Journal articles on the topic 'Medical personnel Professional ethics'
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Ubina, A. A., and S. S. Romanenko. "Medical ethics and deontology in the work of nurse. Regulations on corporate etiquette. Standard of professional conduct." Medsestra (Nurse), no. 2 (February 12, 2024): 16–22. http://dx.doi.org/10.33920/med-05-2402-02.
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In the Regulations on the corporate etiquette of middle and junior medical personnel of the State Budgetary Healthcare Institution «Samara Regional Clinical Hospital named after. V. D. Seredavin» reflects such concepts as: etiquette of the appearance of an employee in the workplace, etiquette of behavior of nursing and junior medical personnel in the workplace, etiquette of communication between nursing and junior medical personnel with patients, etiquette of telephone communication of medical personnel. The basis of corporate ethics of nursing and junior medical personnel of the State Budgetary Healthcare Institution «Samara Regional Clinical Hospital named after. V. D. Seredavin» is the Ethical Code of Russian Nurses. It formulates the basic ethical values of the entire sister community of Russia and gives a moral assessment of the most acute ethical conflicts of today.
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Kirova, T. A. "ABOUT THE LEGAL SIGNIFICANCE OF MEDICAL ETHICS." Ex jure, no. 1 (2018): 128–39. http://dx.doi.org/10.17072/2619-0648-2018-1-128-139.
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the medical personnel charged with the responsibility of adherence to the principles of medical ethics and deontology. At the same time, the legal significance of these ethical norms remains uncertain. The author explores approaches to defining the place of ethical requirements in the system of normative regulation of professional medical activity. The author draw a conclusion about the necessity of unification of the rules of medical ethics that will allow you to give them a status of mandatory for the medical community. It is determined by an algorithm of actions, which, according to the author, serve the purpose of recognition of legally binding provisions of the ethical requirements in the medical sphere.
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Lee, Sun-Kyoung, and Jeong-Min Seong. "Effects of the Occupational Ethics of Health Workers on Job Satisfaction—Focusing on Dental Technicians and Dental Hygienists." Dentistry Journal 10, no. 9 (September 14, 2022): 172. http://dx.doi.org/10.3390/dj10090172.
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This study investigates the effects of professional ethics on the job satisfaction of dental technicians and dental hygienists among health and medical personnel. From 1 July to 30 September 2021, a survey was conducted with 178 dental technicians and dental hygienists. Frequency analysis, correlation analysis, and multiple regression analysis were performed. The collected data were processed using SPSS version 22.0 statistical program (IBM, Armonk, NY, USA). The significance level was set to 0.05. As factors influencing the professional ethics of dental technicians and dental hygienists, diligence, reduced leisure, work orientation, and time saving were found to affect job satisfaction. In addition to morality, various elements of professional ethics and their causal relationships with job satisfaction were investigated. In the future, in preparation for the increasing ethical problems in the medical environment, education on professional ethics should be standardized and conducted more systematically.
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Olsthoorn, Peter. "Dual loyalty in military medical ethics: a moral dilemma or a test of integrity?" Journal of the Royal Army Medical Corps 165, no. 4 (December 19, 2018): 282–83. http://dx.doi.org/10.1136/jramc-2018-001131.
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When militaries mention loyalty as a value they mean loyalty to colleagues and the organisation. Loyalty to principle, the type of loyalty that has a wider scope, plays hardly a role in the ethics of most armed forces. Where military codes, oaths and values are about the organisation and colleagues, medical ethics is about providing patient care impartially. Being subject to two diverging professional ethics can leave military medical personnel torn between the wish to act loyally towards colleagues, and the demands of a more outward looking ethic. This tension constitutes a test of integrity, not a moral dilemma.
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Walker, Rebecca L. "Care or Complicity? Medical Personnel in Prisons." Hastings Center Report 54, no. 1 (January 2024): 2. http://dx.doi.org/10.1002/hast.1560.
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AbstractImprisonment may sometimes be a justified form of punishment. Yet the U.S. carceral system suffers from appalling problems of justice—in who is put into prisons, in how imprisoned people are treated, and in downstream personal and community health impacts. Medical personnel working in prisons and jails take on risky work for highly vulnerable and underserved patients. They are to be lauded for their professional commitments. Yet at the same time, prison care undercuts the ability of medical personnel to uphold their own professional standards and sometimes fails in even basic health protection. Doctors in prisons are stuck between their commitment to vulnerable patients and complicity in a system that requires their participation to uphold its constitutionality. Medical ethics is frayed in prisons, and the problem deserves our attention.
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Ibragimov, Daniyal, Mariia Soboleva, Yulia Dmitrievna Dementyeva, Sofiia Roshchupkina, Roman Bakhtiiarov, and Elena Petrenko. "Ethical Aspects in Medical Practice: Investigation of Ethical Dilemmas and Principles Related to Medical Practice." Journal of Complementary Medicine Research 14, no. 3 (2023): 111. http://dx.doi.org/10.5455/jcmr.2023.14.03.20.
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Medical ethics or medical deontology is a set of ethical norms and principles of behavior of medical workers in the performance of their professional duties, i.e. deontology provides mainly norms of relationships with the patient. In the medical understanding, deontology is the teaching of legal, professional and moral duties and rules of conduct of a medical worker in relation to a patient. In addition, deontology establishes norms of relationships between medical professionals and relatives of patients, as well as between colleagues in the medical team. The article is a study of ethical aspects related to medical practice. Doctors and other medical professionals face many ethical dilemmas that require making difficult decisions in their daily work. The purpose of this study is to analyze various ethical problems faced by medical professionals and identify the basic ethical principles that help them make decisions in these situations. A medical worker should always remember about the patient, have the ability to conquer and subdue the soul of the patient. The core issues of medical ethics and deontology are the relationship between a medical worker and a patient. The personality and appearance of a medical worker are determined by the economic, political and social conditions of the society in which he works. The paper discusses several ethical dilemmas faced by doctors, such as confidentiality and protection of patients' personal data, principles of fairness and accessibility of medical care, as well as ethical issues that arise when making decisions about consultations, consent to treatment and termination of a patient's life. It also examines the various ethical principles that medical personnel apply to solve these dilemmas, such as the principles of benevolence, non-harm, respect for patient autonomy and justice.
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Thahir, Putri Shafarina, and Tongat Tongat. "Legal Review of Medical Crime: Patient Protection and Professional Responsibility in Medical Practice." Audito Comparative Law Journal (ACLJ) 5, no. 2 (June 1, 2024): 130–42. http://dx.doi.org/10.22219/aclj.v5i2.33832.
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This article discusses a review of the law related to medical crimes in the context of patient protection and professional responsibility in medical practice in Indonesia. Employing a normative juridical research method, this study combines conceptual analysis with statutory regulation, and there are two main topics studied, namely: (1) What patient rights are protected by law in medical practice in Indonesia and (2) The role of the code of ethics in determining professional responsibilities for practitioners and its relationship to medical criminal law. The first discussion elaborates on patients' fundamental rights protected by various laws and regulations in Indonesia, including the right to information, freedom to consent or refuse medical treatment, confidentiality of information, security and safety, comfort, and compensation. The most important and fundamental legal rules in the health legal system in Indonesia are Law Number 29 of 2004 concerning Medical Practice, Law Number 36 of 2009 concerning Health, Law Number 44 of 2009 concerning Hospitals, Law Number 17 of 2023 concerning Health, and Criminal Code / Kitab Undang-Undang Hukum Pidana (KUHP). The following section explains the crucial role of medical ethics codes in determining the professional responsibilities of medical practitioners, highlighting their intersection with criminal law. For instance, the principle of non-maleficence (not harm) can be linked to criminal negligence if a healthcare professional's actions cause significant patient injury. Similarly, the principle of respect for patient autonomy aligns with the legal requirement for informed consent. By exploring these connections with real-life examples, the article aims to comprehensively understand how law and ethics work together to protect patient rights in Indonesia. The relationship between the code of ethics and medical criminal law is discussed, emphasizing the consequences of ethical violations that can result in criminal sanctions. By analyzing these aspects, this article examines how medical criminal law can achieve justice for patients harmed by rights violations and ensure that the professional responsibilities of medical personnel are fulfilled. Hopefully, this study will improve the quality of health services and more transparent and accountable medical practices in Indonesia.
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Gross, Michael L. "When Medical Ethics and Military Ethics Collide." Narrative Inquiry in Bioethics 13, no. 3 (December 2023): 199–204. http://dx.doi.org/10.1353/nib.2023.a924191.
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Abstract: In 12 narratives, medical workers from Afghanistan, Darfur, Gaza, Iraq, Israel, Myanmar, and Ukraine describe the day-to-day challenges of providing quality medical care in austere conflict zones. Faced with severe shortages of supplies, overwhelmed by sick and injured civilians and soldiers, and subject to constant attacks on medical personnel and facilities, the contributors to this collection confront difficult dilemmas of justice, medical impartiality, neutrality, burnout, and moral injury as they struggle to fulfill their duties as medical professionals, military officers, and conscientious citizens.
