fa بررسی حساسیت اخلاقی پزشکان نسبت به سوءرفتار همکاران در شهر همدان پزشكي اجتماعي Social Medicine پژوهشي Original <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.1pt">سابقه و هدف:</span></span></span></span></span></span></b>&nbsp;<span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">حساسیت اخلاقی اولین قدم در جهت عملکرد اخلاقی رشتۀ پزشکی است. در این راستا مطالعۀ حاضر با هدفِ تعیین حساسیت اخلاقی پزشکان به سوءرفتار همکاران و عکس&rlm;العمل آنان انجام شد. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.1pt">مواد و روش‌‌ها:</span></span></span></span></span></span></b><b>&nbsp;</b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">در این مطالعۀ مقطعی به&rlm;روش نمونه&rlm;گیری در دسترس، تعداد 550 نفر از پزشکان عمومی، دستیاران و متخصصان پزشکی مراکز درمانی خصوصی و دولتی شهر همدان در سال 1403 انتخاب شدند. شرکت&rlm;کنندگان ازنظر حساسیت اخلاقی پزشکان به سوءرفتار همکاران و عکس&rlm;العمل آنان با پرسش&rlm;نامۀ ارزیابی حساسیت اخلاقی مورد بررسی قرار گرفتند. در تحلیل واریانس یک&rlm;طرفه جهت بررسی سن با حساسیت اخلاقی 0.001</span></span></span>&nbsp;<span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">P</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt"><</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">و تجربه کار 0.005&nbsp;</span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">P</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt"><</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt"> بوده و طبق آزمون فیشر حساسیت اخلاقی با محل کار</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">0.016</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt"><</span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt"> بوده است. </span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.1pt">یافته‌ها: </span></span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">میانگین و انحراف &rlm;معیار سن افراد شرکت&rlm;کنندگان 9.51</span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">36.33 سال، 52.9% مرد و 47.1% زن بودند. از مجموع شرکت&rlm;کنندگان، تعداد 50 نفر (9.1 %) دارای حساسیت اخلاقی کم، 169 نفر (30.7 %) متوسط و 331 نفر (60.2 %) حساسیت اخلاقی زیاد بودند. بین میزان حساسیت اخلاقی پزشکان با تخصص، وضعیت تأهل و رشتۀ شغلی ارتباط معنی&rlm;دار مشاهده نشد. همچنین حساسیت اخلاقی با جنسیت، سن و تجربۀ کاری ارتباط معنی&rlm;داری داشت. </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.1pt">نتیجه‌گیری: </span></span></span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">اکثر پزشکان شرکت&rlm; کننده نسبت به سوءرفتار همکاران حساسیت زیاد تا متوسط داشتند و عکس &rlm;العمل غالب آنان صحبت با همکار بود. حساسیت اخلاقی پزشکان زن نسبت به مردان بیشتر بود و افزایش سن و تجربه نیز با افزایش حساسیت اخلاقی پزشکان همراه بود. در مطب شخصی حساسیت اخلاقی بیشتر بود.</span></span></span> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Objective:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">Moral sensitivity is the first step towards ethical practice in the medical field. This study aimed to determine physicians&#39; moral sensitivity to the misbehavior of their colleagues and their reactions.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3">Materials and Methods: </span></span></span></b><span style="font-size:9.0pt"><span style="font-family:Optima">In this cross-sectional study, 550 general practitioners, residents, and medical specialists from private and government health centers in Hamadan, Iran, were selected using convenience sampling in 2024. Participants were assessed for </span></span><span style="font-size:9.0pt"><span style="font-family:Optima">physicians</span></span><span style="font-size:9.0pt"><span style="font-family:Optima">&#39; moral sensitivity to colleagues</span></span><span style="font-size:9.0pt"><span style="font-family:Optima">&#39; misbehavior </span></span><span style="font-size:9.0pt"><span style="font-family:Optima">and their reactions using an moral sensitivity assessment questionnaire. In a one-way analysis of variance examining age and moral sensitivity, <i>P</i> < 0.001; examining work experience, <i>P</i> < 0.005; and examining moral sensitivity with workplace, <i>P</i> < 0.016 (Fisher&#39;s exact test).</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">The mean and standard deviation of the participants&#39; age were 36.33 &plusmn; 9.51 years; 52.9% were male, and 47.1% were female. Of the total number of participants, 50 (9.1%) had low sensitivity, 169 (30.7%) had medium sensitivity, and 331 (60.2%) had high moral sensitivity. No significant relationship was observed between physicians&#39; moral sensitivity and their specialty, marital status, and field of work. Also, moral sensitivity was significantly related to gender, age, and work experience.</span></span></span></span></span></span><br> <b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:black">Most participating physicians had high to moderate sensitivity towards colleagues&#39; misbehavior, and their predominant reaction was talking to colleagues. The moral sensitivity of female physicians was higher than that of males, and increasing age and experience were also associated with increasing moral sensitivity of physicians. Moral sensitivity was higher in private practice.</span></span></span> اخلاق پزشکی, پزشکان, رفتار Behavior, Medical ethics, Physicians 120 126 http://sjh.umsha.ac.ir/browse.php?a_code=A-12-2375-2&slc_lang=fa&sid=1 Zahra Ataei Barazandeh زهرا عطائی برازنده Zataei93@gmail.com 100319475328460025514 0009-0005-0808-3415 No School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran دانشکدۀ پیراپزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران Elham Soltani الهام سلطانی e.soltani@umsha.ac.ir 100319475328460025515 100319475328460025515 Yes Department of Ophthalmology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran گروه چشم‌پزشکی، دانشکدۀ پزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران Elham Khanlarzadeh الهام خانلرزاده Khanlarzadeh800@yahoo.com 100319475328460025516 100319475328460025516 No Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran گروه پزشکی اجتماعی، دانشکدۀ پزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران Behroz Karkhanei بهروز کارخانه ای karkhanei@umsha.ac.ir 100319475328460025517 100319475328460025517 No Department of Anesthesia, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran گروه بیهوشی، دانشکدۀ پزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران Alireza Nazari علیرضا نظری Alirezanazari8450@gmail.com 100319475328460025518 0009-0001-1319-8832 No School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran دانشکدۀ پزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران