Showing 12 results for Kazemi
Ali Kazemiyan,
Volume 1, Issue 2 (8-2008)
Abstract
Abdolhossin Kazemi, Alireza Pursoleimani, Ali Fakhari, Kazem Madaen,
Volume 3, Issue 2 (4-2010)
Abstract
Abd-Ol-Hassan Kazemi, Mostafa Kazemi, Mahmood Abbasi, Mehrzad Kiyani, Nejat Feyzollahi, Sadyar Ataloo, Mahmood Massodiniya,
Volume 5, Issue 2 (4-2012)
Abstract
End stage patient control and autonomy are core principles in human bio-medical ethics and key components of end-of-life (EOL) care. Albeit, according to modern medical ethics principles the centrality of the patient as decision maker may not be relevant to culturally diverse groups of end stage people. The purpose of this article is to present results of a literature review of end stage patient control and their family position within the context of end of life support. The review revealed that the interaction between medical control and ethical values in end of life support is multifaceted and unpredictable.
According to the recommendations of American College of Physicians/American Society of Internal Medicine End-of-Life Consensus Panel and some other world class medical and ethical societies, culturally effective end of life support includes the following essential elements
• acceptance of and respect for cultural differences among all end stage patients
• willingness to negotiate and compromise when world views differ
• understanding of one's own values and biases
• contact and communication skills that enhance empathy
• information of the cultural practices of patient groups should be seen on a regular basis and
• attention that all patients are individuals and may not share the same views as others within their own ethnic group
According to the above description, applicants identified five domains of quality end of life support:
1. receiving adequate pain control
2. avoiding inappropriate prolongation of the dying process
3. achieving a sense of control
4. relieving burden on loved ones and
5. strengthening relationships
We emphasize that, despite above mentioned points and advices maintaining a sense of control is an essential element in the end of life support for some individuals, further study of the interplay between ethnicity, desire for control, and achieving a good death is needed.
Hossein Ebrahimi, Abdolhassan Kazemi, Mohammad Asghari Jafarabadi, Arezo Azarm,
Volume 6, Issue 4 (10-2013)
Abstract
One of the most important issues in nursing ethics is moral distress, which is a severe psychological problem among nurses. The purpose of this study was to determine the nurses’ moral distress in the hospitals of the northwest of Iran.This was a cross-sectional study in which 418 nurses were selected by randomized multistep sampling method in the northwest of Iran in 2012. Data collection was done using the moral distress standard scale with high reliability and validity. In order to analyze data, descriptive (mean, standard deviation, frequency and percent) and inferential statistics (independent t-test and one way ANOVA) were used.The mean score of nurses’ moral distress was 148.49 ± 32.93, and 222 nurses (53%) suffered from severe moral distress. Of the three provinces under study, Zanjan (152.46 ± 35.88) and intensive care units (152.72 ± 33.36) had the highest moral distress scores. Among the respondents’ demographic characteristics, province (P < 0.01), education (P < 0.05), type of shift (P < 0.05) and job status (P < 0.05) were significantly related to the level of moral distress experienced by the nurses.Due to the high level of moral distress in the nursing profession, dealing with it requires a lot of attention. Studies on casual and predictive factors in different wards and teaching coping strategies to nurses appear to be necessary in order to address this issue.