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Verbovska, R. I. "DEONTOLOGICAL APPROACH TOWARD PROFESSIONAL TRAINING OF FUTURE DENTAL DOCTORS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 19, no. 1 (April 26, 2019): 93–96. http://dx.doi.org/10.31718/2077-1096.19.1.93.
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The article is devoted to the issues of medical ethics and deontology, the essence of the deontological approach to the training of future dental doctors. The moral and ethical components are one of the important criteria demonstrating the readiness of future doctors to a high quality professional activity that would meet at demands of the latest medical achievements. Modern medical reform requires the improvement of the medical education system in order to prepare highly skilled health care specialists. A new generation of healthcare professionals should continuously improve and deepen their professional knowledge, be quick in handling complicated clinical situations and making adequate decisions, and demonstrate a high level of deontological culture. Scientists point out the growing requirements for the professional training of the doctors in general and for the level of their deontological culture in particular: "A few decades ago, the content of medical ethics was exhausted by two problems: first, the rules of the behaviour of medical personnel in relation to patients, and, secondly, the rules of the relationship in the medical corporation Today, radical revisions are subject to traditional problems, as well as many new problems. All this led to the need for an integrated approach to these problems and, above all, to the need and integration of theoretical and practical medicine and ethics". General moral and ethical requirements for the activities of medical workers are represented in a number of leading state and international regulatory documents that regulate the theoretical, organizational and methodological basis for the training of future health care professionals and outline the main directions toward the fostering their deontological culture, namely: the International Code of Medical Ethics adopted The General Assembly of the World Medical Association (London, 1949), the provisions of the Geneva Declaration (International Oath of Physicians) (1948), the Ethical Code Doctor I of Ukraine (2009), the Concept of development of public health care for the population of Ukraine "(2000) and others. In this regard, one of the most pressing issues the modern medical institutions of higher education are facing is to raise deontological culture among the future doctors. After all, the unfair performance of doctor’s professional duties, careless or non-ethical attitude to the patient can lead to undesirable and even tragic consequences. Each of us, seeking for a doctor’s advice, wants to be sure of his / her high professional and moral qualities. This imposes a huge responsibility on the doctors and the system of their professional training, because health and life are the most valuable treasure that a person can possess. The doctors of all specialties, including those in dentistry, have a direct relation to the performance of their professional duties by their general professional training, responsibility, decency, respectful attitude to colleagues and patients, high personal culture. These components are the essence of the deontological approach to the training of future dental doctors. If the dentists perform their work poorly, in most cases this remains unnoticed by the patient and does not cause any special conflicts. In such cases, the professional ethics of the doctors and their decency are of particular importance. It is the deontological approach to the training of future dentists that ensures fostering their moral and ethical standards, the acquisition of appropriate skills, abilities, their awareness of moral and ethical values, the development of the required traits of character. Among the prospects for further research within this direction we can single out the synthesis of the results obtained by of the analysis of scientific sources in order to distinguish the actual aspects of the training of future dental doctors.
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Khrol, Natalia. "Ethics and deontology in medical psychology." 20, no. 20 (December 29, 2022): 39–43. http://dx.doi.org/10.26565/2312-5675-2022-20-06.
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Abstract. The sphere of influence of medical psychology is constantly expanding, which is due to the relevance of mental health problems for modern society and the presence of social demand for psychological assistance. Ethics in medical psychology as one of the types of professional ethics is a set of principles of regulation and norms of behavior of medical psychologists and physicians, determined by the specifics of their activities and the role and position they occupy in society. The concept of medical deontology also includes the system of relationships established in the course of treatment between a doctor and a patient, a medical psychologist and a patient. Deontology is the study of the proper behavior of medical personnel. The subject of deontology in medical psychology is the principles of proper attitude not only towards an individual but also towards society. Referring to the ethical aspects of medical psychology, the modern models of medical ethics are analyzed: the Hippocratic model (V-IV centuries BC) – the key principle of which is: "Do no harm"; the model of Paracelsus (XV-XVI centuries) – the principle of "Do good". This model implements paternalism (pater) as a type of relationship between a medical psychologist and a patient, characterized by positive psychological attachments and social and moral responsibility, "healing", "divinity" of the contact between a medical psychologist and a patient; deontological model (XVIII-XIX centuries) is a set of "proper" rules that correspond to a particular field of medical practice; biomedical ethical model (60-70s of the XX century) considers medicine in the context of human rights. It has been established that medical psychology in all its sections is based on general medical ethical principles. Medical psychologists face specific ethical issues in their work. This is the question of the need to inform the subject about the purpose and content of the psychological examination before it is conducted. Secondly, a medical psychologist must adhere to the rule of "boundaries" (the limit of acceptable behavior). Given the specifics of interpersonal interaction between a medical psychologist and a patient, it is necessary to clearly define professional boundaries of communication during psychological counseling and psychotherapeutic meetings. Thirdly, the formation of emotional attachment of the patient to the medical psychologist, which is one of the characteristics of professional interpersonal interaction, can be a difficult ethical issue. Therefore, a medical psychologist should control the interaction with the patient, being aware of their professional actions, so that emotional support does not interfere with providing the patient with the means to independently cope with difficulties and realize their life goals.
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Lytvynenko, Anatoliy A., and Tetiana V. Petlina. "Canadian Codes of Medical Ethics as a Source of Law." Teisė 129 (January 9, 2024): 108–26. http://dx.doi.org/10.15388/teise.2023.129.7.
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The article discusses the codes of medical ethics which are adopted in Canada. These acts are not ‘classical’ normative-legal acts, since they are adopted not by legislative bodies, but rather by medical associations, and are aimed at providing rules on the professional conduct of physicians and auxiliary medical personnel; occasionally, they also feature the rules concerning the rights and duties of patients. The article’s sources include the codes of medical ethics adopted in Canada, Canadian court judgments, and academic literature.
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Bricknell, Martin, and Marina Miron. "Medical Ethics for the Military Profession." Revista Científica General José María Córdova 19, no. 36 (October 1, 2021): 851–66. http://dx.doi.org/10.21830/19006586.814.
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This paper summarizes medical ethics in the military profession to raise military leaders’ awareness of Military Medical Ethics (MME) and the ethical issues that may impact their medical services and personnel. First, it summarizes core concepts, including the four principles of medical ethics (autonomy, beneficence, non-maleficence, and justice), the two legal frameworks for the use of military force in war, jus ad bellum and jus in bello, and the concept of dual loyalty. It then examines MME issues during conflict, in garrison healthcare, and during the COVID-19 epidemic. Finally, it concludes by arguing that MME is an important domain of military ethics that should be taught to military leaders to complement the detailed education of MME for military medical professionals.
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Gosal, Vini H. R., Aaltje E. Manampiring, and Caecilia Waha. "Perilaku Profesional Tenaga Medis terhadap Tanggung Jawab Etik dan Transaksi Terapeutik dalam Menjalankan Kewenangan Klinis." Medical Scope Journal 4, no. 1 (September 27, 2022): 1. http://dx.doi.org/10.35790/msj.v4i1.41689.
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Abstract: Professional medical personnel must have elements of professionalism, basic principles of medicine and professional ethics in carrying out their profession. Clinical privilege is a doctor's special right obtained through the credential process by the Medical Committee. This study aimed to analyze the medical personnel towards ehical responsibility and therapeutic transactions in doing their clinical privilege. This was a qualitative study using case study method. Subjects were eight people consisting of general practitioners, specialists, the chairman of the Medical Committee, and the sub-committee for credentials of Rumah Sakit Umum Manado Medical Center. Primary data were obtained through in-depth interviews and observation guidelines. Validity of the data was done using the triangulation method. The results showed that the behavior of doctors was in accordance with the element of professionalism, but not all of them applied the professional behavior ethics according to hospital standard operating procedure (SOP). Based on the implementation of therapeutic transactions, not all of them have carried out the doctor's obligation to explain the patient's diagnosis completely and in detail simplly to be understood. The results of implementation of the credential were suitable to the procedure, but for evaluation, it was not optimal due to the re-credential was not carried out. In conclusion, not all medical personnel applied the professional behavior ethics according to hospital (SOP). Monitoring and evaluation through re-credentialing of medical personnel had not been performed at Manado Medical Center.Keywords: professional behavior; ethics; therapeutic transactions; clinical privilege Abstrak: Tenaga medis yang profesional harus memiliki unsur-unsur profesionalisme, prinsip dasar kedokteran dan etika profesi dalam menjalankan profesinya. Kewenangan klinis merupakan hak khusus dokter yang didapatkan melalui proses kredensial oleh Komite Medik. Penelitian ini bertujuan untuk menganalisis perilaku profesional tenaga medis terhadap tanggung jawab etik dan transaksi terapeutik dalam menjalankan kewenangan klinis. Jenis penelitian ialah kualitatif dengan metode studi kasus. Subjek penelitian berjumlah delapan orang terdiri dari dokter umum, dokter spesialis, ketua Komite Medik dan sub komite kredensial Rumah Sakit Umum Manado Medical Center. Data penelitian diperoleh melalui wawancara mendalam dan pedoman observasi. Validitas data menggunakan metode triangulasi. Hasil penelitian menunjukkan perilaku dokter sesuai dengan unsur profesionalisme, tetapi belum semua menerapkan etika perilaku profesional sesuai standar prosedur operasional (SPO) Rumah Sakit. Dalam pelaksanaan transaksi terapeutik, belum semua dokter melaksanakan kewajibannya yaitu menjelaskan diagnosa pasien secara lengkap dan rinci dengan bahasa yang mudah dipahami. Pelaksanaan kredensial sesuai dengan prosedur, tetapi untuk evaluasi belum optimal karena pelaksanaan re-kredensial tidak dilakukan. Simpulan penelitian ini ialah belum semua dokter menunjukkan sikap dan perilaku sesuai SPO Rumah Sakit dan belum dilakukan monitoring dan evaluasi kembali melalui proses re-kredensial dokter umum dan dokter spesialis di Manado Medical Center.Kata kunci: perilaku professional; etik; transaksi terapeutik; kewenangan klinis
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Torabi, Mohammad, Fariba Borhani, Abbas Abbaszadeh, and Foroozan Atashzadeh-Shoorideh. "Barriers to ethical decision-making for pre-hospital care professionals." Nursing Ethics 27, no. 2 (June 11, 2019): 407–18. http://dx.doi.org/10.1177/0969733019848044.
