The Predictors of Moral Sensitivity Among Physicians

Alyousefi, Nada A; Alibrahim, Aljouhara; Taleb, Haifaa; Alotaibi, Lama; Alrahmah, Leena; Aldubaib, Noorah; Aljebreen, Shahad; Al-Rowais, Norah; Aljarallah, J.S.

doi:10.2147/ijgm.s336121

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…The most important obstacles to comply with professional ethics were overcrowding of departments, insufficient health personnel (nurses and doctors), and inaccuracy due to heavy workload 22,23 . Similar results can be seen in other Middle Eastern countries, for example, in one study, the average score of moral sensitivity in Saudi doctors was 90.6 ± 19.6 24 and in another study, the use of clinical ethics consultation services in the hospital was considered insufficient 25,26 . In related studies in Pakistan, ethical knowledge among doctors was not satisfactory 27 and there was a need for a suitable management system and training of medical staff with compliance of ethical principles 28 .…”

Section: Introductionsupporting

confidence: 69%

Evaluation of clinical ethics in Iranian hospitals: Employing a 360° approach—A cross‐sectional study

Malekzadeh

Ziapour

Assadi

2023

Health Science Reports

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Background and Aims: Clinical ethics is defined as recognizing and resolving value conflicts that arise from providing care in medical centers. This study aimed to evaluate the practice of clinical ethics in Iranian hospitals with a 360°approach. Methods:The study was conducted by employing a descriptive-analytical method in 2019. The statistical population included staff, patients, and managers of public, private, and insurance hospitals in Mazandaran province. The sample size for each group was 317, 729, and 36, respectively. The data collection tool was a researchermade questionnaire. The appearance and content validity of the questionnaire were confirmed by expert opinion and construct validity was confirmed by confirmatory factor analysis. The reliability was confirmed by Cronbach's alpha coefficient. Data were analyzed by one-way analysis of variance and Tukey's post-hoc test. We used SPSS software version 21 to analyse the data. Results:The obtained mean score of clinical ethics from the perspective of service providers (0.56 ± 4.45) was higher than the perspective of service presenters (4.35 ± 0.65) and service recipients (0.79 ± 4.22), which was statistically significant (p < 0.05). Among the eight dimensions of clinical ethics, respect for the patient's right (0.68 ± 4.09) illustrated the highest score and medical error management (0.63 ± 4.33) presented the lowest score. Conclusion:Based on the findings of the study, the level of clinical ethics in the hospitals of Mazandaran province is favorable, and among the dimensions of clinical ethics, respect for patient rights gained the lowest score and communication with other colleagues gained the highest score. Therefore, informing and teaching medical professionals in the field of clinical ethics, formulating binding laws, and paying serious attention to this issue in ranking and accrediting hospitals are recommended.

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Section: Introductionsupporting

confidence: 69%

Evaluation of clinical ethics in Iranian hospitals: Employing a 360° approach—A cross‐sectional study

Malekzadeh

Ziapour

Assadi

2023

Health Science Reports

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“…found that despite the existence of cultural variety, nationality does not significantly alter how morally sensitive doctors express themselves. [ 36 ] Finally, years of expertise with reading and expressing emotions among hemodialysis nurses were discovered to be related. Nurses with more experience in reading and expressing emotions have more traits than nurses with less experience.…”

Section: Discussionmentioning

confidence: 99%

Ethics sensitivity among dialysis nurses in Jazan region: A descriptive cross-sectional study

