Comparison of Effectiveness of Theoretical Training Versus Operational Training in Psychiatric Medical Ethics

Anita Azarkola, Maryam Ghanizadeh, Parviz Molavi, Mahdyar Nader Mohammadi, Habibeh Salvat

Abstract


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Background and Aim: This study aimed to determine the effectiveness of theoretical training versus practical training of medical ethics to the students in the Psychiatric ward.

Materials and Methods: The research method was quasi-experimental. The study population consisted of all medical students undergoing an internship in a psychiatric ward in Ardabil Fatemi hospital. Students were evaluated from April 2016 to June 2016. Using a convenience sampling method, 36 individuals were selected and randomly assigned in two groups: 18 students in the theoretical training group (group 1) and 18 students in the operational training group (Group 2). Moral Competence Questionnaire and Professional Ethics Checklist in psychiatry were used for data collection. Data were analyzed by SPSS 21 software. Mean and standard deviation, t-test and Cohen's effect size index were used for statistical analysis.

Findings: The results showed that there was no significant difference between the mean scores of the two groups in the Moral Competence Questionnaire and the pre-test of the Professional Ethics Checklist. After the training, the mean scores of group 2 were significantly higher than group 1 in the post-test. The two large differences were in Autonomy and Privacy respectively. Finally, according to Cohen's scale, the effectiveness of practical training was greater than theoretical training.

Ethical Considerations: Making students aware of the research, and getting informed consent, keeping confidentiality of individual results, not involving results in the evaluation of students' educational performance. 

Conclusion: Practical training of professional ethics was more effective than theoretical training and merely emphasizing on theoretical training could not lead to adherence to professional ethics. Therefore, it is essential that during general practitioners' training, in addition to theoretical classes, other practical methods be used.

Cite this article as: Azarkola A, Ghanizadeh M, Molavi P, Nader Mohammadi M, Salvat H. Comparison of Effectiveness of Theoretical Training Versus Operational Training in Psychiatric Medical Ethics. Med Ethics J 2019; 13(44): e15.


Keywords


Medical Ethics; Theoretical Training; Operational; Training Psychiatry

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References


Zahedi L. Necessities and Method of Educating Biomedical Ethics. Journal of Ethics in Science and Technology 2007; 2(1-2): 55-58. [Persian]

Carrese JA, Sugarman J. The inescapable relevance of bioethics for the practicing clinician. Chest 2006; 130(6): 1864-1872.

Pellegrino ED. Editor the internal morality of clinical medicine: A paradigm for the ethics of the helping and healing professions. J Med Philos 2001; 26(6): 559-579.

Asghari F, Samadi A, Rashidian A. Medical ethics course for undergraduate medical students: A needs assessment study. J Med Ethics Hist Med 2013; 6(7): 1-7.

Sofaer B. Enhancing humanistic skills: An experiential approach to learning about ethical issues in health care. Journal of Medical Ethics 1995; 21(1): 31-34.

Davies D, Evans I, Lloyd-Richards R, Jones EV. Improving awareness of ethical issues. Arch Dis Child 1996; 74(2): 172-175.

Lawlor R. Moral theories in teaching applied ethics. J Med Ethics 2007; 33(6): 370-372.

Jagsi R, Lehmann LS. The ethics of medical education. BMJ 2004; 329(7461): 332-334.

Eckles RE, Meslin EM, Gaffney M, Helft PR. Medical ethics education: Where are we? Where should we be going? A review. AAMC 2005; 80(12): 1143-1152.

Serago CF, Burmeister JW, Dunscombe PB, Gale AA, Hendee WR, Kry SF, et al. Recommended ethics curriculum for medical physics graduate and residency programs: report of Task Group 159. Med Phys 2010; 37(8): 4495-4500.

Khaghani M, Maleki H. Critical on Content of Medical Ethics Curriculum from the Perspective of Medical Ethics Experts: A Qualitative Study. Journal of Higher Education Curriculum Studies 1392; 4(7): 70-84. [Persian]

Bagheri A. Iranian medical ethics priorities: the results of a national study. IJME 2011; 4(5): 39-48.