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Background: Emergency care providers are frequently faces with situations in which they have to make decisions quickly in stressful situations. They face barriers to ethical decision-making and recognizing and finding solutions to these barriers helps them to make ethical decision. Objectives: The purpose of this study was to identify barriers of ethical decision-making in Iranian Emergency Medical Service personnel. Methods: In this qualitative research, the participants (n = 15) were selected using the purposive sampling method, and the data were collected by deep and semi-structured interviews. Finally, the data are analyzed using the content analysis approach. Ethical considerations: Permission to conduct the study was obtained from the Ethics Committee of the Shahid Beheshti University of Medical Sciences. The objectives of the study were explained to the participants and written consent was received from them. Also, participants were assured that necessary measures were taken to protect their anonymity and confidentiality. Findings: The results of the analysis are classified in five main categories. It encompasses the following areas: perception of situation, patient-related factors, input and output imbalance, uncoordinated health system, and paradoxes. Conclusion: Emergency Medical Service personnel make ethical decisions every day. It is important that prehospital personnel know how to manage those decisions properly so that clients’ moral rights are respected. Hence, by identifying the dimensions and obstacles of ethical decision-making in Emergency Medical Service personnel, it is possible to enhance the moral judgment and ethical accountability of the personnel and develop the strategies necessary for ethical decision-making in them.
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Shutova, A. A., and I. R. Begishev. "Draft of an ethical code of subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies." Russian Journal of Economics and Law 17, no. 4 (December 14, 2023): 873–81. http://dx.doi.org/10.21202/2782-2923.2023.3.873-881.
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Objective: to develop a draft Ethical Code aimed at establishing ethical norms and rules of official behavior of subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies.Methods: the methodological basis of the draft Ethical Code aimed at establishing ethical norms and rules of official behavior of subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies consists of general and specific methods of scientific cognition, including analysis, synthesis, deduction, induction, classification, analogy, and comparison.Results: To the attention of lawyers – legal scientists and practitioners, medical professionals, members of clinical ethics committees, medical ethics specialists, representatives of law-making bodies, government agencies, business community and public organizations, patients, and a wide range of readers interested in the digital transformation of the healthcare system, we present the first in the Russian Federation draft of an Ethical Code of subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies.Scientific novelty: the draft Ethical Code comprises general principles of professional service ethics and basic rules of official behavior, which should guide the subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies. It is aimed at strengthening the authority of medical personnel, increasing patient confidence in artificial intelligence technologies, and preventing potential negative consequences as a result of their use.Practical significance: the draft Ethical Code is based on a systematic and comprehensive approach to the study of ethical norms and rules of official behavior, which should be followed by the subjects implementing activity of creating, applying and utilizing medical products based on artificial intelligence technologies. The principles specified in the Ethical Code are a basis for the development of the legal regulation system for artificial intelligence technologies in healthcare.
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Mohammadi, Reza, Fatemeh Karbin, Salman Khazaei, and Arezou Karampourian. "Relationship Between of Mental Health and Job Satisfaction With Professional Ethics in Emergency Medical Personnel." Health in Emergencies and Disasters Quarterly 9, no. 4 (July 1, 2024): 313–20. http://dx.doi.org/10.32598/hdq.9.4.570.1.
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Zurzycka, Patrycja, Katarzyna Czyżowicz, and Grażyna Puto. "Rola etyki narracyjnej w kształceniu pielęgniarek." Sztuka Leczenia 37, no. 2 (December 30, 2022): 49–56. http://dx.doi.org/10.4467/18982026szl.22.014.16673.
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Narracja i realizowana w oparciu o nią opieka narracyjna umożliwia włączenie do codziennej praktyki klinicznej perspektywy humanistycznej odwołującej się do opowieści (narracji) pacjentów i ich bliskich, a także personelu medycznego. Połączenie wiedzy pochodzącej z narracji oraz kontekstu klinicznego i uwarunkowań realizowanej opieki pozwala na skupienie się na jednostkowych potrzebach i wyjątkowości każdego człowieka. Narracja może być także postrzegana jako jedna z form etyki. U podstaw etyki narracyjnej leży założenie, że narracja jest istotnym elementem wpływającym na podejmowane w sytuacjach klinicznych decyzje, również te związane z rozwiazywaniem dylematów etycznych. Etyka narracyjna pomaga docenić wpływ historii (opowieści) na jaźń oraz zrozumieć bogactwo i złożoność indywidualnego życia, a tym samym może stanowić podstawę dla rozumowania etycznego. Ze względu na specyfikę roli zawodowej pielęgniarki etyka narracyjna może stanowić istotną wartość wykorzystywaną w nauczaniu etyki zawodu. Celem pracy jest przedstawienie wybranych zagadnień związanych z etyką narracyjną w kształceniu pielęgniarek. ABSTRACT The role of narrative ethics in nursing education Narrative and narrative care enables the integration of a humanistic perspective into everyday clinical practice, referring to the stories (narratives) of patients and their relatives, as well as medical personnel. The combination of knowledge derived from narrative and the clinical context and determinants of the care provided allows to focus on the individual needs and uniqueness of each person. Narrative can also be perceived as a form of ethics. At the core of narrative ethics is the assumption that narrative is an essential element that influences decisions made in clinical situations, including those related to resolving ethical dilemmas. Narrative ethics helps to appreciate the impact of stories (storytelling) on the self and to understand the richness and complexity of individual lives, and thus can provide a basis for ethical reasoning. Given the specificity of the professional nurse’s role, narrative ethics can be an important value used in teaching professional ethics. The aim of this paper is to present selected issues related to narrative ethics in the professional education of nurses.
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Dambe, Gundega, and Dzintra Atstāja. "CHALLENGES TO MADE VALUES-BASED COMPETENCE MODEL FOR AMBULANCE PERSONNEL." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 4 (May 21, 2019): 112. http://dx.doi.org/10.17770/sie2019vol4.3905.
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The purpose of this paper is to clarify and analyse the understanding of the values for Ambulance personnel, to compare and integrate it with the system of competencies used in the performance assessment and evaluation of professional competence. The results of State Emergency Medical Service ambulance personnel’s survey in the 2018 are analysed in the research. The results obtained Ambulance personnel’s different understanding of the importance of organization's values and its impact in management, staff attitude and work performance. The results of the survey have showed that Ambulance personnel has contradictive understanding of system of values. Their personal values are respect, compassion, care, ethics, honesty, trust, however for their professional work they recognise teamwork, professionalism, safety, etc. as very important values.
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Gorea, Rakesh K. "Basics of Victimology for Medical Personnel." INTERNATIONAL JOURNAL OF ETHICS, TRAUMA & VICTIMOLOGY 7, no. 02 (January 20, 2022): 1–5. http://dx.doi.org/10.18099/ijetv.v7i02.1.
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Forensic physicians, gynecologists, forensic nurses, emergency medical officers and other doctors are coming across victims of violence and they need to know the basics of victimology. They need to know how to deal with them to recognize the investigative, therapeutic, judicial, social and cultural needs of the victims. They should know that victims have the right. A brief exploration of the various aspects of victimology which can be useful to the medical stakeholders is being introduced and discussed in this paper. Starting from the history of victimology to the various theories of its origin, victim's rights, victimology ethics, and the financial burden on the society are being discussed in this paper so that medical professionals can get aware of these aspects of victimology and ultimately this knowledge can guide and help them to deal with the victims rightfully.
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Vidi Galenso Syarief. "PERLINDUNGAN HUKUM TENAGA MEDIS DAN TENAGA KESEHATAN MELALUI MAJELIS YANG DIBENTUK MENTERI KESEHATAN PASCA UNDANG-UNDANG KESEHATAN OMNIBUS LAW." Collegium Studiosum Journal 6, no. 1 (June 30, 2023): 336–43. http://dx.doi.org/10.56301/csj.v6i1.933.
