Medical Ethics
Year:2011 | Volume:5 | Issue:17|Papers Count:10

Introduction: Respecting to rights and dignity of people is an important and integral part of health services and be estimated 44-98 thousand death in effect of medical mistakes in united states. While could be prevent many mistakes I patients be informed from their cure process. Recent study aimed at consideration of patients' awareness from their rights.Method of study: This descriptive cross sectional study was done in 150 patient in gynecology and obstetrics, internal medicine I, internal medicine 2, surgery and cancer departments of Yazd hospital Shahid Sadoughi. Questionnaire is planned in base of patient's rights charter (10 part) and measured by amount of patient's awareness (little, moderate, much). Students were carefully instructed to fill the questionnaire. Test re-test reliability was conducted by the researcher using a sample of 20 patients. Statistical analyzed was performed using SAS for Windows (Statistical Analysis Software) version 16, Pvalue of, 0.05 was considered statistically significant. Differences of means of continuous parametric data and non-parametic test such as Spearman used.Results: Average patient’s age were 46±29, 98patients (74 percent) were woman, 46patients (31.5%) had elementary education. Best knowledge was about first item and weakest one regarding to 10 itemsConclusion and Discussion: Patient's awareness to their rights require to training. Unfortunately, in general, in this research awareness of patients to their rights is weak and is similar to Mosadegh Rad et all studying while on Esiegal search America resulting in many of patients informed from their rights. At last, proposing that we should increase public awareness in reward to patient's awareness of their rights patient charter of Rights provided to patients admitted to hospital and explain its provisions by hospital staff, implementing programs in education (pamphlets, brochures, posters, etc.) for patients on patient rights reserved.

An ethical work climate refers to individual perception of their organizations. Since the ethical climate is related to many factors such as performance, job satisfaction, organizational commitment, therefore this study is designed to assess nurses attitudes about ethical climate of educational hospitals in Kerman.Questionnaires were distributed to 275 nurses. The data were collected by ethical climate questionnaire.The findings of study which show the prevailing ethical climate of Kerman hospitals in order of priority including: professionalism, rules, and caring. Independence, instrumental. Although the professionalism is suitable climate, but it is recommended that planning be implementing in order to create interest.

Instructor, Faculty of Paramedical, Qom University of Medical Sciences. Qom, Iran.Rights of a patient include his/her legitimated and reasonable physical, mental and social needs when he/she is under medical treatment. The aim of this study was to determine relationship between disciplines and educational levels of students and their knowledge about patient rights. In this cross-sectional study data was collected by a questionnaire with two sections containing 40 questions, that are in accordance with the patients’ bill of Rights. Samples were included 192 192 medical sciences students. There was a significant relationship between disciplines and educational levels of students and their knowledge about patient rights so that Anesthesiology students (P=0.03) and undergraduate students (P=0.02) had more knowledge than other people. The findings of this study can be used as an appropriate criterion to assess universities about the patient rights.

Introduction: There is growing need for nurse managers to increase their knowledge about patients' rights, legislations and ethical codes concerning these rights. Because they have key role to improve clinical researches and nursing staff interactions in researches.Objectives: The purpose of this study was determination of nurse managers' perceptions of patients' rights as the research subjects and their research activities.Method: All nurse managers in four teaching hospitals of Kerman, Iran were the research sample (n=107). A researcher made questionnaire was used for gathering data.Results: Total mean perception score for the sample was 13.22 (44.1%). The highest score was related to obtaining informed consent from competent elderly and the lowest score was related to compensation research subjects' medical treatment expenses. The most research activities of nurse managers were interaction as the research subject (73.8%). The least activities was participation in the research ethics and bioethics conferences (1.9%). Only 17 out of 255 analysis were done for each scenarios according to managers demographic characteristics and their research activities were significantly different (P£0.05).Conclusions: Achieved total mean score less than 50% about the perceptions of research subjects' rights in this investigation show that nurse managers must participate actively in formal and systematic training in research ethics. Also they need to have close relationship with researcher to avoid potential violations of patients' rights when clinical researches were conducted in their field.

Introduction: Relationship between doctor and patient not only has effect on patient satisfactory from treatment process, but also it has effect on information review, obey orders, blood pressure scale and blood sugar. Effective relationship can reduces complaints about wrong actions of physicians.Method: In this descriptive research, relationship function of 39 students of medical science that they were selected by statistics method have been evaluated on 200 pregnant women bedridden in labour section of five chosen hospitals Tehran city, these persons by available method entered to this research. Research tools are demographic questionnaires of pregnant women and student of medical science school and one check list observation that made by researcher. Descriptive statistics and Spss software version 17 should be used to analyze the datas.Result: Average numbers that students got are in relationship with patient 24.45, that in this research this number shows relationship function is middle.Discussion: Appropriate relationship has an important role in making trust to caregivers, diagnosing race and effective treatment; it shows that professor and educational planning should be attention to train relationship skills to medical science students.

