{"title":"Observance of patients' rights by physicians and nurses from the COVID-19 patients' perspective.","authors":"Mohsen Kamali, Seyed Kazem Mousavi","doi":"10.18502/jmehm.v13i33.5315","DOIUrl":"10.18502/jmehm.v13i33.5315","url":null,"abstract":"<p><p>Observance of patients' rights is a significant indicator in evaluating the quality of healthcare services. The COVID-19 pandemic has become a global crisis and affected the interactions between healthcare providers and patients. This study examined the COVID-19 patients' viewpoint about the observance of their rights by physicians and nurses. This study is a descriptive cross-sectional work of research conducted on the COVID-19 patients in Zanjan Province, Iran, in September 2020. The subjects were selected through convenience sampling, and data was collected using a two-section questionnaire consisting of a demographic characteristics survey and a Likert-type scale for evaluating patients' rights observance. The validity and reliability of the questionnaire were found to be acceptable, and the collected data was analyzed in SPSS v.26 using descriptive statistics, independent t-test, and ANOVA test. The mean score of observance of patients' rights was 69.60±7.36, representing a moderate level. The highest and lowest scores for the observance of patients' rights were related to the dimensions of courteous communication and responsibility, respectively. A significant relationship was found between the observance of patients' rights and their marital status, health insurance, and education level (<i>P</i><0.05). This study showed that the observance of the COVID-19 patients' rights has not been affected by the social agitation caused by this disease.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/e0/JMEHM-13-33.PMC8141208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033995","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":"COVID-19 and collective responsibility: a lesson from the Smallpox outbreak in Moscow in 1960.","authors":"Yana G Grigoryan, Nikolay N Krylov","doi":"10.18502/jmehm.v13i32.5049","DOIUrl":"https://doi.org/10.18502/jmehm.v13i32.5049","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/4e/JMEHM-13-32.PMC8141203.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033994","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":"Ethical communication to patient & society: a critical responsibility in COVID-19 pandemic.","authors":"Saptarshi Chatterjee","doi":"10.18502/jmehm.v13i30.5047","DOIUrl":"https://doi.org/10.18502/jmehm.v13i30.5047","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/6d/JMEHM-13-30.PMC8141207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033992","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":"Heroes or cowards: healthcare workers' autonomy right versus patient care duties during the COVID-19 pandemic.","authors":"Sina Azadnajafabad","doi":"10.18502/jmehm.v13i31.5048","DOIUrl":"https://doi.org/10.18502/jmehm.v13i31.5048","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/c8/JMEHM-13-31.PMC8141209.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033993","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":"Health lag: medical philosophy reflects on COVID-19 pandemic.","authors":"Alireza Monajemi, Hamidreza Namazi","doi":"10.18502/jmehm.v13i28.5045","DOIUrl":"https://doi.org/10.18502/jmehm.v13i28.5045","url":null,"abstract":"<p><p>In this paper, we reflect on the COVID-19 pandemic based on medical philosophy. A critical examination of the Corona crisis uncovers that in order to understand and explain the unpreparedness of the health systems, we need a new conceptual framework. This helps us to look at this phenomenon in a new way, address new problems, and come up with creative solutions. Our proposal is that \"health lag\" is a concept that could help frame and explain this unpreparedness and unreadiness. The term \"health lag\" refers to the failure of health systems to keep up with clinical medicine. In other words, health issues in most situations fall behind clinical medicine, leading to social, cultural, and economic problems. In the first step to define health lag, we have to explain the distinction between clinical medicine and health and address the role of individual health, public health, and epidemic in this dichotomy. Thereafter, the reasons behind health lag will be analyzed in three levels: theoretical, practical, and institutional. In the third step, we will point out the most important consequences of health lag: the medicalization of health, the inconsistency of biopolitics, inadequate ethical frameworks, and public sphere vulnerabilities. Finally, we try to come up with a set of recommendations based on this philosophical-conceptual analysis.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/57/JMEHM-13-28.PMC8141206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033990","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":"The significance of shared humanity during the COVID-19 pandemic.","authors":"Arpi Manookian","doi":"10.18502/jmehm.v13i29.5046","DOIUrl":"https://doi.org/10.18502/jmehm.v13i29.5046","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/27/JMEHM-13-29.PMC8141097.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033991","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}
