Knowledge, Attitudes and Practices Related to Healthcare Ethics among Medical and Dental Postgraduate Students in Central India (original) (raw)
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International Journal of Ethics Education, 2020
Conventional medical training offers little help to students to resolve the ethical dilemmas they face as healthcare professionals. Public awareness of the ethical behavior of medical practitioners has been growing. Aim of this study was to assess knowledge of, practice in and attitudes of healthcare ethics among medical, dental and physiotherapy postgraduate students. A cross-sectional analysis based on a questionnaire was performed at a hospital and dental institution of the medical college. The present study included 60 postgraduate students. The questionnaire on health care ethics is a 44-point self-administered standardized questionnaire that poses ethical dilemmas in 5 vignettes with closed-ended questions to test awareness, attitude and experience in the area of healthcare ethics. In the first half of the questionnaire, knowledge and attitude were assessed using 5 case scenarios representing ethical dilemmas and the participants answered the questions using the 5 point likert scale. The second half assessed the practice of Ethics in research and clinical practice. The expected time to fill each questionnaire was about 10-15 min. 62 questionnaires were distributed. 60 completed questionnaires were returned. The response rate was 96%. The mean age of the postgraduates was 26.23 ± 2.33. Among the participants 28 (46%) were male and 32 (53%) female. 20 completed questionnaires from each, medical, dental and physiotherapy postgraduate students were collected. The multiple group comparison showed that the difference in the knowledge scores were statistically significant between dental (D) and physiotherapy (P) (0.015) and between medical (M) and physiotherapy (0.018) but no significant difference between medical and dental (0.927). Study suggests that abstract knowledge cannot be converted into practical knowledge automatically. There is a major lack of knowledge of the ethics of health care among graduate students. The postgraduate curriculum must include a good mix of both theoretical concepts and practical application of multidisciplinary healthcare ethics ethical principles and guidelines.
2020
Introduction: For the dental health professionals, it is essential to understand and solve ethical dilemmas with confidence and if need may arise, be able to defend themselves, the basic knowledge about current ethical laws and governing bodies is mandatory. Thus, it is of importance for the interns who will be graduating and the post graduate students to be familiar with the basic ethical principles as they will encounter situations wherein, they may have to face ethical issues in their dental practice. Aim and Objectives– To assess the knowledge, attitude and practice regarding ethics in dental practice amongst Dental Staff, Post Graduate Students and Interns in dental college in Pune city and to sensitize the participants about the various current guidelines and the governing bodies in dental ethics and further assess the dental practitioner’s awareness about dentists (Code of ethics) regulations and jurisprudence. Methodology – Across-sectional, questionnaire-based study (14 que...
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...
Indian journal of forensic medicine and toxicology, 2021
Introduction: Ethics is concerned with moral principles for the members of the medical profession in their dealings with each other, their patients and the State. A physician must uphold dignity and honour of his profession. He must render service to humanity and should maintain good medical practices. A physician must provide highest quality assurance in patient care. Duties of physician towards sick include obligation to sick, must be patient while treating them. Its an era of litigation against medical professionals. Awareness, Knowledge of medical ethics during MBBS phase is need of the hour to prevent these. Aims & Objectives: • The study aims to assess Awareness, Knowledge and Attitude towards medical ethics among medical students in a teaching hospital. • To suggest and implement necessary changes in the medical curriculum like AETCOM module to train them & to focus on ethical practices. Materials and Methods: A Prospective, cross sectional questionnaire-based study was carried out among medical students of Saveetha Medical College hospital, Chennai. The Medical Students from Phase II & Phase III MBBS were approached and the questionnaires were sent to about 250 medical students, out of which 216 responses were recorded & included in the study. Received responses/results were tabulated and statistically analysed, depicted in observations. Conclusion: There are no potential risks in the study. Study helps to identify the amount of awareness of medical ethics among medical students and also to stress on the need for awareness programs on medical ethics. The medical students may not have sufficient knowledge towards medical ethics, need much training among medical students through Value added courses on Ethics and AETCOM module of CBME curriculum in future throughout the curriculum.
Knowledge and attitude of health care ethics among MBBS students
innovative publication
Background: The medical curriculum doesn't sensitize the students about medical ethics. The Indian Medical Graduates (IMGs), once they finish their internship and come out for clinical practice, often end up in dilemma when they encounter cases with ethical issues. Objectives: This study aims to assess the knowledge and attitudes of MBBS students to health care ethics. Materials and Methods: A self-administered structured questionnaire was distributed to third and fourth year MBBS students. Out of 300, a total of 270 questionnaires were completely filled and returned. The proposal was approved by the institute's ethics committee and written consent was obtained from each participant. The questionnaires were analyzed using SPSS version 20. Descriptive analysis was carried out for all the data. Results: There was grossly insufficient knowledge about bioethics in majority of IMGs. There was also inadequate information regarding ethics administration with 50% being unaware about the existence of ethics committee in the institute. Majority were unaware about the procedural codes to be used in ethical issues. Conclusions: The IMGs knowledge about health ethics and its implications are poor and insufficient. It is therefore imperative to include health care ethics in a structured way into the current medical curriculum.
