Journal of Medical Ethics and History of Medicine最新文献_第4页

Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review. 影响医院医疗事故复发的因素及预防策略:范围审查。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i7.11049

Negar Aghighi, Aidin Aryankhesal, Pouran Raeissi

{"title":"Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review.","authors":"Negar Aghighi, Aidin Aryankhesal, Pouran Raeissi","doi":"10.18502/jmehm.v15i7.11049","DOIUrl":"https://doi.org/10.18502/jmehm.v15i7.11049","url":null,"abstract":"Due to the high value of human life, the occurrence of even one error that leads to death or complications is of great consequence and requires serious attention. Although significant efforts have been made to ensure patient safety, serious medical errors continue to exist. This study aimed to identify the factors associated with the recurrence of medical errors and strategies to prevent them through a scoping review. Data were gathered through a scoping review of PubMed, Embase, Scopus, and Cochrane Library databases during August 2020. Articles related to factors influencing the recurrence of errors despite the available information, as well as articles related to measures taken worldwide to prevent them, were included in study. Overall, 32 articles were selected out of the 3422 primary papers. Two main categories of factors were identified as influential in error recurrence: human factors (fatigue, stress, inadequate knowledge) and environmental and organizational factors (ineffective management, distractions, poor teamwork). The six effective strategies for preventing error recurrence included the use of electronic systems, attention to human behaviors, proper workplace management, workplace culture, training, and teamwork. It was concluded that using a combination of methods related to health management, psychology, behavioral sciences and electronic systems can be effective in preventing the recurrence of errors.","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/bc/3f/JMEHM-15-7.PMC10151730.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767274","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}

引用次数: 1

Professional quality of life and resilience in pre-hospital emergency technicians during COVID-19 in Iran: a cross-sectional study. 2019冠状病毒病期间伊朗院前急救技术人员的职业生活质量和复原力:一项横断面研究

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i15.11573

Yasser Fatahi, Roohangiz Norouzinia, Maryam Aghabarary

{"title":"Professional quality of life and resilience in pre-hospital emergency technicians during COVID-19 in Iran: a cross-sectional study.","authors":"Yasser Fatahi, Roohangiz Norouzinia, Maryam Aghabarary","doi":"10.18502/jmehm.v15i15.11573","DOIUrl":"https://doi.org/10.18502/jmehm.v15i15.11573","url":null,"abstract":"The professional quality of life of pre-hospital emergency technicians has been adversely affected during the COVID-19 pandemic. The present study was performed to investigate the professional quality of life and resilience and their relationships in pre-hospital emergency technicians of Kermanshah Province, Iran during the COVID-19 pandemic. This cross-sectional, descriptive correlational study was conducted on 412 pre-hospital emergency technicians in Kermanshah Province in 2020 using the census method. Data collection tools were the Stamm Professional Quality of Life Questionnaire and the Emergency Medical Services Resilience scale. Pre-hospital emergency technicians experienced moderate levels of the professional quality of life dimensions and high/acceptable levels of resilience. There was a significant correlation between resilience and the dimensions of the professional quality of life. The results of the regression test showed that resilience had a significant effect on all three components of the professional quality of life. Therefore, the use of resilience enhancement strategies is recommended to improve the professional quality of life of pre-hospital emergency technicians.","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/4c/da/JMEHM-15-15.PMC10151726.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416367","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}

引用次数: 0

Relationships between ethical decision-making and professional behavior in Iranian nursing students. 伊朗护生道德决策与职业行为的关系

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i4.10190

Fatemeh Molaei Tavani, Mozhgan Behshid, Azad Rahmani, Saeid Mousavi, Mehran Seif-Farshad, Parvin Rahmani

引用次数: 0

Developing a professional guideline for the use of cyberspace by health-care professionals in Iran: a mixed methods study. 制定伊朗保健专业人员使用网络空间的专业准则:一项混合方法研究。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01

Mahboobeh Khabaz Mafinejad, Maliheh Kadivar, Fariba 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, Maliheh Kadivar, Fariba Asghari, Zeinab Jannat, Nastaran Hadizadeh","doi":"","DOIUrl":"","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/41/JMEHM-15-10.PMC10151727.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470440","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}

引用次数: 0

Translation and psychometric evaluation of the Persian version of the role model apperception tool (RoMAT) in undergraduate nursing students. 护理本科学生波斯语版角色榜样统识工具(RoMAT)的翻译与心理测量学评价。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i5.11047