Abdolhassan Kazemi, Soraya Mahmoud,
Volume 7, Issue 5 (1-2015)
Abstract
Genes are considered as “green gold” in this era of biotechnology. Currently, multinational companies and governments search continents to find this valuable asset in the hope to discover people with unique genetic characteristics that can be converted into capital and marketed in the future. Modern economy provides the framework to analyze any new technology from the advantage perspective and has vastly transformed the concept of capital and market thus, humans or any organism with specific genetic characteristics can be converted to capital and offered in profitable markets. Patenting and ownership of genetic resources without consideration for principles of inherent human rights will impact the society and result in a violation of these rights, especially those of vulnerable individuals and groups. In spite of the numerous benefits of biotechnology for individuals and the society, the risks to human dignity, equality, health, autonomy and research, as well as the possibility of information abuse should not be ignored, especially considering the alliance between technology and economy. Biotechnology can make claims to ownership of human life and desired genetic traits, and this is a problem caused by the biotechnology revolution in developing countries and consequently, indigenous peoples of these countries have shown different reactions to such issues. This article will discuss “human commodification”, which is a serious concern in the field of biotechnology in our world today
Zahra Nikkhah Farkhani, Fariborz Rahimnia, Mostafa Kazemi, Ali Shirazi,
Volume 7, Issue 6 (3-2015)
Abstract
The purpose of this research was to explore the components of nurses’ ethical conduct in public hospitals in Mashhad. This study employed an eclectic method for research and followed a mixed exploratory design. A qualitative study was first performed, and then based on the results the quantitative method was applied. The statistical population consisted of all the nurses in public hospitals in the city of Mashhad. In order to collect data, in-depth semi-structured interviews were conducted, and the data were then analyzed using thematic content analysis. A preliminary model was developed for the nurses' ethical conduct comprising three levels. The first level covered areas of ethical behavior toward patients, patients’ families and the core group. At the second level 13 dimensions and at the third, 51 components (themes) were abstracted. The questionnaire was then distributed among 176 experienced nurses employed in public hospitals in Mashhad. In order to assess the fit of the model in quantitative research, data were analyzed using confirmatory factor analysis and AMOS software. The results of the confirmatory factor analysis showed that all dimensions and components were acceptable with the exception of the component "patient education". Using AMOS software, the comparative fit index (CFI) was calculated at 0.9, which indicates a good fit of the model and validates the components and sub-components. The results of this study can guide human resource managers in public hospitals to promote ethical conduct in nurses.
Mehdi Aghili, Razieh Akbari, Ali Kazemian,
Volume 8, Issue 3 (9-2015)
Abstract
Truth-telling is considered as an important topic of modern discussion regarding the physician-patient relationship. The present study examined the behavior of physicians in disclosing the truth to patients. For this purpose, a total of 161 cancer specialists were selected using the simple random sampling technique. Research instrument consisted of a 24-item questionnaire based on expert opinion and the review of related literature. The results of item prioritization indicated that the participants ranked the following two items as highest in terms of attitude: "It is the basic right of patients to know about their condition", and "Relatives' participation in disclosing the truth to patients is rather beneficial". Research results also showed a positive and significant correlation between attitude and truth-telling tendency. Furthermore, multiple regression analysis by SMART-PLS software demonstrated that perceived behavioral control (self-efficiency) has the greatest impact on physicians' tendency toward truth-telling. The prediction power of planned behavior theory in predicting physicians' truth-telling behavior was established at 92 percent. Based on these findings, it is recommended to employ experts and adopt relevant guidelines to train novice physicians. Moreover, Iranian health officials are advised to take corrective measures to improve physicians' attitudes and subjective norms.
Mehdi Nateghpour, Ali Kazemian, Nikzad Isazadeh,
Volume 10, Issue 0 (3-2017)
Abstract
Islamic culture has a bright and comprehensive history in human civilization. Based on Islamic teachings the spirit and body are in close relation with a mutual influence on humans’ health. The Holy Qur’an as well as the Prophet of Islam and his successors (peace be upon them) have paid deep attention to both spirit and body. Moreover, according to religious scholars’ decree (fatwa) cleanness and neatness has been mentioned as the main condition for worships to be accepted. The Prophet (PUH) said: “Neatness is half of the faith”. Therefore, efforts to keep the health of both spirit and body are important to Muslims. Although, in ancient time, health and medicine were bined together, later they were divided into three sections including health, clinical diagnosis of disease and treatment. Based on Islamic teachings, Muslim scholars learned medicine and then began to translate some Greek, Seriani and Indian medical knowledge into to Arabic language, which has shaped the golden age of Islamic medicine spanning between the 8th and the 15th Centuries.
