Showing 13 results for Responsibility
Nahid Dehghan Nayyeri, Reza Negarandeh, Khadijeh Yazdi,
Volume 4, Issue 4 (7-2011)
Abstract
With the development of professionalism in modern-day nursing, concepts such as accountability and civil responsibility have found a special place in nursing, since responsibility is an intrinsic part of this profession. Accountability typically brings civil responsibility, which means an individual can be held legally responsible for injury they have caused to another person. Due to the autonomy that nurses enjoy in their practice, they have legal responsibilities, which in turn expose them to complaints and lawsuits on grounds of negligence more often than in the past. The objective of this paper was to familiarize nurses with the concept of civil responsibility, and to help them prevent the damages arising from it, as well as to ensure patients’ safety and rights.
This was an analytical study that examined the concept of nurses’ civil responsibility based on books and articles on the subject. The study will first explicate the general definition of civil responsibility, and then proceed to explain its application to the nursing profession, and the more common stages of litigation, prosecution and defense.
The nursing profession today can benefit from a modern outlook on civil responsibility and nursing errors in order to improve teaching methods in providing better patient care and reduce errors. This can eventually enhance the quality of care, and lead to a decrease in nurses’ civil responsibilities and prevention of a waste of public resources.
Mohammad Amin Bahrami, Maryam Asami, Azadeh Fatehpanah, Arefeh Dehghani Tafti, Gholamreza Ahmadi Tehrani,
Volume 5, Issue 6 (12-2012)
Abstract
Moral intelligence is the capacity of understanding right from wrong, choosing what's right and then behaving morally. This research was aimed to determine the moral intelligence status of the faculty and staff of the Shahid Sadoughi University of Medical Sciences.This descriptive/analytical research was done through cross-sectional method in 2011. Research population was comprised of the faculty and staff of public health and paramedical schools of Shahid Sadoughi University of Medical Sciences. Sample size was 100 people who were obtained by using stratified-random sampling method. Required data was gathered by a Lennick and Kiel valid questionnaire. Data analysis was done through the SPSS16 software.Research findings indicated that both faculty and staff have "very good" status in integrity, forgiveness and responsibility. Also, faculty members and staff have "very good" and "good" status in compassion respectively. The status of moral intelligence in faculty members and staff is "very good". There is a statistical meaningful relationship between age and moral intelligence status (P=0.04) but there is no relationship between other demographic variables and emotional intelligence.Moral intelligence status of faculty and staff can help the university to conduct its role in moral development of students effectively.
Behzad Joodaki, Abolfath Khaleghi,
Volume 5, Issue 6 (12-2012)
Abstract
One of the important issues in the field of medical ethics is the patient's consent to treatment. This issue has also been addressed in the law, and Islamic legislators have clarified the conditions of gaining patient's consent and approached questions such as legitimacy of treatments or surgical operations, capacity of the person giving consent and so on. In medical ethics, there are different types of consent including expressed, implied and informed consent, while the Islamic Criminal Act concerns itself only with the expression of consent and it is unclear which type of consent the legislators are referring to. The importance of this issue lies in the fact that gaining the patient's consent without meeting the specified legal conditions causes liability for the physician. This article attempts to clarify the legal conditions for gaining patient's consent and at the same time answer questions such as whether the consent mentioned in the Islamic Criminal Act includes various types in medical ethics or not, how failure to meet the legal conditions for gaining consent should be penalized, what the liabilities are in the event that the patient's consent is not gained, and other questions related to the issue
Seyyed Mahdi Salehi, Fatemeh Faramarzi Razini , Nazafarin Ghasemzadeh,
Volume 6, Issue 3 (8-2013)
Abstract
Presumption of innocence is one of the fundamental principles of criminal law that has its roots in moral and religious principles. Presumption of innocence is consistent with human nature, and special attention has been paid to it in Islam. For this reason it has been included in our constitutional law as well as in the constitutions and ordinary laws of other nations, and this indicates its significance. In Shiite jurisprudence there are two major theories on the responsibility of physicians as “daman al-tabib”. Most jurists (famous) consider the physician responsible even if he or she has committed no fault. Only a minority of jurists (less-known) consider the physician to have no responsibility. Islamic criminal law believes the physician to have absolute liability, although medical practices have become more sensitive than in the past and medical incidents have increased as a result of new technology and new methods of treatment. The present study intends to adopt a new approach to rules and principles of jurisprudence, and study the necessity of using them according to the requirements of time in solving everyday problems. Moreover, the study seeks ways to prevent the regression of those rules. Therefore, it seems essential that the golden principle of presumption of innocence be applied to physicians as the manifestation of God's healing, and more attention be paid to it.