Marzieh Azadian, Tahereh Nasrabadi, Abbas Ebadi, Jamileh Mokhtari Nouri

{"title":"Translation and psychometric evaluation of the Persian version of the role model apperception tool (RoMAT) in undergraduate nursing students.","authors":"Marzieh Azadian, Tahereh Nasrabadi, Abbas Ebadi, Jamileh Mokhtari Nouri","doi":"10.18502/jmehm.v15i5.11047","DOIUrl":"https://doi.org/10.18502/jmehm.v15i5.11047","url":null,"abstract":"Role modeling is one of the most influential components of teaching professional behaviors to nursing students. The Role Model Apperception Tool (RoMAT) was designed in the Netherlands to measure role modeling behaviors in clinical educators. The aim of this study was assess the psychometrics of the Persian version of this tool. In a methodological study, the Persian version of the RoMAT tool was developed using the forward-backward translation method. Face validity was confirmed through cognitive interviews, and content validity was done by a panel of 12 experts. Construct validity was assessed through exploratory factor analysis (n = 200), and confirmatory factor analysis (n = 142) was evaluated after the tool was completed online by undergraduate nursing students. Reliability was confirmed using internal consistency and test and retest methods. Furthermore, ceiling and floor effects were assessed. The two components of \"professional competencies\" and \"leadership competencies\" emerged with a cumulative variance of 62.01%, a reliability with Cronbach's alpha of 0.93 and 0.83, and an intraclass correlation of 0.9 and 0.78, respectively. It was concluded that the Persian version of the Role Model Apperception Tool is a valid and reliable tool and can be used to investigate the role modeling behaviors of clinical instructors of nursing students.","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/85/db/JMEHM-15-5.PMC10151723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470441","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}

引用次数: 1

Interprofessional professionalism as a motivating force in interprofessional collaboration. 跨专业的专业精神是跨专业合作的动力。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i8.11050

Fatemeh Keshmiri, Azam Hosseinpour

{"title":"Interprofessional professionalism as a motivating force in interprofessional collaboration.","authors":"Fatemeh Keshmiri, Azam Hosseinpour","doi":"10.18502/jmehm.v15i8.11050","DOIUrl":"https://doi.org/10.18502/jmehm.v15i8.11050","url":null,"abstract":"Professionalism has been recognized as an essential component of inter-professional collaboration (IPC), and hence this study aimed at exploring elements of inter-professional professionalism (IPP) affecting IPC among surgery teams. This qualitative study had been conducted from 2019 to 2021. Fifteen participants in surgery teams including surgeons, anesthesia nursing, and surgical technology nursing at hospitals of Shahid Sadoughi University were contributed to this study. Data was collected through semi-structured interviews and analyzed through inductive content analysis, an approach introduced by Lundman and Graneheim. Data analysis process included the following: (i) Developing verbatim transcription of interview, (ii) Extracting semantic units and classifying them under the top compact unit, (iii) Summarizing and classifying the compact units and selecting appropriate labels for them, and (iv) Sorting subcategories according to their similarities and differences. Two hundreds and forty-two codes, five sub-categories, two categories, and a theme entitled \"reciprocal accountability in IPP\" were extracted. The barrier category was named \"weakness in accountability to team-based values\" and the facilitator category was called \"responsibility of maintaining empathetic relationship within the IP team\". Development of IPP and professional values (e.g., altruism, empathetic communication, and accountability to individual's and team's roles) can facilitate collaborative processes among different professions.","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/8c/6e/JMEHM-15-8.PMC10151728.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470446","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}

引用次数: 0

Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic. 在COVID-19大流行期间，紧急医疗技术人员的道德工作氛围和离职意愿。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i9.11565

