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Sedigheh Ebrahimi, Zahra Hemmati,
Volume 12, Issue 0 (3-2019)
Abstract

Medical error is one of the most important ethical and legal issues that sometimes occur when a variety of health care practices are provided by healthcare professionals. Due to the necessity of medical error disclosure and lack of adequate personal and organizational support in this field, this study investigates strategies for facilitating error disclosure as well as increasing the variety of supportive measures from the perspective of residents. This was a descriptive cross-sectional study with statistical population including all residents of Shiraz University of Medical Sciences. The sample size was obtained using Morgan table as 248 participants. Data were collected using a researcher-made questionnaire (with descriptive and valid reliability) and analyzed by SPSS software using descriptive and inferential statistics. In this study, increasing support facilities for medical error disclosure (mean 4.38) was the most important factor, and increasing the lawfulness and transparency of activities in the medical setting (mean 4.32) was the second factor affecting the promotion of medical error disclosure. Also, medical liability insurance (mean 4.80) was the most important supportive measure. The fear of legal and judicial consequences was reported as the most effective factors on the error concealment and having experienced lawyers and cultivation effects of mass media declared as the way out. In the present study, although most residents agreed with medical error disclosure, but due to the wide range of risk management problems that affect error disclosure, they found it necessary to establish a support system. Given the teamwork in health-care delivery, support should be given to all members of the treatment team.

Farshid Shamsaei, Marzieh Jahani Sayad Noveiri, Naser Mohammadgholimezerji, Shirin Ranjbar, Mehdi Khazaei, Zahra Maghsoudi,
Volume 13, Issue 0 (3-2020)
Abstract

Undesirable experience as “moral distress” is one of the major issues faced by nurses when making moral decisions. The spiritual dimension is one of the dimensions that influences their moral distress; therefore, this study was conducted with the aim of determining the relationship between spiritual health and the moral distress of nurses working in the emergency departments. In this descriptive-analytic study, 140 nurses working in the emergency departments of the educational and medical centers of Hamedan participated by census sampling. Data were collected through a three-part questionnaire, including demographic information, Paloutzian and Ellison spiritual health questionnaires and Corly moral distress questionnaire. The data was analyzed by Chi-square test and Pearson correlation coefficients using SPSS software, version 16. The mean age of participants was 31.9 ± 7.31 years. The spiritual health score and moral distress of most nurses were moderate. A negative and significant correlation was observed between spiritual health and the severity of nurses' moral distress, (r = -0.200, p = 0.05), meaning that the higher the nurse's spiritual health score, the lower their moral distress. The results indicate that spiritual health is an effective parameter in reducing moral distress in nurses, so it is suggested to pay attention to spiritual’s dimension in promotion of nurses' health.

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.

Mehri Doosti Irani, Batool Alidoost, Leila Rafiee Vardanjani, Zahra Tayebi, Kobra Noorian,
Volume 13, Issue 0 (3-2020)
Abstract

Hospitalization in Intensive Care Units (ICUs) is a very stressful experience for the patient and family and their separation has not been confirmed in any of the studies. At present, ICU visiting is limited that makes several challenges. Therefore, this descriptive-exploratory study, aimed to explore strategies for overcoming the challenges of visiting  This was a descriptive-exploratory qualitative study conducted through in-depth semi-structured interviews with 35 participants in educational hospitals of Shahrekord University of Medical Sciences including 6 patients, 9 patients' family members or friends, and 20 nurses during 2018. Interviews were continued until data saturation and then data analysis was performed using inductive thematic analysis approach.  Participants stated two main themes for stepping out of visiting-related Challenges. (1) "Reducing the Need to Meet" through "Education about visiting rules", "Improving the Environment" and "Family Interaction" and (2) "Modified Meetings" through "Upgrading the Meeting Behind the windows", "using permanent monitor" and "flexible meeting". The ICU visits in Shahrekord hospitals, are limited like in other parts of the country. However, it is hoped that implementation of the extracted strategies in ICUs will solve many of visiting-related issues and eliminate the conflicting experience of patients, peers, and staff.

