Showing 17 results for hashemi
Mohamad Rafiezadeh, Mahshad Noroozi, Akram Hashemi, Saeedeh Saeedi Tehrani,
Volume 0, Issue 0 (9-2025)
Abstract
Introduction
Physicians often hesitate to disclose their errors due to fears of legal repercussions and stigma. Understanding their attitudes toward error prevention and professional behavior is essential. This study aimed to evaluate the attitudes of interns at Iran University of Medical Sciences regarding the disclosure of medical errors.
Materials and Methods
This cross-sectional descriptive study included all interns who entered the university in 2017. Data were collected using the Persian version of the Medical Mistakes Survey questionnaire and analyzed with SPSS software version 26.
Findings
Among the 186 participants, 66% reported committing a medical error. Only 21% fully disclosed errors with no significant adverse effects, while 31% disclosed errors with severe consequences.
Conclusion
Most interns avoid fully disclosing errors, primarily due to fears of legal action and concerns about being underestimated by patients. Further studies are needed to enhance physicians' performance and patient safety.
Seyyed Mohmmad Javad Mortazavi, Mohmmadali Sajadi, Zahra Hashemi,
Volume 1, Issue 2 (8-2008)
Abstract
Zahra Hashemi, Mohammadjavad Mortazavi,
Volume 1, Issue 3 (9-2008)
Abstract
Fatemeh Hashemi,
Volume 1, Issue 4 (10-2008)
Abstract
Fatemeh Hashemi, Alireza Shool,
Volume 2, Issue 2 (5-2009)
Abstract
Nahid Khodakarami, Seddiqeh Seddiq, Sommayeh Hashemi, Mostafa Hamdieh, Robabeh Taheripanah,
Volume 2, Issue 3 (9-2009)
Abstract
Fatemeh Hashemi, Alireza Nikbakht Nasrabadi, Fariba Asghari ,
Volume 4, Issue 2 (4-2011)
Abstract
Reporting professional errors is an essential step towards improving patient safety not only in hospitals but also outpatient healthcare centers. Unfortunately, nurses, like many other members of the medical team, do not report most of their mistakes and errors in performance. The objective of this study was to assess possible determinants of the tendency to report nursing errors by exploring the experiences of clinical nurses and nursing managers in this regard.
In this qualitative study, 115 nurses employed by hospitals and specialty clinics of Tehran and Shiraz Universities of Medical Sciences were enrolled. Data were collected through 17 sessions of semi-structured discussion groups, and contents were examined and analyzed based on an empirical-analytic approach. The main patterns observed in this study included 1) nurses' overall perception of error, 2) obstacles in reporting nursing errors, 3) motives of reporting error. Reporting errors can provide valuable information for prevention of future errors and improvement of patient safety. Overall, considering the obstacles and motives of reporting nursing errors, there is need for codes and regulations in which the process of reporting error and the components of error are clearly determined and defined.
Ali Akbar Jafarey, Fatemeh Alian Aminabadi, Zahra Hossein Hashemi,
Volume 7, Issue 2 (7-2014)
Abstract
Ali Afzal Ghate’ Ghazvini was a renowned physician, scholar, and calligrapher of the Safavid era whose personality and efforts in the field of medicine have not been fully recognized thus far. Among his works, three medical treatises can be of use in researching the medicine of the Safavid era. The present article adopts a descriptive-analytic method to introduce one of these treatises, Favaed-al-Afzalieh, and present a survey of its content in addition to the author’s biography. The findings here are based on the three chapters of this medical classic, which indicates the encyclopedic nature of this treatise. Favaed-al-Afzalieh reveals details on a variety of practical medical issues prevalent in the Safavid era, and is considered outstanding due to the volume of all the medical information it contains. The present study discusses the standing of this treatise in the history of medicine along with a suggestion to revise and publish this valuable, comprehensive work and reintroduce it to the world of medicine.
Esmatsadat Hashemi, Maasoumeh Barkhordari-Sharifabad , Mohammad Mehdi Salaree,
Volume 13, Issue 0 (3-2020)
Abstract
Turnover and moral distress are considered as one of the challenges in health care systems. Nursing leaders are one of the factors influencing the thoughts and behaviors of nurses in organizational environments. The aim of this study was to determine the relationship between ethical leadership, moral distress and the turnover intention of nurses working in hospitals affiliated to Kerman University of Medical Sciences in 2019-2020. The research method was descriptive-correlation. A total of 130 participants were enrolled by stratified sampling method from 3 hospitals. Data were collected using demographic information questionnaires, Ethical Leadership in Nursing, moral distress, and turnover intention. Then data were analyzed using descriptive and inferential statistics by SPSS software version 16. The results showed that ethical leadership and all its components were at the desired level. Also, moral distress and intention to leave were moderate. There was a significant negative correlation between ethical leadership and all its dimensions with the turnover intention and moral distress. Also, there was a significant positive correlation between the variables of turnover intention and the moral distress. Therefore, considering the significant relationship between ethical leadership, moral distress, and the turnover, by adopting this type of leadership approach by nursing managers, moral distress and the turnover intention among nurses can be reduced.
