Journal of Advances in Medical Education & Professionalism

Procedures on the newly deceased: An ethical and educational challenge

MAHBOOBEH SABER; SEYED ALI ENJOO; ALI MAHBOUDI; SEYED ZIAADIN TABEI

Volume 6, Issue 2 , April 2018, , Pages 78-85

https://doi.org/10.30476/jamp.2018.41016

Abstract

Introduction: The newly deceased patients have long been usedin medical schools to teach clinical skills without any challengesas it helps to train skilled doctors. Nowadays, the use ... Read More Introduction: The newly deceased patients have long been usedin medical schools to teach clinical skills without any challengesas it helps to train skilled doctors. Nowadays, the use of moulagesand simulators are common in teaching clinical skills since thesetools provide the opportunity for frequent practice without anypain and injury. There are specific procedures which still requirethe use of cadavers. However, the increased significance ofpatient rights has generally challenged the practicality of usingthe deceased bodies for this purpose. This study was designedwith the aim of determining to what extent clinical skill trainingis dependent on the recently deceased patients.Methods: This was a cross-sectional mixed-method triangulationdesign conducted in two phases. In the first phase, a researcher-madequestionnaire was used to collect quantitative data of the medicalstudents and residents. The data were used to assess the frequencyof experience. In the second stage, semi-structured interviews wereconducted with faculty members and fellows in order to evaluatethe educational impact of this type of procedure and the influentialfactors. The quantitative data were analyzed using statisticalsoftware, and the qualitative codes were extracted following acontent analysis. Finally, a comparative analysis was performed.Results: Twenty five residents (26%) and seven medical students(14%) had the experience of performing procedures on therecently deceased patients for training purposes. About half ofthe residents and 33% of the medical students had observed theircolleagues practicing procedures on cadavers. In the qualitativephase, the main categories included professional ethics, law andeducational requirements.Conclusion: A relatively low number of medical students andresidents had experienced procedures on the newly deceasedpatients. In this regard, ethical, religious and legal concerns mighthave played a part despite the desire to learn. It would be effectiveto direct these educational experiences toward proceduresthat cannot be mastered through moulages and simulators, andto lay the legal and executive ground so that performing theseprocedures under the supervision of professors, and with a levelof documentation would have no legal challenges.Keywords: Cadaver, Learning, Clinical skills, Ethics

The main indicators for Iranian hospital ethical accreditation

SEYED ALI ENJOO; MITRA AMINI; SEYED ZIAADIN TABEI; ALI MAHBUDI; ZAHRA KAVOSI; MAHBOOBEH SABER

Volume 3, Issue 3 , July 2015, , Pages 117-132

Abstract

Introduction: The application of organizational ethics in hospitalsis one of the novel ways to improve medical ethics. Nowadaysachieving efficient and sufficient ethical hospital indicators ... Read More Introduction: The application of organizational ethics in hospitalsis one of the novel ways to improve medical ethics. Nowadaysachieving efficient and sufficient ethical hospital indicators seemsto be inevitable. In this connection, the present study aims todetermine the best indicators in hospital accreditation.Methods: 69 indicators in 11 fields to evaluate hospital ethicswere achieved through a five-step qualitative and quantitativestudy including literature review, expert focus group, Likert scalesurvey, 3 rounded Delphi, and content validity measurement.Expert focus group meeting was conducted, employing NominalGroup Technique (NGT). After running NGT, a three roundedDelphi and parallel to Delphi and a Likert scale survey wereperformed to obtain objective indicators for each domain. Theexperts were all healthcare professionals who were also medicalethics researchers, teachers, or Ph.D students. Content validitymeasurements were computed, using the viewpoints of twodifferent expert groups, some ethicists, and some health careprofessionals (n=46).Results: survey, 11 main domains were listed including:Informed consent, Medical confidentiality, Physician-patienteconomic relations, Ethics consultation policy in the hospital,Ethical charter of hospital, Breaking bad medical news protocol,Respect for the patients’ rights, Clinical ethics committee,Spiritual and palliative care unit programs in the hospitals,Healthcare professionals’ communication skills, and Equitableaccess to the healthcare. Also 71 objective indicators for these 11domains were listed in 11 tables with 5 to 8 indicators per table.Content Validity Ratio (CVR) measurements were done and 69indicators were highlighted.Conclusion: The domains listed in this study seem to be themost important ones for evaluating hospital ethics programsand services. Healthcare organizations’ accreditation andranking are crucial for the improvement of healthcare services.Ethics programs would also motivate hospitals to improvetheir services and move towards patients’ satisfaction. In thisregard, more involvement of bioethicists can help healthcareorganizations to develop ethics programs and ensure ethicsbasedpractice in hospitals.Keywords: Hospital; Ethics; Accreditation; Evaluation

Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sciences

FARZAD MAHMOUDIAN; SEYED ZIAEDDIN TABEI; PARISA NABEIEI; NEDA MOADAB; MEHRNAZ MARDANI; ZAHRA HOUSHMAND SARVESTANI; ZAHRA GHASEMI

Volume 1, Issue 1 , January 2013, , Pages 38-41

Abstract

Introduction: Professional ethics is a very important issue for managerswho are role models for students and staff. It can also be very effective in organizational activities. The ... Read More

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Author = SEYED ZIAADIN TABEI

Procedures on the newly deceased: An ethical and educational challenge

Abstract

The main indicators for Iranian hospital ethical accreditation

Abstract

Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sciences

Abstract