Omid Asemani, Zahra Javadi, Seddigheh Ebrahimi,
Volume 13, Issue 0 (3-2020)
Abstract

Regarding how to make decisions on the revelation of medical errors done by colleagues, investigation of physicians' points of view particularly those in educational settings could help the improvement of circumstances to which we encounter medical errors and thus respecting patient's rights. This cross-sectional descriptive study was conducted through a researcher-made questionnaire after performing face and content validaty and determination of internal and external reliability. The viewpoint of 40 attending physicians and 112 medical residents from different specialties about their inclination to disclose errors, the results of disclosure, the factors influencing on nondisclosure, and the factors decreasing medical errors were asked. Data were analyzed using SPSS v.21. Mean scores of 15.2±1.3 for attending and 12.56±2.05 for residents regarding the dimension of "inclination to disclose others' medical error"; and mean scores of 7.55±0.677 for attending and 9.09±2.01 for residents in terms of "inclination to NOT disclose" were differed significantly (p<0.001). Participants declared the head of medical department/ward as the best authority for managing and dealing with medical errors as the best approach for disclosure of the errors through attendance of the senior physician accompanied by the physician who has made the error. Urban general physicians, nurses, and first-year residents were reported with the most frequency of the errors. The data can be used for the promotion of the patient's rights and the perspective of the medical team when encountering errors done by a colleague, rightfully, and protectively. Building cultural, legal, and social contexts will be the mission of the educational-medical settings aimed at making possible a scientific and skillful error disclosure.


Zahra Amiri, Tahereh Azimzadeh Tehrani, Yosef Motevali Haqiqi,
Volume 13, Issue 0 (3-2020)
Abstract

Plague is a bacterial infection that is transmitted to other animals and humans through rodents and their infected fleas and is a common disease between humans and animals. This disease has a long history in Iran. The spread of this disease is very wide and almost all parts of Iran have experienced it, however, data on how it occurs in the country is very limited. A plague occurred in Iran in 1246 and 1247 AH, which resulted in huge casualties. In this research, using library resources and documents and in a descriptive-analytical method, the cities affected by this disease and ways and the causes of its transmission have been studied. The result of the research revealed that except for a few other provinces, all Iran and even the holy shrines were involved with it. Simultaneous outbreak of other chronic diseases, outbreak of dangerous type of pulmonary plague, neglect of quarantine and escape to other areas have been the most important factors in the prevalence of this disease.


Zahra Shafiei, Kobra Norian, Leila Rafiee Vardanjani,
Volume 13, Issue 0 (3-2020)
Abstract

Ethical climate is an important part of organizational culture which affects all aspects of individual characteristics and its improvement in health care centers causes better response of nurses to moral stress and ultimately promotes the quality of medical services. The aim of this study was to determine the nurses' perception of the ethical climate governing in clinical environment in the teaching hospitals of Shahrekord University of Medical Sciences in 2018. This study was a descriptive-correlational study performed on 300 nurses by purposive sampling method. Two questionnaires used for data collection included demographic information and Olson ethical climate questionnaire. Data analysis was performed using linear regression and mean (SD) tests and by SPSS version 20. The results of the study showed that the overall score of moral climate in the participants was 3.79 ± 0.67. The highest and lowest ethical climate scores in this study were related to the dimension of nursing managers (3.86± 0.74) and physicians (3.58 ± 0.79), respectively. Also, a significant relationship was observed between variables such as years of experience and age with the dimensions of the ethical climate (p<0.05). According to the score of ethical climate obtained in this study, which is less than some studies conducted in this field in Iran. Considering the importance of the ethical climate and the consequences of defects in this issue, it is necessary for hospital managers to make appropriate plans to set up a favorable ethical climate on clinical environment in their most important priorities.

Jila Sadighi, Nazila Nikravan Fard, Zahra Hatami, Ehsan Shamsi Gooshki,
Volume 13, Issue 0 (3-2020)
Abstract