Seyed Kazem Mousavi, Mohsen Kamali, Zeinab Bahrami Eyvanaki

{"title":"Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic.","authors":"Seyed Kazem Mousavi, Mohsen Kamali, Zeinab Bahrami Eyvanaki","doi":"10.18502/jmehm.v15i9.11565","DOIUrl":"https://doi.org/10.18502/jmehm.v15i9.11565","url":null,"abstract":"Emergency medical technicians (EMTs) are very likely to leave the profession due to their obligation to work in critical situations such as the COVID-19 pandemic. This study aimed to investigate the relationship between the ethical work climate and the intention to leave the service among EMTs. In this descriptive correlational study, 315 EMTs working in Zanjan province were surveyed using the census method in 2021. The research tools included the Ethical Work Climate and the Intention to Leave the Service questionnaires. Data were analyzed using SPSS software version 21. We found the mean (SD) score of the organization's ethical work climate to be 73.93 (±12.53), and the intention to leave the service 12.54 (±4.52), which are at a moderate level. A statistically significant positive correlation existed between these variables (r = 0.148, P = 0.017). Also, there was a statistically significant relationship between age and employment status among the demographic variables, and the ethical work climate and the intention to leave (P < 0.05). Our findings indicate that ethical work climate is one of the influential but less noticed factors that affect the performance of EMTs. Therefore, it is suggested that managers implement measures to develop a positive ethical work climate to reduce the tendency to leave the service among EMTs.","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/f9/eb/JMEHM-15-9.PMC10151732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470443","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}

引用次数: 0

Identifying the dimensions of patient privacy in intensive care units: a qualitative content analysis study. 识别重症监护病房患者隐私的维度:定性内容分析研究。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i6.11048

Setareh Tajdari, Alireza Irajpour, Mohsen Shahriari, Mahmoud Saghaei

{"title":"Identifying the dimensions of patient privacy in intensive care units: a qualitative content analysis study.","authors":"Setareh Tajdari, Alireza Irajpour, Mohsen Shahriari, Mahmoud Saghaei","doi":"10.18502/jmehm.v15i6.11048","DOIUrl":"https://doi.org/10.18502/jmehm.v15i6.11048","url":null,"abstract":"In intensive care units (ICUs), patient privacy is of particular importance due to the structure of the ward environment and the critical situation of the patients. The aim of this study was to identify the dimensions of patient privacy in ICUs. For this purpose, a descriptive-qualitative-exploratory study was performed. The data collection methods included observations and interviews, which were handwritten and analyzed using qualitative content analysis with a conventional approach. A total of 27 participants were selected based on purposeful sampling and with maximum diversity of health-care providers and recipients. The study environment was the ICUs of two selected hospitals affiliated to the medical sciences universities of Isfahan and Tehran, Iran. The data were analyzed into 4 classes and 12 subclasses. The classes included physical, informational, psychosocial, and spiritual-religious privacy. Findings of the present study identified hidden layers of patient privacy as a multidimensional concept that is influenced by various factors. In order to provide holistic care, preparing the grounds for patient privacy ‎and familiarizing the staff with its various dimensions seem necessary.","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/5f/6a/JMEHM-15-6.PMC10151734.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470445","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}

引用次数: 0

Ethics and palliative care: a case of patient's autonomy. 伦理与姑息治疗:一个病人自主的案例。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i16.11574

Mamak Tahmasebi

引用次数: 0

The neglected role of technology in quality of care crisis. 技术在护理质量危机中被忽视的作用。

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Journal of Medical Ethics and History of Medicine Pub Date : 2022-01-01 DOI: 10.18502/jmehm.v15i11.11567

Saeedeh Babaii, Alireza Monajemi

{"title":"The neglected role of technology in quality of care crisis.","authors":"Saeedeh Babaii, Alireza Monajemi","doi":"10.18502/jmehm.v15i11.11567","DOIUrl":"https://doi.org/10.18502/jmehm.v15i11.11567","url":null,"abstract":"The quality of care crisis (QCC) is one of the most crucial crises the modern medicine is confronting, as the existential and psychological needs of patients have not been addressed and satisfied. Several attempts have been made to find solutions for QCC, e.g., the Marcum's recommendation to make physicians virtuous. Most of the existing formulations for the QCC have regarded technology as one of the causes of this crisis and not part of its solution. Although the authors agree with the role of technology in creating the crisis of care to some extent, in this article we try to present the crisis of care so that medical technology is an important part of its solution. For this purpose, we analyzed QCC from the philosophical perspectives of Husserl and Borgmann and put forward a novel proposal to take account of technology in QCC. In the first step, it is discussed that the role of technology in causing the crisis of care is due to the gap between the techno-scientific world and the life- world of the patients. This formulation shows that the crisis-causing role of technology is not inherent. In the second step, it is tried to find a way to integrate technology into the solution to the crisis. In the proposed reframing, designing and applying technologies based on focal things and practices make it possible to develop technologies that are caring and are able to mitigate QCC.","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/e4/05/JMEHM-15-11.PMC10151729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416368","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}

引用次数: 0