Maryam Zahedi, Sedigheh Mohammadesmaeil, Mohsen Banihashemi, Mansour Sharifi,
Volume 13, Issue 0 (3-2020)
Abstract
Good and healthy communication between physician and patient is cornerstone of a complete medical care that has long been considered in sociology. From the classical point of view, the physician-patient relationship as a unique relationship encompasses a wide range of cultural and social influences. Electronic health record not only has facilitated the treatment and diagnosis process, but also has promoted the health care system by organizing patient records; however, it alters the physician-patient relationship process culturally and it will create new ethical challenges. Based on current findings and analyses Opinions of health experts about the cultural and communication dimensions of this technology, the electronic health record, despite its effectiveness, easy and convenient diagnosis, awareness of other physicians' diagnosis, earlier and better treatment, has cultural obstacles such as security, reduction of emotional and face-to-face actions, and fear of social stigma. Having a suitable cultural context and information and awareness can affect development of health technology. The results of this study, which have identified the role of culture on physician-patient relationships in context of using electronic health record, shows that building trust in patients and changing cultural conditions through education and improving system security can increase the efficiency of this system in health care processes.
Saeedeh Saeedi Tehrani, Fatemeh Bahmani, Mina Forouzandeh, Akram Hashemi,
Volume 14, Issue 0 (3-2021)
Abstract
From the beginning of the COVID-19 pandemic, researchers aspired to produce an effective vaccine with appropriate efficacy and low side effects to mitigate the pandemic. It seems that vaccination is the only mean to save the world from this pandemic. In this article, we will review the ethical challenges of mass vaccination (focusing on the vaccine distribution and uptake), referring to the main principles of bioethics. Safe and standard manufacturing and passing scientific and ethical stages, as well as evaluation of efficacy and safety monitoring, are the main considerations in the production of vaccines. Justice requires that vulnerable and high-risk individuals be vaccinated sooner. Public vaccination must therefore be ethically prioritized. Individuals may for some reason resist vaccination. For example due to, the confusion caused by mass media information, public’s distrust of the medical profession, the proposed relationship between vaccination and development of certain diseases, and finally low death rate due to covid 19 in some groups, especially young and healthy individuals. However, as the disease is highly contagious and if it spreads, the death rate and hospitalization due to the disease rises sharply, and the consequences of the disease mainly affect vulnerable people, in moral decision-making, the benefits and harms of the vaccine for each person should be considered against the benefits for and harms to the society. In addition, to respect the individuals’ autonomy, cultural modalities and persuasive programs shall be considered. This article is aimed to address the ethical issues of the COVID-19 vaccine rollout while proposing practical solutions to handle them.
Maasoumeh Barkhordari-Sharifabad, Seyedeh-Zahra Kaka-Tafti, Parnia Bastani, Farideh Mahmoudi-Hashemi,
Volume 15, Issue 1 (3-2022)
Abstract
Health care providers need moral sensitivity to provide effective ethical care Since spirituality is an integral part of morality, and spiritual intelligence is the basis of an individual's beliefs that affect his performance, this study was conducted to determine the role of spiritual intelligence in moral sensitivity of nursing students. This is a cross-sectional descriptive study that was conducted in 2021. The target population was nursing students studying in the first semester of 2021-2022 in Yazd, of which 153 people were selected by simple random sampling. In order to data gathering, questionnaire of King's spiritual intelligence and Lutzen's moral sensitivity was used. The validity and reliability of the instruments have been determined in previous research. Data were analyzed using descriptive statistics (mean and standard deviation, frequency distribution) and inferential statistics (Pearson correlation test and T test) by SPSS software version 16. Results indicated the mean of moral sensitivity (64.24 ±10.46) and the mean of spiritual intelligence of nursing students (53.90 ±34.13) were moderate. There was no statistically significant relationship between spiritual intelligence and moral sensitivity (P=0.245). Therefore, it is necessary to conduct studies to investigate the mediating factors that may affect these variables for a better and deeper understanding.