More than two decades have passed since the establishment of research ethics committees in Iran. With many years of experience of research ethics committees, Iran Ministry of Health and Medical Education revised previous regulations and developed “Regulation on the Establishment, Leveling, and Duties of the Biomedical Research Ethics Committees”. Following publish and notification of “Regulation on the Establishment, Leveling, and Duties of the Biomedical Research Ethics Committees” in 2014, research ethics committees formed in national, academic, and organizational levels. In this regard, due to cooperation of the Iran Ministry of Health and Medical Education with the Iran Ministry of Science, Research and Technology, “the single article of the Act for Prevention and Combating Fraud in Scientific Publications” was approved in the Parliament of Iran in 2017; its executive bylaw was notified for implementation by the Cabinet of Ministers in 2019 and accordingly research ethics committees found a legal status in Iran. For promotion and update of the mentioned regulation and adaption to the Act, the secretariat of the national ethics committee proposed revised version of the regulation after obtaining opinions of stakeholders and several expert meetings. Then the new regulation entitled “Regulation on the Establishment, Procedures, and Duties of the Research Ethics Committees” was approved by the Iran National Committee for Ethics in Biomedical Research and the High Council of Medical Ethics of Iran in 2021. Structure of the committees in the new regulation includes “the National Committee for Ethics in Biomedical Research”, “Regional Research Ethics Committee”, “Institutional Research Ethics Committee”, “Biomedical Research Ethics Committee”, and “Specialized Committee”. This article introduces this new regulation. 

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.

Zahra Sadeqi-Arani,
Volume 14, Issue 0 (3-2021)
Abstract

Since the release of COVID-19 epidemic in late December 2020, recommendations issued for personal protection by the World Health Organization and National Health Organizations around the world. The most prominent of which has the use of masks to prevent the spread of the virus. Despite the importance of this solution, many people still resist using the mask. Therefore, this study, by emphasizing the effect of individual beliefs and norms on consumer behavior, predicts the rate of wearing of mask by people with 4 factors: systemic thinking, individual-social responsibility, moral obligations and individualism. The statistical population of this research consists of citizens of Kashan city. A questionnaire has been used to collect data. The results of the mean tests indicate that women use masks more than men. Also, with increasing age and education, the use of masks has increased. The results of regression analysis test show that 4 predictors had predictive power. The rate of mask use has a positive and significant relationship with the variables of systems thinking, individual-social responsibility, moral obligations and a negative and significant relationship with individualism. Also, moral obligations (β=0.694; p-value<0.05) and systemic thinking (β=0.107; p-value<0.1) had the most and least effect on the criterion variable (mask wearing), respectively. According to the findings of this study, it seems necessary to create and develop a systemic thinking, pay attention to individual and social responsibilities, strengthen moral obligations and avoid individualism in relation to desirable collective behaviors to manage a pandemic crisis. As a result, implementing strategies to enhance these individual characteristics can help can help to strengthen and form desirable collective behaviors such as wearing a mask in the time of COVID-19.

Mohammad Mirzaei, Behzad Joudaki, Zahra Bazouband, Ehsan Shariati Fard,
Volume 14, Issue 0 (3-2021)
Abstract

The emerging and pervasive disease of COVID 19 (coronavirus disease), which has gone from an epidemic to a global pandemic, has created many challenges for the international community. Since this disease has certain characteristics such as the unknown and complexity of its origin, high extent and speed of its spread and transmission, high mutability, lack of definitive treatment so far for it, existence of incubation period and latency of the disease and many other features, it requires a comprehensive study and development of a comprehensive plan in all dimensions to be controlled and managed. Due to the high rate of transmission of this disease and lack of care by carriers and patients, COVID-19 has increased exponentially, and on the other hand, the long duration of the disease has caused people to neglect following health protocols, which itself causes other people to get sick. And while imposing a legal and moral burden in non-compliance with the rights of society, it threatens people’s security, physical and mental health. On the other hand, one of the goals of the jurisprudential rules and customary laws is to protect the life and health of individuals. The requirements and guarantees of the supervision of care and prevention against COVID-19 and the responsibility imposed on people who do not comply with health protocols will be the subject of this article. Accordingly, people who do not consider the minimum health standards against this virus have a responsibility if they are carriers, and if negligence or fault and attribution of harm or damage to other people is confirmed, they should be able to compensate the damage while being punished. There will also punishments if people are aware of being a carrier.

