Showing 16 results for Bagheri
Alireza Bagheri Chimeh,
Volume 1, Issue 3 (9-2008)
Abstract
Alireza Parsapoor, Alireza Bagheri, Bagher Larijani,
Volume 3, Issue 1 (3-2010)
Abstract
Alireza Bagheri, Fariba Asghari, Bagher Larijani,
Volume 3, Issue 2 (4-2010)
Abstract
Alireza Bagheri,
Volume 4, Issue 1 (3-2011)
Abstract
Pooneh Salari, Alireza Bagheri,
Volume 4, Issue 1 (3-2011)
Abstract
Seyyed Abd-Al-Saleh Jafari, Behin Araminia, Ahmad Fayazbakhsh, Alireza Bagheri,
Volume 4, Issue 1 (12-2010)
Abstract
The most basic research in the area of human science is the research about human beings and people, while the first introduction to the immense concept of people is facing independence towards defining this concept because we feel the instances of it every day. Lack of attention in human recognition can prevent us from reaching generalized results and therefore, will lead us to transient decisions. But in fact there are some trembling parts towards human recognition, like getting far from the definition of concept, the inseparability of living species from each other up to dismissing the reality of specie's existence, a quick glance to the challenges of extraverts, ambiguity of biological definitions (morphological, fertilization, genetical and behavioral) and also lack of logical definitions.
From our point of view, there is no pervasive criterion about humanistic living therefore, the rights and characteristics which we consider for human beings are related to the humanistic living from a philosophical view point. To attach this expansion, the philosophical human beings and its differences are incorporated into the minimal human. It is clear that there is no incorporation the same as this rule and we should overcome some steps about them, if not, this incorporation will get beyond the philosophical control of human. In a steady view, what makes a difference from human beings and other creatures is not the biological definition of them, while in the approval view sometimes this definition is the only tool to separate the people. Autonomy and free choice are the exact criterion for this recognition.
Alireza Bagheri,
Volume 4, Issue 5 (10-2011)
Abstract
Attempts to promote medical ethics principles on the national level should be consistent with the needs, expectations of the target audience, social orientations and determination of priorities. The present study was conducted through distribution of a questionnaire containing twenty medical ethics topics, and thus the priorities of instructors, researchers and policy makers regarding medical ethics were determined on a national level. Through determination of medical ethics priorities in the country, the study aimed to encourage a scientific approach to the issues and challenges faced throughout the nation based on the opinions of thinkers of this field, and to help resolve each of those issues according to national priorities. The findings revealed ten priorities in the field of medical ethics nationwide: patients’ rights, doctor-patient relationship, justice in the distribution of health care resources, autonomy and informed consent, the financial relationship between doctor and patient, hospital ethics committees, ethical considerations in public health, strengthening and capacity building in teaching medical ethics, ethical considerations in medical education, and medical research ethics.
Mojtaba Parsa, Alireza Bagheri, Bagher Larijani,
Volume 4, Issue 6 (12-2011)
Abstract
Breaking bad news to the patients does not back to a long history and is a controversial issue between patients and physicians. Many physicians are reluctant to breaking bad news to patients and this is not desirable for most patients. For example, in Northern European countries and United States, most physicians usually break bad news to the patients, while in Southern and Eastern European countries or many Asian countries they would not do so. In Iran, physicians prefer to break bad news to patient's family rather than the patient. Cultural differences also influence people's viewpoints about breaking bad news. In Western countries, most people agree with breaking bad news to patients while it is not common in the other populations. Nowadays, the dominant view in the most countries is that it is the duty of the physicians to break bad news to patients. Some advantages of breaking bad news to patients including strengthening the trust between physician and patient, preventing non - maleficience, increasing patients satisfaction and reducing legal action against the doctors. There are some exceptions to breaking bad news the most important is serious psychological damage to the patient. Quality and quantity of information that should be released depends on situation of each patient. Breaking bad news needs specific communication skills and physicians must be trained for this purpose.
Leila Afshar, Alireza Bagheri,
Volume 5, Issue 5 (26 2012)
Abstract
Narrative ethics is an approach that is well known for ethical education and moral development. In narrative ethics, by using a story, its components and characters, ethical knowledge and awareness can be achieved. This approach is very useful in medical ethics education and is helpful in dealing with ethical dilemmas. In fact, part of ethical development, in addition to moral judgment, is to reinforce the ethical sensitivity in which narrative ethics can play a significant role for this purpose.This approach has been widely used for teaching morality in Persian literature and history telling, such as Mathnavi. Narrative ethics can be applied by telling stories about patients' life and their experience of illness. It can also be used to criticize and analyze the clinical situation and explore ethical challenges that healthcare providers face in their daily practice. Thus, it can help to prevent ethical conflicts by establishing interaction between ethical principles and patients' values. This paper emphasizes the application of this method in medical ethics education and ethical decision-making.