Nazafarin Ghasemzadeh, Fatemeh Faramarzi Razini, Salman Alipour Ghoshchi, Seyed Mehdi Salehi,
Volume 7, Issue 4 (11-2014)
Abstract
Recent provisions to the Islamic Penal Code have provided favorable regulations that absolve the skilled physician from absolute liability and adjust liability according to fault. The revised code adopts a new approach by allowing physicians more freedom while providing added protection, which is consistent with ethical standards and Jurisprudential principles. The present paper aimed to investigate the development process of statutory laws in Iran regarding medical liability and at the same time analyze articles of the Islamic Penal Code of 2013 on the subject. Some articles have been found to contain ambiguities that need to be modified. As an instance there seems to be a conflict between Article 492 and Clause 1 of Article 496 that should be resolved as it pertains to a case of the cause and the perpetrator (physician and nurse). In these situations the doctor orders and the nurse acts, and it is therefore necessary and proper that physicians not be absolved from liability.
Azam Mahmoodi, Lotfali Khani, Mozaffar Ghaffari,
Volume 9, Issue 5 (1-2017)
Abstract
The cultural competence, responsibility and ethical beliefs are influential factors in providing quality services by nurses and pay an important role in patient's right. The purpose of this research was to illustarte a predictive model of patient's right based on cultural competence, responsibility and ethical beliefs. The research method was correlational study conducted in 2016 among 300 nurses in west Azerbaijan in 2016, selected by multistage cluster sampling. For gathering the data, the Perng and Watson’s nurses’ cultural competence questionnaire, and the Mergler and Shield responsibility questionnaire as well as the Mahmoudi and et al questionnaire on ethical beliefs and Scale rights of patients were used. The data were analyzed by using Pearson correlational coefficient and bootstrap through SPSS software and amos-22. The results indicated that the model was fitted and has direct effect in cultural competence (0.11), responsibility (0.57) and ethical beliefs (0.24) on nurse’s attitude with the rights of patients were significant. The indirect effects of cultural competence (0.03) and responsibility (0/03) with mediating of forming the model of ethical beliefs were significant. In conclusion, %65 of the variance in nurses’ attitudes to the patients' rights was determined by the variables of this research model. Due to the direct and indirect effects of cultural competence, responsibility and ethical beliefs on the attitudes of nurses towards patients' rights, it is important to increase cultural competence relationship and responsibility with nurses’ attitudes towards patient’s rights by focusing on ethical beliefs.
Seyed Abdarahim Hosseini, Mohamad J. Sadeghpour, Naghi Aghazadeh,
Volume 9, Issue 5 (1-2017)
Abstract
Since the beginning of the Imamia school of thought, Imamia scholars paid a great attention to issue of physicians’ responsibility. With a long-lasting debate on this issue, in most cases they have confirmed physician’s responsibility in medical error. However, in terms of a skilled medical doctor who treats the patient with no medical error but harm occurs, there is no consensus. Some scholars have said that if the physician had the patient’s (or family) consent for the treatment, then the physician is not guilty. In the contrary, some scholars believe that the physician still should bear the responsibility.This paper aims to examine the Islamic Pinal Code (no. 495) by relying on changing trajectory Imamia jurisprudence in exchange for claimed physicians’ responsibility. The legislators in Article 495 of the Islamic Penal Code (Act. 92), seems to take into account both mentioned perspectives and try to choose a middle way. However, in practice, this has caused confusion.