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The rapid development of life in the health sector has resulted in the need for broader regulations, from medical law to matters related to health (health law) in order to provide legal protection for medical personnel and health workers. The research method used is normative juridical. The results of the study show that legal protection for medical personnel and health workers is contained in the Omnibus Law on Health, one of which is regulated in Article 310 which reads: the consequences of the error are resolved first through alternative dispute resolution outside the court. This article regulates the settlement of losses due to medical or health actions that must be resolved through non-litigation channels first. In addition, the legal protection for medical personnel and health workers in the Health Omnibus Law is regulated in Article 273 paragraph (1), Article 306 paragraph (3), Article 273 paragraph (2), Article 393 paragraph (1) and Article 193. In addition, to provide legal protection for medical personnel, the Minister of Health is preparing to form a special assembly to uphold the doctor's code of ethics as stipulated in Article 304 of the Omnibus Law on Health. This assembly is to maintain the doctor's code of ethics, regardless of the professional organization, the type of doctor and the specialist. With the existence of this assembly, all criminal cases that might ensnare doctors will go to this assembly, before entering the realm of law.
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Hooft, Francesca Baukje. "Legal framework versus moral framework: military physicians and nurses coping with practical and ethical dilemmas." Journal of the Royal Army Medical Corps 165, no. 4 (March 22, 2019): 279–81. http://dx.doi.org/10.1136/jramc-2018-001137.
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Within military operations, military physicians and nurses experience a dual loyalty to their professional identities. The moral frameworks of the medical and military professions are not similar, and require different kinds of choices and action from its members. But above all, the legal framework in which the healthcare personnel has to operate while deployed is different from the medical moral standards. Military necessity is prioritised over medical necessity. In debates on dual loyalty, legal frameworks should be considered as a more decisive factor in ethical decision-making processes. Legal frameworks, both general and mission-specific, support this prioritisation of military necessity, complicating the work of military physicians and nurses. During the post-Cold War era, in which neutrality and moral supremacy have served as legitimising factors for military peacekeeping or humanitarian missions, this misalignment between the moral and the legal framework is problematic. What is legally correct or justifiable may not be morally acceptable to either the medical professional standards or to the general public. The legal framework should be given more prominence within the debates on dual loyalty and military medical ethics. This paper argues that the misalignment between the legal and moral framework in which deployed healthcare personnel has had to operate complicated ethical decision-making processes, impeded their agency, and created problems ranging from military operational issues to personal trauma and moral injury for the people involved, and ultimately decreasing the legitimacy of the armed forces within society.
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Wiratama Putra, Aulia. "Implementation of Anesthesia Ethics to Improve Medical Professionalism." Indonesian Health Journal 2, no. 1 (February 27, 2023): 78–82. http://dx.doi.org/10.58344/indonesianhealthjournal.v2i1.25.
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This research aims to increase the professionalism of medical personnel in the field of medicine, especially poly surgery. Research methodology with descriptive qualitative literature review design. Data collection techniques by collecting information from electronic reading sources. This type of research is an analysis of medical journals with primary subjects from several hospitals in Indonesia for analysis based on inclusion criteria such as patients experiencing postoperative anxiety and insecurity, this results in weak physical health due to psychological influences. Data analysis using source triangulation. The research results describe that the medical and health sciences field has ethics and a professional attitude that needs to be realized to increase a sense of comfort and trust in the medical world. From the results of several findings, it was stated that the action decisions taken by medical science were still in agreement or had yet to be mutually agreed upon. They emphasise the element of compulsion because of the conditions requiring it. Patients do not have a voluntary attitude in agreeing to medical action. Such influence becomes a consideration that rules and agreements, the volunteers of doctors and patients must be realized with awareness and voluntarism. If two things are realized, it can increase the value of medical professionalism, especially in anaesthesia.
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Wiratama Putra, Aulia. "Implementation of Anesthesia Ethics to Improve Medical Professionalism." Indonesian Health Journal 2, no. 1 (February 27, 2023): 1–7. http://dx.doi.org/10.58344/ihj.v2i1.25.
Full textAbstract:
This research aims to increase the professionalism of medical personnel in the field of medicine, especially poly surgery. Research methodology with descriptive qualitative literature review design. Data collection techniques by collecting information from electronic reading sources. This type of research is an analysis of medical journals with primary subjects from several hospitals in Indonesia for analysis based on inclusion criteria such as patients experiencing postoperative anxiety and insecurity, this results in weak physical health due to psychological influences. Data analysis using source triangulation. The research results describe that the medical and health sciences field has ethics and a professional attitude that needs to be realized to increase a sense of comfort and trust in the medical world. From the results of several findings, it was stated that the action decisions taken by medical science were still in agreement or had yet to be mutually agreed upon. They emphasise the element of compulsion because of the conditions requiring it. Patients do not have a voluntary attitude in agreeing to medical action. Such influence becomes a consideration that rules and agreements, the volunteers of doctors and patients must be realized with awareness and voluntarism. If two things are realized, it can increase the value of medical professionalism, especially in anaesthesia.
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Al-Balushi, Amal A. "In the Era of Social Media: Is it time to establish a code of online ethical conduct for healthcare professionals?" Sultan Qaboos University Medical Journal [SQUMJ] 20, no. 1 (March 9, 2020): 25. http://dx.doi.org/10.18295/squmj.2020.20.01.004.
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Social media is becoming an invasive part of the lives of many professionals including those in the healthcare field. One of the countless implications of such an invasion is how the healthcare professional’s engagement with social media affects the traditional doctor-patient relationship. The online presence of professionals should be carefully self-monitored as it affects the individual’s reputation and society’s perception of their profession. Therefore, the contents of public and personal accounts must differ according to their purpose. In the public eye, conflicts of interest must be declared and scientifically-based medical advice should be clearly differentiated from experience-based advice, personal opinions or commercial advertisements. Online doctorpatient relationships risk the privacy of patients as well as the personal privacy of the healthcare professional. Personal accounts created for friends and family should be kept separate from public accounts created for educational, professional or commercial purposes. Published educational material should be clearly differentiated from commercial material so that it is easier for the public to make an informed decision. This paper proposes a code of online ethical conduct to be implemented in Oman.Keywords: Codes of Ethics; Social Media; Health Personnel; Privacy; Confidentiality; Conflict of Interest; Physician-Patient Relations; Oman.
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KWON, Ivo, and Young-Mo KOO. "An Experience of On-Line Medical Ethics Education for Hospital Interns." Korean Journal of Medical Ethics 5, no. 2 (December 2002): 33–44. http://dx.doi.org/10.35301/ksme.2002.5.2.33.
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Web-based or cyber education is a useful educational tool that enables to overcome the time and space limitation, and that has to be taken seriously into consideration for medical ethics education, in particular, for the hospital interns or residents. For the last two years, the authors have managed a couple of on-line medical ethics education courses for hospital interns as a part of their PGE program, to get some positive results. This article includes analyses of questionnaire collected from the interns who finished the course with a success. Based upon the authors' experience, the following suggestions for on-line medical ethics education should be considered : * On-line ethics education can be a viable option, but the limitation has to be admitted. It is desirable that on-line ethics education would be a part of the entire medical ethics education program for clinical physicians. * On-line education needs both facilities and contents, including of course personnel who manage the courses. Some hospitals are now known to have their own cyber-training programs, into which the ethics education program may be integrated. * The learning objectives and education materials should be developed to meet the on-line education's specific needs, although further discussion among multi-disciplinary professions is required. * On-line education should be systematically connected with the professional value building process, or regular education opportunity like one offered by hospital ethics committee. The hospital ethics committee may also be used for an educational purpose.
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Nasrun, Nasrun, and Fathya Fathya. "Etik Dan Profesionalisme Perawat Dan Bidan Puskesmas Marawola Kabupaten Sigi Pada Masa Tanggap Bencana Gempa Bumi." Herb-Medicine Journal 4, no. 2 (May 2, 2021): 29. http://dx.doi.org/10.30595/hmj.v4i2.9445.
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Palu city, Donggala, was hit by a 7.4 scale earthquake followed by a tsunami and liquefaction in September 2018. Numerous casualties were reported, particularly Maralowa health centre, Sigi district. Medical personnel should strictly adhere to their competencies. However, it is not uncommon to act beyond their capacity during a natural disaster. We are interested in investigating the ethical issues and professional aspect of medical personnel during an emergency. The research was conducted from March to June 2020, with qualitative methods using in-depth interviews of 8 participants who lived in Marawola Health Center at the time of the earthquake disaster. We used the Miles and Huberman method (1992) for data analysis. Medical personnel experienced a heavy load of working burden and psychological pressure; they were even unprepared for this condition. Overlapping competency is happening among medical personnel, but we did not found any ethical issues nor professionals breach during practice in Marawola Health Center
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CHOI, Eun-Kyung, Kee-Hyun CHANG, Soo Youn KIM, Ivo KWON, and Ock-Joo KIM. "Ethics Education in Medical Schools in Korea: Current status and problems concerning teachers, materials, and methodologies." Korean Journal of Medical Ethics 9, no. 1 (June 2006): 44–59. http://dx.doi.org/10.35301/ksme.2006.9.1.44.