Bangladesh Journal of Bioethics, 2016
This baseline study was conducted to find out the knowledge, attitudes and practices of medical ethics among the undergraduate medical interns who did not have structured ethics curriculum in their course. A descriptive, cross-sectional study was carried out using a selfadministered structured questionnaire among the medical undergraduate interns of Maharajgunj Medical Campus, the pioneer medical college of Nepal which enrols 60 students in a year. A total of 46 interns participated in the study. The most common source of knowledge on ethics was lectures/seminars (35.7%) followed by experience at work (24.5%), training (21.4%) and own reading (17.3%). The main contents of Hippocratic Oath were known to 98.8% while 60.9% knew the main contents of Nepal Medical Council (NMC) code of ethics. Great majority (91.3%) regard ethics as very important in medical profession. "Doctors know the best irrespective of patients' opinion" was disagreed by only 39.1% indicating the paternalistic attitude. However, 78.3% were in favour of adhering to the patient's wish. None of the participant agreed to abandon confidentiality. Only about one-fourth (26.1%) claim to encounter ethical dilemma every day while the highest number (43.5%) had once in a month. To deal with the situation of ethical dilemma, majority approached to immediate supervisor followed by head of the department and colleagues. Eighty-seven percent of participating interns were involved in research activities involving human subjects. Only one of the participants had encountered the ethical issue on endof-life and it was do-not-resuscitate consent in a terminally ill patient. On implementation of the curriculum on medical ethics focus should be-principles of biomedical ethics, sensitive ethical dilemmas like end-of-life care and practical experiences with participation in deliberations of the ethics committee.
Background: Medical ethics are integral to all clinical encounters and public health interventions, and a foundation in medical ethics is essential for students to become virtuous doctors. Ethics teaching has been shown to have a profound influence on medical professionals' attitudes towards patients. Knowledge of biomedical ethics is acquired mostly during the undergraduate training. It is important to identify deficiencies of students and/or professionals on ethical issues and arrange sensitization and at times, appropriate training to tackle them. Materials and Methods: A descriptive cross sectional study was conducted among the medical students at a teaching institute in Central India. Students of final year part 1 were the study participants for the present study. A self administered structured questionnaire with questions about various aspects of ethics and source of the knowledge was used to collect data. Analysis was done with epi info software. Results: Approximately 85% of the undergraduate students agreed on the statement that conduct of the doctor is of utmost importance. Around 90% of the respondents disagreed upon the statement that secrets of the patients can be disclosed. In the present survey approximately 70% of the study participants were aware that medical ethics teaching is covered as a part of syllabus and their institute has an IEC. Conclusion: Undergraduate medical students in the present study have good knowledge about the concept and various aspects of medical ethics. Majority of the study participants also had a positive attitude regarding basic medical ethics in day to day implementation.
Knowledge and Attitude of Medical Ethics among Under-graduate and Post-graduate Medical Students
International journal of pharmaceutical sciences review and research, 2022
Background: Nowadays medical practice is faced with innumerable number of challenges by the general public. The growing awareness about the consumer issues are making the medical practice more difficult and challenging. Awareness about the medical ethics by the practicing doctors is the need of the hour to face such challenges. This study was undertaken to study the knowledge of medical ethics in undergraduates and post graduates. Methodology: A cross sectional study was undertaken in 250 undergraduates and post graduates in Medical College. The data was collected by using survey questionnaire specially designed by inclusion of various aspects of medical ethics. The data thus obtained was analyzed by using Statistical Package of Social Services (SPSS VER. 20). Results: This study had shown that, more than half of the undergraduates and post graduates felt that, the ethical issues and its knowledge is important. Clinical training was the main source of knowledge of medical issues. Majority of the post graduates had knowledge about different ethics related issues than the post graduates. Post graduates had significantly higher knowledge scores than the post graduates in this study. Conclusion: This study had shown that, the post graduates significantly had higher knowledge than the undergraduates.
Objective: To assess the knowledge, attitudes, and practices among interns and residents about healthcare ethics in an attempt to assist in development of ethics curriculum in Pakistan. Methods: Four hundred respondents comprising of interns, junior and senior postgraduate trainees were recruited from two Public sector teaching institutions in different provinces of Pakistan for this cross sectional study. A self-administered questionnaire was used to collect data. Data was analysed using SPSS-17. Results: More than half of the respondents in all three groups encountered ethical problems on daily basis. These ethical issues were being discussed with the clinical supervisor in only 25% of the instances. Unethical behaviour of seniors towards junior doctors and patients were observed by more than three quarter of the respondents. A very high proportion of respondents (57%) had no knowledge of code of ethics of Pakistan Medical and Dental council. Helsinki declaration was known only to a few individuals. There were difference between interns, junior and senior residents with respect to their views about adherence to patient's wishes, paternalistic attitude of physicians, treatment of children without parental consent, euthanasia, confidentiality and treatment of noncompliant patients. Conclusion: Junior doctors representing different levels of training in Pakistan face ethical dilemmas on a regular basis but their current teaching and training in ethics is insufficient to help them deal with these competently.