Rajhi,

Koura,

Hussein

2024

Journal of Family Medicine and Primary Care

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Background: Ethical sensitivity is defined as paying attention to ethical ideals in a conflict situation and being conscious of one’s own role and duty in that situation. One essential element of ethical conduct is the ability to recognize and respond to ethical dilemmas. Lack of or diminished ethical awareness is a breach of nursing’s professional obligation since it can lead to morally incongruent treatment. Thus, the purpose of this study is to assess the hemodialysis nurse’s ethical awareness in Jizan, Saudi Arabia. Materials and Methods: In this prospective cross-sectional study, based on these study criteria, we have enrolled 300 nurses from five different hospitals in Jizan, Saudi Arabia. During the epidemic, an online questionnaire study was distributed, and enrolled nurses signed an electronic consent form. Results: Data obtained were statistically analyzed. Clinical data include age (32.3 ± 5.5), gender (F: 78.7%-M: 21.3%), educational level (diploma/bachelor-48% and master/PhD-4%), experience (1-5 years = 28%, 6-10 years = 36%, 11-15 years = 24.7%, and above 15 years = 11.3%), and no nurses were found to be in nursing practice ethics. The total sensitivity rate was determined to be 107 ± 15.6. Caring by connecting with others (15.9 ± 3.1) and generating interpretation and options (16.2 ± 3.1) obtained the highest mean scores among the seven subscales. Taking others’ perspectives (14.4 ± 3.2) and identifying the repercussions of actions and options (14.8 ± 2.6) on the other hand. The study also discovered a statistically significant relationship between ethical sensitivity subscales and age, country, and years of experience. The relevance of generating interpretations and possibilities with age (P < 0.05), reading and expressing emotions and nationality (P < 0.05), and years of experience with reading and expressing emotions (P < 0.05) were specifically mentioned. Conclusion: This study concludes that hemodialysis nurses in Jizan have a high level of ethical sensitivity. This study suggests that future studies should focus on practicing, educating, and implementing a policy proposal that enhances hemodialysis nurses’ ethical awareness when providing nursing care.

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“…Research on stagers and interns showed that those with a history of participating in medical ethics workshops or seminars did not have significantly different moral sensitivity scores from those who did not participate in these courses. Meanwhile, a study conducted in Saudi Arabia showed that medical ethics extracurricular education contributed significantly to increasing physicians’ moral sensitivity ( 25 ). Thus, it is necessary to focus on the practical effects of designing and implementing such workshops.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Moral Sensitivity of Medical Students in the Preclinical and Late Clinical Courses Shabnam Bazmi

Bazmi,

Samadi,

Forouzandeh

2023

MJIRI

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Background Paying attention to moral issues is one of the essential requirements of medical practice, and moral aspects must be considered in making decisions to achieve the desired results and ensure the patient’s satisfaction. Moral sensitivity is one of the components that enable physicians to act ethically in their decisions. Since medical students must acquire the necessary skills to deal with patients properly in clinical courses, the current paper examines the moral sensitivity of medical students in both preclinical and late clinical courses. Methods This is a cross-sectional study performed on 180 medical students in the preclinical and late clinical course. The study tool is an adapted version of the Kim-Lutzen ethical sensitivity questionnaire with 25 items and Likert scoring 0-4. The obtained score can be between 0-100. Data was analyzed using SPSS25. Statistical t-test or its non-parametric equivalent (Mann-Whitney) was used for quantitative variables and Chi-square or Fisher exact tests were used for qualitative variables. Pearson's correlation coefficient was used to measure the correlation of the variables. Results The mean age of stagers and interns was 22.7 + 0.85, and 26.5 + 1.11. 41 (51.2%) of stagers and 51 (63.7%) of interns had a history of participating in workshops related to medical ethics, and 4 (5%) of the former and 3 (3.8%) of the latter had previously conducted research in the field of medical ethics. there was a significant relationship between the stagers’ history of conducting research in the field of ethics and their moral sensitivity. Concerning moral sensitivity components, the highest scores belonged to “altruism and trustworthiness”, “the use of moral concepts in moral decisions”, and “respect for the patient’s autonomy” in both groups., 95% of stagers and 98.8% of interns had medium level (51-75) of moral sensitivity. Conclusion Medical students’ moral sensitivity did not increase significantly during the clinical course. It is necessary to review and reconsider medical ethics educational methods, the time allocated to relevant courses, and the practical need for clinical education in addition to theory. Directing research projects and student dissertations toward topics related to medical ethics can also contribute significantly to enhancing moral sensitivity.

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The Predictors of Moral Sensitivity Among Physicians

Cited by 6 publications

References 24 publications

Evaluation of clinical ethics in Iranian hospitals: Employing a 360° approach—A cross‐sectional study

Evaluation of clinical ethics in Iranian hospitals: Employing a 360° approach—A cross‐sectional study

Ethics sensitivity among dialysis nurses in Jazan region: A descriptive cross-sectional study

Investigating the Moral Sensitivity of Medical Students in the Preclinical and Late Clinical Courses Shabnam Bazmi

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