Turkiye Klinikleri Journal of Medical Ethics-Law and History

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Ethical Sensitivity of Physicians in the Discipline of Orthopedics and Traumatology: A Cross-Sectional Study
Ortopedi ve Travmatoloji Disiplinindeki Hekimlerin Etik Duyarlılığı: Kesitsel Bir Çalışma
Ramazan İlter ÖZTÜRKa, Yiğit Umur CIRDIb, Gülhan KÜÇÜK ÖZTÜRKc
aClinic of Orthopedics and Traumatology, Republic of Turkey Ministry of Health, Nevşehir State Hospital, Nevşehir, Türkiye
bClinic of Orthopedics and Traumatology, Acıbadem Kozyatağı Hospital, İstanbul, Türkiye
cDepartment of Psychiatric Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir, Türkiye
Turkiye Klinikleri J Med Ethics. 2022;30(3):240-52
doi: 10.5336/mdethic.2021-87085
Article Language: EN
Full Text
ABSTRACT
 The present study was conducted to determine the ethical sensitivity of physicians in the discipline of orthopedics and traumatology. The study, conducted between March and April 2020, followed a cross-sectional design and included 234 physicians. Although sampling was not performed, physicians in the discipline of orthopedics and traumatology who complied with the selection criteria constituted the sample. Data collection was performed using an online form. Necessary permissions were obtained to conduct the study. The average age of all participants was 37.27±7.92 years. Of the participants, 96.6% were male. Further, 50.5% of the participants were specialist orthopedic physicians and 85.5% were willingly employed. Of the participants, 68.4% stated that they received ethics training during their academic life and 70.9% stated that they received no ethics training during their professional life. Of the participants, 52.1% stated that they had knowledge about ethics, 62.4% stated that they experienced ethical dilemmas and 36.8% stated that they had resolved the ethical dilemma they encountered. The total mean score for physicians in the discipline of orthopedics and traumatology on the Ethical Sensitivity Scale was 89.70±17.00. In addition, ethical sensitivity was higher for physicians who had an academic title and over 5 years of experience in the discipline of orthopedics and traumatology, who were willingly employed, who had received ethics training, and who had independently resolved an ethical dilemma. It is thought that these findings can be used to develop models based on an holistic ethical approach, especially for physicians in the discipline of orthopedics and traumatology.

Keywords: Discipline of orthopedics and traumatology; ethical sensitivity; physician
ÖZET
 Bu çalışma, ortopedi ve travmatoloji disiplinindeki hekimlerin etik duyarlılıklarını belirlemek amacıyla yapılmıştır. Çalışma, kesitsel olarak Mart-Nisan 2020 tarihleri arasında, ortopedi ve travmatoloji disiplinindeki hekimlerle yapılmıştır. Çalışmada örneklem seçimine gidilmeyerek, seçim kriterlerine uyan 234 hekim örneklemi oluşturmuştur. Veriler 'online' form olarak, internet üzerinden elektronik posta aracılığıyla toplanmıştır. Araştırmanın yapılması için gerekli izinler alınmıştır. Tüm katılımcıların yaş ortalaması 37,27±7,92'dir. Katılımcıların %96,6'sı erkektir. Katılımcıların %50,5'inin uzman ortopedi hekimi ve %85,5'inin mesleğini gönüllü olarak yaptığı saptanmıştır. Katılımcıların %68,4'ü eğitim hayatında etik eğitimi aldığını, %70,9'u ise çalışma hayatında etik eğitimi almadığını bildirmiştir. Katılımcıların %52,1'i etik konusunda bilgi sahibi iken, %62,4'ü etik ikilem yaşamaktadır. Katılımcıların %36,8'i karşılaştığı etik ikilemi kendisi çözmektedir. Ortopedi ve travmatoloji disiplinindeki hekimlerin etik duyarlılık ölçeği toplam puan ortalamaları 89,70±17,00'dır. Ayrıca akademik bir unvana sahip olan, ortopedi ve travmatoloji alanında çalışma süresi 5 yıldan fazla olan, mesleğini isteyerek yapan, etik eğitimi aldığını belirten ve etik ikilemi çözebilen hekimlerin etik duyarlılığının daha yüksek olduğu bulunmuştur. Bu bulguların, özellikle ortopedi ve travmatoloji disiplinindeki hekimlere yönelik etik açısından bütüncül yaklaşımı temel alan modelleri geliştirilmesinden kullanılabileceği düşünülmektedir. Bu doğrultuda, tıp ve uzmanlık eğitiminde sürekliliği olan etik eğitimlerin verilmesi önerilmektedir.

Anahtar Kelimeler: Ortopedi ve travmatoloji disiplini; etik duyarlılık; hekim
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