Mahmoud Motavassel Arani, Mohammad Hassan Alamolhoda, Nikzad Easazade, Gholamreza Noormohammadi,
Volume 10, Issue 0 (3-2017)
Abstract
Modern medical ethics, in particular the principle of Non-Maleficent, advises the medical staff to avoid any harm to the patient. Islamic jurists, using religious texts and sources, have introduced rules that are applicable in many areas of life. Among these rules, is the rule Non-Harm, that in this article to review this rule and its applications in medicine. In addition to discussions of the documents, a better understanding of the words "Darar" and "Dirar" and deny or forbid the word "La" at the beginning of the base document, is one of the major issues and disputes. Organ transplants, family planning and birth control, responsibility to protect the health, need to see a doctor for treatment, civil responsibility for doctors in the treatment, responsibility for custodians of society for the control of AIDS, are the problems affecting today's health systems that the rule of No Harm is flowing in them.
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
Alireza Moshirahmadi, Abdoreza Javan Jafari, Aria Hejazi, Hesam Ghapanchi,
Volume 13, Issue 0 (3-2020)
Abstract
The possibility of mistakes, negligence, injuries and damages in medical activities could give rise to a civil or criminal case. In such cases, resorting to experts’ opinion is necessary. Forensic medicine organization has important role in such cases. Therefore, understanding of the criteria used by experts of this organization is important and could give rise to awareness of doctors and reduce their professional failures. This is a practical research with a descriptive and analytical method and its necessary information are collected by documentary studies. This investigation shows that medics normally try to have correct medical diagnosis and select appropriate process, and treat patients through reasonable methods to reduce their suffering and pains. It is possible that medics make a mistake in their diagnosis and treatment. Although the result of medical treatment are not guaranteed always, they have to do their treatment and operation according to reasonable and scientific standards and any recklessness and negligence causes criminal or civil responsibility. Reflection on the medical cases shows that the reasons of medic’s conviction can be divided into two categories including pre-treatment and post-treatment factors. Pre- treatment indices contain errors related to diagnosis or choice of treatment.
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.
Batool Zeidabadi, Khadijeh Ahmadzadeh, Zeinab Khademi, Reza Sadeghi, Farnoosh Ghomi,
Volume 17, Issue 0 (12-2024)
Abstract
Research ethics is a fundamental component of the scientific process and is crucial for ensuring the integrity and reliability of research outcomes. Researchers must recognize that the results of their studies can impact individuals and societies. Therefore, accountability and transparency in conducting research are of particular importance. Adherence to ethical principles not only enhances the scientific credibility of researchers but also contributes to the advancement of science and technology. This study aimed to assess the level of adherence to research ethical principles among researchers at Iranian Medical Sciences Universities. This descriptive-analytic, cross-sectional study focused on researchers from Iranian universities of medical sciences. The data collection tool was a research ethics compliance questionnaire, which was distributed to researchers at medical universities in Region Eight. The questionnaire contained 40 items across 9 dimensions: respect for subjects' moral rights, free thinking, professional responsibility, social responsibility, accuracy, emotional impartiality, honesty, Originality, and legitimacy. Data were analyzed using SPSS version 24 software. In addition to descriptive statistics, Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests were also applied. A total of 230 researchers participated in the study, 193 of whom were faculty members. The results indicated that the average score for adherence to ethical principles in research was 3.174, reflecting a high level of adherence. The results also revealed that the dimensions of legitimacy and accuracy had the highest average scores (21.7 and 22.5, respectively). Significant differences were observed in adherence to ethical principles based on educational degree, academic rank, age, and work experience (p < 0.05). Spearman's correlation indicated a significant inverse relationship between adherence to ethical principles and educational degree, meaning that higher educational levels were associated with lower adherence to ethical principles in research. Overall, the findings of this study show that most researchers in the eight regions of Iranian medical sciences universities adhere to ethical principles in research at a high level.