McGorry PD, Yung A, Phillips L. Ethics and early intervention in psychosis: keeping up the pace and staying in step. Schizophrenia Research 2001; 51(1): 17-29.

Paruk S, Jhazbhay K, Singh K, Sartorius B, Burns JK. A comparative study of socio‐demographic and substance use correlates in early‐onset psychosis. Early Interv Psychiatry 2018; 12(3): 339-347.

Mahmoodian F, Ghaznavi Jahromi N, Nabeiei P. Investigation of satisfaction level of outpatients referring to psychiatry clinics with observation of professional ethics principles by the psychiatric team of Shiraz University of Medical Sciences. Sadra Med Sci J 2014; 2(3 Jul): 279-288.

Khammarnia M, Ravangard R, Jahromi M, Moradi A. Study on the Medical Errors in Public Hospitals of Shiraz, 2013. JHOSP 2014; 13(3): 17-24.

Haghshenas MR, Amiri AA, Vahidshahi K, ShyckRezaee M-RN, Pourhossen M. The frequency of malpractice lawsuits referred to forensic medicine department and medical council. J Mazandaran Univ Med Sci 2012; 22(86): 244-251.

Psychiatry charter. Charter of Professional Ethics in Psychiatry in Iran. Tehran: Iranian Association of Psychiatrists; 2006. Available at: http://www. irpsychiatry.ir/fa/news/117/ipa-code-of-ethics.

Ahmari Tehran H, Bakouei S, Jafarbegloo E, Momenuan S, Abedini Z. Evaluation of moral intelligence in nursing and midwifery students of Qom University of Medical Sciences. J Educ Ethics Nurs 2016; 5(3): 9-16.

Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Arlington: Lippincott Williams & Wilkins; 2011.

Ranjbaran M, Vakilian K, Tajik R, Almasi-Hashiani A. Nursing’s code of ethics: a survey of respecting the code among nursing students. IJME 2014; 6(6): 45-55.

Shomali MA, Momeni G. Evaluation of Fundamental Ethical Theories and Principles of Medical Ethics. Journal of Isfahan Medical School (IUMS) 2013; 31(258): 1756-1768.

Bahrani F, Farzin M, Nozari L. Shiraz dentists’ knowledge of professional ethics. IJME 2012; 5(6): 69-80.

Khaghanizadeh M, Maleki H, Abbasi M, Abbaspour A, Nabavi FH, Ebadi A, et al. Identity of the medical ethics curriculum Based on the experiences of teachers of medical ethics: Qualitative Research. J Med Ethics 2010; 4(12): 11-38.

Khani JJ. Medical ethics philosophy. Journal of Diabetes and Metabolic Disorders 2007; 7(24): 47-52.

Ardeshir larijani mb Me. New methodes of medical etidcs education. Journal of Diabetes and Metabolic Disorders 2004; 4(supplement (ethic in clinical researchs)): 39-46. [Persian]

Woods M. Nursing ethics education: Are we really delivering the good (s)? Nursing Ethics 2005; 12(1): 5-18.

Hulsmeyer B. Nurses in Transition: First Year Challenges. [Ph.D Thesis]. United States: University of Kentucky; 1995.

Mallaber C, Turner P. Competency versus hours: An examination of a current dilemma in nurse education. Nurse Education Today 2006; 26(2): 110-114.

Vasegh R, Nasiriani L, Farajkhoda T, Bahrani N. Compliance rate of midwives with the professional codes of ethics in maternal child health centers in Tehran. JMEHM 2014; 7(2): 36-46. [Persian]

Genuis S. Dismembering the ethical physician. Postgrad Med J 2006; 82(966): 233-238.

Singer PA. Medical ethics. BMJ 2000; 321(7256): 282-285.

McKneally MF, Singer PA. Bioethics for clinicians: 25. Teaching bioethics in the clinical setting. CMAJ 2001; 164(8): 1163-1167.


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