Morteza Khaghanizadeh, Hasn Maleki, Mahmood Abbasi, Abbas Abbasi Pour, Mahdi Mesri,
Volume 5, Issue 2 (4-2012)
Abstract
Medical ethics is an interdisciplinary knowledge which increasingly developed during the last 30 years, and nowadays it becomes a part of medical student’s curriculum. Although, the quality of medical education has improved in Iran, but medical ethics teaching has not accomplished effective alteration yet. For deeper and more actual recognition of the challenges of medical ethics curriculum, we interviewed medical ethics instructors in a qualitative study. The data was collected by semi-structured interview with fourteen medical ethics instructors of Tehran University of Medical Sciences in 1389 and analyzed by Mairing content analyzing approach. Results of this study shows weaknesses and challenges in medical ethics curriculum which presented under five themes: comprehensiveness of goals, composing organization, proportion of content, active teaching method, and comprehensive system of evaluation. According to this the existing weaknesses and challenges of medical ethics curriculum can be considered as important obstacles in moral development of students. Considering those challenges, can develop medical ethics curriculum and introduce new models for medical ethics teaching.
Aliakbar Koohi, Morteza Khaghanizade, Abbas Ebadi,
Volume 9, Issue 1 (5-2016)
Abstract
As a result of the changes made in health care systems, nurses nowadays are faced with more complicated ethical dilemmas. Therefore, they need to be familiar with ethical decision-making procedures and have the ability to perform ethical reasoning. The present study aimed to evaluate this ability in nurses and investigate its relationship with demographic characteristics in a subspecialized hospital in Tehran during 2015. This was a descriptive-analytical study, and the research population consisted of 245 qualified nurses selected by census. A demographic questionnaire and Crisham’s Nursing Dilemma Test were used to collect the data. Descriptive-analytical tests and SPSS software version 22 were used for data analysis. Based on the, the mean value of the nurses’ ethical reasoning was 40.81 ± 6.72, which is lower than the average score of the test. Furthermore, increased work experience led to a reduction in the mean value of ethical reasoning (P ≤ 0.05). Overall, single subjects scored higher in the mean ethical reasoning than those who were married (P ≤ 0.05), but no significant relationship was observed between other demographic characteristics and the mean of ethical reasoning. Due to the nurses’ low ability to perform ethical reasoning, further studies will need to be conducted on proper training methods to promote ethical decision-making in nurses. As regards the reduced ethical reasoning ability in nurses with more work experience, it is necessary to identify the reasons and devise appropriate solutions with the help of nursing managers and hospital ethics committees.
Hamid Khajevandi, Abbas Ebadi, Akbar Aghaiani Chavoshi, Morteza Khaghanizade,
Volume 13, Issue 0 (3-2020)
Abstract
Moral courage is the ability to overcome fear and performing the right action based on moral beliefs despite the potential danger. Nurses, as moral agents, need moral courage to properly manage moral problems and make a professional commitment to patients. Therefore, the above study was conducted to investigate the moral courage of nurses and related factors. In this descriptive cross-sectional study conducted in 2019, the research population was all nurses working in Baqiyatallah Hospital. After explaining the objectives of the study and obtaining the consent of the research, 220 nurses were selected as available samples. The data collection tool was Sadooghiasl questionnaire. After completing the questionnaire, they completed 187 sample questionnaires. SPSS software was used to analyze the data. The results of the study showed that the mean score of nurses' moral courage was 413.37 with a standard deviation of 46.70. Thirty percent had moderate moral courage and 69.5% had high moral courage. The results of the independent T-test and ANOVA showed that there is a statistically significant relationship between the variable employment status and the moral courage of nurses. Considering the results of this study and the many ethical challenges that exist in the nursing profession, the issue of moral courage and related factors and providing solutions to improve it, should be at the forefront of the health organization and nursing managers.