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This study examines the current status of ethics education in medical schools in Korea and addresses the following questions: "Who teaches medical ethics?" "What is taught?" and "How is it taught?" The study also surveys opinions on the questions of "Who should teach medical ethics?" "What should be taught?" and "How should it be taught?" From March to May 2006, a questionnaire was developed and sent to educators of medical ethics in Korea. Out of the 41 medical schools that received the questionnaire, 37 (90.2%) replied. Thirty six medical schools provide ethics education as part of their regular curricula; 28 schools (75.7%) offer independent courses in medical ethics, while 6 schools provide integrated/special lectures in medical schools. Thirty three medical schools (80.5%) reported teaching ethics in only one year of their curriculum, while the remaining 8 medical schools reported teaching ethics in 2 or more years. Two medical schools provided ethics courses in 5 years. Most schools offer ethics courses in the second or third year of medical schools, and 8 schools (21.6%) provide instruction in ethics in two or more medical courses. With respect to the question of who teaches, in 25 schools (67.6%) only one professor teaches medical ethics, while in the remaining 12 schools there are two or more instructors. Thirty schools do not have a full-time faculty member for medical ethics education. With respect to the question of what is taught, the most common content areas are 'ethical concepts,' 'the ethics of death and dying,' 'reproductive ethics,' and 'doctor-patient relationships.' As for the question of how it is taught, the most common methods are lectures (34 schools, 91.9%), group discussions (24 schools, 64.9%), and case studies. The majority of respondents indicated that current medical ethics education in Korea fails to meet the goals and standards of ethics education. The principal causes of this, according to respondents, are as follows: 1) an insufficient allocation of time for ethics education; 2) the lack of qualified instructors; and 3) the lack of recognition and support for the importance of ethics education in medical schools. As for the question of who should teach medical ethics, most of the educators believe that a team consisting of ethicists, clinicians, medical humanists, lawyers, and specialists is most suitable. Respondents ranked the following as the most important content areas: 1) 'ethical concepts'; 2) 'doctor-patient relationships'; 3) 'human rights and doctors.' The ranking reveals a continuing stress on the conceptual and theoretical bases for medical ethics. Concerning teaching methods, most respondents replied that the best method is small group discussion, although it is impractical due to the lack of teaching faculty. At a workshop where these results were discussed, educators of medical ethics expressed a need, given the lack of resources and professional personnel in Korea, to build a network to share resources and information for the betterment of ethics education in Korea.
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Adiana, I. Nyoman, Ida Bagus Anggapurana Pidada, and Kadek Mery Herawati. "Tanggung Jawab Hukum Rumah Sakit Terhadap Kelalaian Tenaga Medis Yang Mengakibatkan Pasien Cacat Permanen." AL-DALIL: Jurnal Ilmu Sosial, Politik, dan Hukum 1, no. 3 (August 29, 2023): 61–67. http://dx.doi.org/10.58707/aldalil.v1i3.560.
Full textAbstract:
Law no. 44 of 2009 stated that "Hospitals are legally responsible for all losses incurred due to negligence committed by health workers at the Hospital". Hospital responsibilities in providing health care are based on professional, ethical, civil, administrative and criminal aspects. The hospital law provides protection and guarantees for patients and medical personnel involved in health services. And also provide certainty in the hospital to maximize management functions, regulate and control various things that are the responsibility of the hospital so that it can minimize various things that can certainly harm patients. Obstacles are the difficulty in finding evidence related to medical negligence committed by medical personnel against patients which causes harm to patients so that it is difficult for hospitals to prove the existence of medical negligence committed by medical personnel against patients. The solution is for the hospital to form a team to deal with acts of negligence that occur, accredit professional and health workforce resources, evaluate the performance of medical personnel, and improve hospital management. Conduct accreditation of professional and health workforce resources.
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Adiana, I. Nyoman, Ida Bagus Anggapurana Pidada, and Kadek Mery Herawati. "Pertanggungjawaban Hukum Rumah Sakit Terhadap Kelalaian Tenaga Medis Yang Mengakibatkan Pasien Cacat Permanen." Jurnal Riset Multidisiplin dan Inovasi Teknologi 2, no. 01 (November 19, 2023): 148–60. http://dx.doi.org/10.59653/jimat.v2i01.378.
Full textAbstract:
Article 46 Law no. 44 of 2009 stated that "Hospitals are legally responsible for all losses incurred due to negligence committed by health workers at the Hospital". Hospital responsibilities in providing health care are based on professional, ethical, civil, administrative and criminal aspects. The hospital law provides protection and guarantees for patients and medical personnel involved in health services. And also provide certainty in the hospital to maximize management functions, regulate and control various things that are the responsibility of the hospital so that it can minimize various things that can certainly harm patients. Obstacles are the difficulty in finding evidence related to medical negligence committed by medical personnel against patients which causes harm to patients so that it is difficult for hospitals to prove the existence of medical negligence committed by medical personnel against patients. The solution is for the hospital to form a team to deal with acts of negligence that occur, accredit professional and health workforce resources, evaluate the performance of medical personnel, and improve hospital management. Conduct accreditation of professional and health workforce resources.
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Belowska, Jarosława, Mariusz Panczyk, Zofia Sienkiewicz, Anna Kaczyńska, Aleksander Zarzeka, and Joanna Gotlib. "The Analysis of Opinions and Attitudes of Students of Nursing with Respect to the Observance of Patient's Rights in Poland." Polish Journal of Public Health 124, no. 4 (March 1, 2015): 209–14. http://dx.doi.org/10.1515/pjph-2015-0011.
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Abstract Introduction. As these define the status of the patient during the provision of health services, patients' rights are a very important component of Poland's medical law. The observance of these rights is a prerequisite for the proper performance of the nursing profession. Theoretical and practical preparation in this area is thus already a necessity in the students' education process. Aim. The aim of the study was to analyze the opinions and attitudes of nursing students with respect to problems in the field of the observance of the rights of patients in Poland. Material and methods. The study was built upon the opinions expressed by 375 students (362 women and 13 men) of the first and second year. These were full-time and part-time students in master's studies in nursing, of the Faculty of Health Science, Medical University of Warsaw. The study employed a qualitative and quantitative analysis of the content of essays. Results. The results of the study indicate that 59 percent of the respondents report being frequent witnesses of violation of patient's rights. In particular, that which noted were the rights to privacy and dignity (98%), to receive sought-after information (91%) and to suitable health-care (85%). Another right seen to have been violated in the respondents' workplace was the patient's right to the maintenance of the confidentiality of patient-related information by medical personnel (77%). The respondents, while seeing violation of the patient's rights by other employees, declared their own adherence to these rights in their own professional practice. Conclusions. 1. The majority of the study group repeatedly witnessed violation of patients' rights. It would, therefore, be advisable to monitor the observance of the rights of patients by medical personnel, and to see to the professional liability of those who flagrantly breaking the law. 2. Research findings indicate that ethics should be given more emphasis in teaching future health professionals in the course of their medical studies. 3. The analysis of the available literature and our own study show that the share of medical personnel in providing information about the patients' rights is minimal. It would be advisable for medical personnel to be given an opportunity to acquire new skills and competences in this field. 4. Awareness of the existence and knowledge of the patient's rights, not only among medical students and health professionals, but also among patients, is crucial to their observance by the former and their exercise by the latter. It should, therefore, be spread and raised. 5. Training and thematic courses in patient's rights should be provided in order to enable medical personnel to acquire new skills and competences in this field, with the end result of improving their observance of patient's rights. 6. A qualitative analysis constitutes an innovative and effective way of carrying out research and interpreting research findings, being a valuable and reasonable method of conducting a survey, and in exploring the attitudes of students and health-care workers towards patient's rights.
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Ortiz Linares, Ekaterina, and Marisela Silva Chau. "Reflections on the Colombian case law on the protection of medical personnel against punishment." International Review of the Red Cross 95, no. 890 (June 2013): 251–65. http://dx.doi.org/10.1017/s1816383114000204.
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AbstractOne of the fundamental rules for the protection of health-care personnel in any circumstance, including contexts of armed conflicts, provides for a prohibition on punishing medical professionals who merely act in accordance with medical ethics. However, although the reasons for this prohibition may seem obvious, in contexts of non-international armed conflicts the provision of medical care to wounded and sick members of non-state armed groups can expose medical personnel to accusations of participation in criminal activities. Based on the Colombian domestic legislation and jurisprudence on the matter, this article aims to propose elements of analysis on the apparent contradiction that exists between, on the one hand, the prohibition against punishing medical personnel for merely providing health care to the wounded and sick who need it, and on the other, the prerogative of the state authorities to restore order and security within their territory through the imposition of criminal sanctions on members of non-state armed groups or their aiders and abettors.
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Widjaja, Sutono. "Perlindungan Hukum Bagi Pasien Selaku Konsumen terhadap Tindakan Malpraktik di Bidang Kesehatan." JURNAL RECHTENS 9, no. 1 (June 3, 2020): 39–52. http://dx.doi.org/10.36835/rechtens.v9i1.660.
