Journal of Medical Ethics and History of Medicine最新文献

筛选
英文 中文
Medical students' value-rich exposures in clinical setting during the COVID-19 pandemic. 新冠肺炎大流行期间医学生临床环境中富有价值的暴露
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-19 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i26.4957
Hakimeh Sabeghi, Leila Afshar, Seyed Abbas Foroutan, Shahram Yazdani
{"title":"Medical students' value-rich exposures in clinical setting during the COVID-19 pandemic.","authors":"Hakimeh Sabeghi,&nbsp;Leila Afshar,&nbsp;Seyed Abbas Foroutan,&nbsp;Shahram Yazdani","doi":"10.18502/jmehm.v13i26.4957","DOIUrl":"https://doi.org/10.18502/jmehm.v13i26.4957","url":null,"abstract":"<p><p>Exposing medical students to real-world situations and clinical practice experiences during their education years can help them build their professional value frameworks. The COVID-19 pandemic is one of the most challenging conditions that medical students have experienced; however, this pandemic have provided value-rich opportunities assisting in development and enhancement of their professional identity. This commentary aimed to emphasize the importance of medical students' exposure to clinical practice during the pandemic and the potential that such encounters provide for internalizing values.</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/f3/68/JMEHM-13-26.PMC8141096.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39034948","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
Rhazes' pioneer viewpoints about psychiatry, neurology and neuroscience. Rhazes在精神病学、神经病学和神经科学方面的先锋观点。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-12 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i21.4863
Seyed Mahmoud Tabatabaei, Amirhossein Jafari-Mehdiabad
{"title":"Rhazes' pioneer viewpoints about psychiatry, neurology and neuroscience.","authors":"Seyed Mahmoud Tabatabaei,&nbsp;Amirhossein Jafari-Mehdiabad","doi":"10.18502/jmehm.v13i21.4863","DOIUrl":"https://doi.org/10.18502/jmehm.v13i21.4863","url":null,"abstract":"<p><p>After the emergence of Islam and its advancement in the past three centuries in various countries and the Muslims' acquaintance with civilizations emanating from the empires of Iran, Greece, and India, a civilization emerged that affected different aspects of people's lives in Islamic lands and other countries. One of the components of this civilization was medical sciences that were collected and compiled by Muslims using the resources of other civilizations and their own experiences and resources. Rhazes (Muhammad ibn Zakaryya al-Razi), who lived in the ninth century AD (fourth century AH), compiled a comprehensive textbook of medicine (named in Arabic: Al-Hawi fi al-Tibb) in all specialized medical disciplines in accordance with the latest achievements of his era. This book has been published in the contemporary period as a 25-volume collection and contains knowledge and experiences from the medical resources of various civilizations and Rhazes' own knowledge and experiences. The first volume of this collection and some other volumes are devoted to the knowledge of neuroscience, psychiatry, and related diseases, illnesses, and disorders. In this review, we cite topics from \"Al-Hawi\" and other Rhazes' manuscripts related to the definition and description of diseases and disorders associated with the nervous system as well as psychiatry and neurology and compare them with modern medical sciences in a comparative manner. This is intended to make their importance and validity clear in terms of usability as part of medical history as well as for some medical research that requires historical and contextual information.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/df/JMEHM-13-21.PMC7838884.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341807","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
Euthanasia and physician-assisted suicide: a systematic review of medical students' attitudes in the last 10 years. 安乐死与医生协助自杀:近10年来医学生态度的系统回顾。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-12 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i22.4864
Alejandro Gutierrez-Castillo, Javier Gutierrez-Castillo, Francisco Guadarrama-Conzuelo, Amado Jimenez-Ruiz, Jose Luis Ruiz-Sandoval
{"title":"Euthanasia and physician-assisted suicide: a systematic review of medical students' attitudes in the last 10 years.","authors":"Alejandro Gutierrez-Castillo,&nbsp;Javier Gutierrez-Castillo,&nbsp;Francisco Guadarrama-Conzuelo,&nbsp;Amado Jimenez-Ruiz,&nbsp;Jose Luis Ruiz-Sandoval","doi":"10.18502/jmehm.v13i22.4864","DOIUrl":"https://doi.org/10.18502/jmehm.v13i22.4864","url":null,"abstract":"<p><p>This study aimed at examining the approval rate of the medical students' regarding active euthanasia, passive euthanasia, and physician-assisted-suicide over the last ten years. To do so, the arguments and variables affecting students' choices were examined and a systematic review was conducted, using PubMed and Web of Science databases, including articles from January 2009 to December 2018. From 135 identified articles, 13 met the inclusion criteria. The highest acceptance rates for euthanasia and physician-assisted suicide were from European countries. The most common arguments supporting euthanasia and physician-assisted suicide were the followings: (<i>i</i>) patient's autonomy (n = 6), (<i>ii</i>) relief of