Journal of Medical Ethics and History of Medicine最新文献_第7页

The relationship between managers' ideal intelligence as a hybrid model and employees' organizational commitment: a case study in Tehran University of Medical Sciences. 管理者理想智力与员工组织承诺的关系:以德黑兰医科大学为例

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-07-13 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i8.6752

Hossein Dargahi, Fereshteh Veysi

{"title":"The relationship between managers' ideal intelligence as a hybrid model and employees' organizational commitment: a case study in Tehran University of Medical Sciences.","authors":"Hossein Dargahi, Fereshteh Veysi","doi":"10.18502/jmehm.v14i8.6752","DOIUrl":"https://doi.org/10.18502/jmehm.v14i8.6752","url":null,"abstract":"High ideal hybrid intelligence of managers is among the factors that can improve employees' organizational commitment. Therefore, this study aimed to determine the relationship between managers' ideal hybrid intelligence and employees' organizational commitment in the Vice Chancellors' Headquarters of Tehran University of Medical Sciences. This was a descriptive-analytical and cross-sectional study conducted in 2017 - 2018. The research sample size consisted of 86 senior and middle-level managers selected through census method, as well as 181 employees, selected using the Kerjecie and Morgan table. The research tool was an ideal hybrid intelligence questionnaire consisting of 102 questions on cultural, moral and spiritual intelligence, and also Meyer and Allens' organizational commitment questionnaire including 24 questions. Face validity and reliability of each questionnaire were confirmed by an expert panel and Chronbach's alpha method. The data were analyzed by SPSS software, and descriptive results were shown through mean and standard deviation, and analytical results by inferential tests. The results showed that the ideal hybrid intelligence of the Vice Chancellors' Headquarters managers and employees' organizational commitment were at a desirable level. Also, there was a significant correlation between cultural, moral and spiritual intelligence as constituents of the ideal hybrid intelligence of managers and employees' organizational commitment. We found that ideal hybrid intelligence may affect employees' organizational commitment, but it should be mentioned that other forms of intelligence may also affect organizational commitment.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/d7/JMEHM-14-8.PMC8696576.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39939061","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

Experience of Indonesian medical students of ethical issues during their clinical clerkship in a rural setting. 印尼医学生在农村实习期间的伦理问题经验。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-07-13 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i6.6750

Raditya Bagas Wicaksono, Miko Ferine, Diyah Woro Dwi Lestari, Arfi Nurul Hidayah, Amalia Muhaimin

{"title":"Experience of Indonesian medical students of ethical issues during their clinical clerkship in a rural setting.","authors":"Raditya Bagas Wicaksono, Miko Ferine, Diyah Woro Dwi Lestari, Arfi Nurul Hidayah, Amalia Muhaimin","doi":"10.18502/jmehm.v14i6.6750","DOIUrl":"https://doi.org/10.18502/jmehm.v14i6.6750","url":null,"abstract":"Although ethics is an essential part of medical education, little attention has been paid to ethics education during the clerkship phase, where medical students observe how physicians make decisions regarding various ethical problems. Specific nuances and cultural contexts such as working in a rural setting can determine ethical issues raised. This phenomenology study aimed to explore ethical issues experienced by Indonesian students during clinical clerkship in a rural setting. In-depth interviews were used to explore students' experiences. Participants were ten students, selected on gender and clerkship year variations. Data saturation was reached after eight interviews, followed by two additional interviews. Thematic analysis was used in this study, and trustworthiness was ensured through data and investigator triangulation, member checking, and audit trail. Three main themes found in this study were limited facilities and resources, healthcare financing and consent issues, as well as unprofessional behavior of healthcare providers. Many ethical issues related to substandard care were associated to limited resources and complexities within the healthcare system in the rural setting. Early exposure to recurrent ethical problems in healthcare can help students prepare for their future career as a physician in a rural setting.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/6a/JMEHM-14-6.PMC8696554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39702404","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

Approaches to critical care resource allocation and triage during the COVID-19 pandemic: an examination from a developing world perspective. COVID-19大流行期间重症监护资源分配和分类的方法:从发展中国家的角度进行审查。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-02-28 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i5.5652

Saurav Basu

引用次数: 3

Nurses' attitudes toward caring for terminally ill neonates and their families in Iran: a cross-sectional study. 伊朗护士对临终新生儿及其家属的护理态度:一项横断面研究。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-02-16 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i4.5651