Among the Islamic countries Iran had a specific place in the field of medical sciences. Jondishapour was one of the most prominent medical educational centers back then. This article elaborates on the status of medicine based on historical evidence as well as Muslim physicians in the golden age of Islamic medicine.
Seyedeh Mahboobeh Rezaeean, Zahra Kazemi Gelian, Ghasem Kazemi Gelian, Zohreh Abbasi, Elahe Salari, Mahbubeh Tabatabaeichehr,
Volume 14, Issue 0 (3-2021)
Abstract
Failure to follow professional ethics in midwifery will lead to harmful risks, including an increase in maternal and infant mortality. The aim of this study was to investigate the barriers to professional ethics in midwifery clinical care from midwives ’viewpoints in hospitals specializing in obstetrics and gynecology in North Khorasan province in 2018. This cross-sectional descriptive study was performed with the participation of 141 midwives working in specialized obstetrics and gynecology hospitals in North Khorasan province, using classified sampling. The data collection tool was a questionnaire consisting of two parts: demographic information and barriers to professional ethics, in three areas: environmental and managerial and personal care. Data were analyzed using SPSS software version 22 and descriptive and inferential statistics. From the perspective of midwives, all three categories of environmental factors (73.94%), personal care (64.66%) and management (64.97%) were among the barriers to professional ethics. The most important barriers to professional ethics in the managerial dimension are staff shortages (80%), in the environmental dimension, biological changes in the body during work shifts (85.2%) and in the personal dimension, dissatisfaction with basic needs, such as insufficient income or adequate rest in midwifery (80.9%), was. Given the importance of observing professional ethics and the issues and problems arising from non-compliance, it is suggested that managers and officials make the necessary planning by hospitals to remove the barriers mentioned by midwives.
Abdolhassan Kazemi,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Journals have begun publishing articles in which chatbots, such as Bard, Bing, and ChatGPT, have been utilized, with some even listing chatbots as co-authors. The legal status of authorship varies by country, but under most jurisdictions, an author must be a legal person. Chatbots do not meet the International Committee of Medical Journal Editors (ICMJE) authorship criteria, particularly requirements such as giving “final approval of the version to be published” and being “accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.” No AI tool can “understand” a conflict-of-interest statement or sign it, nor do chatbots have independent affiliations apart from their developers. Since authors submitting a manuscript must ensure that all listed authors meet the required criteria, chatbots cannot be considered authors. Authors should disclose the use of chatbots and provide detailed information about how they were employed. The extent and type of chatbot usage in journal publications should be clearly indicated, in line with the ICMJE recommendation to acknowledge writing assistance and detail the study's methods and results. When chatbots or AI tools are used to draft new text, authors must note such use in the acknowledgments. All prompts employed to generate text, convert text into tables or illustrations, or draft figures should be specified. If an AI tool was used for analytical work, reporting results (e.g., generating tables or figures), or writing computer codes, this should be explicitly stated in the paper’s Abstract and Methods sections. For transparency and reproducibility, authors should include the complete prompt used to generate results, the query’s time and date, and details of the AI tool, including its version. Authors remain fully responsible for material generated by a chatbot, including its accuracy and the absence of plagiarism. They must also ensure appropriate attribution of all sources, including original sources for content produced by the chatbot. Authors must confirm that the work reflects their data and ideas and is free from plagiarism, fabrication, or falsification. Otherwise, submitting such material for publication constitutes scientific misconduct. Proper attribution of quoted material, with full citations, is essential, and cited sources must align with the chatbot’s claims. Since chatbots may omit sources opposing the viewpoints in their output, it is the author’s responsibility to identify, review, and include such counterviews in their articles. (It is worth noting that biases are not exclusive to AI; human authors are also subject to them.) Editors and peer reviewers should disclose any use of chatbots in manuscript evaluation or correspondence. If they employ chatbots in communications with authors or colleagues, they must clarify how the chatbot was used. Editors and reviewers are responsible for any content and citations generated by chatbots. They should also be mindful that chatbots may retain the prompts and manuscript content provided to them, which could breach the confidentiality of submitted manuscripts. Authors must specify the chatbot used and the exact prompts (query statements) employed. They should detail steps taken to mitigate the risks of plagiarism, provide balanced perspectives, and ensure the accuracy of all references. Editors require effective tools to detect content generated or modified by AI. These tools should be universally accessible, regardless of financial constraints, to uphold scientific integrity and minimize the risk of misinformation that could adversely affect public health. Many medical journal editors currently rely on manuscript evaluation approaches that are not designed to address AI-related challenges, such as manipulated or plagiarized text, fabricated images, and papermill-generated documents. This puts them at a disadvantage when distinguishing legitimate from fabricated content, and the emergence of chatbots exacerbates these challenges. Access to advanced tools that enable efficient and accurate content evaluation is particularly vital for editors of medical journals, where misinformation can have severe consequences, including harm to patients.
