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Iranian Journal of Medical Education 2018, 18 - : 94-105 Back to browse issues page
Medical Specialists’ Experiences of Decision-Making in Moral Dilemmas
Athar Omid , Nikoo Yamani, Farahnaz Kamali
Isfahan university of medical sciences. , kamalifarahnaz@yahoo.com
Abstract:   (2514 Views)

Introduction: Despite various laws, regulations and therapeutic guidelines, it is difficult for doctors to make diagnostic and therapeutic decisions while trying to respect patients’ beliefs and cultural norms. This may affect the treatment of patients and their satisfaction. This study aimed to explore medical specialists’ experiences of decision-making in moral dilemmas at Isfahan University of Medical Sciences in 2012.
Methods: This qualitative study was conducted at Isfahan University of Medical Sciences. Research population included medical specialists and participants were selected by purposive and maximum variation sampling. Data were gathered through semi-structured individual interviews. Interview transcriptions were analyzed using content analysis method. Review of the transcriptions yielded the main categories and subcategories.
Results:Eight medical teachers and specialists participated in this study. Three main categories and 13 subcategories emerged. The main categories included “gradually informing the patient”, “building doctor-patient trust”, and “doctor-patient joint decision-making”.
Conclusion:In moral dilemmas, doctors tend to make joint decisions with patients and believe that after informing the patients and building trust, they must do their best for their improvement.

Keywords: Ethical decision-making, specialist doctors, qualitative study, moral dilemma
Full-Text [PDF 263 kb]   (450 Downloads)    
Type of Study: Original research article | Subject: other
Received: 2016/09/18 | Accepted: 2018/07/15
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Omid A, Yamani N, Kamali F. Medical Specialists’ Experiences of Decision-Making in Moral Dilemmas. Iranian Journal of Medical Education. 2018; 18 :94-105
URL: http://ijme.mui.ac.ir/article-1-4239-en.html

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مجله ایرانی آموزش در علوم پزشکی Iranian Journal of Medical Education
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