Mahshad Noroozi, Ehsan Shamsi Gooshki, Saeedeh Saeedi Tehrani, Fatemeh Bahmani, Mina Forouzandeh, Saeed Biroudian, Nazila Nikravan Fard, Mahshad Goharimehr, Akram Hashemi,
Volume 16, Issue 1 (3-2023)
Abstract
The research activities of developing countries have increased over the last two decades. The expansion and decentralization of ethics committees necessitates appropriate performance evaluation. In 2023, a cross-sectional study was carried out on the Iranian research ethics Committees using the checklist called "Research Ethics Committee Self-Assessment Tool". The checklist was translated into Persian and revised based on the opinions of research ethics experts and the approved “regulation of establishment, grading, and description of duties for research ethics committees”. The electronic checklist was sent to the senior members of 269 research ethics committees. After gathering the data, it was analyzed using SPSS software. The response rate was 83%. The average overall score was 152.11 ± 25.173, or 69.14% of the maximum. The two sections (including continuing review (monitoring) and committee resources received less than 50% of the average score. The 138 research ethics committee scores were excellent and 85 committees were in the good range. The findings revealed that average scores are influenced by activity years, the number of monthly meetings, the presence of an approved annual budget, an approved quality improvement program, and having specific administrative staff. Completing the self-evaluation tool can raise the National Committee authorities' awareness about the adherence of the research ethics committees to the imperative standards. It can also lead to each committee's awareness of its strengths and challenges. Revision of national regulations governing the establishment, grading, and description of committee duties and then future self-evaluation can facilitate upgrading and improving the performance of ethics committees.
Fatemeh Hekmatian, Akram Hashemi, Soodabeh Hoveida Manesh, Saeedeh Saeedi Tehrani,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Obtaining informed consent is a fundamental ethical and legal right of participants in clinical trials. It ensures that individuals are adequately informed about the research, including its nature, potential risks and benefits, and their role in the study. This knowledge empowers participants to make informed decisions about their involvement. This study aimed to evaluate the awareness of participants regarding the information provided in informed consent forms (ICFs) for clinical trials conducted at Iran University of Medical Sciences (IUMS) in 2020. This study evaluated the accuracy of the content of ICFs of registered clinical trials and assessed participants' understanding of the information presented. ICFs were reviewed using a ministerial checklist. Participants were subsequently contacted to assess their comprehension of key aspects of the trial as outlined in the ICF. Analysis revealed a discrepancy between the information presented in the ICFs and participants' actual understanding. Despite adequate coverage of certain aspects, such as the research nature of the interventions (98.2%) and the mention of specific benefits (92.7%), significant gaps were observed in participants' comprehension of crucial information. Notably, lower levels of understanding were observed regarding the possibility of invasive interventions (25.7%), the random assignment of participants to study groups and the potential use of placebos (44%), and the possibility of not personally benefiting from the research outcomes (44%). Additionally, only 47.7% of participants reported understanding the confidentiality of their information. These findings highlight the need for improvements in the process of obtaining informed consent. While researchers may adequately address the overall research objectives and potential benefits, crucial aspects such as the potential for invasiveness, randomization procedures, and the possibility of no direct personal benefit may not be adequately communicated to participants. Enhancing participant understanding of these critical aspects is crucial for ensuring truly informed consent and upholding ethical research practices.
Zahra Kazempour, Hasan Ashrafi-Rizi, Mohammadreza Hashemian,
Volume 17, Issue 1 (3-2024)
Abstract
The ethics of reviewing scientific works is a crucial aspect of research ethics in the field of health, where the outcomes significantly impact prevention, diagnosis, treatment, rehabilitation, and management, highlighting the importance of the quality of research results. Accordingly, this study aimed to develop a charter for the ethical peer review of scientific works in the field of health. The significance of this commentary lies in that researchers’ and reviewers’ adherence to ethical principles can contribute to enhancing the quality of scientific works aimed at prevention, diagnosis, treatment, rehabilitation, and management in the field of health. This charter can serve as a framework for scientific work review systems, assisting research managers in identifying the ethical components essential for reviewing scientific works in the field of health to develop effective research policies and plans. Moreover, it would help reviewers and practitioners at journals, research centers, and institutes, facilitating accurate, fair, and unbiased reviews of scientific works in the field of health.
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.
Zahra Aghabeiglooei, Jamal Rezaei Orimi, Seyed Mohammad Hashemimehr, Roshanak Saghebi, Morteza Mojahedi, Seyyed Amir Hosein Latifi, Mehdi Salehi, Seyed Abdollah Mahmood,
Volume 18, Issue 1 (3-2025)
Abstract
Evaluating and analyzing scientific productions play a crucial role in enhancing the quality of research and effectively managing research resources. This study aimed to quantitatively assess the content of theses in the field of the history of medical sciences in Iranian universities from 2013 to 2022. This applied study was conducted using the quantitative content analysis method. The findings revealed that the highest number of theses were completed in 2022 (19.2%), with topics related to traditional medicine and traditional pharmacy being the most prevalent. Descriptive and descriptive-analytical studies were the most common research methods. Moreover, the most frequent keywords included “Medical History”, “Traditional Medicine”, and “Iranian Medicine” and their Persian equivalents. Regarding historical periods, the Islamic period (from the emergence of Islam to the early Safavid era) accounted for the highest number of theses, while the contemporary period had the lowest. The results indicated a research focus on traditional medicine and the Islamic period, highlighting the need for further exploration of other historical periods and the use of qualitative methods to deepen understanding of historical complexities.
