Showing 10 results for Zare
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.
Roghayeh Zare, Sedigheh Ebrahimi,
Volume 11, Issue 0 (3-2018)
Abstract
Involving children in their own treatment decision-making improves their abilities. Factors such as the ability to reason, previous children's experiences in relation to the subject as well as information, and their general understanding of the subject affect the child's ability to make decisions. The current laws of informed consent in children allow alternate decision makers to decide on their own. Our goal in this study was to examine the current conditions for the informed consent of children in to provide appropriate guidelines in this regard. In this qualitative study, participants were selected through targeted sampling. The data were collected by semi-structured interview with open questions. Coding and classification was carried out using continuous comparative analysis. Participants included 6 admitted children, 15 parents of children, and 4 pediatricians. Three general categories of "satisfaction culture", "environmental conditions", and "child world" were extracted. Parents and children were not clear about the purpose of obtaining consent. The gender of children was not significantly affected by the process of obtaining formal consent in medical settings. The existing conditions have created a non-appropriate balance in the expectations of parents regarding the treatment decisions and giving vital information and treating the child by doctors disregarding child’s competency. This defective balance can, in the meantime, cause instability and harm to human dignity and autonomy of parents and children, waste of resources, challenging the sense of trust in the community towards doctors and the lack of growth in child’s decision-making power.
Hamed Fadaee, Fatah Jafarizadeh, Saeed Gholamzadeh, Abdolrasoul Malekpour, Mohammad Zarenezhad,
Volume 12, Issue 0 (3-2019)
Abstract
The criminal responsibility of physicians and assistants is a complex area of medical law. The purpose of this study was to investigate the responsibility of medical residents and medical students in performing diagnostic and therapeutic measures with case study of forensic medical files in Fars province from 2012 to 2017. In this study, 63 plaintiffs' cases were assessed, including 33 males (52.4%) and 30 females (47.6%). Most of the complainants were illiterate and under-graduate, and the least frequent was at doctoral level. Regarding the physical condition of the plaintiff (patient), the highest frequency was related to death ( 73%). Most of the complaints were from treatment group (95.2%) and physicians (4.8%). In terms of field of study, the field of obstetrics and gynecology (44.4%) included more complaints than other fields. In total, 26 (41.3%) cases were finally acquitted and 37 (58.7%) were convicted. The most common type of failure was neglect (91.9%). In this study, the highest frequency of associate education was related to senior resident (11.1%). Based on the results of the present study, medical errors were made by trainees (interns) and residents, specifying the criminal responsibilities of medical students and residents for errors and omissions and explaining their findings. Educational materials in each course are of particular importance. Additionally holding forensic courses and defining the legal and criminal responsibility for medical students are important for the improvement of treatment quality
Seyyed Abdol Rahim Hosseini, Davoud Zareian,
Volume 13, Issue 0 (3-2020)
Abstract
Perhaps, the most appropriate translation proposed for euthanasia is the painless and piteous killing. According to the existence of effective components in committing a crime, it is considered as complicity in murder and the consent of victim does not affect the nature of criminal act and the criminal liability of person depriving the life. One of issues related to this killing which is disagreed is the edict that person who is obliged to save life related to passive type of euthanasia does not perform this killing and there must be difference among its different types and conditions. The primary reasoning of the edicts indicate that duties whether difficulty or not must be done but, according to the rule of negation of difficulty and hardship, obligation to these edicts in cases of hardship is cancelled. The articles of this rule include obligatory duties to disuse. However, from the view of jurists, it is not general that euthanasia corresponds to some juridical sub-principles indicating the permission of suicide in some conditions, although this is criticized and rejected. Two rules of hardship and beneficence are those believed to help prove the hypothesis by attaching to the rule of negation of hardship and difficulty. But, it is clear that it is not so. In feasibility study of this rule with the rule of no harm, they are proved by the murder illegality and the mentioned rules cannot govern the primary reasoning of depriving the life Therefore, euthanasia is not allowed at all.