Alireza Bagheri Chimeh ,
Volume 6, Issue 1 (4-2013)
Abstract
The Iranian model of compensated living unrelated (LUR) kidney donation has achieved some unique success, but there is an urgent need for a structural revision in the program. In spite of these achievements, the program lacks secure measures to prevent the risk of a direct monetary relationship between donors and recipients, and it must be revised in order to be morally justifiable. By presenting the current organ procurement program from living unrelated kidney donation, this paper calls for the revision of the current procurement system. The paper suggests a “non-directed living donation” policy for organ donation from LUR donors based on anonymous donation. Under such a policy, individuals can donate their organs to unknown recipients altruistically and receive compensation.
Leila Afshar, Soodabeh Joolaee, Khorshid Vaskouei, Alireza Bagheri,
Volume 6, Issue 3 (8-2013)
Abstract
Organizational justice is of great importance particularly for hospital personnel, and job stress has the potential to put their health at risk. The purpose of this study was to determine the relationship between organizational justice and job stress among the personnel of a hospital in Isfahan.
In this correlation study, the samples consisted of 150 personnel that were working in a governmental hospital in Isfahan. Samples were selected through convenience sampling in 2012. Data were gathered by personal data questionnaire, Niehoff organizational justice questionnaire and job stress questionnaire. Data were analyzed by descriptive and analytical statistics.
Results showed that job stress among hospital personnel varied from 48.6% (moderate) to 39.4% (mild) and 12% (severe). Moreover, findings showed there was a relationship between organizational justice in the domain of interactional justice and job stress among hospital personnel (r = - 0.18, P = 0.03).
According to the findings, it is essential to pay attention to the concept of organizational justice in hospitals in order to decrease job stress among the personnel.
Hossein Bagheri, Faride Yaghmaei, Tahere Ashktorab, Farid Zayeri,
Volume 6, Issue 6 (2-2014)
Abstract
Heart failure not only affacts the patients but also their families and social networks. This study was conducted to evaluate the development & psychometric properties of the Social Dignity Questionnaire (SDQ) in heart failure patients. This study is an exploratory research of questionnaire design type. Twenty two patients with class II to IV heart failure (New York Heart Association Functional Classification) were chosen through purposive sampling from selected hospitals of Tehran, and semi-structured interviews were conducted with them. Qualitative content analysis was performed to analyze the interviews. The primary items were developed based on the findings obtained from the interviews, literature and designed questionnaires about social dignity. Content validity and construct validity were determined in 130 patients with heart failure. The data were analyzed using SPSS version 19. Through face validity and content validity analysis, 16 out of 101 primary items were removed. As a result of exploratory factor analysis, 2 items with factor loading less than 0.5 were deleted, and 6 were removed due to inclusion in other factors. The following five factors were extracted: family communication and support, social communication and support, health care communication and support, burden to others (physical, emotional and social), and burden to others (economic). Reliability of the Social Dignity Questionnaire (SDQ) was calculated to be 0.97 by using Cronbach’s alpha coefficient, and 0.99 by using split-half method.Considering the acceptable validity and reliability of the questionnaire in the present study, its application can be useful in planning support for patients and improving their treatment and care. The questionnaire may also be helpful in conducting further research related to dignity in different patients
Hossein Bagheri, Faride Yaghmaei, Tahere Ashktorab, Farid Zayeri,
Volume 6, Issue 6 (2-2014)
Abstract
Respect for the inherent dignity of human beings means respecting their basic rights in different environments, and this has an important role in studies and discussions about health care. This study was conducted on the development and psychometric properties of the Inherent Dignity Questionnaire (IDQ) in heart failure patients. The present study is a methodological research for designing a questionnaire. First, 22 patients with class II to IV heart failure were chosen by purposive sampling from patients of Hazrate Rasoule Akram, Imam Hossein and Shariati hospitals of Tehran, and semi-structured interviews were conducted on ethical issues until data saturation was achieved. A qualitative content analysis was carried out to analyze the interviews. Then, based on the findings obtained from the interviews, literature, and the designed questionnaires about inherent dignity, 39 items associated with inherent dignity in heart failure patients were developed. The face validity of the questionnaire was determined. To measure the content validity of the questionnaire, opinions of 12 experts were used considering Content Validity Index (CVI), Content Validity Ratio (CVR) and Lawshe table. To assess construct validity of the IDQ, exploratory factor analysis and to determine the reliability of the questionnaire, internal consistency with Chronbach’s alpha coefficient and split-half method were used on 130 patients with heart failure. The data were analyzed using SPSS version 19.Through face validity and content validity analysis, 4 out of the 39 primary items were removed, leaving 35 items. Through exploratory factor analysis, 11 items with factor loading less than 0.5 were removed and the IDQ was created with 24 items and three factors (9 items on the first factor, 8 items on the second factor and 7 items on third factor). These factors were: "inherent dignity in family", "inherent dignity in the community" and "inherent dignity in health care environments". Reliability of the Social Dignity Questionnaire (SDQ) was calculated to be 0.94 by using Cronbach's alpha coefficient, and 0.96 by using split-half method.Results of this study showed that the IDQ is adequately valid and reliable. Therefore, using this questionnaire can be beneficial to planning support for patients and improving their treatment and care and doing further research related to dignity in different patients.
