Practice of code of ethics and associated factors among health professionals in Central Gondar Zone public hospitals, Northwest Ethiopia, 2021: a mixed-method study design.


Journal

BMC medical ethics
ISSN: 1472-6939
Titre abrégé: BMC Med Ethics
Pays: England
ID NLM: 101088680

Informations de publication

Date de publication:
01 07 2022
Historique:
received: 26 02 2022
accepted: 24 06 2022
entrez: 1 7 2022
pubmed: 2 7 2022
medline: 7 7 2022
Statut: epublish

Résumé

Ethics is the science of moral and ethical rules recognised in human life and attempts to verify what is morally right and wrong. Healthcare ethics is seen as an integrated part of the daily activities of health facilities. Healthcare professionals' standardisation and uniformity in healthcare ethics are urgent and basic requirements. Therefore, this study aimed to assess the practice of the code of ethics and associated factors among health professionals in Central Gondar Zone public hospitals, Northwest Ethiopia, 2021. A facility-based cross-sectional study design with a mixed method was conducted on 631 health professionals from Central Gondar Zone public hospitals. For the quantitative part, pre-tested self-administered questionnaires were used, and for the qualitative part, key informant interviews with a semi-structured questionnaire were used. Variables with a p value of < 0.2 in binary logistic regression entered into a multivariable logistic regression, then p value < 0.05 and AOR were used to declare statistically significant variables in quantitative data. A thematic content analysis was used for qualitative data analysis. This study revealed that only 286 (46.7%) health professionals had good practice of the code of ethics. Good ethical knowledge (AOR = 1.95, 95% CI 1.37, 2.77), favourable attitude (AOR = 1.55, 95% CI 1.11, 2.16), and satisfaction of health professionals with their jobs (AOR = 1.45, 95% CI (1.04, 2.04) were significantly associated with the practice of health care ethics. Health professionals' overall level of practice of health care ethics in the Central Gondar Zone public hospitals was poor. This necessitates practical training, ongoing follow-up, availing of necessary medical equipment, a smooth working environment, and modification of the recognition system for health professionals.

Sections du résumé

BACKGROUND
Ethics is the science of moral and ethical rules recognised in human life and attempts to verify what is morally right and wrong. Healthcare ethics is seen as an integrated part of the daily activities of health facilities. Healthcare professionals' standardisation and uniformity in healthcare ethics are urgent and basic requirements. Therefore, this study aimed to assess the practice of the code of ethics and associated factors among health professionals in Central Gondar Zone public hospitals, Northwest Ethiopia, 2021.
METHODS
A facility-based cross-sectional study design with a mixed method was conducted on 631 health professionals from Central Gondar Zone public hospitals. For the quantitative part, pre-tested self-administered questionnaires were used, and for the qualitative part, key informant interviews with a semi-structured questionnaire were used. Variables with a p value of < 0.2 in binary logistic regression entered into a multivariable logistic regression, then p value < 0.05 and AOR were used to declare statistically significant variables in quantitative data. A thematic content analysis was used for qualitative data analysis.
RESULTS
This study revealed that only 286 (46.7%) health professionals had good practice of the code of ethics. Good ethical knowledge (AOR = 1.95, 95% CI 1.37, 2.77), favourable attitude (AOR = 1.55, 95% CI 1.11, 2.16), and satisfaction of health professionals with their jobs (AOR = 1.45, 95% CI (1.04, 2.04) were significantly associated with the practice of health care ethics.
CONCLUSIONS
Health professionals' overall level of practice of health care ethics in the Central Gondar Zone public hospitals was poor. This necessitates practical training, ongoing follow-up, availing of necessary medical equipment, a smooth working environment, and modification of the recognition system for health professionals.

Identifiants

pubmed: 35778713
doi: 10.1186/s12910-022-00807-7
pii: 10.1186/s12910-022-00807-7
pmc: PMC9250232
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

68

Informations de copyright

© 2022. The Author(s).

Références

Acad Med. 1994 Aug;69(8):670-9
pubmed: 8054117
J Clin Ethics. 1997 Spring;8(1):71-87
pubmed: 9130112
Acad Med. 1998 Nov;73(11):1195-200
pubmed: 9834704
PLoS One. 2018 Aug 8;13(8):e0201020
pubmed: 30089133
East Mediterr Health J. 2012 Sep;18(9):935-45
pubmed: 23057386
BMC Res Notes. 2019 Apr 3;12(1):205
pubmed: 30944037
Health Qual Life Outcomes. 2018 Apr 17;16(1):65
pubmed: 29665856
BMC Nurs. 2014 Apr 04;13(1):10
pubmed: 24708544
Med Health Care Philos. 2018 Jun;21(2):189-196
pubmed: 28785834
Palliat Med. 2019 Dec;33(10):1299-1309
pubmed: 31368854
J Gen Intern Med. 1991 Sep-Oct;6(5):424-9
pubmed: 1744757
BMC Med Ethics. 2016 Nov 8;17(1):68
pubmed: 27821141
Z Gesundh Wiss. 2021 Mar 11;:1-12
pubmed: 33728258
J Adv Nurs. 2001 Mar;33(6):707-15
pubmed: 11298208
BMC Res Notes. 2018 Nov 20;11(1):824
pubmed: 30458846
J Clin Res Bioeth. 2015 Feb;6(1):
pubmed: 26998404
J Am Coll Dent. 2014 Summer;81(3):14-8
pubmed: 25951678
West Indian Med J. 2006 Jan;55(1):42-7
pubmed: 16755819
Nurs Ethics. 2015 Jun;22(4):452-66
pubmed: 25091004

Auteurs

Gebreyohannes Yeshineh (G)

Tegedie Woreda Health Office, Tegedie, Ethiopia.

Amsalu Feleke (A)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

Chalie Tadie (C)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

Asebe Hagos (A)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

Wubshet Debebe (W)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

Getachew Teshale (G)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia. getateshale1221@gmail.com.

Lake Yazachew (L)

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.

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