KNOWLEDGE AND ATTITUDE AMONG RESIDENT DOCTORS RELATED TO ETHICAL AND MEDICOLEGAL ISSUES IN A TEACHING HOSPITAL

https://doi.org/10.22146/jpki.68915

Taufik Suryadi Ismail(1*), Kulsum Kulsum(2)

(1) Department of Forensic Medicine and Medico-legal, Faculty of Medicine, Universitas Syiah Kuala, Darussalam-Banda Aceh – INDONESIA
(2) Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Syiah Kuala, Darussalam-Banda Aceh – INDONESIA
(*) Corresponding Author

Abstract


Background: Ethics and medicolegal as a mandatory competence that must be applied by resident doctors, because it is very helpful of deciding on medical practice. This study aims to assess the current status of the knowledge and attitude of dealing with ethical and medicolegal issues among resident doctors in a teaching hospital in Aceh.

Methods: This was a cross-sectional study conducted among resident doctors (n=156) with a self-administered online questionnaire. The Spearman test was used to identify the correlation between knowledge and attitudes. Meanwhile, the Chi-square test was used to identify the significance of influence selected factors with knowledge and attitude.

Results: A total of 156 respondents were involved in this study. Most resident doctors (94.2%) had limited knowledge and as many as 66% have a positive attitude in dealing with ethical and medicolegal issues. Based on the Spearman's and Chi-square test showed not a significant correlation between the knowledge and attitudes under the Sig. (2-tailed) 0.086 (Sig. (2-tailed) >0.05) and p-value 0.296 (p-value >0.05). Only length of education was significantly associated with a positive level of attitude (p=0.003). Selected factors did not significantly affect the lack of knowledge, for gender with a p-value of 1.000, age (p=0.306), study program (p=0.192), and length of education (p=1.000).

Conclusion: Positive attitudes are a very valuable asset to increase knowledge in dealing with ethical and medicolegal issues. The lack of knowledge of resident doctors is influenced by various factors. It is necessary to increase knowledge through continuing education, regular training, and short courses.


Keywords


Resident doctors, Ethics and medicolegal, Knowledge, Attitude

Full Text:

PDF


References

  1. Tiruneh MA, Ayele BT, Beyene KGM. Knowledge of, and attitudes toward, codes of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia. Medicolegal and Bioethics. 2019; 9: 1-10.
  2. Varghese AL, Vaswani VR, Kumar BK, Shenoy V. Awaereness and attitude of medical negligence and medical ethics among interns and resident doctors. Int J Curr Microbiol App Sci. 2016; 5(11): 532-535.
  3. Ranasinghe AWIP, Fernando B, Sumathipala A, Gunathunga W. Medical ethics: knowledge, attitude and practice among doctors in three teaching hospitals in Sri Lanka. BMC Med Ethics, 2020;21(1):1–10.
  4. Adhikari S, Paudel K, Aro AR, Adhikari TB, Adhikari B, Mishra SR. Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal. BMC Med Ethics; 2016; 17(1):1–8.
  5. Biruk K, Abetu E. Knowledge and attitude of health professionals toward telemedicine in resource limited settings: a cross sectional study in North West Ethiopia. J Heal Eng. 2018: 1-7.
  6. Hariharan S, Jonnalagadda R, Walrond E, Moseley H. Knowledge, attitude and practice of healthcare ethics and law among doctors and nurses in Barbados. BMC Med Ethics. 2006; 7(7): 1-9.
  7. Barnie BA, Forson PK, Addo MNAO, Poku JA, Rhule GP, Oduro G, Sarkodie YA, Donkor P. Knowledge and perceptions of health workers training on ethics, confidentiality and medicolegal issues. J Clinic Res Bioeth. 2015; 6(1): 1-4.
  8. Jonsen AR, Siegler M, Winslade WJ. Clinical ethics a practical approach to ethical decisions in clinical medicine.7th ed. The McGraw Hill Companies. New York. 2010. 9-159.
  9. Thomas TE, Magendran J. Awareness of medicolegal issues among medical college health professionals. Medicolegal update. 2020; 20(1): 1-5.
  10. Tahira QA, Lodhi S, Haider ST, Abaidullah S. The study of knowledge, attitude and practice of medical law and ethics among doctors in a tertiary care hospital. Annals. 2013; 19(1): 55-60.
  11. Rajah R, Hassali MA, Lim CJ. Health literacy-related knowledge, attitude, and perceived barriers: a cross sectional study among physicians, pharmacists, and nurses in public hospitals of Penang, Malaysia. Front Public Health. 2017; 5:281.
  12. Al-Shehri E, Siddiqui AF, Khalil SUN. Knowledge, attitude and practice of medical ethics among resident physicians of specialty certificate in Aseer Province, Saudi Arabia. J Liaquat Univ Med Heal Sci. 2020: 19(1), 48–54.
  13. Jones DS. A complete medical education include the art and medical humanities. Am Med Assoc J Ethics. 2014; 16(8) : 636-641.
  14. Brogen AS, Rajkurnari B, Laishram J, Joy A. Knowledge and attitudes of doctors on medical ethics in a teaching hospital, Manipur. Indian J Med Ethics. 2009; 6(4): 194-7.
  15. Amarasinghe PVNP, Wirasinghe MC. Knowledge and perception on medical ethics and medicolegal duties among government medical officer in district of Sri Lanka. Sri lanka J Med Adm. 2018; 20(1); 26-31.
  16. Indonesian Medical Council (IMC). National Standards for Indonesian Medical Professional Education. Jakarta. 2019.
  17. Al Haqwi AI, Taha WS. Promoting excellence in teaching and learning in clinical education. J Taib Univ Med Sci. 2015;10(1): 97-101.
  18. Mathew S, Samant N, Cooksey C, Ramm O. Knowledge, attitudes and perceptions about medicolegal education: a survey of OB/GYN residents. Perm J. 2020;24:19.217: 1-7.
  19. Wandrowski J, Schuster T, Strube W, Steger F. Medical ethical knowledge and moral attitudes among physicians in Bavaria. Dtsch Artzebl Int. 2012; 109(8): 141-147.
  20. Singh S, Sharma P, Bhandari B, Kaur R. (2016). Knowledge, awareness and practice of ethics among doctors in tertiary care hospital. Indian J Pharmacol, 48(7):S89–93.
  21. Karaskus A, Selcuk MY, Unal M, Tontus O, Altintop L. An important ethical and medicolegal issues; projecting the need for medical education about patient rights among the hospital staff. J Exp Clin Med. 2015; 32 (2): 59-61.
  22. Manurung WP, Sari MI, Aries R, Oktaria D. The Relationship between knowledge of principles base of bioethics and moral attitudes assessment on pre-clinical and clinical students, Faculty of Medicine, University of Lampung. Majority. 2019; 8, 25–9.
  23. Alyahya AI, Elsarafy OSI, Alzoubaidi FM, Moursi OAA. Experience, education, and training impact on medicolegal knowledge, attitude and practice. Saudi J Forensic Med Sci. 2018;1:1-4.
  24. Jatana SK, Soe HTK, Soe K, Phyu KL, Lwin H, Than NN. A survey on knowledge and attitudes towards medical ethics among undergraduate medical students. Education. 2018;8(3):48–53.
  25. Kemparaj VM, Kadalur UG. Understanding the principles of ethics in health care: a systematic analysis of qualitative information. Int J Community Med Public Heal. 2018;5(3):822.
  26. Afandi D. The basic principles of bioethics in ethical clinical decision making. Andalas Med J 2017; 40(2): 111-21.
  27. Gillon R. Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics. J Med Ethics. 2015; 41: 111-6.
  28. Suryadi T, Meliala MAP, Kulsum K. Completion of ethical dilemma and its medicolegal aspect in the case of pregnancy with a history of rheumatic heart disease. Indonesian Journal of Obstetrics and Gynaecologists. 2020; 8(3): 192-196.
  29. Suryadi T, Kulsum K. Clinical ethics and medicolegal considerations for the management of anaesthesia in traumatic brain injury cases. J Neuroanestesi Indones. 2020; 9(2): 108-116.
  30. Kheir AEM, Dafaala M, Bashir AA, Abuelgasim NA, Abdalrahman I. Medicolegal awareness amongst health professionals in Sudan-where are we now?. J Clin Audits. 2016; 8(4): 1-8.



DOI: https://doi.org/10.22146/jpki.68915

Article Metrics

Abstract views : 1787 | views : 1359

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Taufik Suryadi Ismail, Kulsum Kulsum

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:


JPKI Stats