Milad Kazemi Najm, Tahereh Toulabi, Abbas Abbaszadeh, Rasoul Mohammadi, Nasrin Imanifar,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Nurses, as the largest group of healthcare workers globally, are responsible for providing holistic care to patients. Holistic care encompasses physical, mental, social, and spiritual dimensions. This study aimed to determine the effect of professional ethics training on the spiritual care competence of emergency nurses. This two-group field trial study with a pre-test and post-test design was conducted with 84 nurses working in the emergency departments of Lorestan University of Medical Sciences. Participants were selected through stratified random sampling. The intervention group participated in four workshops. The study tool was the Spiritual Care Competency Questionnaire. Data analysis was performed using SPSS, employing descriptive statistics (mean, median, and percentage) and inferential statistical tests, including repeated measures ANOVA, independent t-tests, and Fisher’s exact test.
The study included two groups: intervention (n = 42) and control (n = 42). Most participants in both groups were women. A significant difference was observed in the average total spiritual care competence scores and its dimensions (excluding the self-knowledge subscale) over different time points in the intervention group (P < 0.001). However, for the self-knowledge subscale, no significant difference was found in the average scores between the control and intervention groups at different time points. The results of this study demonstrated that professional ethics training improves nurses' spiritual care competence. By conducting workshops, training programs, and in-service courses on professional ethics and spiritual care, the quality of nursing care can be enhanced, ultimately improving patient safety. It is recommended that healthcare policymakers and nursing managers prioritize professional ethics as the foundation of all nursing practices. Employing innovative and engaging methods, such as the scenario-based approach used in this study, can further support the development of professional ethics in nursing.
Mina Kafash Mohammadjani, Mandana Kazemi, Fatemeh Mahboob Bashari,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Spiritual intelligence, defined as the capacity to effectively utilize religious and spiritual resources, plays a crucial role in providing high-quality nursing care. This study aimed to investigate the effect of spiritual intelligence training on nurses' competency in caring for patients. This review study utilized a comprehensive search strategy, including Persian and English keywords (Spirituality, Spiritual Intelligence, Spiritual Care, and Nursing) within the PubMed, Scopus, Google Scholar, and SID databases, covering the period from 2017 to 2023. A total of 21 full-text articles (in English and Persian) were selected and analyzed. The findings revealed that 45% of the nurses assessed exhibited below-average levels of spiritual care competency. Most studies demonstrated a significant positive correlation between spiritual intelligence and nurses' competence in providing spiritual care. Spiritual intelligence fostered the development of nurses' beliefs, personality traits, and a strong desire for personal and professional growth, ultimately enhancing the quality of nursing care. Furthermore, male gender, place of residence, and religious adherence emerged as predictors of nurses' spiritual care competency. Studies consistently highlighted the increased importance of spiritual dimensions during illness and hospitalization, emphasizing the critical need for nurses to provide comprehensive spiritual care.Based on this review, it is evident that ethical challenges exist within nursing care, and some nurses may not adequately address the spiritual needs of their patients. Therefore, promoting spirituality in nursing care through spiritual intelligence training is essential to enhance the quality of nursing practice.