Maliheh Kadivar, Marjan Mardani-Hamooleh, Marjan Kouhnavard, Azadeh Sayarifard

{"title":"Nurses' attitudes toward caring for terminally ill neonates and their families in Iran: a cross-sectional study.","authors":"Maliheh Kadivar, Marjan Mardani-Hamooleh, Marjan Kouhnavard, Azadeh Sayarifard","doi":"10.18502/jmehm.v14i4.5651","DOIUrl":"https://doi.org/10.18502/jmehm.v14i4.5651","url":null,"abstract":"Providing care for terminally ill neonates is an important issue in NICUs. This research aimed to determine nurses' attitudes toward providing care for terminally ill neonates and their families. A total of 138 nurses working in neonatal intensive care units (NICUs) affiliated to Tehran University of Medical Sciences participated in this cross-sectional study via convenience sampling in 2019. The Data collection tool was the Frommelt attitudes toward caring for terminally ill persons and their families scale. The nurses in this study had the most positive attitudes toward the items \"nursing care should include the family of the terminally ill patient, too\" (4.2 ± 0.6) and \"the care provider can prepare the patient or his/her family for death\" (4.1 ± 0.7). The nurses had the least positive attitude toward the item \"the time spent on caring for terminally ill patients creates a sense of frustration in me\" (1.06 ± 1). The mean score of the attitudes of NICU nurses toward caring for terminally ill neonates and their families indicates the necessity of improving this attitude.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/5e/JMEHM-14-4.PMC8595070.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39933338","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: 2

The ethical obligation to provide care to patients diagnosed with brain death until the end stages based on grounded theory. 为被诊断为脑死亡的病人提供照顾的道德义务，直到最后阶段，基于扎实的理论。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-02-15 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i2.5435

Hamideh Yazdimoghaddam, Zahra Sadat Manzari, Abbas Heydari, Eesa Mohammadi

{"title":"The ethical obligation to provide care to patients diagnosed with brain death until the end stages based on grounded theory.","authors":"Hamideh Yazdimoghaddam, Zahra Sadat Manzari, Abbas Heydari, Eesa Mohammadi","doi":"10.18502/jmehm.v14i2.5435","DOIUrl":"https://doi.org/10.18502/jmehm.v14i2.5435","url":null,"abstract":"Nurses are faced with tremendous pressure when providing brain-dead patients with care. There is limited guidance for nurses on the care of these patients. The present study aimed to report the experiences of nurses regarding the care of patients diagnosed with brain death. Semi-structured interviews were conducted with 31 nurses and other stakeholders, and the observations and field notes were analyzed using continuous and comparative analysis based on grounded theory. The qualitative analysis of the data resulted in extraction of six final categories, including 'facing increased tensions and conflicts', 'organ donation: a distinct care element', 'inconsistency of care management', 'effective care requirements', 'challenges, rights and duty requirements', and 'moral obligation to provide holistic care until the last minute'. Data analysis identified 'Challenges, rights and duty requirements' as the main issue and showed that the nurses managed this issue using the strategy of 'moral obligation to provide holistic care until the last minute' as the core variable. According to the results, it is recommended that the healthcare system (especially hospital management) take supportive action for nurses in various fields of care of brain-dead patients to resolve educational, moral and legal challenges.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/73/JMEHM-14-2.PMC8595073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39680808","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

Relationship between resilience and professional moral courage among nurses. 护士的复原力与职业道德勇气之间的关系。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-02-15 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i3.5436

Reza Abdollahi, Sohrab Iranpour, Mehdi Ajri-Khameslou

{"title":"Relationship between resilience and professional moral courage among nurses.","authors":"Reza Abdollahi, Sohrab Iranpour, Mehdi Ajri-Khameslou","doi":"10.18502/jmehm.v14i3.5436","DOIUrl":"10.18502/jmehm.v14i3.5436","url":null,"abstract":"Nurses need to be resilient to be able to endure their working conditions, and their moral courage can affect their resilience. This work aimed at studying the relationship between resilience and professional moral courage among nurses working in hospitals. This descriptive cross-sectional study was conducted on 375 nurses working in teaching hospitals in the city of Ardabil in Iran in 2019. Data was collected using the following questionnaires: a demographic questionnaire, Sekerka et al. Moral Courage Scale and Davidson-Connor Resilience Scale. The reliability of the Davidson-Connor Resilience Scale, and Moral Courage Scale were found to be 89% and 85% using the test-retest method. The data were analyzed by Pearson correlation coefficient, t-test, variance analysis, and linear regression using the SPSS software version 24. In participating nurses, mean scores were 6.35±0.5 for total moral courage (favorable) and 79.35±0.35 (moderate) for resilience, respectively. A positive and significant relationship was observed between resilience and professional moral courage (P<0.05, r=0.1). Given the positive and significant relationship between resilience and professional moral courage, nurses require to have the high moral courage to enhance their resilience. Determining factors affecting moral courage and resilience, as well as finding strategies and creating an appropriate moral climate can increase nurses' morally courageous behaviors and resilience.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/8c/JMEHM-14-3.PMC8595071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39933337","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