Halimeh Zarei, Parviz Azodi, Marzieh Mahmoudi, Zahra Sedighi, Faezeh Jahanpour,
Volume 13, Issue 0 (3-2020)
Abstract
Communication skills are recognized as an essential part of nursing services and as they are faced with an extended range of referees, they have to communicate with them in a specific way. This study was performed to determine the communication skills of nursing staff of pediatric wards with their colleagues. This descriptive-analytic study as cross-sectional was performed on 110 nursing staff of pediatric wards from Persian Gulf’s hospital during 2019, in Bushehr, Iran, by using census sampling method. Data collection tool was a communication skills’ questionnaire including demographic part and items for self assessing communication skills of nurses with their colleagues. The validity and reliability of the questionnaire were confirmed in previous studies. Data were analyzed by SPSS software using independent t-test, Pearson correlation and one-way ANOVA at the significant level of 0.05. The mean score of professional communication was 54.33 ± 7.26 which was relatively significant. Scores of professional communication were not statistically associated with age, work experience, educational degree, employment status, type of responsibility, interest to job and marital status. The results showed statistically significant relationship between the mean scores of professional relationship with workplace (p <0.013) and shift work (p <0.020). The highest professional communication score was 58.83 in the nursing office and the lowest score was 50.21 in the pediatric emergency department. The Pearson correlation between age and work experience was positive with the mean score of professional communication, and the highest score of professional communication was related to staff working in shift work. According to the findings of the present study, the status of professional communication among nursing staff of pediatric wards was relatively desirable and therefore, based on the results, it is suggested that nursing authorities and planners plan and endeavor to enhance nurses' professional communication.
Farzaneh Zare, Mohammad Hossein Ayati, Mohammad Reza Shams-Ardekani, Mohsen Baghbani,
Volume 16, Issue 1 (3-2023)
Abstract
Drug title is one of the important tools for recognizing and evaluating a combination drug and also analyzing its content. However, sometimes due to the existence of problems that is considered a kind of pathology in this field, is tarnished. The present study tries to identify the problems of nomenclature of compounded drugs. The names of combination drugs available in this research have been collected from three books in traditional pharmacy, namely Gharabadin-e-Salehi, Gharabadin-e- Kabeer, and Gharabadin-e- Azam, related to 18th and 19th centuries. The results showed that there are 5 major problems in nomenclature of compounded drugs: (1) several names for one drug with various formulations, (2) one name for drugs with various formulations, (3) a great deal of variation in unnamed drugs, (4) some unknown pharmaceutical dosage forms, and (5) being dosage forms at one with route of administration and mechanism of action. The study exposes combination drugs in Persian medicine have named concerning various patterns. For this reason, there is non-cooperation that feels a need to special investigation
Alireza Zare, Mohammad Hossein Taklif, Alireza Javid, Zahra Amadeh, Negin Farid,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Nurses, as key members of the healthcare team, face complex ethical issues when caring for patients with chronic mental illnesses. These challenges include maintaining confidentiality, obtaining informed consent from patients with limited cognitive abilities, managing conflicts between patient rights and safety requirements, and addressing social stigma. Inadequate attention to these challenges may lead to reduced care quality and psychological stress for nurses. A better understanding of these challenges and the provision of appropriate solutions is essential. This study was conducted through a simple review approach. A comprehensive search was first conducted in PubMed, Scopus, PsycINFO, and Google Scholar databases. Combined keywords such as "ethical challenges," "nursing," "chronic mental illness patients," and "ethical care" were used. Inclusion criteria included studies published in English and Persian from 2010 to 2023, including research, review, and qualitative articles related to the topic. A total of 150 articles were identified, and after evaluating their quality and relevance, 30 articles were selected for final analysis. Data were analyzed using thematic and comparative analysis methods. The findings revealed that nurses face multiple challenges, including maintaining confidentiality when interacting with families, obtaining informed consent from patients with cognitive disorders, and managing ethical conflicts between patient safety and individual freedom. Additionally, a lack of specialized ethical training, the absence of clear protocols, and the pressure from the social stigma of patients were identified as key challenges. The ethical challenges faced by nurses in caring for patients with chronic mental illness require special attention from relevant organizations. Providing continuous education, developing ethical guidelines, and creating psychological and legal support can help mitigate these challenges. Further studies on practical, experience-based solutions to address these issues are recommended.
