism, they recoded the solar calendar of modern viewpoints. According to the ancient document, the 24 solar terms was one of seasonal divisions in a year. The regularly change of the four seasons play an important part in the national economic project. For a national economy depended on agriculture in East Asia of ancient times, the administration to pay no regard to the change of the season was directly connected to the fall of (...) the nation. And then the legislator must enact laws to reflect the change of the season. According to the 'Wolryeong (月令)' in 'Yeogi (禮記)', there is recoded national regulations to suit with the each twelve momth. The first month of spring is the prime of the year (February). The month shows sign of new livingthings. The ruler take order to protect the first breath of spring and ought to put a ban on the military training and labor mobilization. The reasons are to safeguard the new life and not to interrupt the preparation for farming. Confucian attach value to the nature within a human’s way of life. Therefore the norm of human do correlate closely with the principle of nature. The rule of Wuju (宇宙) was not a simple concept of the natural phenomenon and Cheon (天) was not the Almighty for himself. Cheon was just the existence of virtue and moral influence in the confidence of man. And Ji (地) was the Mother of all things. In this space man had to manage the world in sympathy with the process of cheonJi (天地); Cheonsi (天時), JIri (地利), Inhwa (人和). (shrink)

This study aims to decode the hemodynamic responses evoked by multiple sound-categories using functional near-infrared spectroscopy. The six different sounds were given as stimuli. The oxy-hemoglobin concentration changes are measured in both hemispheres of the auditory cortex while 18 healthy subjects listen to 10-s blocks of six sound-categories. Long short-term memory networks were used as a classifier. The classification accuracy was 20.38 ± 4.63% with six class classification. Though LSTM networks’ performance was a little higher than chance levels, it is (...) noteworthy that we could classify the data subject-wise without feature selections. (shrink)

Turnover is an important career decision that influences both individual employees and their organizations. While human resource management scholars have long sought to understand critical components of a workplace where employees want to stay, ethics has become a primary factor of interest in public sector turnover intention studies only in recent years. This article contributes to this growing line of research by investigating if and how ethical work environment influences public employees’ turnover intentions, and how this relationship is moderated by (...) an employee’s position of power measured by supervisory status. The findings suggest that ethical work environment is a critical determinant of public employees’ turnover intentions and that supervisory status can moderate this relationship. (shrink)

Examining the interconnections between genes and culture is crucial for a more complete understanding of psychological processes. Genetic predispositions may predict different outcomes depending on one's cultural context, and culture may predict different outcomes depending on genetic predispositions - that is, genes and culture interact. Less is understood, however, about how genes and culture interact, or the psychological mechanisms through which gene–culture interactions occur. In this Element, Joni Y. Sasaki and Heewon Kwon review key findings and theories in gene–culture (...) interaction research. They then go on to discuss current issues and future directions in gene–culture research that may illuminate the path toward an explanatory framework. (shrink)

If overstatements were a symptom of the agency conflict, pay-for-performance sensitivities should have increased in response to the additional penalties for misreporting imposed by SOX. Our finding of their decrease is inconsistent with the view that overstatements were an unintended consequence of incentive pay prior to 2002. To corroborate our interpretation, we show that CEO pay-for-performance sensitivities are higher among firms whose shareholders stand to benefit from overstatements; this cross-sectional relationship weakens significantly after SOX; and the within-firm decrease in pay-for-performance (...) sensitivity is most pronounced among firms with high pre-SOX shareholder benefits from overstatements. (shrink)