suffering (n = 4), and (<i>ii</i>) the thought that terminally-ill patients are additional burden (n = 2). The most common arguments against euthanasia were as follows: (<i>i</i>) religious and personal beliefs (n = 4), (<i>ii</i>) the \"slippery slope\" argument and the risk of abuse (n = 4), and (<i>iii</i>) the physician's role in preserving life (n = 2). Religion (n = 7), religiosity (n = 5), and the attributes of the medical school of origin (n = 3) were the most significant variables to influence the students' attitude. However, age, previous academic experience, family income, and place of residence had no significant impact. Medical students' opinions on euthanasia and physician-assisted suicide should be appropriately addressed and evaluated because their moral compass, under the influence of such opinions, will guide them in solving future ethical and therapeutic dilemmas in the medical field.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/09/JMEHM-13-22.PMC7839145.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341808","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: 9
Neonatal end-of-life decisions and ethical perspectives. 新生儿临终决定和伦理观点。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-05 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i19.4827
Madjid Soltani Gerdfaramarzi, Shabnam Bazmi
{"title":"Neonatal end-of-life decisions and ethical perspectives.","authors":"Madjid Soltani Gerdfaramarzi,&nbsp;Shabnam Bazmi","doi":"10.18502/jmehm.v13i19.4827","DOIUrl":"https://doi.org/10.18502/jmehm.v13i19.4827","url":null,"abstract":"<p><p>End-of-life decisions are usually required when a neonate is at high risk of disability or death, and such decisions involve many legal and ethical challenges. This article reviewed the processes of ethical decision-making for severely ill or terminal neonates, considering controversial issues including the followings: (<i>i</i>) identifying primary decision makers, (<i>ii</i>) the role of law and guidelines, and (<i>iii</i>) changes in treatment controversy, law and regulations over twenty years in several European countries such as Switzerland, Germany, Italy, United Kingdom, France, the Netherlands, Sweden, and Spain. This review study conducted on accessible articles from PubMed, Google Scholar, Web of Science and Scopus databases. Based on two studies in 2016 and 1996, neonatologists reported that withholding intensive care, withdrawing mechanical ventilation or life-saving drugs, and involvement of parents in decision-makings have become more acceptable as time passes, indicative of trend change. Trend of physicians on how end the life of neonates, at risk of death, varies in different countries, and cultural factors, parents' involvement in decisions and gestational age are factors considered in end-of-life decision-making. Future investigations continuously need to identify upcoming ethical aspects of proper decision-making.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/93/JMEHM-13-19.PMC7838882.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341805","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: 4
Barriers of students' adherence to dress code policy in clinical settings: dental students' viewpoint. 学生在临床环境中遵守着装规范政策的障碍:牙科学生的观点。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-05 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i20.4862
Nafiseh Momeni, Fariba Asghari
{"title":"Barriers of students' adherence to dress code policy in clinical settings: dental students' viewpoint.","authors":"Nafiseh Momeni,&nbsp;Fariba Asghari","doi":"10.18502/jmehm.v13i20.4862","DOIUrl":"https://doi.org/10.18502/jmehm.v13i20.4862","url":null,"abstract":"<p><p>Medical universities have called for a professional dress code to preserve the dignity of the medical profession, creating a sense of respect, tranquility, and trust in healthcare recipients and improve patient safety. This study aims to explain the reasons behind poor adherence to the professional dress code by students of the dentistry school. A qualitative study was conducted to explain the viewpoints of dentistry students of Tehran University of Medical Sciences (TUMS). Twenty-three in-depth interviews with dentistry students of different genders, study years, living in different accommodations, and having different tuition payment status were conducted. Conventional content analysis was used to analyze the data. One hundred and twenty initial codes were extracted. They were categorized into common causes of non-adherence to the TUMS Dress Code and specific causes of not following a specific section of the dress code (hygiene, jewelry, and makeup sections). The codes of common causes were categorized into 4 main categories including defects in education, management shortcomings, changes in societal culture, and personal factors. All components of the educational system must be aligned with each other to overcome the barriers against the students' adherence to professional dress and put forward appropriate interventions at the policymaking, regulatory and educational levels.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/5e/JMEHM-13-20.PMC7838885.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341806","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
