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Showing 4 results for Arman

Farhad Khormaei, Fereshteh Zareie, Mansureh Mahdiyar, Azam Farmani,
Volume 7, Issue 3 (9-2014)
Abstract

Patience is a moral construct and is related to persistence, tolerance, restraint, contentment and transcendence in difficult and unpleasant situations. It can be discussed in the field of medical ethics and is related to many variables. The aim of the present study was to examine the role of patience and its components (transcendence, tolerance, contentment, persistence, and restraint) as moral constructs in predicting hope among university students.The study population of the present study consisted of all of the university students studying at Shiraz University. Three hundred and ninety university students were recruited via cluster sampling. The participants completed the patience scale and hope scale. According to the findings of the Pearson’s correlation test, patience and its components correlated positively and significantly with hope and its subscales (pathway and agency). Moreover, the total patience score effectively predicted the total hope score (β = 0.58, P ≤ 0.001), pathway (β = 0.52, P ≤ 0.001) and agency (β = 0.52, P ≤ 0.001). Transcendence, contentment, and persistence were important predictors of hope and its subscales. It can be concluded that reinforcing patience as one of the most important and valuable moral constructs can increase hope and lead to success. Thus, applying educational strategies of patience in order to curtail despair and promote hope among patients is recommended for clinicians working in the fields of psychology, health and medical ethics.
Arman Latifi, Seyyed Sadegh Hosseini, Sara Rahimi, Vahid Rahmani, Atefeh Esfandiari, Hedayat Salari,
Volume 16, Issue 1 (3-2023)
Abstract

Professional commitment is described as a set of attitudes, values, behaviors, and relationships that serve as the foundation of a health professional's contract with society. The present study was conducted with the aim of determining the attitude of medical students of Bushehr University of Medical Sciences towards professional commitment in 2022. The research population of this descriptive study included 254 students of the last 3 years of the Faculty of Medicine of Bushehr University of Medical Sciences who were included in the study by census. The standard questionnaire of attitude towards the professional commitment of doctors was used for data gathering. Data were analyzed using SPSS software version 25. Descriptive tests, Spearman's correlation test, linear regression and Mann-Whitney test were used to analyze the data. The mean and standard deviation of the age of the students participating in the study was 24.69±2.25 years. The mean and standard deviation of the attitude score towards professional commitment were 67.12±12.72 out of 100. There was a statistically significant relationship between the variables of age, academic semester and experience of participating in training courses related to professional ethics with the mean attitude score (p < 0.05), but there was no relationship between gender and the attitude score towards professional commitment. There was no statistical significance (p > 0.05). Educational centers and its professors, as the most influential force on the formation of students' morals, should revise and implement the educational program well in the field of medical professionalism, considering professional needs

Ali Akbari, Alireza Arman, Alireza Nikbakht Nasrabadi,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract

Moral courage is essential for intensive care unit (ICU) nurses to navigate complex ethical dilemmas and advocate for patient rights. Despite its importance, the factors that influence the expression of moral courage remain poorly understood. This review aims to identify key predictors of moral courage in ICU nurses, offering valuable insights to enhance ethical decision-making and improve patient care in critical care settings. This review followed the Cochrane systematic review principles and adhered to PRISMA guidelines. A comprehensive literature search was conducted using both English and Persian keywords related to "moral courage," "ICU nurses," and "predictors." International databases such as PubMed, Scopus, and Web of Science were searched, along with grey literature from Google Scholar. No time frame restrictions were applied. Inclusion criteria included observational studies that focused on predictors of moral courage in ICU nurses, while studies such as clinical trials, reviews, opinion pieces, and those lacking primary data were excluded. Two authors independently screened and extracted data, resolving discrepancies through consensus with a third author. The Newcastle-Ottawa Scale (NOS) was used to assess study quality, and relevant data were systematically organized into an extraction table. A total of 136 articles were initially identified, with 24 observational studies included after screening. The final selection consisted of 4 cross-sectional studies and 8 cohort studies. Key predictors of moral courage in ICU nurses were identified, including age, gender, professional experience, ethical training, and workplace support. Older and female nurses were more likely to demonstrate moral courage, while nurses with more years of experience and formal ethical training exhibited a stronger ability to confront ethical challenges. Additionally, a supportive work environment and personal ethical beliefs were found to significantly influence the likelihood of nurses advocating for patients and addressing unethical practices. These findings emphasize the importance of both individual and organizational factors in fostering moral courage. This review identifies age, gender, professional experience, ethical training, and workplace support as significant predictors of moral courage in ICU nurses. These findings highlight the critical role of individual characteristics and organizational support in promoting ethical behavior and moral courage in critical care settings.

Amin Arman, Mina Mobasher, Mohammad Aminizadeh,
Volume 17, Issue 1 (3-2024)
Abstract

Deciding on whether to continue life-prolonging treatments for terminal patients is a major challenge in healthcare. Advance directive emerges as a proposed solution to this issue in the world. The patients record their preferences regarding the continuation of life-prolonging treatments while they still are able to make decisions. Although advance directive is morally justifiable from the perspective of principlism, respecting the patient’s right to autonomy and assessing the benefits and drawbacks of providing such services, the religious beliefs of patients, their families, and healthcare providers always exert a significant influence on this matter. In Islam, preserving human life heavily affects these decisions. Several juridical and legal rules can culminate in different decisions on the continuation or termination of life-prolonging treatments including the absolute legal power of the owner to exercise dominion[1] or control over property and permission of intervention in their body[2], the rules of prohibition on causing the death[3], the sanctity of human killing[4], the rule of prohibition of detriment[5], the concept of unstable life[6] in Article 372 of the Islamic Penal Code and the rules of preventing losses[7], and the rule of sanctity of idle[8]. Nevertheless, given various types of will in Islamic Jurisprudence and according to the contract of agreement[9], it is possible to record the patient’s request regarding how to continue the treatment. This study indicated that implementing advance directives in Iran’s health system requires a more accurate analysis of moral, legal, and jurisprudential foundations.

 
[1] (tasli¯t)
[2] (ezn dar tasarof)
[3](nafy al-d.arar )
[4] (Hormat Ghatl)
[5] (la¯ d.arar wa la¯ d.ira¯r fi¯ al-isla¯m)
[6] (Ghayr-Mustaqarr)
[7] (‘usr wa al-h. araj, al-)
[8] (hormat laghw)
[9] (agde solh)

[1]. (tasli¯t)
[2]. (ezn dar tasarof)
[3]. (nafy al-d.arar )
[4]. (Hormat Ghatl)
[5]. (la¯ d.arar wa la¯ d.ira¯r fi¯ al-isla¯m)
[6]. (Ghayr-Mustaqarr)
[7]. (‘usr wa al-h. araj, al-)
[8]. (hormat laghw)
[9]. (agde solh)


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