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Health professions students' approaches towards practice-driven ethical dilemmas; a case-based qualitative study
Phyu Hnin Hlaing1, Ahmed Hasswan1, Vida Salmanpour1
1College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
BMC Medical Education
|May 2, 2023
Summary
Health professions students navigate ethical dilemmas using emotions, experiences, and legal knowledge. Understanding these approaches enhances medical education and fosters ethical healthcare practitioners.
Area of Science:
- Medical Education
- Bioethics
- Qualitative Research
Background:
- Ethical challenges are inherent in healthcare practice and impact patient care.
- Developing ethical reasoning in health professions students is crucial for their transition to practice.
- Understanding student approaches to ethical dilemmas can improve medical education.
Purpose of the Study:
- To identify how health professions students approach practice-driven ethical dilemmas.
- To explore the factors influencing students' ethical reasoning in clinical scenarios.
Main Methods:
- Inductive qualitative evaluation of recorded online group discussions among health professions students.
- Analysis of transcribed discussions using MAXQDA software with triangulation by two coders.
- Involved students from medicine, dental medicine, and pharmacy colleges across two universities.
Main Results:
- Six emergent themes identified: emotions, personal experiences, law/legal system, professional background, medical research knowledge, and inter-professional education.
- Students effectively applied core ethical principles (autonomy, beneficence, non-maleficence, justice) during discussions.
- Students demonstrated reasoning processes to reach ethical decisions in case-based scenarios.
Conclusions:
- The study elucidates how health professions students resolve ethical dilemmas.
- Findings offer insights into ethical development in medical education from a student perspective.
- Results can inform the development of ethics curricula to cultivate future ethical leaders in healthcare.
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