Assessment of Knowledge, Attitude and Practical Implementation of Bioethical Principles among Dental Professionals (original) (raw)
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Ethics and Bioethics as a research topic in Dentistry: a gap in the scientific knowledge
2018
Bibliometric quantitative investigation in the website files of the International Association for Dental Research (IADR), through a search of the term/fragment "ethic". The presence of Ethics and Bioethics as a subject of dental research was negligible during the study period. There is a large gap in the production of scientific knowledge within this area, which may lead to repercussion both in academic as well as in performance of dental professionals.
2020
The importance of Bioethics for the ethical-humanistic improvement of dentists is widely recognized. However, professor training limited to Dentistry implies significant problems for this interdisciplinary theoretical-philosophical reflection course. In this context, a group of professors of Bioethics in Dentistry was created within the scope of the Brazilian Association of Dental Education in 2017. Two years later, the group met for the third time to share education references and experiences. The purpose of this article is to expand the scope of that debate to professors who were unable to attend. The Core Curriculum is initially presented, based on the principles of the Universal Declaration on Bioethics and Human Rights. It is a pedagogical proposal from the United Nations Educational, Scientific, and Cultural Organization (UNESCO) for teaching Bioethics, which can be adopted in undergraduate programs in Dentistry in a comprehensive or complementary manner. Subsequently, the experience of teaching Bioethics that has been developed at the Universidade Federal de Santa Catarina is presented, based on a comparison of the elements that structure the teaching plans of the undergraduate and graduate programs. Likewise, the proposals defend teaching in one's own course; the indispensability of professor training in Bioethics; the consideration of its interdisciplinary nature; the expansion of the theoretical framework far beyond Principialism, seeking appropriate frameworks and themes relevant to each social context and each educational level; the centrality of the teaching-learning process for the student, fostering his/her critical-reflexive humanistic competence; and the commitment to the ethical training of students by the entire faculty.
THE PROFESSIONAL MEDICAL JOURNAL
and Dental practitioners working at private Dental clinics in Hyderabad city. Period: This study was conducted over period of six months from November 2015 to April 2016. Material and Method: This study used self-administered structured questionnaire, consist of ten questions to assess the knowledge and practice of dental practitioners towards informed consent. Data was collected by visiting offices of the study participants at their work place or through email and courier with prepaid envelope where needed. The participants were sent two reminders at the interval of fifteen days to return the filled survey form. The responses were represented in form of percentages. The t-test was used to determine the association between the knowledge and qualification, clinical experience, and age. A significance level of p<0.05 was considered as statistically significant. Results: Our response rate was 86% (103). Majority of the dentist merely knows the meaning of informed consent and overall had poor knowledge (mean score 7.84 + 2.44). The analysis showed that years of clinical practice and qualification was statistically significant with mean knowledge score (p < 0.01). The verbal form of consent was most preferred method of obtaining informed consent that accounted for 82% of study participants. 89% of dentist obtained informed consent from parents when treating their children. Conclusions: From this study, it can be concluded that vast majority of dentist are unaware of informed consent process and their basic requirement. Although majority of dentist believe that informed consent play an important role in routine dental practice yet many of them did not use written form of informed consent. Our results would help the educators and policy makers to develop educational instruction on bioethics with special emphasis on informed consent.
Mapping bioethics teaching in Brazilian dental schools
Revista Bioética
A descriptive, exploratory, and cross-sectional study was conducted to evaluate the inclusion of bioethics in the curricula of Brazilian dental schools. Data collected between December 2021 and January 2022 from the websites of the 430 institutions that disclosed information about the program, underwent exploratory analysis to obtain descriptive statistics of categorical and continuous variables. Results showed that the introductory description of 245 courses (57%) referred to humanistic, critical and reflective education, and/or emphasized the presence of a bioethics discipline. Of the 345 curricula (80.2%) available, 139 (40.3%) had disciplines with “bioethics” on their name, taught mainly in the first two years (69%). Thus, although the National Curriculum Guidelines for Undergraduate Dentistry postulate an education based on ethical/bioethical principles, less than half of the curriculums evaluated included a bioethics discipline.
Cureus
Dental ethics is a moral obligation that solicits professional behaviour imposed by the members of the dental profession. In addition, a set of legal regulations by each state's legislature describing the legal limitations and regulations related to dentistry, dental hygiene, and dental assisting is a part of dental jurisprudence. The present study aims to evaluate the knowledge regarding ethics and medical law for the practice among private practitioners in Pune, India. Materials and methods This was a cross-sectional study. The snowball sampling method (a randomization method) was used to contact all the registered practitioners for the study. A total of 250 dentists agreed to provide written informed consent and participate in the study. The collected data were entered into Microsoft Excel 2013 sheet (Microsoft Corporation, Redmond, WA) and cleaned, and statistical analysis was carried out using Epi Info software (CDC, Atlanta, GA). All p-values below 0.05 were considered to be statistically significant. Results A total of 250 dentists participated in the present study. Female postgraduate dentists had lesser knowledge of abbreviations used on dental boards. Master of Dental Surgery (MDS) dentists had more knowledge regarding dental jurisprudence than Bachelor of Dental Surgery (BDS) practitioners. Conclusions The present study highlighted the lack of awareness regarding dental ethics and jurisprudence among dental practitioners. It underlines the need for more education programs and curriculum changes with a focus on ethics, jurisprudence, and legal matters pertaining to clinical practice.
