Fortaleza University (UNIFOR), Medicine Course, Fortaleza, Ceará, Brazil,
Adv Health Sci Educ Theory Pract. 2013 Dec;18(5):1067-85. doi: 10.1007/s10459-013-9449-5. Epub 2013 Mar 6.
The authors conducted a cross-sectional short-term study using Lind's Moral Judgment Test (MJT) to compare moral judgment competence (C-score) among students from a medical school in the Northeast region of Brazil and a medical school in the Northern region of Portugal. This study compares the C-scores of groups in the first and eighth semesters of study within each medical school and groups from corresponding semesters between the two medical schools. This study also evaluates the influence of such factors as age and gender on moral competence. A regression of moral judgment competence among the students in their eighth semester versus the students in the first semester of Brazilian medical school (p < 0.001) and a stagnation of moral competence among students in their eighth semester versus the first semester students in the Portuguese medical school (p = 0.06) were observed. For both the first semester and eighth semester groups, the students in the Portuguese medical school had higher C-scores than the students in the Brazilian medical school. In the analysis of the students' performances in terms of MJT dilemmas, the phenomenon of "moral segmentation" was observed in all of the groups, and the students performed better on the worker's dilemma than on the doctor's dilemma. Among students in the same semester of study, older students had lower C-scores. There was generally no significant difference between men's and women's C-scores.
作者进行了一项横断面短期研究，使用林道德判断测试（MJT）比较了来自巴西东北部地区医学院和葡萄牙北部地区医学院的学生的道德判断能力（C 分数）。本研究比较了两所医学院中第一学期和第八学期的学生群体以及相应学期的两个医学院之间的学生群体的 C 分数。本研究还评估了年龄和性别等因素对道德能力的影响。在巴西医学院的第八学期的学生与第一学期的学生之间（p<0.001）和在葡萄牙医学院的第八学期的学生与第一学期的学生之间（p=0.06）观察到道德判断能力的回归。对于第一学期和第八学期的学生群体，葡萄牙医学院的学生的 C 分数均高于巴西医学院的学生。在分析学生在 MJT 困境中的表现时，观察到所有群体都存在“道德分割”现象，并且学生在工人困境中的表现优于医生困境。在同一学期的学生中，年龄较大的学生的 C 分数较低。男性和女性的 C 分数之间一般没有显著差异。
