Knowledge and practice of clinical ethics among healthcare providers in a government hospital, Chennai

Subramanian, Thilakavathi; Mathai, Anup; Kumar, Nandini

doi:10.20529/ijme.2013.029

Cited by 18 publications

(25 citation statements)

References 6 publications

(8 reference statements)

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“…7 However, modern medicine seeks to avoid a paternalistic (doctor knows best) approach to patients. Instead it considers the doctor and patient mutually engaging in the decision making with the final decision on treatment options being that of the patient.…”

Section: Discussionmentioning

confidence: 99%

Medical ethics in sub-Sahara Africa: closing the gaps.

Monsudi¹,

Oladele²,

Nasir³

et al. 2015

Afr H. Sci.

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AbstractsBackground: Health care providers are expected to have the skills and knowledge relevant to their field and should also be familiar with the ethical and legal expectations that arise out of the standard practices. Objectives: To elucidate the practice of the health care providers in relation to healthcare ethics in Nigeria. Methods: A self-administered structured questionnaire was devised and distributed to staff of two tertiary health care facilities in Northern Nigeria. The questionnaire comprised of detailed questions regarding day-to-day aspects of Medical ethical issues. Results: A total of 307(76.2% ) out of 403 health care providers responded to the questionnaire. The median age of the respondents was 34 years. More than half 168(54.7%) of the respondents disagreed as to whether "Ethical conduct is important only to avoid legal action. Many respondents 135 (44.0%) agreed to adhering to "patient's wishes", on the other hand over two-third of the respondents 211 (68.7%) agreed that "doctor should do what is best" irrespective of the patient's opinion. There were significant differences (p<0.05) between the perception of physicians and non-physicians on many ethical issues. Conclusion:This study has shown gap in knowledge and practice of healthcare ethics among health care providers. There is a need for periodic education on clinical ethics in our hospitals.

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Section: Discussionmentioning

confidence: 99%

Medical ethics in sub-Sahara Africa: closing the gaps.

Monsudi¹,

Oladele²,

Nasir³

et al. 2015

Afr H. Sci.

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show abstract

“…It needs to be introduced in education curricula, and training on clinical ethics in health care settings is also beneficial. 72,73 Medical schools organize clinico-pathological conferences (CPC) where students and faculty interact with each other, but discussions on judgments related to health care or liability cases and ethics are not often presented. Interactive programs in medical schools and clinical practices about such issues will help students and physicians understand not only the intricacies of laws related to health care and the shortcomings of health professionals and health systems, but also strengthen their understanding of ethics and laws, improve their practice and standard of care, and minimize litigation issues.…”

Section: Education and Trainingmentioning

confidence: 99%

Ethics, Legality, and Education in the Practice of Cardiology

Thirumalaikolundusubramanian¹,

Meenakshisundaram

2015

Heart and Toxins

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“…A stunning 75.7 % was of the opinion that knowledge of ethics was of little to no importance in their work (Janakiram and Gardens 2014). A study in a government hospital in Chennai among 51 treating physicians and 58 other non-physician service providers on knowledge and practice of clinical ethics found that these medical professionals needed more ethics education (Subramanian et al 2013). These were two small-scale studies, and the results cannot necessarily be projected to all Indian postgraduate medical students or medical professionals.…”

Section: Healthcare Ethics In Medical Education In Indiamentioning

confidence: 99%

Education in care ethics: a way to increase palliative care awareness in India

Gielen¹

2015

International Journal of Ethics Education

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In India, the private healthcare sector is rapidly growing. The focus on profit and curative treatment in this sector carries the danger of overtreatment and lack of attention to types of care where the margin of profit is limited, such as palliative care. Since further expansion of the private healthcare sector is unavoidable and even necessary due to limited government spending on healthcare in India, ways to promote palliative care awareness in such an environment need to be found. An important step towards this goal is the development of healthcare ethics education with a focus on those ethical theories which are most appropriate from a socio-cultural perspective. Principlism, the dominant model in Western healthcare ethics which applies the principles autonomy, beneficence, nonmaleficence and justice to ethical cases, may not be most suited to the Indian context. Principlism very strongly focuses on individualistic autonomy. Although autonomy can obviously not be neglected in Indian healthcare, ethical theories which pay more attention to relational aspects may be more appropriate. In this context, Care Ethics appears as a valuable ethical theory. Moreover, the focus on caring relationships in Care Ethics clearly points to the need of palliative care. Development of socio-culturally appropriate healthcare ethics education can inculcate ethical sensitivity which will benefit palliative care in India.

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Knowledge and practice of clinical ethics among healthcare providers in a government hospital, Chennai

Cited by 18 publications

References 6 publications

Medical ethics in sub-Sahara Africa: closing the gaps.

Medical ethics in sub-Sahara Africa: closing the gaps.

Ethics, Legality, and Education in the Practice of Cardiology

Education in care ethics: a way to increase palliative care awareness in India

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