{"title":"A dialog on common morality in medical ethics in a pluralist setting in Iran: a qualitative content analysis.","authors":"Ladannaz Zahedi, Bagher Larijani, Mohsen Javadi, Shahin Aawani, Seyed Abdosaleh Jafari, Kobra Joodaki, Roya Rashidpouraie, Saeedeh Saeedi Tehrani","doi":"10.18502/jmehm.v16i3.12972","DOIUrl":"https://doi.org/10.18502/jmehm.v16i3.12972","url":null,"abstract":"<p><p>The concept of common morality is fundamental in medical ethics, and lack of universal content and characteristics of common morality is a product of its multifaceted nature. This study aimed to identify the ideas and experiences of academic faculties regarding common morality in a pluralistic setting to promote conceptual knowledge and strengthen moral reasoning and ethical decision-making. The study was conducted using a qualitative method, employing semi-structured in-depth interviews with thirteen faculty members who were selected purposively. In order to assess their ideas and experiences, the transcripts of the interviews were analyzed using the content analysis method through directed and conventional approaches. The interviews were coded manually. Two themes were reflected in the interviews: ontology and epistemology of common morality. The study indicates that the debate about the subjective or objective dependence of common morality questions the coherence of Beauchamp and Childress' common morality (CM) theory, as common morality is the result of various individual and social factor that influence moral and decision -making in pluralistic environments. Additional studies are needed in order to investigate the effect of cultural, social, theoretical, ideological and individual factors on promoting clinical ethical reasoning and decision-making skills.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/ce/JMEHM-16-3.PMC10338647.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to approach a colleague's error: a journey from moral knowledge to moral action.","authors":"Shiva Khaleghparast, Majid Maleki, Maziar Gholampour Dehaki, Setareh Homami, Afsaneh Sadooghiasl, Saeideh Mazloomzadeh, Ehsan Shamsi Gooshki","doi":"10.18502/jmehm.v16i2.12911","DOIUrl":"https://doi.org/10.18502/jmehm.v16i2.12911","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/bf/JMEHM-16-2.PMC10338648.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers of health equity in the Iranian health system from the medical ethics viewpoint.","authors":"Davoud Nezamoleslami, Efat Mohamadi, Bagher Larijani, Alireza Olyaeemanesh, Masoumeh Ebrahimi Tavani, Roya Rashidpouraie, Fataneh Sadat Bathaei","doi":"10.18502/jmehm.v15i14.11570","DOIUrl":"10.18502/jmehm.v15i14.11570","url":null,"abstract":"<p><p>In order to lessen health inequalities, the obstacles to health equity will need to be identified. This study aimed at investigating the barriers to access to health-care services from the medical ethics point of view. Data were collected through a qualitative study by performing semi-structured interviews. Purposive sampling was used to recruit participants involved in health provision and/or management. Content analysis was done using MAXQDA software. Overall, 30 interviews were conducted. The content analysis of the interviews identified two themes including \"micro factors\" and \"macro factors\", five sub-themes including \"cultural, financial, geographical, social and religious barriers\", and 44 codes. Based on our findings, differences in individuals' perceptions, cultural control, religious beliefs and social stigmas create cultural barriers. Financial barriers consist of the financial connection between service recipients and service providers, insurance premiums, and inadequate coverage of health-care services. The most important geographical barriers identified in our study were differences in urbanization, inequality in various geographical areas, marginalization, and inequality in resource distribution. Finally, differences in the level of income, education and occupational diversity were among the social barriers. Given the wide range of barriers to access to health-care services, a comprehensive plan covering various dimensions of health equity should be implemented. To this end, innovative and progressive strategies emphasizing the principles of equity and social equality should be developed.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/34/JMEHM-15-14.PMC10151731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Ebadi, Amirahmad Shojaei, B. Larijani, Mohammad Sadegh Ahmad Akhoundi, A. Khorshidian
{"title":"The ethical attitude of dentists scale: development and psychometric properties","authors":"A. Ebadi, Amirahmad Shojaei, B. Larijani, Mohammad Sadegh Ahmad Akhoundi, A. Khorshidian","doi":"10.18502/jmehm.v15i12.11568","DOIUrl":"https://doi.org/10.18502/jmehm.v15i12.11568","url":null,"abstract":"One critical tactic that leads to a better understanding of the ethical status of dentists is to assess their ethical attitude by using an appropriate scale. This study aimed to design and evaluate the validity and reliability of the ethical attitude of dentists scale (EADS). This study was conducted based on a mixed‐method design. The first qualitative part of the study was conducted in 2019 and the items of the scale were produced from the ethical codes compiled in a previous study. In this part, the psychometric analysis was conducted. The reliability was evaluated by Cronbach's alpha coefficient and intraclass correlation coefficient. Factor analysis was used to assess the construct validity (n = 511), and the following three factors were extracted with a total variance of 48.03. 1) Maintaining the standing of the profession in relationships. 2) Providing dental services while maintaining trust in the profession, and 3) Providing information for the benefit of the patient. In confirmatory factor analysis, appropriate values were obtained for the goodness of fit indices, and Cronbach’s alpha was 0.68 - 0.84 for the various factors. Based on the results mentioned above, this scale showed an appropriate validity and reliability for measuring the ethical attitude of dentists.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43896047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahboobeh Khabaz Mafinejad, M. Kadivar, F. Asghari, Zeinab Jannat, Nastaran Hadizadeh