Painting as a reflective method in teaching medical professional values. 绘画在医学专业价值观教学中的反思性作用。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-30 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i1.5316

Mina Mobasher

引用次数: 0

Compassion-based care for COVID-19 patients: a qualitative analysis of nurses' perceptions. 对COVID-19患者的同情护理:护士观念的定性分析

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i19.8179

Leila Ghanbari-Afra, Akram Salamat, Hadi Hamidi, Marjan Mardani-Hamooleh, Zahra Abbasi

{"title":"Compassion-based care for COVID-19 patients: a qualitative analysis of nurses' perceptions.","authors":"Leila Ghanbari-Afra, Akram Salamat, Hadi Hamidi, Marjan Mardani-Hamooleh, Zahra Abbasi","doi":"10.18502/jmehm.v14i19.8179","DOIUrl":"https://doi.org/10.18502/jmehm.v14i19.8179","url":null,"abstract":"Compassion is a basic approach to medical practice and is the core component of health care. The purpose of the present study was to explore nurses' perceptions of compassion-based care (CBC) for COVID-19 patients. In this qualitative study, the participants were selected using purposeful sampling. Individual and semi-structured interviews were conducted with 25 nurses, and conventional content analysis was used to categorize the data. In the care of COVID-19 patients, CBC consisted of three categories including pro-social behaviors, paying attention to the beliefs and values of patients, and concern for family members. The first category had three subcategories including empathy, altruism, and helping in critical situations. The second category included the subcategories of the spiritual approach to care and respect for cultural aspects. The third category, concern for family members, had one subcategory: the need to consider the patient's family. Our findings may help to develop a comprehensive model in COVID-19 care according to which, in addition to routine patient care, nurses will consider concepts such as empathy, altruism, helping in critical situations, spirituality, cultural values, and the family's needs at the end of the patient's life.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/13/JMEHM-14-19.PMC9042654.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9180790","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: 3

Initial drafting of telemedicine's code of ethics through a stakeholders' participatory process. 通过利益攸关方参与进程初步起草远程医疗道德准则。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i24.8184

Hamid Shafizadeh, Bagher Larijani, Rita Mojtahedzadeh, Ehsan Shamsi Gooshki, Saharnaz Nedjat

{"title":"Initial drafting of telemedicine's code of ethics through a stakeholders' participatory process.","authors":"Hamid Shafizadeh, Bagher Larijani, Rita Mojtahedzadeh, Ehsan Shamsi Gooshki, Saharnaz Nedjat","doi":"10.18502/jmehm.v14i24.8184","DOIUrl":"https://doi.org/10.18502/jmehm.v14i24.8184","url":null,"abstract":"Telemedicine can improve access to healthcare services; however, it has raised ethical concerns demanding special considerations. This study aimed at developing the codes of ethics for telemedicine, and hence several approved national and international ethical guidelines related to telemedicine practice were reviewed, and 48 semi-structured interviews were conducted with medical ethics and medical informatics experts as well as with physicians and patients who had telemedicine experiences. Content analysis was then performed on the interviews' transcripts and a draft on code of ethics was prepared, which was further reviewed by the experts in the focus group meetings to reach a consensus on the final document. The final document consisted of a preface, five considerations, and 25 ethical statements. Considering the growing trend of adopting telemedicine worldwide, this document provides an ethical framework for those who use telemedicine in their medical practice.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/fc/JMEHM-14-24.PMC9078934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10306021","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 concerns in the age of an advanced psychopharmacology. 先进精神药理学时代的伦理问题。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i29.8285

Gentian Vyshka, Dritan Ulqinaku, Tedi Mana

引用次数: 0