Knowledge, attitudes and practice of healthcare ethics and law among doctors and nurses in Barbados
The aim of the study is to assess the knowledge, attitudes and practices among healthcare professionals in Barbados in relation to healthcare ethics and law in an attempt to assist in guiding their professional conduct and aid in curriculum development.
A self-administered structured questionnaire about knowledge of healthcare ethics, law and the role of an Ethics Committee in the healthcare system was devised, tested and distributed to all levels of staff at the Queen Elizabeth Hospital in Barbados (a tertiary care teaching hospital) during April and May 2003.
The paper analyses 159 responses from doctors and nurses comprising junior doctors, consultants, staff nurses and sisters-in-charge. The frequency with which the respondents encountered ethical or legal problems varied widely from 'daily' to 'yearly'. 52% of senior medical staff and 20% of senior nursing staff knew little of the law pertinent to their work. 11% of the doctors did not know the contents of the Hippocratic Oath whilst a quarter of nurses did not know the Nurses Code. Nuremberg Code and Helsinki Code were known only to a few individuals. 29% of doctors and 37% of nurses had no knowledge of an existing hospital ethics committee. Physicians had a stronger opinion than nurses regarding practice of ethics such as adherence to patients' wishes, confidentiality, paternalism, consent for procedures and treating violent/non-compliant patients (p = 0.01)
The study highlights the need to identify professionals in the workforce who appear to be indifferent to ethical and legal issues, to devise means to sensitize them to these issues and appropriately training them.
- Sauer JE Jr: Ethical problems facing the industry. Hospital and Health Services Administration 1985, 30:44–53.
- Howitt M: Medical Ethics. Barbados Association of Medical Practitioners Bulletin 2002, 152:5.
- Mattick K, Bligh J: Teaching and assessing medical ethics: where are we now? J Med Ethics 2006, 32:181–185. CrossRef
- Eckles RE, Meslin EM, Gaffney M, Helft PR: Medical ethics education: where are we? Where should we be going? A review. Acad Med 2005, 80:1143–1152. CrossRef
- Roff S, Preece P: Helping medical students to find their moral compasses: ethics teaching for second and third year undergraduates. J Med Ethics 2004, 30:487–489. CrossRef
- Hanson S: Teaching health care ethics: why we should teach nursing and medical students together. Nurs Ethics 2005, 12:167–176. CrossRef
- Green MJ, Farber NJ, Ubel PA, Mauger DT, Aboff BM, Sosman JM, Arnold RM: Lying to each other: when internal medicine residents use deception with their colleagues. Arch Intern Med 2000, 160:2317–2323. CrossRef
- Baldwin DC Jr, Daugherty SR, Rowley BD, Schwarz MD: Cheating in medical school: a survey of second year students at 31 schools. Acad Med 1996, 71:267–273. CrossRef
- Baldwin DC Jr, Daugherty SR, Rowley BD: Unethical and unprofessional conduct observed by residents during their first year of training. Acad Med 1998, 73:1195–1200. CrossRef
- Cooper RA, Tauber AI: Viewpoint: New physicians for a new century. Acad Med 2005, 80:1086–1088. CrossRef
- Wolf G: Portrayal of negative qualities in a doctor as a potential teaching tool in medical ethics and humanism: Journey to the End of Night by Louis-Ferdinand Celine. Postgrad Med J 2006, 82:154–156. CrossRef
- Coulehan J: Viewpoint: today's professionalism: engaging the mind but not the heart. Acad Med 2005, 80:892–898. CrossRef
- Cowley C: The dangers of medical ethics. J Med Ethics 2005, 31:739–742. CrossRef
- Hicks LK, Lin Y, Robertson DW, Robinson DL, Woodrow SI: Understanding the clinical dilemmas that shape medical students' ethical development: questionnaire survey and focus group study. BMJ 2001, 322:709–710. CrossRef
- Ruth E, John Price J, Williams G: Differences in ethical attitudes between registered nurses and medical students. Nurs Ethics 2003, 10:149–164. CrossRef
- Seedhouse D: Ethics: The heart of health care. New York, NY: John Wiley & Sons 1988.
- Aarons DE: Issues in Bioethics. West Indian Med J 2002, 51:59–63.
- Aarons DE: Issues in Bioethics. West Indian Med J 2003, 52:145–150.
- Sulmasy DP, Dwyer M, Marx E: Knowledge, Confidence, and Attitudes Regarding Medical Ethics: How do Faculty and House Staff Compare? Acad Med 1995, 70:1038–1040. CrossRef
- Hern GH Jr: Ethics and human values committee survey: (AMI Denver Hospitals: Saint Luke's, Presbyterian Denver, Presbyterian Aurora: Summer 1989). A study of physician attitudes and perceptions of a hospital ethics committee. HEC Forum 1990, 2:105–125. CrossRef
- Dickenson DL: Practitioners' Attitudes towards Ethical Issues at the End of Life: Is the UK Actually More Autonomy-Minded than the US? J Palliat Care 1999, 15:57–63.
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6939/7/7/prepub
- Knowledge, attitudes and practice of healthcare ethics and law among doctors and nurses in Barbados
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
BMC Medical Ethics
- Online Date
- June 2006
- Online ISSN
- BioMed Central
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