{"title":"Developing a professional guideline for the use of cyberspace by health-care professionals in Iran: a mixed methods study","authors":"Mahboobeh Khabaz Mafinejad, M. Kadivar, F. Asghari, Zeinab Jannat, Nastaran Hadizadeh","doi":"10.18502/jmehm.v15i10.11566","DOIUrl":"https://doi.org/10.18502/jmehm.v15i10.11566","url":null,"abstract":"The present study aimed to compile and develop a professional guideline for health-care providers in Iran regarding cyberspace usage. This was a mixed-methods study, conducted in three phases. In the first phase, the principles of ethics in cyberspace were collected through a review of the literature and available documents, and were then subjected to content analysis. In the second phase, the views of experts on medical ethics, virtual education, information technology and medical education, as well as clinical sciences experts and representatives of medical students and graduates were evaluated using the focus group method. In the third phase, the draft was evaluated by various stakeholders. Finally, after receiving the comments, the necessary modifications were applied to the guideline. The professional guideline for the use of cyberspace by health-care professionals comprised 30 codes in 5 domains, including the general regulations domain, care and treatment, research, education, and personal development. This guideline presents the various ways professionalism can be maintained in cyberspace interactions. Adherence to the principles of professionalism in cyberspace is required to protect and preserve the public trust in health-care professionals.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41299396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arshia Zardoui, Mir Saeed Yekaninejad, Ali Kazemian, Mojtaba Parsa
{"title":"Assessing the willingness of patients' companions to disclose bad news to cancer patients.","authors":"Arshia Zardoui, Mir Saeed Yekaninejad, Ali Kazemian, Mojtaba Parsa","doi":"10.18502/jmehm.v15i3.9549","DOIUrl":"https://doi.org/10.18502/jmehm.v15i3.9549","url":null,"abstract":"<p><p>Breaking bad news to patients is an essential aspect of the physician-patient relationship, but in Iran, this relationship is often disrupted by patients' families. This study investigates the views of patients' companions on breaking cancer news. In this descriptive-analytic cross-sectional study, we conducted research on 170 cancer patients' companions and 170 non-cancer patients' companions. We designed a questionnaire to investigate the subjects' opinions and used CVI, CVR, Cronbach's alpha and ICC for evaluation. In order to compare groups, we used Mann-Whitney, Kruskal-Wallis, Chi-square tests and Spearman's correlation. Most participants believed that patients should be informed of their diagnosis. Cancer patients' companions were more willing to learn the bad news in case they were diagnosed with cancer and were less likely to choose \"despair\" as the reason for non-disclosure (71% vs. 44%).There was no difference between the two groups in willingness to break the cancer news to patients, choosing who should be informed first, and the reasons for non-disclosure. Most participants believed the family should be the first to know the diagnosis. In this study, most participants believed that patients should be informed of their diagnosis. However, they preferred to learn about the diagnosis before the patient, which confirms the importance of educating the families about autonomy.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/f5/JMEHM-15-3.PMC9376205.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Kiasalar, Younes Shokrkhah, Saharnaz Nedjat, Hamidreza Namazi
{"title":"Media codes of ethics for health professionals and media professionals: a qualitative study.","authors":"Mohammad Kiasalar, Younes Shokrkhah, Saharnaz Nedjat, Hamidreza Namazi","doi":"10.18502/jmehm.v15i2.9036","DOIUrl":"https://doi.org/10.18502/jmehm.v15i2.9036","url":null,"abstract":"<p><p>Media is an opportunity for health professionals; however, it is not free of threats. Fixing the threats requires professional systematization through developing practical guidelines, which brings us to the goal this study was designed to achieve. The study was conducted qualitatively through literature review, semi-structured interviews, and a focus group discussion with health and media experts, as a result of which 486 codes were extracted and classified into 4 groups. The first group was addressed to media professionals and contained 126 codes in 5 categories: seeking and reporting the truth, harm minimization, integrity, independence, and respect for the rights of others. The second and third groups were addressed to health professionals, the former (150 codes) dealing with formal media, and the latter (190 codes) dealing with cyberspace. These groups were both categorized into 6 categories: scientific demeanor, beneficence, harm minimization, integrity, maintaining the dignity of the profession and professionals, and respect for the rights of others. The fourth group was addressed to the public audience and contained 20 codes categorized into 2 categories: ethics of belief, and ethics of (re-)publishing. Since the study was conducted during the pandemic/infodemic, the proposed codes can help reduce possible conflicts in similar future situations.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/3d/JMEHM-15-2.PMC9376203.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saleheh Tajalli, Mansoureh Ashghali Farahani, Mazlome Hamzekhani, Azam Shirinabadi Farahani, Nima Pourgholam Amiji, Martina Mavrinac, Roqayeh Aliyari
