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Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study

This study aims to understand professionalism dilemmas medical students have experienced during clinical clerkships and the resulting moral distress using an explanatory mixed-method sequential design—an anonymous survey followed by in-depth interviews. A total of 153 students completed and returned...

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Detalles Bibliográficos
Autores principales: Cho, Cordelia, Ko, Wendy Y. K., Ngan, Olivia M. Y., Wong, Wai Tat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517822/
https://www.ncbi.nlm.nih.gov/pubmed/36078203
http://dx.doi.org/10.3390/ijerph191710487
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author Cho, Cordelia
Ko, Wendy Y. K.
Ngan, Olivia M. Y.
Wong, Wai Tat
author_facet Cho, Cordelia
Ko, Wendy Y. K.
Ngan, Olivia M. Y.
Wong, Wai Tat
author_sort Cho, Cordelia
collection PubMed
description This study aims to understand professionalism dilemmas medical students have experienced during clinical clerkships and the resulting moral distress using an explanatory mixed-method sequential design—an anonymous survey followed by in-depth interviews. A total of 153 students completed and returned the survey, with a response rate of 21.7% (153/706). The top three most frequently occurring dilemmas were the healthcare team answering patients’ questions inadequately (27.5%), providing fragmented care to patients (17.6%), and withholding information from a patient who requested it (13.7%). Students felt moderately to severely distressed when they observed a ward mate make sexually inappropriate remarks (81.7%), were pressured by a senior doctor to perform a procedure they did not feel qualified to do (77.1%), and observed a ward mate inappropriately touching a patient, family member, other staff, or student (71.9%). The thematic analysis based on nine in-depth interviews revealed the details of clinicians’ unprofessional behaviors towards patients, including verbal abuse, unconsented physical examinations, bias in clinical decisions, students’ inaction towards the dilemmas, and students’ perceived need for more guidance in applying bioethics and professionalism knowledge. Study findings provide medical educators insights into designing a professional development teaching that equips students with coping skills to deal with professionalism dilemmas.
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spelling pubmed-95178222022-09-29 Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study Cho, Cordelia Ko, Wendy Y. K. Ngan, Olivia M. Y. Wong, Wai Tat Int J Environ Res Public Health Article This study aims to understand professionalism dilemmas medical students have experienced during clinical clerkships and the resulting moral distress using an explanatory mixed-method sequential design—an anonymous survey followed by in-depth interviews. A total of 153 students completed and returned the survey, with a response rate of 21.7% (153/706). The top three most frequently occurring dilemmas were the healthcare team answering patients’ questions inadequately (27.5%), providing fragmented care to patients (17.6%), and withholding information from a patient who requested it (13.7%). Students felt moderately to severely distressed when they observed a ward mate make sexually inappropriate remarks (81.7%), were pressured by a senior doctor to perform a procedure they did not feel qualified to do (77.1%), and observed a ward mate inappropriately touching a patient, family member, other staff, or student (71.9%). The thematic analysis based on nine in-depth interviews revealed the details of clinicians’ unprofessional behaviors towards patients, including verbal abuse, unconsented physical examinations, bias in clinical decisions, students’ inaction towards the dilemmas, and students’ perceived need for more guidance in applying bioethics and professionalism knowledge. Study findings provide medical educators insights into designing a professional development teaching that equips students with coping skills to deal with professionalism dilemmas. MDPI 2022-08-23 /pmc/articles/PMC9517822/ /pubmed/36078203 http://dx.doi.org/10.3390/ijerph191710487 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cho, Cordelia
Ko, Wendy Y. K.
Ngan, Olivia M. Y.
Wong, Wai Tat
Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title_full Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title_fullStr Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title_full_unstemmed Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title_short Exploring Professionalism Dilemma and Moral Distress through Medical Students’ Eyes: A Mixed-Method Study
title_sort exploring professionalism dilemma and moral distress through medical students’ eyes: a mixed-method study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517822/
https://www.ncbi.nlm.nih.gov/pubmed/36078203
http://dx.doi.org/10.3390/ijerph191710487
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