Psychometric properties of Persian version of the research misconduct questionnaire (PRMQ). 波斯语版科研不端行为问卷(PRMQ)的心理测量学特征。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-11-10 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i18.4826
Erfan Shamsoddin, Leila Janani, Kiandokht Ghamari, Payam Kabiri, Ehsan Shamsi Gooshki, Bita Mesgarpour
{"title":"Psychometric properties of Persian version of the research misconduct questionnaire (PRMQ).","authors":"Erfan Shamsoddin,&nbsp;Leila Janani,&nbsp;Kiandokht Ghamari,&nbsp;Payam Kabiri,&nbsp;Ehsan Shamsi Gooshki,&nbsp;Bita Mesgarpour","doi":"10.18502/jmehm.v13i18.4826","DOIUrl":"https://doi.org/10.18502/jmehm.v13i18.4826","url":null,"abstract":"<p><p>Assessment of scientific misconduct is considered to be an increasingly important topic in medical sciences. Providing a definition for scientific research misconduct and proposing practical methods for evaluating and measuring it in various fields of medicine discipline are required. This study aimed at assessing the psychometric properties of Scientific Research Misconduct-Revised (SMQ-R) and Publication Pressure Questionnaires (PPQ). After translation and merging of these two questionnaires, the validity of the translated draft was evaluated by 11-member expert panel using Content Validity Index (CVI) and Content Validity Ratio (CVR). Reliability of the final questionnaire, completed by 100 participants randomly chosen from medical academic members, was assessed by calculating Cronbach's alpha coefficient. The final version was named Persian Research Misconduct Questionnaire (PRMQ) and consisted of 63 question items. The item-level content validity indices of 61 questions were above 0.79, and reliability assessment showed that 6 out of 7 subscales had alpha values higher than 0.6. Hence, PRMQ can be considered an acceptable, valid and reliable tool to measure research misconduct in biomedical sciences researches in Iran.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/c2/JMEHM-13-18.PMC7838887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341804","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
Nurses' perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. 护士对医疗机构职业道德与组织承诺关系的看法。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-11-08 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i17.4658
Mahya Torkaman, Naval Heydari, Camellia Torabizadeh
{"title":"Nurses' perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations.","authors":"Mahya Torkaman,&nbsp;Naval Heydari,&nbsp;Camellia Torabizadeh","doi":"10.18502/jmehm.v13i17.4658","DOIUrl":"https://doi.org/10.18502/jmehm.v13i17.4658","url":null,"abstract":"<p><p>Nurses' professional and ethical performances are influenced by the health organizations' environment, and high quality and holistic care can only be provided by observing the principles of professional ethics and organizational commitment. Therefore, this study aimed at investigating the relationship between professional ethics and organizational commitment in nurses. This descriptive-analytic study was conducted in hospitals affiliated to Shiraz University of Medical Sciences (SUMS) in 2019 in Iran. The study participants included 210 public ward nurses selected using the stratified random sampling method. Data were collected using Petty Professional Ethics and Allen-Meyer Organizational Commitment questionnaires, and then analyzed by SPSS V.25. Both the mean score of the nurses' professional ethics (102.21 ± 10.89) and the mean score of the nurses' organizational commitment (95.30 ± 16.54) were at high levels. Moreover, a direct and significant relationship was found between professional ethics and organizational commitment (<i>P</i>= 0.009, r = 0.179). In other words, a positive correlation was found between professional ethics and organizational commitment. Considering the relationship between professional ethics and organizational commitment in nurses, managers should enhance nurses' level of adherence to ethical principles, organizational commitment and organizational attachment. Additionally, training courses can help improve nurses' professional capabilities, and hence enhancing the quality of providing healthcare services.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/f6/JMEHM-13-17.PMC7816541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325627","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
White lies in pediatric care: a qualitative study from nurses' perspective. 儿科护理中的白色谎言:一项护士视角的定性研究。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-10-18 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i16.4414
Mahboobeh Shali, Soodabeh Joolaee, Elham Navab, Maryam Esmaeili, Alireza Nikbakht Nasrabadi
