Nepal S, Atreya A, Kanchan T
Department of Community Medicine, Devdaha Medical College and Research Institute, Rupandehi, Nepal.
Department of Forensic Medicine, Devdaha Medical College and Research Institute, Rupandehi, Nepal.
Kathmandu Univ Med J (KUMJ). 2017;15(60):313-318.
Background Medical practitioners are the men of science who treat patients based on their knowledge and skill. Unethical and immoral conduct in the practice of medicine pertains to human right issues and litigation. Objective The present study is conducted to understand the perceptions and awareness of the moral and ethical responsibilities of future medical doctors in Nepalese scenario. Method This cross sectional study was carried out among the undergraduate medical students of Manipal College of Medical Sciences, Pokhara, Nepal who were administered a pre-tested, semi-structured questionnaire relating to various aspects of health care ethics. A total of 202 students (116 girls and 86 boys) voluntarily participated in the study. Based upon the criteria whether a student had attended forensic medicine lecture the study participants were thus divided into two groups Group I and Group II. The responses of the participants were obtained on a 5 point Likert scale and analyzed. Result The study observed that the overall awareness on issues regarding consent was proportionately higher than for issues dealing with patient's right to treatment. The awareness levels were similar among the students of both groups for most of the issues with exception of a few issues where awareness levels were higher among the Group II students when compared to the Group I students. Conclusion This present study attempts to present the assessment of students on issues relating to ethics and moral reasoning. The present study also emphasizes on the importance of ethics in the practice of medicine.
背景 医学从业者是依据自身知识和技能治疗患者的科学工作者。医学实践中的不道德行为涉及人权问题和诉讼。
目的 开展本研究以了解尼泊尔未来医生对道德和伦理责任的认知与意识。
方法 本横断面研究在尼泊尔博卡拉马尼帕尔医学院的本科医学生中进行,向他们发放了一份经过预测试的、与医疗保健伦理各方面相关的半结构化问卷。共有202名学生(116名女生和86名男生)自愿参与研究。根据学生是否参加过法医学讲座这一标准,将研究参与者分为两组,即第一组和第二组。参与者的回答采用5点李克特量表进行,并进行分析。
结果 研究发现,总体而言,对同意相关问题的认知比例高于对患者治疗权问题的认知。除少数问题外,两组学生在大多数问题上的认知水平相似,在这些少数问题上,第二组学生的认知水平高于第一组学生。
结论 本研究试图呈现学生对伦理和道德推理相关问题的评估。本研究还强调了伦理在医学实践中的重要性。