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Malpractice cases are a crime that is very common in Indonesia. Malpractice is basically the actions of professionals who contravene SOPs, codes of ethics, and applicable laws, whether intentional or as a result of negligence resulting in loss or death to others. On the other hand, in the implementation of health services, medical personnel, namely doctors and nurses do not rule out the possibility of an error or negligence. Errors or negligence by doctors in carrying out their professional duties can be fatal both to the body and soul of the patient (in medical/legal terms this incident is called malpractice) and this is of course very detrimental to the patient as a victim of malpractice. As a victim of malpractice that is harmed , of course the patient will demand what is his right. Patients who are victims of malpractice will demand compensation or ask for accountability from the doctor concerned. These demands can be in the form of civil claims, namely compensation, criminal charges, namely imprisonment for perpetrators of malpractice
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ARDIKA, GEDE TUSAN. "PERJANJIAN TINDAKAN MEDIS ANTARA DOKTER DENGAN PASIEN SEBAGAI BENTUK PELAYANAN PUBLIK." GANEC SWARA 13, no. 2 (September 2, 2019): 391. http://dx.doi.org/10.35327/gara.v13i2.107.
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The purpose of this paper is to find out the procedure for making agreements in medical actions in health services between doctors and patients in handling medical measures. The research is a normative legal research study with an approach based on laws and regulations, a conceptual approach and a case approach. From the results of the study it can be concluded that, the Agreement on Medical Action (informed consent) is carried out in accordance with statutory procedures, for that doctors are bound by professional code of ethics in carrying out their functions as medical personnel, so that in carrying out medical actions there must be an agreement and written agreement between the doctor and the patient. The legal consequences arising between the doctor and the patient after the medical action is carried out are in the form of legal responsibility, both in the form of civil, criminal and administrative law related to his profession.
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Herasymenko, Pavlo Volodymyrovych, and Olena Volodymyrivna Herasymenko. "ЕТИЧНІ АСПЕКТИ РОЗБОРУ СКАРГ У ПРИВАТНІЙ МЕДИЧНІЙ ПРАКТИЦІ." SOCIAL WORK ISSUES: PHILOSOPHY, PSYCHOLOGY, SOCIOLOGY, no. 2 (14) (2019): 13–18. http://dx.doi.org/10.25140/2412-1185-2019-2(14)-13-18.
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Urgency of the research. The relevance of adherence to the principles of medical ethics in the analysis of complaints is determined by the complexity of decision-making during an examination of inconsistencies in medical practice, which mandatory element is interference in a person’s inner world. Target setting. The structure of complaints about activities of health professionals is quite complex. A decision after a complaint is not always in favor of a complainant. At the same time, inconsistencies in medical practice due to a fault of a medical institution have significant consequences: organizational, financial, image. Therefore, improvement and proper application of principles of medical ethics in complain handling is important at all stages of medical care. Actual scientific researches and issues analysis. The article mentions works of scientists and medical practitioners, summarizes the body of knowledge on the issues of adherence to medical ethics during medical intervention and possible complaints. Uninvestigated parts of general matters defining. At the present stage of development, the national health care system is in a state of radical change. The shares of the public, communal and private sectors are significantly redistributed. Their structure and development trends are changing dynamically. The volatility of the current national health care system requires better study and coverage, in order to share experiences and implement best practices in ethical patient management. The research objective of the publication is to expand scientific and practical knowledge and skills about the harmonious integration of the principles of medical ethics in modern Ukrainian medicine. The statement of basic materials. Variants of complaints from dissatisfied patients, ethical principles of the approach to their consideration, stages and features of complaint analysis, the role of each of the medical staff during such examinations are considered. Conclusions. The publication discusses the practical experience of applying the principles of medical ethics and deontology in the work of a private medical institution in the analysis of complaints. The main elements of an ethical approach to diagnostics, consideration and resolution of a complaint. The conditions and processes that accompany communication with the complainant are described. Variants of approaches to solving problems for the personnel of clinics and finalizing the elimination of the identified inconsistencies are proposed.
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TSARFATI, Becky, and Daniela COJOCARU. "ETHICS AND NURSING IN A WIRED WORLD." Social Research Reports 12, no. 2 (December 15, 2020): 17–26. http://dx.doi.org/10.33788/srr12.2.2.
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In recent years, healthcare givers and patients have extensively used computerized technologies and digital information. This changed the work environment and skills of nurses who learn to live with innovations, namely working with both “machines” and humans. Nursing is patient-centered, respecting human dignity and acknowledging patients' needs. Nurses are required to promote safe environment and health care, educate, and embrace a health policy for individuals of all ages and communities. Electronic health records are shared through network systems not only by patients but also by physicians, nurses, insurance personnel, government officials and more. This widespread access to health information requires finding ways for observing patients’ confidentiality and privacy by the users. This paper presents four central ethical issues stemming from the use of electronic records: the built-in conflict between nurses' quality care commitment to health system organization and their commitment to maintain patients' respect and privacy; the gap between the one-dimensional reporting of medical and therapeutic information through technological systems; the gap between the advantage of technological systems as being easy to operate and use and the risk of leaking confidential medical information, violating patients' privacy. 4) Conflict between nurses' classic professional identity as people who take care of and satisfy patients' needs and the new concept of nursing that advocates patients’ privacy, autonomy and dignity while learning new technological skills with all the advantages and disadvantages encompassed in it. This paper ends with a writes' point of view about ethical-technological solutions of the ethical issues.
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Restrepo Zapata, Jorge Humberto, Lina Marcela Céspedes Palacio, Denny Solany Toloza García, and Paula Camila Vásquez Hernández. "Evaluation of knowledge in pharmaceutical care for people with visual impairment in pharmacy regency students of a university in Colombia." Anales de la Real Academia Nacional de Farmacia 89, no. 89(01) (March 31, 2023): 97–107. http://dx.doi.org/10.53519/analesranf.2023.89.01.04.
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In the academic and professional training of pharmacy personnel, whether from a technical, technological or professional point of view, including Pharmaceutical Chemistry, not only should the accumulation of knowledge and training practices be centralized, but we should also contemplate socio-moral aspects such as to have professionals with the most complete training such as pharmaceutical care for personnel with visual, physical or neurological disabilities (depending on the degree of complexity); where the power of their rehabilitation lies in their independence and ability to function on their own, self-sufficient. For all of the above, it is required that within the institutional educational plan or called academic pensul, socio-ethical classes provide sign language training or training for outpatient care and clinics for this type of population that have the same rights and duties as citizens of their congeners.
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Jayawardena, Hemamal. "AIDS and Professional Secrecy in the United States." Medicine, Science and the Law 36, no. 1 (January 1996): 37–42. http://dx.doi.org/10.1177/002580249603600108.
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Objective: To create a legal awareness of AIDS patients' right to privacy among the medical profession. Discussion and recommendations: Doctors should recognize confidentiality as a patient's right, since in most countries the AIDS patient is practically considered a person who is going through a punishment, having no legal rights, rather than a patient suffering from a grave illness. Originally the common law did not recognize the concept of professional secrecy as a right of the patient. It was only regarded as an ethical duty not actionable in court. But with the eruption of diseases such as AIDS, statutes requiring written authorization for the release of confidential information were enacted. A problem with our hospital records is that they are freely available to almost all the staff in the hospitals and sometimes even to outsiders. In the case of AIDS at least, strict measures should be taken to enforce secrecy in relation to all disease-related information such as sexual history, HIV status and CD4 cell counts. The duty to keep medical information confidential is not absolute. An overriding duty towards society, occurs when the benefits of disclosure outweigh its harm. This Utopian argument is even more convincing when an HIV-positive person is acting irresponsibly, engaging in risky behaviour without warning the partner. All persons who have a compelling interest, such as sexual partners, needle sharers, medical and nursing personnel, should be provided with this information. It should also extend to mortuary attendants when the patient dies. A person having a STD has a legal duty to take precautions against transmission. In Berner v. Caldwell (543 So. 2d. 686), the US court held that one who knows or should reasonably know that he has genital herpes is under a duty to abstain from sex or warn others before risky contact. As doctors we should familiarize ourselves now with the concepts and laws regarding patients' rights, without waiting until a malpractice crisis develops to correct ourselves.
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Pergert, Pernilla, Cecilia Bartholdson, Klas Blomgren, and Margareta af Sandeberg. "Moral distress in paediatric oncology: Contributing factors and group differences." Nursing Ethics 26, no. 7-8 (November 9, 2018): 2351–63. http://dx.doi.org/10.1177/0969733018809806.