Background: Consideration of patients' rights is the most important ethical-based characteristics in a hospital where greater attentions are needed to bring more peace and cure for hospitalized patients. They should be aware of all stages of treatment as well as their rights and tasks. The present study aimed to determine views of nurses and patients on patients' right.Methods: Through a descriptive cross sectional study in 2011, all nurses and patients available at the internal and surgical wards of educational hospitals affiliated to the Ilam University of Medical Sciences were recruited using a census sampling method. A validated and reliable questionnaire including 29 questions for patients and 26 self-completed questions for nurses was used for data gathering. Demographic and particular questions about patients' rights were asked by questionnaires. Content validity and test re-test methods were used to approve the validity and reliability of the questionnaires respectively (r=0.90-0.92). SPSS version 16 was used for all analysis.Results: Almost half of the nurses (48.3%) were aware of patients' rights, while majority of the patients (82.5%) were not aware patients' rights. Overall, 70% of nurses and 45% of patients had an agreement on consideration of patients' rights at the hospital.Both nurses and patients agreed that ' the patients' education level" is the most significant individual factor on consideration of patients' rights.Conclusions: The views of nurses and patients in particular on the Rights Charter as well as patient rights were different significantly. The concepts of patients' rights are still unknown and controversial in Iran and therefore need to be more discussed and studied. Taking any step and clarification toward the concept of patients' rights can help patients to receive enhanced cares based on human and emotional legislations.

Organizations in today's world need high productivity for their promotion and continuous improvement. The most important and valuable organization capital is human resource. Relationship between the organizational justice and employee's productivity was the aim of this research. A descriptive and analytical study in Zabol's hospitals staff in 2010.Two questionnaires was used that was scored Five- item Likert scale. Findings showed that there was a significant relationship (r=0.15 and p=0.008) among dimensions of equity, just with employees productivity is significant (r=0.1 and p=0.005). There was a direction and significant relationship between organizational justice and employees' productivity. Consequently managers can create a justice atmosphere for enhancing the productivity of the hospital.

Introduction: Increasingly accelerated progress in biomedical technology in recent decades, has been associated with an increased tendency to ethical issues. The nurses as health staff are constantly in situations where they require to they are making. Them, every day during the conflict in their working environment with a variety of psychological stress faced. The moral distress on all aspects their personal and professional lives will be affected. The purpose of this study was to determine the moral distress of nurses in health centers in 1390 to be Bam.Methods: This study was a descriptive-cross sectional study on 140 nurses working in the medical center was the city of Bam. Data from the moral distress scale, its reliability and validity in other studies as measured, were collected. Data analysis using descriptive statistics and one-way ANOVA is performed.Results: The findings show that the intensity of moral distress among nurses, 5.04 respectively. The relationship between age means (p=0.00), work (p=0.01), the amount of interaction and collaboration between physicians and nurses (p=0.00), decision-making in leave the job and resigned (p=0.00), job promotion opportunities (p=0.03), feeling of job security (p=0.00), the amount of support from hospital administrators (p=0.00) with the moral distress of nurses has been studied.Conclusion: According to the moral distress of nurses participating in the study is too high. Join nurses at the hospital ethics committee seems to be an effective solution for developing solutions to reduce distress and encourage nurses to speak with moral and ethical situations of great distress reduces moral distress in this group to help.

The quality of care presentation is the most important and major concern in care centers, and target search in work for nurses may be effective on the quality of patients care. Yet, there are a few studies about the effect of nurses' spirituality on the degree of patient satisfaction. Accordingly, the objective of present research was to determine the relationship between nursing staff spirituality and patient satisfaction from the cares. This was a correlation –descriptive study. 100 nurses and 100 patients hospitalized in selected hospitals of Ardabil Medical Sciences were randomly selected. Data was collected through using the spiritual wellbeing scale swbs) and patient satisfaction instruments from nursing care. The findings showed that mean and standard deviation of satisfaction degree in hospitalized patients participating in this research was 157.2±19.5. Mean and standard deviation of spiritual wellbeing of nurses participated in this study is 101.3 ±9.3 and there is a significant relationship between the levels of nurses' spirituality and the degree of patients' satisfaction in selected hospitals of Ardebil Medical Sciences (p<0.05). The assessment of nurses' spiritual well-being indicated that most nurses studied, had high and positive spiritual wellbeing scores, but they had received no professional training to provide the spiritual assistances to the patient. Considering that patient satisfaction is concerned to this aspect of care more than anything, so it can be increased the patients' satisfaction at care centers through using the professional training in nursing, in order to develop the spiritual assistance to patients and to evaluate their spiritual needs.

Nowadays, the subject of embryonic stem cells, In addition to biologists and physicians has involved other specialists including medical ethics, politicians, governors, lawyers.There is a wide range of ethical and legal issues about producing and research using of these exclusive cells. Clearly that legislation of stem cell researches makes guarantee and prevents of probable Sid effects and instrumental using of the embryo, in addition it preserves the position and value of the embryo.The gradual process of legislation in embryonic cell using in comparison to accelerate using of these cells in medicine make a legal gap that human dignity and life right were damaged and compensations of complications are very difficult.Therefore, it is necessary legislation about these cells before development of these researches.One of the first countries that have found technology of stem cell is Iran but we don't have ethical guideline and codified law about stem cells.In other countries that have had acceleration about this scientific field from beginning of stem cells research even before beginning of research.They spent long time on legislation and experimental activity.In this article, we talk about different sides of these technologies. We review briefly legislations process in international communities and some developed countries and finally we state key points in these laws and remind necessity of legislation of stem cell research in Iran.