Zahra Abbasi, Naima Seyedfatemi, Marjan Mardaani, Malihe Kadivar,
Volume 14, Issue 0 (3-2021)
Abstract

This article has no abstract.
Fezzeh Salimi, Mohammad Bagher Parsapour, Zahra Nikkhah Farkhani,
Volume 15, Issue 1 (3-2022)
Abstract

 Corona is a global crisis that has affected government systems. The transition from crisis to crisis requires prudent measures. Governance is a continuous process through which conflicting interests are harmonized and cooperative actions are taken. The latest theory in this concept is good governance, which is doubly important in times of crisis. Good governance is the product of the favorable participation of the three institutions of government, civil society and the private sector. The components of good governance are numerous from the perspective of the World Bank, the United Nations, and thinkers in this field. The National Anti-Corona Headquarters was established by the order of the Supreme Leader and based on the approval of the Supreme National Security Council in March 2020 to take appropriate decisions regarding the treatment of Covid-19 disease, including announcing closures and other restrictive measures in case of violation of health instructions. In this research, with a descriptive-analytical method, an attempt has been made to explain the components of good governance in this period according to the unique legislative approvals in this field, while determining the competence of the mentioned headquarters in regulating. From the authors' point of view, the approvals of the Corona National Headquarters as one of the sub-councils of the Supreme National Security Council are beyond the ordinary law and among the existing components; Efficiency and effectiveness, transparency and accountability and pivotal consensus were recognized.

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.

Maasoumeh Mangeli, Zahra Rezahosseini, Hossein Sabzaliani,
Volume 15, Issue 1 (3-2022)
Abstract

Providing nursing care based on ethical values ​​requires nurses to have ethical sensitivity. Determining the factors related to moral sensitivity can help to identify strategies to promote this ability. The aim of this study was to investigate the relationship between nurses' ethical sensitivity and work environment index. This descriptive-correlational study was performed in the presence of 135 nurses of Vali-e-Asr Hospital in Shahr-e-Babak (Kerman province) in 2021. Samples were selected by consensus method. Lutzen Ethical Sensitivity Questionnaire and Work Environment Index Questionnaire were used to data collection. Data analysis was performed by determining the Pearson correlation coefficient and regression test using SPSS26. T-test and ANOVA were also used to examine the difference in mean scores based on demographic and occupational variables. Findings showed that the status of ethical sensitivity and work environment index of nurses participating in this study is at a moderate level and there is a significant correlation between nurses' ethical sensitivity and work environment index (P=0/049 R=0/212). Also, the mean score of work environment index showed a significant difference based on the variables of position (P=0/008) and shift work (P = 0/012). The existence of a significant relationship between nurses' ethical sensitivity and their work environment index confirms the importance of the work environment and its related consequences. According to the results of the present study, by optimizing the working environment of nurses, we can expect their ethical sensitivity to improve.

Zahra Kheiry, Iraj Nabipour, Neda Mehrdad, Abtin Heidarzadeh, Afshin Ostovar,
Volume 16, Issue 0 (ویژه نامه کاربست طرح های دو گروه اخلاق و آموزش پزشکی 2023)
Abstract

At first, education was the university’s only goal; nevertheless, scientific progress in the twentieth century added research to the universities’ missions. The industry sector’s knowledge-based technologies added a third mission to universities and brought the university into new fields. The fourth-generation universities provided a more comprehensive view by considering the four elements including university, industry, government, and civil society and the next generation (the fifth generation) of universities also considered the environment in addition to these four elements. The present study examined the optimal conditions and requirements for new-generation medical universities (third- to fifth-generation universities). This review study extracted 187 scientific documents from domestic and foreign databases and after screening, 56 documents were selected for the study. Finally, the propositions relevant to the objective of the study were extracted and categorized using content analysis. This study identified 17 optimal conditions for transitioning to new-generation universities. Moreover, 41 requirements were extracted and listed for achieving these conditions, each under its corresponding condition. New-generation universities are known as borderless and accountable universities. Thus, the communication and exchange of knowledge, capital, and value with institutions outside the university at the local, national, and international levels as well as accountability to the needs created at these levels are the main principles of new-generation universities. Given the unique structure of the Iranian health system and the infrastructure for communicating with society, by fulfilling other requirements, this structure can facilitate the transition to new-generation medical universities.

