Medical ethics and compliance amongst physician groups: a self-assessed survey in a hospital in Southeast Nigeria

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.84
Ogbonnia Godfrey Ochonma, Udunma Olive Chjioke, Justin Agorye Ingwu, Chikezie Adolf Nwankwor, Ifeyinwa Henry-Arize
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 Objective: The objective of this study was to investigate the knowledge and application of medical ethical principles amongst physician groups in a Hospital in Enugu, Nigeria.
 Methods: This was a cross-sectional self-assessed study conducted amongst medical doctors in five specialty groups in a teaching hospital in Enugu, Nigeria.Descriptive and inferential statistics were used to summarize the items and determine whether significant differences on knowledge and application of medical ethics existed amongst the physician groups in the treatment of patients.
 Findings: Observance and compliance with medical ethical conduct was highest among doctors that were aged 55 years and above. In sex, male doctors had higher ethical conduct compliance than female doctors. Comparing the doctors by rank, medical officers, consultants and senior registrars respectively had the highest ethical conduct.
 Conclusions: Knowledge and practice of medical ethics were mostly deficient among younger Nigerian and female doctors. Remedying the situation will require better curricula both at the undergraduate and post-graduate medical school programmes for doctor trainees. Requiring certification in bioethics for license renewal will also help in resolving and improving the knowledge gap.
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Abstract

Background: Being a doctor remains a moral enterprise as he is expected to make some medical decisions based on ethical principles during encounter with patients. Objective: The objective of this study was to investigate the knowledge and application of medical ethical principles amongst physician groups in a Hospital in Enugu, Nigeria. Methods: This was a cross-sectional self-assessed study conducted amongst medical doctors in five specialty groups in a teaching hospital in Enugu, Nigeria.Descriptive and inferential statistics were used to summarize the items and determine whether significant differences on knowledge and application of medical ethics existed amongst the physician groups in the treatment of patients. Findings: Observance and compliance with medical ethical conduct was highest among doctors that were aged 55 years and above. In sex, male doctors had higher ethical conduct compliance than female doctors. Comparing the doctors by rank, medical officers, consultants and senior registrars respectively had the highest ethical conduct. Conclusions: Knowledge and practice of medical ethics were mostly deficient among younger Nigerian and female doctors. Remedying the situation will require better curricula both at the undergraduate and post-graduate medical school programmes for doctor trainees. Requiring certification in bioethics for license renewal will also help in resolving and improving the knowledge gap. Keywords: Professional; ethical; conduct; doctors; patients; survey; Nigeria; hospital.
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医生群体的医疗道德和遵守:尼日利亚东南部一家医院的自我评估调查
背景:作为一名医生仍然是一项道德事业,因为他在与患者接触时需要根据道德原则做出一些医疗决定。 目的:本研究的目的是调查尼日利亚埃努古一家医院的医生群体对医学伦理原则的了解和应用情况。方法:这是一项横断面自我评估研究,在尼日利亚埃努古的一家教学医院的五个专科组的医生中进行。采用描述性统计和推断性统计对项目进行汇总,以确定不同医生群体在治疗患者时是否存在医学伦理学知识和应用方面的显著差异。 研究结果:55岁及以上的医生对医学道德行为的遵守和遵守程度最高。在性别方面,男医生的道德行为依从性高于女医生。按级别比较,医生、顾问医生和高级注册医生分别具有最高的道德操守。 结论:尼日利亚年轻医生和女医生普遍缺乏医学伦理学知识和实践。要纠正这种情况,就需要改进医学院本科和研究生课程,为医生培训生提供更好的课程。在执照更新时要求生物伦理学认证也将有助于解决和改善知识差距。关键词:专业;道德;行为;医生;病人;调查;尼日利亚;医院。
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来源期刊
African Health Sciences
African Health Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
0.00%
发文量
179
审稿时长
>12 weeks
期刊介绍: The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.
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