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Background: Providing oncological care to children is demanding and ethical issues concerning what is best for the child can contribute to moral distress. Objectives: To explore healthcare professionals’ experiences of situations that generate moral distress in Swedish paediatric oncology. Research design: In this national study, data collection was conducted using the Swedish Moral Distress Scale-Revised. The data analysis included descriptive statistics and non-parametric analysis of differences between groups. Participants and research context: Healthcare professionals at all paediatric oncology centres in Sweden were invited to participate. A total of 278 healthcare professionals participated. The response rate was 89%. Ethical considerations: In its advisory statement, the Regional Ethical Review Board decided that the study was of such a nature that the legislation concerning ethical reviews was not applicable. All participants received written information about the aim of the study and confidentiality. Participants demonstrated their consent by returning the survey. Findings: The two situations with the highest moral distress scores concerned lack of competence and continuity of personnel. All professional groups reported high levels of disturbance. Nurses rated significantly higher frequencies and higher total Moral Distress Scale scores compared to medical doctors and nursing assistants. Discussion: Lack of competence and continuity, as the two most morally distressing situations, confirms the findings of studies from other countries, where inadequate staffing was reported as being among the top five morally distressing situations. The levels of total Moral Distress Scale scores were more similar to those reported in intensive care units than in other paediatric care settings. Conclusion: The two most morally distressing situations, lack of competence and continuity, are both organisational in nature. Thus, clinical ethics support services need to be combined with organisational improvements in order to reduce moral distress, thereby maintaining job satisfaction, preventing a high turnover of staff and ensuring the quality of care.
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Linares Cánovas, Lázaro Pablo, Liyansis Bárbara Linares Cánovas, Yoelys Pereda Rodríguez, Beatriz Gallardo Hernández, Martha María Pérez Martín, and Adalina Linares Montano. "Evaluation of Burnout Syndrome and associated factors in primary care health personnel." Community and Interculturality in Dialogue 3 (October 21, 2023): 73. http://dx.doi.org/10.56294/cid202373.
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Objective: to evaluate Burnout syndrome and associated factors in health personnel of Primary Care. Methods: observational, analytical, cross-sectional study, carried out in Pinar del Río during January 2023, in non-probabilistic sampling for convenience, of 127 participants, who met the inclusion criteria. The application of instruments such as the Maslach Burnout Inventory questionnaire, allowed obtaining the information that gave output to the studied variables, applying descriptive and inferential statistical methods. Medical ethics were respected. Results: 66.9% of the workers were women, with a median of 31 years of age. Resident physicians predominated (45.7%), with a median of 8 years working in the sector. 73.2% showed overload, with the emotional exhaustion dimension being the most affected. The presence of Burnout syndrome was associated with sleeping eight hours a day (p=0.016) and with satisfaction with economic income (p<0.001). The affectation of the emotional exhaustion dimension was statistically associated with sex, religion and sleeping eight hours a day (p<0.05). Depersonalization was associated with religion (p=0.001), sleeping eight hours a day (p=0.016), smoking (p=0.001) and satisfaction with economic income (p=0.011); while professional achievement was related to sleeping eight hours a day (p<0.001), adequate dietary habits (p=0.038) and satisfaction with economic income (p=0.016). Conclusions: Burnout syndrome was evaluated in primary care health personnel, identifying the demographic characteristics, lifestyle and work variables of the sample, and their relationship with professional exhaustion.
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Messelken, Daniel. "The ‘peacerole’ of healthcare during war: understanding the importance of medical impartiality." Journal of the Royal Army Medical Corps 165, no. 4 (October 10, 2018): 232–35. http://dx.doi.org/10.1136/jramc-2018-000982.
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This article argues that medical personnel of armed forces occupy a ‘peacerole’, which continues and dominates their professional ethos during armed conflict. The specific role and its associated legal and ethical obligations are elaborated, and on that basis arguments are provided why and how the work of military healthcare providers is interpreted as a continuation of peace during war.
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Crone, Kimberley G., Michele B. Muraski, Joy D. Skeel, Latisha Love-Gregory, Jack H. Ladenson, and Ann M. Gronowski. "Between a Rock and a Hard Place: Disclosing Medical Errors." Clinical Chemistry 52, no. 9 (September 1, 2006): 1809–14. http://dx.doi.org/10.1373/clinchem.2006.072678.
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Abstract Background: Healthcare-related errors cause patient morbidity and mortality. Despite fear of reprimand, laboratory personnel have a professional obligation to rapidly report major medical errors when they are identified. Well-defined protocols regarding how and when to disclose a suspected error by a colleague do not exist. Patient: We describe a woman with a well documented allergy to sulfamethoxazole who was treated with sulfadiazine that led to toxic epidermal necrolysis. After the patient’s death, the laboratory medicine resident was asked by one of the patient’s physicians to measure serum sulfadiazine, but only if the results were not reported in the patient’s electronic medical record. The case was brought to the attention of a laboratory medicine faculty member and the hospital risk management team. Issues: Laboratorians are patient fiduciaries and are responsible for reporting errors. Most medical associations have codes of ethics that address disclosure of incompetence and errors, although the AACC’s Guide to Ethics does not. New types of error, risk management, and root-cause analyses help to shift the focus to system errors and away from individuals’ errors. This can lead to a healthcare environment that encourages truth and disclosure rather than fear and reprimand. Disposition: The individuals involved in the presented case fulfilled their fiduciary duty to the patient by reporting this incident. An extensive investigation showed that, in fact, no medical errors or misconducts had occurred in the care of the patient.
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Kirkov, Vidin, Alexandrina Vodenicharova, Krasimira Markova, Lyudmila Borisova, and Kristina Popova. "Bioethics in the education of the future healthcare professionals." Pharmacia 71 (May 30, 2024): 1–5. http://dx.doi.org/10.3897/pharmacia.71.e121139.
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Background: Ensuring and maintaining the quality of higher medical education is of strategic importance to society, bearing in mind that is producing competent medical personnel who will conduct health care activities with a view any decision in medical practice to be based both on evidences and values. Bioethics case studies are intended to be a useful training tool to help medical students in their future daily practice as doctors and contribute to improving doctor-patient relationships and team work. Methods: A questionnaire survey was distributed among the medical students of Medical University – Sofia, included 640 students in 4, 5 and 6 years of their study. It analyses the necessity of learning the Universal Declaration on Bioethics and Human Rights, approved on the 19th of October 2005 by the UNESCO General Assembly. Results: About ½ of the participants in the empirical study, to varying degrees, were not familiar with the bioethical principles of UNESCO Universal Declaration on Bioethics and Human Rights. A large proportion of respondents gave affirmative responses about the importance of ethical knowledge in their future medical practice. According to the respondents, training in Bioethics and Human Rights will increase their ethical competence as medical professionals. Conclusions: The results of the empirical study give us grounds to make recommendations to the responsible institutions to update and reorganize the undergraduate internship of medical students by including the discipline of Medical Ethics and the Universal Declaration on Bioethics and Human Rights.
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Zdziarski, Krzysztof, Paulina Zabielska, Sylwia Wieder-Huszla, Iwona Bąk, Katarzyna Cheba, Mariola Głowacka, and Beata Karakiewicz. "Existential and Spiritual Attitudes of Polish Medical and Nursing Staff towards Death." International Journal of Environmental Research and Public Health 19, no. 15 (August 2, 2022): 9461. http://dx.doi.org/10.3390/ijerph19159461.
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Issues related to death are difficult areas of human existence and are most often considered in terms of ethical or non-ethical behaviour. The aim of the research was to examine the attitudes of Polish medical and nursing personnel towards death. The research was conducted among medical (110 people) and nursing staff (110 people) working in Polish hospitals and representing 16 regions. The Questionnaire About Attitudes to Death (DAP-R-PL) was used. The attitude of medical staff, taking into account the holistic approach to the patient in his existential–spiritual dimension, is an extremely important element of professional care. The study outlines the attitudes of medical and nursing staff towards death. Medical personnel under examination demonstrate a mature attitude towards death. In light of this research, health care workers show great commitment to helping dying people with existential and spiritual needs.
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Bennett, Alexander N., Daniel Mark Dyball, Christopher J. Boos, Nicola T. Fear, Susie Schofield, Anthony M. J. Bull, and Paul Cullinan. "Study protocol for a prospective, longitudinal cohort study investigating the medical and psychosocial outcomes of UK combat casualties from the Afghanistan war: the ADVANCE Study." BMJ Open 10, no. 10 (October 2020): e037850. http://dx.doi.org/10.1136/bmjopen-2020-037850.
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IntroductionThe Afghanistan war (2003–2014) was a unique period in military medicine. Many service personnel survived injuries of a severity that would have been fatal at any other time in history; the long-term health outcomes of such injuries are unknown. The ArmeD SerVices TrAuma and RehabilitatioN OutComE (ADVANCE) study aims to determine the long-term effects on both medical and psychosocial health of servicemen surviving this severe combat related trauma.Methods and analysisADVANCE is a prospective cohort study. 1200 Afghanistan-deployed male UK military personnel and veterans will be recruited and will be studied at 0, 3, 6, 10, 15 and 20 years. Half are personnel who sustained combat trauma; a comparison group of the same size has been frequency matched based on deployment to Afghanistan, age, sex, service, rank and role. Participants undergo a series of physical health tests and questionnaires through which information is collected on cardiovascular disease (CVD), CVD risk factors, musculoskeletal disease, mental health, functional and social outcomes, quality of life, employment and mortality.Ethics and disseminationThe ADVANCE Study has approval from the Ministry of Defence Research Ethics Committee (protocol no:357/PPE/12) agreed 15 January 2013. Its results will be disseminated through manuscripts in clinical/academic journals and presentations at professional conferences, and through participant and stakeholder communications.Trial registration numberThe ADVANCE Study is registered at ISRCTN ID: ISRCTN57285353.