Alireza Zare, Mohammad Hossein Taklif, Alireza Javid, Zahra Amadeh, Negin Farid,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
As the global elderly population continues to rise, nursing care for this demographic faces increasing ethical challenges. The elderly are particularly vulnerable, requiring specialized care that addresses their physical, psychological, and social needs. However, these needs often present ethical dilemmas, including issues related to autonomy, informed consent, fairness in resource allocation, and managing conflicts between patients and their families. This systematic review aims to identify the ethical challenges nurses face in caring for elderly patients and to propose solutions that enhance the quality of care. A comprehensive search was conducted across several reputable databases, including PubMed, Scopus, CINAHL, and Google Scholar, using keywords such as "nursing ethics", "elderly", "ethical challenges", and "ethical care". Articles published between 2010 and 2023 in English and Persian were considered for inclusion. After an initial screening, 40 eligible articles were selected for final analysis, and thematic analysis was used to interpret the data. The findings reveal several key ethical challenges for nurses in elderly care, including respecting patient autonomy, navigating decision-making processes in cases of cognitive decline, ensuring confidentiality, and managing family pressures. Additional difficulties include resource shortages, high workload, and limited access to ethics training. Proposed solutions to address these challenges include continuous ethics education, the development of comprehensive ethics protocols, and the formation of interdisciplinary teams to facilitate more informed decision-making. Addressing ethical challenges in elderly care requires robust planning and action from health systems. By establishing clear ethical guidelines, promoting ongoing education, and fostering a supportive work environment, the quality of care for elderly patients can be significantly improved. Further research should evaluate the effectiveness of these strategies in mitigating ethical issues within nursing practice.
Nehleh Zarei-Fard, Sedigheh Ebrahimi,
Volume 17, Issue 1 (3-2024)
Abstract
Medical science and ethics form an integral part of medical curricula. Cadaver dissection is the preferred educational tool in the early stages of medical education which provides a suitable opportunity to sow the seeds of medical ethics in the minds of future physicians. This review study aimed to investigate unethical events in the history of dissection and subsequent ethical evolutions in human dissection to highlight the need to uphold the ethical values related to donor bodies in the dissection hall. To find and evaluate related documents, the articles published from 2005 to 2023 were searched in Scopus, PubMed, Google Scholar, and Research Gate databases using relevant keywords. The results indicated that in the past, cadaver dissection was performed on the bodies of executed criminals or through illegal methods, and until the early 1960s, the ethical principle of respect for autonomy was overlooked. However, from the 20th century onwards, the use of donated bodies with informed consent became prominent, allowing universities in the 21st century to utilize this resource for education, thereby providing an acceptable solution to fill the ethical gaps in dissection. Clarifying the ethical standards associated with the use of donated bodies is essential for medical students. The human body represents a valuable scientific resource that warrants respectful treatment following established ethical guidelines and laws. Adhering to the highest ethical standards within educational institutions is necessary to ensure donors feel confident in their decisions.
Mohsen Shahriari, Maryam Sadat Hashemi, Arash Najimi, Mohammad Zare Reshkoieh,
Volume 18, Issue 1 (3-2025)
Abstract
The fundamental nature of nursing care lies in maintaining patients’ human dignity. Protecting the dignity and high value of humanity is the focus of the nursing profession. This study aimed to compare the effectiveness of mobile application-based and webinar-based professional ethics education on maintaining patient dignity among nursing students. This was a quasi-experimental study with a two-group pretest-posttest design involving 90 undergraduate nursing students. One group received professional ethics education via webinars, while the other received training through a mobile application-based program. Data were collected using a demographic information form and a questionnaire assessing nursing students’ views on maintaining patient dignity. The findings showed that before training, the mean total scores for human dignity were 99.96 ± 17.43 in the webinar group and 99.59 ± 16.28 in the mobile application group, with no statistically significant difference (p=0.62). After training, the mean human dignity score was significantly higher in the mobile application group (111.15±14.69) than in the webinar group (104.34 ± 15.38), and this difference was statistically significant (p=0.02). The findings indicated that professional ethics education delivered via a mobile application was associated with a greater improvement in nursing students’ views on patient dignity compared to webinar-based education. Mobile-based education offers a self-directed, flexible learning method, enabling students to have continuous access to educational content without time or place restrictions. It is recommended that medical universities in Iran consider developing and integrating educational applications into their curricula.
