Faraz Ali, Deyab Ashraf Abdelfatah, Alanzan Abdulaziz, Muwayni Abdullah M, Al Hodairy Muteb Saeed, Alharbi Muteb, Alharbi Mohammad, Alruwaili Sultan
Basic Sciences, Majmaah University, Al Majma'ah, SAU.
Hematological Pathology and Transfusion Medicine, Majmaah University, Al Majma'ah, SAU.
Cureus. 2024 Feb 5;16(2):e53676. doi: 10.7759/cureus.53676. eCollection 2024 Feb.
Background The healthcare system is increasingly confronted with ethical challenges, necessitating a thorough exploration of healthcare providers' ethical knowledge and attitudes. This study aims to evaluate the ethical awareness and attitudes of healthcare providers in the Al Majma'ah region of the Kingdom of Saudi Arabia (KSA). Aim This research focuses on assessing the level of knowledge and practice regarding medical ethics among healthcare providers in a community hospital in Majmaah, KSA. Methods A comprehensive cross-sectional study was undertaken in the Majmaah governorate of Saudi Arabia. Data collection involved distributing a meticulously designed questionnaire to healthcare providers and faculty members affiliated with the College of Medicine. Subsequently, the acquired dataset underwent analysis utilizing SPSS software. Results A total of 183 participants were included in the study. The findings revealed that only 77 respondents (42.1%) considered ethical issues in their profession as extremely important. Moreover, 104 participants (56.8%) were aware of the existence of an ethics committee in their institution. A total of 113 respondents (61.7%) disagreed with the notion that ethical conduct is primarily important to avoid legal consequences, and 120 participants (65.6%) believed in the significance of in-service training on medical ethics for doctors. The study also highlighted that 100 participants (54.6%) believed that healthcare providers' opinions supersede patient preferences. However, a majority, 163 participants (89.1%), agreed that patients should be informed of any wrongdoing, contrasting with only 20 (10.9%) who disagreed. When asked about adhering to patients' wishes despite doctors' opinions, 112 (61.2%) responded affirmatively, while 71 (38.3%) disagreed. There was also a disparity in opinions regarding the necessity of obtaining consent, with 81 (44.3%) agreeing that consent is required not only for surgical procedures but also for medications or investigations. Furthermore, 137 participants (74.9%) recognized the importance of discussing ethical, social, and legal issues during clinical rounds alongside clinical aspects of patient care, while 46 (25.1%) disagreed. Conclusion Although medical ethics were introduced into the Saudi healthcare system more than a decade ago, this study underscores the ethical necessity of obtaining comprehensive informed consent prior to invasive and other medical procedures. It also highlights the significance of engaging patients in the decision-making process regarding their treatment. Well-informed patients typically exhibit higher satisfaction levels and are less inclined to pursue legal action.
医疗保健系统面临着越来越多的伦理挑战,因此有必要深入探讨医疗保健提供者的伦理知识和态度。本研究旨在评估沙特阿拉伯王国(KSA)阿尔马吉马地区医疗保健提供者的伦理意识和态度。
本研究重点评估沙特阿拉伯马吉马一家社区医院的医疗保健提供者在医学伦理方面的知识水平和实践情况。
在沙特阿拉伯马吉马省进行了一项全面的横断面研究。数据收集包括向与医学院相关的医疗保健提供者和教职员工分发精心设计的问卷。随后,利用SPSS软件对获取的数据集进行分析。
共有183名参与者纳入研究。研究结果显示,只有77名受访者(42.1%)认为其职业中的伦理问题极其重要。此外,104名参与者(56.8%)知晓其所在机构存在伦理委员会。共有113名受访者(61.7%)不同意道德行为主要是为了避免法律后果这一观点,120名参与者(65.6%)认为医生接受医学伦理在职培训很重要。该研究还强调,100名参与者(54.6%)认为医疗保健提供者的意见优先于患者的偏好。然而,大多数人,即163名参与者(89.1%)同意应告知患者任何不当行为,只有20名(10.9%)不同意。当被问及尽管医生有意见但仍要遵循患者意愿时,112名(61.2%)给予肯定答复,71名(38.3%)不同意。在是否需要获得同意的必要性方面也存在意见分歧,81名(44.3%)同意不仅手术程序需要同意,药物治疗或检查也需要同意。此外,137名参与者(74.9%)认识到在临床查房中除了患者护理的临床方面外,讨论伦理、社会和法律问题的重要性,46名(25.1%)不同意。
尽管十多年前医学伦理就已引入沙特医疗保健系统,但本研究强调在进行侵入性及其他医疗程序之前获得全面知情同意的伦理必要性。它还突出了让患者参与其治疗决策过程的重要性。了解充分的患者通常表现出更高的满意度,并且不太倾向于采取法律行动。