{"title":"White lies in pediatric care: a qualitative study from nurses' perspective.","authors":"Mahboobeh Shali,&nbsp;Soodabeh Joolaee,&nbsp;Elham Navab,&nbsp;Maryam Esmaeili,&nbsp;Alireza Nikbakht Nasrabadi","doi":"10.18502/jmehm.v13i16.4414","DOIUrl":"https://doi.org/10.18502/jmehm.v13i16.4414","url":null,"abstract":"<p><p>Communication and sharing information with ill children are challenging. To protect a child from the bitter reality, sometimes use of well-intended untruths, or white lies is necessary. This research aimed at studying the experiences of nurses about the use of white lies in in pediatric clinical setting. In this qualitative, content-analysis study, 24 on-duty pediatric nurses were interviewed in 2019. Data were collected through purposeful sampling using semi-structured interviews, and the collected data were analyzed according to Granheim and Landman's method using MAXQDA-10 software. Eighteen female and six male nurses with the mean age of 42 ± 3/7 years and mean work experience of 16 ± 4/1 years were selected to participate in this study. Data analysis showed that use of white lies depends on both situation and several other factors classified into five general categories: nature of data, childhood characteristics, family norms, treatment team's capabilities and organization policies. Treatment team members need to improve their communication skills to convey therapeutic information to the ill child's family appropriately. To do so, special guidelines should be prepared for healthcare staff in pediatric clinical setting.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/23/JMEHM-13-16.PMC7816540.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325626","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: 4
Clinical commitment and competence: a qualitative study. 临床承诺与胜任力:一项质性研究。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-09-28 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i14.4390
Somaye Zamanian Jahromi, Narges Shafaroodi, Laleh Lajevardi
{"title":"Clinical commitment and competence: a qualitative study.","authors":"Somaye Zamanian Jahromi,&nbsp;Narges Shafaroodi,&nbsp;Laleh Lajevardi","doi":"10.18502/jmehm.v13i14.4390","DOIUrl":"https://doi.org/10.18502/jmehm.v13i14.4390","url":null,"abstract":"<p><p>Commitment, a component of clinical competence, includes accountability and responsibility for professional roles and tasks; and, it has a positive correlation with job satisfaction and performance. This study aimed to elaborate on the concept of commitment in the field of occupational therapy using qualitative content analysis. The data was collected through interviewing 13 occupational therapists both in a focus group interview (including four participants) and in one-to-one interviews (nine other participants). The collected data was analyzed based on the Grenheim method, and commitment concept was defined under three main themes: (<i>i</i>) commitment to patient (five subthemes), (<i>ii</i>) commitment to self (three subthemes), and (<i>iii</i>) commitment to profession (three subthemes). This study's findings indicated that to acquire clinical competence, therapists should be committed to their patients, to themselves, and to their profession. Future research is needed to further examine how and to what extent these commitment themes affect clinical competence as well as the interaction among them.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/e6/JMEHM-13-14.PMC7816542.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325623","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
Rate and causes of discharge against medical advice from a university hospital emergency department in Iran: an ethical perspective. 伊朗一所大学医院急诊科不遵医嘱出院的比率和原因:伦理观点。
IF 1
Journal of Medical Ethics and History of Medicine Pub Date : 2020-09-28 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i15.4391
Sanaz Rouhbakhsh Halvaei, Hojat Sheikh Motahar Vahedi, Ayat Ahmadi, Maryam Sadat Mousavi, Alireza Parsapoor, Ali Reza Sima, Amir Ahmad Shojaei, Ehsan Shamsi-Gooshki
{"title":"Rate and causes of discharge against medical advice from a university hospital emergency department in Iran: an ethical perspective.","authors":"Sanaz Rouhbakhsh Halvaei,&nbsp;Hojat Sheikh Motahar Vahedi,&nbsp;Ayat Ahmadi,&nbsp;Maryam Sadat Mousavi,&nbsp;Alireza Parsapoor,&nbsp;Ali Reza Sima,&nbsp;Amir Ahmad Shojaei,&nbsp;Ehsan Shamsi-Gooshki","doi":"10.18502/jmehm.v13i15.4391","DOIUrl":"https://doi.org/10.18502/jmehm.v13i15.4391","url":null,"abstract":"<p><p>Discharge against medical advice (DAMA) is a common problem in the health-care system. It imposes risks to both patients and medical staff and could be the subject of ethical deliberation. This cross-sectional study was conducted in 2017 on 400 patients who were discharged against medical advice from the emergency ward of Shariati Hospital, Tehran, Iran. Patients' information was collected using clinical records and telephone calls. The collected data were analyzed using STATA software. DAMA rate was 12% in the emergency department of Shariati Hospital. Male gender was found to be a risk factor for DAMA (OR: 1.90; CI (95%): 1.44 - 2.52; <i>P</i> < 0.0001). In addition, younger patients were more likely to leave hospital against medical advice (<i>p</i>-value: 0.04). The more common reasons for DAMA were feeling better, long delay in diagnostic and therapeutic procedures and the hectic ambience of the emergency ward. Patients' self-discharge is a multi-dimensional phenomenon that is affected by patients' characteristics, medical conditions and hospital circumstances. It raises some ethical concerns, mainly due to a conflict between patients' autonomy and beneficence. It is helpful for the medical staff to create an effective relationship with patients who are at higher risk of DAMA, in order to increase their compliance and prevent the consequences of leaving hospital against medical advice.</p>","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/19/JMEHM-13-15.PMC7816543.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325625","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信