Journal of Medical Ethics, 2012
Understanding dental ethics as a field separate from its much better known counterpart, medical ethics, is a relatively new, but necessary approach in bioethics. This need is particularly felt in dental education and establishing a curriculum specifically for dental ethics is a challenging task. Although certain topics such as informed consent and patient rights can be considered to be of equal importance in both fields, a number of ethical issues in dental practice are only remotely-if at all-relevant for medical practice. Therefore, any sound approach to education in dental ethics has to recognise the unique aspects of dental practice in order to meet the needs of dental students and prepare them for the ethical challenges they may face during their professional practice. With this goal in mind, this paper examines the approach of the authors to dental ethics education and proposes a system to organise the topics of biomedical ethics for dental education. While the authors&amp;amp;amp;#39; perspective is based on their experience in Turkey, the proposed system of classification is not a rigid one; it is open to interpretation in other contexts with different social, cultural and professional expectations. Therefore, the paper also aims to inspire discussion on the development of an ideal dental ethics curriculum at an international level.
Journal of Education and Ethics in Dentistry, 2013
Background: The fi eld of dentistry has developed rapidly over the past century based on the Hippocratic principles. Research in dentistry is aimed at investigating the causes and treatment of dental disease and is based on the same ethical standards that govern the fi eld of medicine. Very little research has investigated the attitudes of dental professionals toward the concepts of research ethics and the acceptability of research ethics committees, accordingly a cross sectional study was designed in our institution. Aims and Objectives: The objectives of our study were to assess the knowledge awareness and attitudes of dental faculty regarding research ethics committees and research ethics. Materials and methods: A cross sectional survey was carried out in our institution with the consent of the ethical committee. The study was designed in a questionnaire form which was used to assess attitudes, awareness of dental professional regarding research ethics committee and knowledge in practices of research ethics. A total of 115 proformas were distributed and 100 completely fi lled proformas were analysed. Results: The dental faculty is favourable towards research ethics training and role of research ethics committee in conducting quality dental research. About greater than half of the participants (51%) had a prior experience in research involving human subjects. Among people involved in prior research about 49% participants have conducted <OR = 3 projects, while 2-3% of the people were involved in >3 research projects. The attitudes towards practices in research ethics showed that greater than 90% (94-98%) of the patients responded positively. The results from the survey recommends the institutional authorities about the need for training in research ethics with special emphasis on vulnerable participants, aspects related to responsible conduct of research and the roles and functions of research ethics committees. Conclusion: Adequate knowledge of the dental professionals regarding research ethics and their attitudes towards practices of ethical principles and ethical committees will favour quality research and provide a caring society.
International Journal of Research in Pharmaceutical Sciences, 2020
Dentists are one among the medical professionals who often encounter complex ethical issues. Playing the role of a health professional, business enterpriser and academician they often run into specific and conflicting ethical demands in practice and research. This cross-sectional study was conducted among dental professionals attached to educational institutions and private practitioners. A total of 95 participants, including private practitioners, faculty members, and post-graduate students, were recruited. A pre-validated, questionnaire containing questions related to awareness and perception in dental ethics was administered. Descriptive statistics was done to report the level of awareness and perception of dental professionals. About 65% of post-graduate professionals had awareness in clinical ethics when compared to undergraduate professionals who had 58% awareness. However, 75% of undergraduate professionals had awareness in research ethics compared to post-graduate profession...
The Journal of Contemporary Dental Practice, 2014
Objective To assess knowledge, attitudes and practices among the dental graduate in relation to healthcare ethics and law. Materials and methods A cross-sectional study design was employed using a self-administered questionnaire. A 15 item questionnaire about law and ethics was devised; tested and made available to all levels of gradates including teaching staff, postgraduates and intern at dental college in Bengaluru. A total of 116 graduates participated, with a response rate of 96.5% (n = 112). Results Seventy-six percent of the participants said that they are legally bound to treat all the patients who approach them for the treatment. Nearly 32% of the participants have mentioned the various other reasons for the rejection apart from the reason like HIV+, poor patients and patients with the contagious disease. Conclusion The study points to the need for appropriate training among graduates including the professional staffs and other graduates, and to devise means to sensitize th...