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Gorbach, Oksana V., Iryna S. Yaroshenko, and Vadim O. Skoryk. "Creation of the Institute of Medical Law as its Sub-Institute (Sub-Directorate) in the Legal System of Ukraine." Cuestiones Políticas 38, Especial (October 25, 2020): 266–77. http://dx.doi.org/10.46398/cuestpol.38e.17.
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The current stage of training and development of medical law is characterized by discussions on the allocation of medical law in a separate law institute, all in the context of the global COVID-19 crisis. This article aims to identify the concept of medical law institute, including the justification for the need to establish a medical law institution and the consideration of sub-institutes (sub-branches) of medical law. The main method for the study of this topic was the method of analysis, which allows to comprehensively consider the sub-institutes of medical law and the reasons for the separation of the institute of medical law. The document presents the classification of the drug circulation sub-institute (sub-branch) and reveals the components of the structure of medical law. In conclusion, it highlights that, the formation and development of medical law must be based on the following principles: first, it must have the essential characteristics of the law; and, secondly, it must arise and exist in the field of medical professional activity: in the science, practice, ethics and deontology of medical personnel, the rules and procedures of medical institutions.
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Ostryakova, Nataliya A., Sergei A. Babanov, Leonid A. Strizhakov, Andrey V. Melentyev, Natalia E. Lavrentyeva, and Margarita V. Lysova. "Features of formation and prediction of professional burnout of doctors of surgical specialties." Russian Journal of Occupational Health and Industrial Ecology 63, no. 11 (December 15, 2023): 735–41. http://dx.doi.org/10.31089/1026-9428-2023-63-11-735-741.
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In the context of the COVID-19 pandemic, medical workers (MW) turned out to be the most vulnerable category of the population at risk of developing psychoemotional disorders.
The study aims to establish the characteristics of the state of the psychoemotional sphere in doctors of surgical specialties of COVID-hospitals, multidisciplinary hospitals (MDH) during the COVID-19 pandemic, as well as outpatient clinics (OPC).
We have examined the following groups of doctors: group 1 consisted of doctors of surgical specialties working in COVID‑hospital (n=61); group 2 consisted of doctors of surgical specialties working in a multidisciplinary hospital (n=58); group 3 consisted of doctors of surgical specialties working in the outpatient clinic (n=55); group 4 — the control group included employees of engineering, technical and economic specialties not related to work in medical organizations (n=190). The authors have evaluated the professional burnout syndrome using a questionnaire on the assessment of professional burnout "Maslach Burnout".
The work of doctors of surgical specialties during the COVID-19 pandemic is associated with the impact on medical workers of a number of specific risk factors associated with the provision of medical care to infected patients, as well as with significant changes in work, regarding aspects related to organization, safety, which contribute to increased levels of anxiety, professional burnout, stress.
The work of doctors of surgical specialties during the pandemic of the new coronavirus infection COVID-19, compared with doctors of multidisciplinary hospitals and outpatient doctors, is associated with an increase in the level of occupational stress, the level of professional burnout. It is necessary to continue research on the emotional state of medical personnel in order to timely carry out preventive treatment to preserve the health of medical workers.
Ethics. The scientists conducted a study within the Framework of the complex topic of the Department of Occupational Diseases and Clinical Pharmacology named after Honored Scientist of the Russian Federation Professor V.V. Kosarev of Samara State Medical University "A systematic approach to early diagnosis, prevention and prediction of the impact of low-intensity production factors on the health of workers" (State registration number AAAA-A18-118122190069-6, registration date applications on 12/21/2018). The study was approved by the local ethics Committee of the Samara State Medical University of the Ministry of Health of the Russian Federation on 11/23/2021. Each participant in the study gave informed voluntary written consent to participate in the study and publish personal medical information in an impersonal form in the journal Occupational Medicine and Industrial Ecology.
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Avieli, Hila, Tova Band Winterstein, and Tali Gal. "Challenges in Implementing Restorative Justice with Older Adults: Institutional Gatekeepers and Social Barriers." British Journal of Social Work 51, no. 4 (March 12, 2021): 1445–62. http://dx.doi.org/10.1093/bjsw/bcab051.
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Abstract Despite the consensus regarding the importance of restorative justice (RJ) as an alternative to the criminal justice system, some professionals and researchers have pointed out the challenges involved in its implementation with older adults who have been victimised. The aim of the present study was to explore the primary obstructions to implementing RJ intervention with older adults who have been victimised, as perceived by RJ facilitators, using the conceptual framework of social constructivism. An interpretive phenomenological analysis perspective was used to analyse the narratives of seven RJ facilitators, all of them highly experienced social workers. The narratives revealed three themes: the interpersonal and familial arena—the older person and his/her family as gatekeepers; the institutional arena—judicial and medical system personnel as gatekeepers; and the professional arena—RJ facilitators as gatekeepers. The findings suggest that some individuals and institutions maintain the conservative agenda of gatekeeping older adults to prevent them from encountering any danger. These findings indicate that, in keeping with the social work code of ethics, social workers need to consider older adults’ right to self-determination in RJ contexts.
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BRUNO, BETHANY, HEATHER MCKEE HURWITZ, MARYBETH MERCER, HILARY MABEL, LAUREN SANKARY, GEORGINA MORLEY, PAUL J. FORD, CRISTIE COLE HORSBURGH, and SUSANNAH L. ROSE. "Incorporating Stakeholder Perspectives on Scarce Resource Allocation: Lessons Learned from Policymaking in a Time of Crisis." Cambridge Quarterly of Healthcare Ethics 30, no. 2 (March 25, 2021): 390–402. http://dx.doi.org/10.1017/s0963180120000924.
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AbstractThe coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work.
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Kaliya, Dr Mehul, Dr Mittal Rathod, Dr Hirani Mahejbin, and Dr Viral Shah. "Prevalence of Vitamin - D Deficiency & Associated Factors Among the Medical Personnel of Medical College of Western Gujarat India." International Journal of Innovative Research in Medical Science 7, no. 10 (October 1, 2022): 510–14. http://dx.doi.org/10.23958/ijirms/vol07-i10/1500.
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Vitamin D plays a major role in Calcium and Phosphate homeostasis and bone formation. Vitamin D deficiency can be a serious occurrence among healthy individuals, especially Medical Community, but Limited numbers of studies were found to know the vitamin D level in the medical community. As many clinicians and even nutritionists have not focused their attention on Vitamin D status may be due to it is assumed that exposure to sunlight > 15 minutes is sufficient to maintain an adequate level of vitamin D in the blood. Thus vitamin D deficiency can be a serious occurrence among healthy individuals, especially Medical Community. The present study was conducted with the objective of evaluating the prevalence Of Vitamin D deficiency among medical personnel in the medical college of western India. A cross-sectional study was conducted among 509 medical professionals of a medical college of western India irrespective of age, gender, college department, and medical conditions using a universal sample after ethical clearance from institutional IEC. Vitamin D level assessment was done by solid-phase enzyme-linked immunoassay (ELISA) based on the principle of competitive binding. Data entry and statistical analysis were done by Epi Info software. A total of 509 medical professionals participated in the study. Vitamin D Level was deficient in 45.97%, insufficient in 32.42%, and sufficient in 21.61%. Statistically, a significant association was found with less than an hour of sunlight exposure and Conclusions: Mean level of Vitamin D is 21.95 ng/ml which suggest insufficient level or near deficit level of vitamin D in the medical professional.
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Khilnani, Ajeet Kumar, Jitendra Patel, and Gurudas Khilnani. "Students’ feedback on the foundation course in competency based medical education curriculum." International Journal of Research in Medical Sciences 7, no. 11 (October 24, 2019): 4408. http://dx.doi.org/10.18203/2320-6012.ijrms20195027.
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The Medical Council of India (MCI) has formulated a new Competency Based Medical Education (CBME) Curriculum for the Indian Medical Graduates with an objective of making medical education outcome based. A one month long Foundation Course (FC) is a hallmark of this CBME which is implemented during the first month of first professional MBBS studies. The objective is to acquaint, allay apprehension and prepare freshers for further studies using andragogical and heutagogical approaches. The MCI also released the guidelines for the medical colleges for uniform conduct of FC across the country. The FC was divided into six modules, i.e. Orientation Module, Skills Module, Community orientation module, Professional Development and Ethics Module (P and E), Enhancement of Language and Computer Skills Module, and Sports and extracurricular activities.1 A total of 175 hours were allotted to these modules. Like every institute, our institute also developed the implementation program and time-table of FC using MCI guidelines and taking into account the available resources.2,3 The FC at our institute was conducted from 1st August 2019 to 31st August 2019 and was meticulously planned and implemented. The effective implementation required committed efforts of 30 faculty members (12 Professors, 11 Associate Professors and 7 Assistant Professors), two language and one fine arts teacher, and 4 non-teaching members (Librarian, IT-personnel, Coach for sports and motivational Guru). The students were trained to write reflections daily in their log - books which are being analysed further.