Saeedeh Saeedi Tehrani, Akram Hashemi, Mansureh Madani, Mina Forouzandeh
{"title":"Confidentiality challenges surrounding plasma therapy during the COVID-19 pandemic: a case discussion in Iran.","authors":"Saeedeh Saeedi Tehrani, Akram Hashemi, Mansureh Madani, Mina Forouzandeh","doi":"10.18502/jmehm.v13i27.5044","DOIUrl":"https://doi.org/10.18502/jmehm.v13i27.5044","url":null,"abstract":"<p><p>Maintaining confidentiality, both in national and international codes of ethics, is considered an important principle in healthcare and the medical profession for both patients and physicians. This case-report article focused on a real case. Based on the request of the Iranian Blood Transfusion Organization (IBTO) for plasma donation from recovered COVID-19 patients, we asked the names and personal information of those patients from hospitals affiliated with Iran University of Medical Sciences (IUMS) and arranged for the subjects to be referred to the Medical Ethics Department of IUMS for consultation during the COVID-19 pandemic. Various ethical and legal aspects of this case were discussed in a special meeting, and practical solutions were then provided considering the limits of confidentiality and conditions for ethical access to patients' information during a pandemic. Since plasma therapy is not a definitive cure for COVID-19 and considering the ethical and legal points presented in this article, it is not recommended to announce the names of patients in the early stages. Given the potential impacts of the procedure and the possibility of patients being cured, however, their consent should be obtained in different situations and, if necessary, providing information to patients or educating them should be considered.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/a2/JMEHM-13-27.PMC8141205.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033989","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":"COVID-19 pandemic and the ethical challenges in patient care.","authors":"Ali Sahebi, Siamak Moayedi, Mohamad Golitaleb","doi":"10.18502/jmehm.v13i24.4955","DOIUrl":"https://doi.org/10.18502/jmehm.v13i24.4955","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/18/JMEHM-13-24.PMC8141212.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034945","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}
Nasrin Rezaee, Marjan Mardani-Hamooleh, Maryam Seraji
{"title":"Nurses' perception of ethical challenges in caring for patients with COVID-19: a qualitative analysis.","authors":"Nasrin Rezaee, Marjan Mardani-Hamooleh, Maryam Seraji","doi":"10.18502/jmehm.v13i23.4954","DOIUrl":"https://doi.org/10.18502/jmehm.v13i23.4954","url":null,"abstract":"<p><p>Nurses face several challenges in providing care for patients with coronavirus disease in 2019 (COVID-19). The study aimed to explain the nurses' perception of ethical challenges in this regard. The qualitative study was carried out using a content analysis method. Individual and semi-structured interviews were conducted with 24 nurses. Inductive content analysis was used to categorize the data. Nurses' narratives indicated that ethical challenges in caring for patients with COVID-19 included threats to professional values and the absence of a holistic COVID-19 care approach. The first category was subcategorized into the risk of declining quality of patient care and a stigmatized public image about COVID-19 care. The second category was divided into poor spiritual care, poor compassionate care, and lack of family-centered care. Health care managers must develop protocols for nurses that address these issues to alleviate the ethical challenges of COVID-19 care.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/66/JMEHM-13-23.PMC8141204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034944","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":"Virtual learning for teaching medical ethics during COVID-19 pandemic.","authors":"Mina Mobasher","doi":"10.18502/jmehm.v13i25.4956","DOIUrl":"https://doi.org/10.18502/jmehm.v13i25.4956","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/01/JMEHM-13-25.PMC8141210.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034947","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}