Zohre Kohansal, Nosrat Avaznejad, Behnaz Bagherian, Faezeh Jahanpour,
Volume 11, Issue 0 (3-2018)
Abstract
Nurses need to be familiar with the ethical issues of nursing and its sensitivity to all communications and interventions with patients. This sensitivity as a basis for nursing ethics should be considered from the beginning of nursing education. This study aimed to investigate the moral sensitivity of nursing students of Bushehr University of Medical Sciences. This descriptive cross-sectional study was conducted to determine the ethical sensitivity of 73 nursing students using standard questionnaire of ethical sensitivity of nurses in decision-making. Its validity and reliability were confirmed in previous studies (α=0.8). Dimensions of the questionnaire were: amount of respect for patient independence, level of knowledge about the relationship with the patient, level of professional knowledge, experience of difficulties and ethical conflicts, and the use of ethical concepts in ethical decision-making, honesty and benevolence. 0-50 were considered as low moral sensitivity, 50-75 as moderate, and 75-100 as high. All nursing students of the third and eighth semester were enrolled in the census in 2016. The average students' moral sensitivity was moderate (68.15±13.99). The highest average was for "honesty and benevolence", and the least for "professional knowledge" and "the use of ethical concepts in moral decision-making". The average moral sensitivity of the eighth semester students was higher than the third semester. There was a significantly relationship between students' moral sensitivity and academic term (p=0.000). Low ethical sensitivity in nurses leads to inappropriate decision-making; therefore, appropriate educational programs should be considered to increase the moral sensitivity of nurses and nursing students from the beginning of education.
Fatemeh Sadat Asgarian, Ali Saber, Sare Bagheri,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Trust is one of the most important aspects of human relationships, providing the foundation for participation and cooperation among individuals. It is also one of the most valuable social assets within the healthcare system. If trust is disrupted, it can impose significant costs on the system. The purpose of this study is to measure the level of patients' trust in doctors and its impact on the treatment process at Shahid Beheshti Hospital, Kashan. In this study, 325 patients referred to the emergency department of Shahid Beheshti Hospital in Kashan were selected. After applying the inclusion and exclusion criteria, 310 participants remained in the study. The General Trust Instrument was used for this research. This questionnaire consists of 33 questions covering six dimensions: patient-centered care (6 questions), macro-level patient care policies (6 questions), provider expertise (4 questions), quality of care (9 questions), communication and information provision (6 questions), and quality of collaboration between providers (2 questions). Scores ranged from 0 to 100, categorized as follows: 0–20 indicates very low trust, 20–40 low trust, 40–60 moderate trust, 60–80 high trust, and 80–100 very high trust in healthcare. Out of the 310 participants, 157 (50.6%) were male, and 153 (49.4%) were female. The mean age of the patients was 56.6 ± 20.6 years. Among the patients, 178 (57.4%) had acute illnesses, while 132 (42.6%) had chronic illnesses. The mean and standard deviation of the total score for the General Trust Questionnaire was 95.59 ± 13.8. This study demonstrated that the general trust score of patients in the doctors at this center is high. In delivering healthcare, interventions alone are insufficient; improving the quality of services is essential to enhance patient trust and satisfaction.
Shiva Khaleghparast, Saied Bagheri Faradanbeh, Samaneh Karimian, Fahimeh Khosrobeigi Bozchaloei, Seyed Ebrahim Hoseini Zargaz, Ehsan Shamsi Gooshki,
Volume 17, Issue 1 (3-2024)
Abstract
The electronic health record system (SPAS in Iran) records information related to the health of individuals in an electronic format. It is the center for collecting health information and data on outpatients and inpatients. This system records information such as the patient's full name, marital status, gender, date of admission, level of education, occupation, type of admission, and other relevant medical data. The core values and ethical requirements of SPAS include safeguarding citizens' rights, respecting individuals, observing justice and fairness, transparency, encouraging participation, and accountability. In this study, the ethical aspects of SPAS were evaluated using the model proposed by the World Health Organization (WHO) for ethical evaluation. This model emphasizes fundamental ethical principles such as human well-being and health, respecting individuals and communities, justice, and fairness. Concerning human well-being and health, SPAS can prevent unnecessary and redundant interventions and provide physicians with quick access to an accurate patient history. Furthermore, the system ensures the confidentiality of information, which is essential to respect individuals and communities. Regarding justice and fairness, the system can improve access to health services for disadvantaged and remote areas. Moreover, SPAS adheres to procedural ethical principles such as solidarity, transparency, participation, and accountability. Therefore, by critically examining the ethical dimensions of the electronic health record system (SPAS), the findings of the present study provide valuable insights for policymakers, health professionals, and regulatory organizations to ensure the ethical and efficient performance of electronic health record systems in Iran.
