Moosavi Soolmaz, Zandpoor Zahra, Motasadi Zarandi Masood, Shojaei AmirAhmad, Parsapoor Alireza
Assistant Professor, Department of Medical Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Researcher , School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2023 Dec 30;16:18. doi: 10.18502/jmehm.v16i18.14617. eCollection 2023.
To deliver effective medical services and establish trust and psychological security in patients, care providers must prioritize ethical principles. Developing a comprehensive clinical education program for learners, along with specific ethical guidelines, and implementing managerial and executive interventions necessitates a thorough understanding of the ethical challenges within this field. This qualitative study aimed to elucidate the ethical issues faced by otolaryngologists. Sixteen otolaryngologists participated in the study, selected through purposive sampling. Data were gathered through semi-structured interviews, and the analysis, conducted through conventional content analysis, revealed eight main categories and 38 subcategories encapsulating the identified ethical issues. The primary categories encompassed ethical issues faced by otolaryngologists concerning patients and companions, education, communication with the treatment team, physicians' rights, medical tourism, medical advertising, cultural considerations, and managerial challenges. resources and treatment approaches in alignment with Iranian cultural norms, address conflicts between treatment and education, and implement sound management plans to uphold rights of the treatment team. Additionally, the study suggests the necessity of ethical advertising programs and the strategic promotion of therapeutic tourism.
为了提供有效的医疗服务并在患者中建立信任和心理安全感，护理人员必须将道德原则放在首位。为学习者制定全面的临床教育计划以及具体的道德准则，并实施管理和行政干预措施，需要对该领域内的道德挑战有透彻的理解。这项定性研究旨在阐明耳鼻喉科医生面临的道德问题。通过目的抽样选择了16名耳鼻喉科医生参与研究。通过半结构化访谈收集数据，并通过传统内容分析进行分析，结果揭示了涵盖已识别道德问题的八个主要类别和38个子类别。主要类别包括耳鼻喉科医生在患者和陪伴者、教育、与治疗团队沟通、医生权利、医疗旅游、医疗广告、文化考量以及管理挑战等方面面临的道德问题。与伊朗文化规范相一致的资源和治疗方法，解决治疗与教育之间的冲突，并实施合理的管理计划以维护治疗团队的权利。此外，该研究表明有必要开展道德广告计划并战略性地推广治疗性旅游。
