ضرورت تعریف واحد آموزشی "اخذ رضایت آگاهانه از منظر حقوقی" برای دانشجویان پزشکی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، گروه فقه و حقوق، دانشکده ادبیات و علوم انسانی، واحد تهران، دانشگاه آزاد اسلامی، تهران، ایران.

2 عضو هیات علمی، گروه حقوق، دانشکده علوم انسانی، واحد لاهیجان، دانشگاه آزاد اسلامی، لاهیجان، ایران.

چکیده

در نتیجه عدم اطلاع کافی از اهلیت رضایت دهنده و ضرورت اخذ رضایت در موارد خاص اورژانسی، ممکن است حقوق بیمار نادیده گرفته شود یا کادر پزشکی درمانگر در مداخلات انجام داده شده متهم به سهل انگاری حرفه ای  شوند. تحقیق حاضر با هدف بررسی ضرورت آموزش اخذ رضایت آگاهانه از منظر حقوقی به روش تحقیق کمی (Quantitative Method) با رویکردکیفی با استفاده از پرسشنامه خود ساخته انجام شد. نمونه گیری از شهریور 1395تا اردیبهشت 1396 انجام شد. 22 پاسخ ناقص حذف و 186 پاسخ کامل مورد آنالیز واقع شد. نتایج آزمون chi square پیرسون در سه گروه پاسخ دانشجویان دختر و پسر نسبت به اهلیت و شخصیت رضایت دهنده بترتیب 5.895 ( 0.049  p<) و 6.032  ( 0.019 p<) ثبت شد. نتایج ازمون chi square پیرسون در سه گروه پاسخ دانشجویان دختر و پسر نسبت ضرورت اخذ رضایت در موارد اورژانس و غیر آورژانس بترتیب 537/15 (02/0 p<) و 775/15 ( 014/0 p<) ثبت شد. 68/59 درصد کل دانشجویان شرکت کننده در این مطالعه هیچگونه آگاهی نسبت به اهلیت و شخصیت رضایت دهنده نداشته اند(p<0.05). بطور معنی داری غالب دانشجویان دختر و پسر (بیش از 80%) اخذ رضایت نامه در موارد اورژانس را غیرضروری دانستند(p<0.05). پاسخ های منفی در هر دو گروه از ضریب همبستگی بسیار قوی برخوردارست ( 173/0 و  p =0.018 )   نتایج حاکی از آگاهی بسیار کم و معنی دار دانشجویان پزشکی از اهلیت رضایت دهنده و ضرورت اخذ رضایت نامه در موارد خاص اورژانسی بوده(p<0.05) و تعریف واحد آموزش اخذ رضایت آگاهانه از منظر حقوقی برای دانشجویان پزشکی و همچنین پرستاری ضروری به نظر می رسد.

کلیدواژه‌ها


عنوان مقاله [English]

Necessary to Definition of Educational Unite:"Receiving Informed Consent from Legal Perspectives” for Medical Students

نویسندگان [English]

  • Alireza Mohammad Beiki Khortabi 1
  • Seyedeh Marzieh Mirmasoumnejhad 2
1 Scientific Member of Jurisprudence & Law Department, Faculty of Literature & Human Sciences, Islamic Azad University, Branch Tehran Center, Tehran, Iran.
2 Department of Law, Faculty of Human Sciences, Islamic Azad University, Branch Lahijan, Lahijan, Iran.
چکیده [English]

As a consequence of insufficient knowledge about the legal personality & necessity of informed consent receiving in special emergency cases, the rights of the patient may be ignored or the medical staff members in the interventions were accused of professional negligence. The purpose of this study was to investigate the necessity of receiving informed consent education from a legal point of view using Quantitative Method and qualitative approach using self-made questionnaire. In addition 208 medical students of Gilan Medical School and medical students present at Razi and Poursina Medical Centers, those completed the theoretical courses in medical law and medical ethics over the past 3 years responded to the questionnaire with satisfaction. Sampeling were conducted from September 2016 to May 2017. 22 missing response removed and finally 186 full responses were Analyzed. The results of chi square test of Pearson in three groups of male and female students in relation to legal personality of how receive informed consent were 5.895 (p <0.049) and 6.032 (p <0.019) respectively. The results of Chi Square Pearson test in three groups of male and female students regarding the need for informed consent receiving in emergency and non-emergency cases were 15.537 (p <0.02) and 15.755 (p <0.014) respectively. 59.68%  of all students participating in this study did not have any awareness about legal personality of consent completers (p <0.05). The majority of male and female students (over 80%) considered to receiving consent only in non-emergency cases (p <0.05). The percentage of female and male students answered NO to both questions were significantly more than other responses ) 17.33 and p = 0.018( . Overall, the results indicated that medical students have low informed about legal personality of consent completers (p <0.05) and considered to receiving informed consent in non-emergency cases (p <0.05). It seems to be necessary to definition educational unit for receiving informed consent from Legal perspectives for medical students as well as nursing.

کلیدواژه‌ها [English]

  • informed consent
  • Legal Personality
  • Emergency Cases
  • Medical students
  • Education

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