Assessing Moral Skills in General and Post-Graduate Dental Students in the Southeast of Iran: A Cross-Sectional Study

Fatemeh Sadat Sajadi; Molouk Torabi-Parizi; Reyhaneh Aftabi; Saeed Khosravi

Authors

Fatemeh Sadat Sajadi
Molouk Torabi-Parizi
Reyhaneh Aftabi
Saeed Khosravi

Keywords:

Ethics, Professional, Ethics, Dental, Students, Dental

Abstract

Objective: To assess the level of moral skills in dental students and residents. Material and Methods: This cross-sectional and descriptive-analytical study was conducted on dental students and residents of Kerman University of Medical Sciences, selected by census sampling. Data collection tools included a demographic information checklist (age, gender, marital status, educational level (before basic sciences, after basic sciences, residency), and Moral skills inventory questionnaire. The data were analyzed using a T-test and multiple regression analysis at a confidence level of 95%. Results: The total score of the moral skills questionnaire was about 44 out of 80, and there was no difference between males and females in moral skills (p=0.79). However, there was a significant difference in moral sensitivity between married and single students (p=0.036). Residents gained significantly higher moral integrity scores than students (p=0.046). Conclusion: The study highlights that the level of professional moral skills in Kerman dental students and residents was acceptable. Single students got higher scores in the moral sensitivity domain, although residents got the highest scores in the moral integrity domain. There was no significant correlation between gender and the level of moral skills.

References

Kuçuradi I. Problems of ethics and of professional ethics. Reprod Biomed Online 2007; 14(Suppl 1):70-2. https://doi.org/10.1016/S1472-6483(10)60731-6

Gulick W. The ethics of authenticity. Tradit Discov Polanyi Soc Period 2013; 19(1):39-40. https://doi.org/10.5840/traddisc1992/19931916

Vanaki Z, Memarian R. Professional ethics: beyond the clinical competency. J Prof Nurs 2009; 25(5):285-91. https://doi.org/10.1016/j.profnurs.2009.01.009

Kirby RR. Ethics and regulation of clinical research. Anesth Analg 1982; 61(5):480-1. https://doi.org/10.1213/00000539-198205000-00027

Larijani B, Zahedi F. Contemporary medical ethics: An overview from Iran. Dev World Bioeth 2008; 8(3):192-6. https://doi.org/10.1111/j.1471-8847.2006.00180.x

Iserson KV. Principles of biomedical ethics. Emerg Med Clin North Am 1999; 17(2):283-306. https://doi.org/10.1016/S0733-8627(05)70060-2

Schüssler R. Practical Ethics. In: Pasnau R. The Cambridge History of Medieval Philosophy. 2nd. ed. 2014. p. 517-536. https://doi.org/10.1017/CHO9781107446953.046

Warnock M. Principles of health care ethics. BMJ 1994; 308(6934):988. https://doi.org/10.1136/bmj.308.6934.988b

White G. The code of ethics for nurses. Am J Nurs 2001; 101(10):73-5. https://doi.org/10.1097/00000446-200110000-00029

Williams JR. Medical Ethics Manual. 2nd. ed. Ethics Unit of the World Medical Association; 2009.

Faden RR, Kass NE, Goodman SN, Pronovost P, Tunis S, Beauchamp TL. An ethics framework for a learning health care system: a departure from traditional research ethics and clinical ethics. Hastings Cent Rep 2013; Spec No:S16-27. https://doi.org/10.1002/hast.134

Vardian Tehrani S, Bazmi S. Investigating ethical skills in dentists and dental students: a comparative study. Int J Med Toxicol Forensic Med 2020; 10(3):27149. https://doi.org/10.32598/ijmtfm.v10i3.27149

Yazdani R, Kharazifard M, Morafegh N. Moral skills of Iranian general dentists. J Contemp Med Sci 2018; 4(2):97-101.

Soleimani A. Evaluation the level of moral skills among dental students in Zanjan University of Medical Science in 1398. PhD Thesis for obtaining the general doctoral degree in dentistry, Number 7835. p. 23-27. [In Persian].

Razeghi S, Yazdani R, Raee A. Evaluation of emotional intelligence and ethical skills' association in third and sixth year dental students of Tehran University of Medical Sciences. Int J Med Educ 2018; 11(1):1-13.

Jafari Nadoushan Z, Mirzaeian Seyyed Mirza A, Alipour Nadoushan Kh, Mahdipour A, Mohebi S, Aghaali M, et al. Evaluation of professional behavior among dental students: a case study on Shahid Sadoughi University of Medical Sciences in Yazd and Qom University of Medical Sciences in Qom, Iran. Health Spiritual Med Ethics 2018; 5(4):22-7. https://doi.org/10.29252/jhsme.5.4.22

Afshar L, Rezvani G, Hosseinzadeh M, Samavatiyan Z. Evaluation of moral skills of undergraduate dental students at Shahed University using a questionnaire. Bioethics 2017; 7(24):47-54.

Borhani F, Abbaszadeh A, Hoseinabadi-Farahani MJ. Moral sensitivity and its dimensions in Iranian nursing students. J Med Ethics Hist Med 2016; 9:19.

Shaw D. Dentistry and the ethics of infection. J Med Ethics 2008; 34(3):184-7. https://doi.org/10.1136/jme.2007.021972

Conti A, Delbon P, Laffranchi L, Paganelli C. Consent in dentistry: ethical and deontological issues. J Med Ethics 2013; 39(1):59-61. https://doi.org/10.1136/medethics-2012-100850

Brands WG, Bronkhorst EM, Welie JVM. Professional ethics and cynicism amongst Dutch dental students. Eur J Dent Educ 2011; 15(4):205-9. https://doi.org/10.1111/j.1600-0579.2010.00657.x

Chambers DW. Developing a self-scoring comprehensive instrument to measure rest's four- component model of moral behavior: the moral skills inventory. J Dent Educ 2011; 75(1):23-35. https://doi.org/10.1002/j.0022-0337.2011.75.1.tb05019.x

Jabarifar SE, Hosseinpour K, Khalifa Soltani F, Shamir H, Nilchian F. Evaluation of communication skills and professional ethics of students and residents of Isfahan Dental School. JIDS, Special Issue on Materials and Techniques 2011; 7(5):776-70. [In Persian].

Yazdani R, Asefi M. Evaluation of moral intelligence of the first and sixth year dental students in the Tehran University of Medical Sciences. IJME 2018; 11(1):165-75.

Gorter RC, Eijkman MA. Communication skills training courses in dental education. Eur J Dent Educ 1997;1(3):143-7. https://doi.org/10.1111/j.1600-0579.1997.tb00025.x

You D, Bebeau MJ. Gender differences in ethical abilities of dental students. J Dent Educ 2012; 76(9):1137-49. https://doi.org/10.1002/j.0022-0337.2012.76.9.tb05368.x

Gorjidooz J, Greenman C. Marital status, religiosity, and experience as a predictor of ethical awareness among accounting professionals. JBER 2014; 12(2):125-36. https://doi.org/10.19030/jber.v12i2.8526

Al-Zain SA, Al-Sadhan SAR, Ahmedani MS. Perception of BDS students and fresh graduate about significance of professional ethics in dentistry. J Pak Med Assoc 2014; 64(2):118-23.

Sarvestani RS, Jeihooni AK, Fereidouni Z, Moradi Z, Amirkhani M, Karimi S. The effect of teaching ethical principles through role playing on nursing students internship skills. Teb Tazkieh 2017; 26(3):159-70.