Ata Pourabbasi, Zahra Hoseini Tavassol, Bagher Larijani,
Volume 16, Issue 0 (ویژه نامه کاربست طرح های دو گروه اخلاق و آموزش پزشکی 2023)
Abstract

The higher health education system in the Islamic Republic of Iran is an integrated system with multiple stakeholders responsible for training human resources in the health sector at different levels. The Academy of Medical Sciences of the Islamic Republic of Iran is one of the effective institutional factors in this system. This study aimed to explain the position of the Academy of Medical Sciences in the country’s medical sciences education system and outline its major directions in this field. In this study, the knowledge-to-action framework was implemented in four steps. Effective institutional factors in system development were explained, and the role of the various stakeholders of the country’s medical sciences education system was compared with them. Then, the functions of the academy as a main beneficiary based on the degree of connection with the stages of the knowledge-to-action framework were weighted, and finally, these functions were classified into different categories. According to this model, although the academy plays a role in many stages of the development of the country’s medical sciences education system, it primarily functions as a think tank and observatory and to a lesser extent as a knowledge implementation unit. The model presented in this study will help the trustees of the Academy of Medical Sciences to play the largest and most effective role in the development of the country’s medical sciences education system, with optimal resource management and principled development of human capacities, thereby laying the groundwork for the improvement of the integrated health system.
 

Leila Jouybari, Zahra Talebi, Akram Sanagoo,
Volume 16, Issue 1 (3-2023)
Abstract

This Article has no Abstract .
Maryam Sina, Zahra Keshtkaran, Zinat Mohebbi, Naeimehossadat Asmarian,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract

Nurses, as the largest healthcare provider group, play a crucial role in patient care and treatment teams. To provide professional and appropriate care, nursing students must possess both clinical and moral competencies. Moral sensitivity, defined as the ability to recognize and understand moral situations, is paramount. It fosters trust and responsiveness to individual patient needs while equipping nurses to navigate ethical challenges within clinical settings. This study aimed to assess the moral sensitivity of nursing students and investigate its relationship with demographic characteristics. This descriptive-cross-sectional study involved 112 third- and fourth-year nursing students. Data were collected using demographic questionnaires and Lutzen's moral sensitivity scale. Data analysis was performed using SPSS version 23, employing descriptive and analytical statistical tests. The highest mean score for moral sensitivity was observed in the area of "honesty in decision-making" (14.71 ± 6.25), while the lowest mean was found in the area of "professional knowledge" (3.70 ± 2.12). The overall mean score for moral sensitivity was 15.87 ± 8.54, indicating a moderate level. Analysis of the relationship between demographic variables, including age, GPA, gender, marital status, living situation, current semester, family financial status, and parental education, revealed a significant positive correlation between moral sensitivity and family economic status only in the area of "experience with moral issues" (P=0.046). The findings of this study underscore the critical need for the development and implementation of structured programs designed to enhance the moral sensitivity of nursing students. Furthermore, this study highlights the importance of considering influential social factors, such as economic conditions, in fostering moral experiences and strengthening ethical sensitivity.

Mina Gaeeni, Hamid Asayesh, Ahmad Parizad, Zahra Abedini,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract

Clinical education constitutes the cornerstone of nursing education. Enhancing students' theoretical and practical knowledge within the psychiatric department is crucial for improving their attitudes, acceptance, and delivery of care. The outcomes of effective clinical learning encompass the development and refinement of professional competencies, including communication and professional ethics, the cultivation of critical thinking for clinical judgment and decision-making, the enhancement of ethical sensitivity, and the fostering of effective team and group performance. Recognizing the significance of these factors, this study aimed to "explain the experiences of nursing students based on narrative writing-reflection during their first encounter with psychiatric clients." This qualitative study was conducted during the psychiatric nursing internship at the Faculty of Nursing, Qom University of Medical Sciences, over two consecutive semesters. Purposive sampling was employed, and data were collected through 10 semi-structured individual interviews and 2 face-to-face and virtual focus groups (n=5 per group). Data collection continued until data saturation was reached. Data analysis was conducted using a qualitative content analysis approach with the assistance of MAXQDA20 software. The clinical experiences of students during their initial psychiatric nursing training course, as reflected in their narrative writing-reflections, revealed a primary theme: "encouraging ethical and spiritual communication in nursing." This overarching theme encompassed four sub-themes: "enhancing empathetic communication," "enhancing ethical sensitivity," "respecting the dignity of clients," and "listening to the voice of clients' feelings." The experiences gained through the reflective method within the clinical education setting, particularly in specialized clinical environments such as psychiatric wards and during initial encounters with clients in these departments, can provide valuable insights into students' attitudes and perspectives towards these clients and their families. These rich experiences can be effectively utilized to cultivate and strengthen communication and professional ethics among medical science students.


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