{"title":"Does the Farsi version of attitude toward plagiarism questionnaire have acceptable psychometric properties?","authors":"Saleheh Tajalli, Mansoureh Ashghali Farahani, Mazlome Hamzekhani, Azam Shirinabadi Farahani, Nima Pourgholam Amiji, Martina Mavrinac, Roqayeh Aliyari","doi":"10.18502/jmehm.v15i1.8900","DOIUrl":"https://doi.org/10.18502/jmehm.v15i1.8900","url":null,"abstract":"<p><p>This study aims to assess the psychometric properties of the Persian version of the Attitudes Toward Plagiarism Questionnaire (ATPQ) among Iranian medical sciences postgraduate students and faculty members. In this study, the ATPQ developed by Mavrinac et al. in 2010 was translated into Persian. After assessment of face and content validity, we distributed the ATPQ draft among 286 Iranian medical science postgraduate students and faculty members. Explanatory and confirmatory factor analysis were applied, and Cronbach's alpha was used to measure the reliability of the ATPQ. All the items of our English version of the ATPQ were approved by the developer of the original ATPQ, and two were revised in the cognitive interview. Construct validity assessment showed that three items were not seriously involved in the extracted factors. The Persian version of the ATPQ had 26 items, five factors and a Cronbach's alpha of 0.81%, and the combined value explained 38.24% of the total variance of this scale. Two new factors of \"perceived control\" and \"attitude toward self-plagiarism\" were extracted and incorporated into the Persian version. To conclude, the ATPQ is a valid, reliable, and convenient instrument to determine attitudes toward plagiarism among Iranian medical science postgraduate students and faculty members.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/0b/JMEHM-15-1.PMC9376204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abbas Ebadi, Amirahmad Shojaei, Bagher Larijani, Mohammad Sadegh Akhoundi, Azam Khorshidian
{"title":"The ethical attitude of dentists scale: development and psychometric properties.","authors":"Abbas Ebadi, Amirahmad Shojaei, Bagher Larijani, Mohammad Sadegh Akhoundi, Azam Khorshidian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One critical tactic that leads to a better understanding of the ethical status of dentists is to assess their ethical attitude by using an appropriate scale. This study aimed to design and evaluate the validity and reliability of the ethical attitude of dentists scale (EADS). This study was conducted based on a mixed-method design. The first qualitative part of the study was conducted in 2019 and the items of the scale were produced from the ethical codes compiled in a previous study. In this part, the psychometric analysis was conducted. The reliability was evaluated by Cronbach's alpha coefficient and intraclass correlation coefficient. Factor analysis was used to assess the construct validity (n = 511), and the following three factors were extracted with a total variance of 48.03. 1) Maintaining the standing of the profession in relationships. 2) Providing dental services while maintaining trust in the profession, and 3) Providing information for the benefit of the patient. In confirmatory factor analysis, appropriate values were obtained for the goodness of fit indices, and Cronbach's alpha was 0.68 - 0.84 for the various factors. Based on the results mentioned above, this scale showed an appropriate validity and reliability for measuring the ethical attitude of dentists.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/1a/JMEHM-15-12.PMC10151733.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To use or not to use? an ethical analysis of access to data and samples of a deceased patient for genetic diagnostic and research purposes.","authors":"Mahshad Noroozi, Fatemeh Bahmani, Kazem Mousavizadeh, Saeedeh Saeedi Tehrani, Akram Hashemi, Mina Forouzandeh","doi":"10.18502/jmehm.v15i13.11569","DOIUrl":"https://doi.org/10.18502/jmehm.v15i13.11569","url":null,"abstract":"<p><p>Using genetic tests on deceased patients' samples for diagnostic purposes affects the family members' health and lives but raises some ethical issues in today's practice of medicine and research. In this paper, we address a common ethical dilemma of clinicians regarding whether to perform genetic tests on a deceased patient's sample upon a request from first-degree relatives against the patient's wishes in the last days of life. In this paper, a real case scenario is presented that echoes the above-mentioned ethical challenge. Reviewing the genetic basis of the case, the ethical arguments for and against the reuse of genetic material in a clinical context are discussed. An ethico-legal analysis of the case is proposed based on Islamic medical ethics resources. As reusing stored samples of expired patients without their consent also challenges the researchers in the field of genetics, a debate is included on the post-mortem use of genetic data and samples for research. Finally, defining the special features of the presented case and positive benefit-risk ratio, it is concluded that reusing the patient's sample may be justified if the first-degree family members insist on genetic testing and are comprehensively informed about the benefits and harms.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/f6/JMEHM-15-13.PMC10151722.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}