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Bidaki R, Saghafi F, Mansouri Majoumard M, Nadershahbaz M, Hadavi M, Sajadi M A, et al . The Moral Development Based on Kohlberg's Theory among Medical Students. JSBCH 2022; 6 (1) :802-809
URL: http://sbrh.ssu.ac.ir/article-1-166-en.html
1- 1-Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran. 2-Diabetes Research Center, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
2- Department of Clinical Pharmacy, School of Pharmacy and Pharmaceutical Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran
4- Pharmaceutical Sciences Research Center, School of Pharmacy, Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5- Department of Anesthesiology, Paramedical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
6- Department of Internal Medicine, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
7- Department of Clinical Psychology, Yazd Diabetes Therapy Research Center, Yazd, Iran
8- Department of Clinical Psychology, Islamic Azad University, Science and Research Branch of Tehran, Tehran, Iran.
9- Department of Surgical Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnourd, Iran. , masoomehsahebnasagh@gmail.com
Abstract:   (622 Views)
Background: One of the main issues in treating, preserving and promoting the human dignity is caring for patients' satisfaction and preventing harm, maltreatment, or damage to the patient. Therefore, the level of moral development based on Kohlberg's theory was studied among medical students of Rafsanjan University of Medical Sciences.
Methods: In the current cross-sectional study, eligible medical students (N=220) of Rafsanjan University of Medical Sciences were enrolled over a 12-months period. Data were collected by demographic checklist and Kohlberg's ethical evolution questionnaires. Data were analyzed using SPSS-20, by Kruskal-Wallis, Mann-Whitney, ANOVA, and t-tests.
Results: There were no significant differences in terms of gender, educational level, marital status, and place of residence for decision-making positions and questions. The mean and standard deviation of the scores related to “questions, priority, decision-making position and degree” showed that the highest
mean was obtained in “priority” with 17.9 ± 3.6 and the lowest in “degree” with 1. 9 ± 1.09.
The frequency and percentage of similar decision-making were reported in the study participants; the highest score was related to the decision-making in position 3 (Adults death wish) with frequency of 94 and percentage of 41.6% and the lowest score was related to position 5 (Patient at the end stage of disease) with frequency of 8 and percentage of 3.5%. None of the indicators of age, sex, marital status, and the level of admission was not significant in this study and cannot be mentioned as a predicator in the stages of moral evolution.

Conclusion: Given the importance of discussing ethics as one of the most important modalities of the human and social sciences and its impressive impact on all aspects of human life, it is clear that applying a scientific approach can determine all aspects of the factors that affect the observance of ethical principles.
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Type of Study: Original Article | Subject: Spiritual Health
Received: 2021/07/17 | Accepted: 2022/05/24 | Published: 2022/06/1

1. Bohm, K. C., Van Heest, T., Gioe, T. J., Agel, J., Johnson, T. C., & Van Heest, A. (2014). Assessment of moral reasoning skills in the orthopaedic surgery resident applicant. JBJS, 96(17), e151. [DOI:10.2106/JBJS.M.00706] [PMID]
2. Branch, W. T. (2000). Supporting the moral development of medical students. Journal of General Internal Medicine, 15(7), 503-508. [DOI:10.1046/j.1525-1497.2000.06298.x] [PMID] [PMCID]
3. Chalmers, P., Dunngalvin, A., & Shorten, G. (2011). Reflective ability and moral reasoning in final year medical students: A semi-qualitative cohort study. Medical Teacher, 33(5), e281-e289. [DOI:10.3109/0142159X.2011.558531] [PMID]
4. Hegazi, I., & Wilson, I. (2013). Medical education and moral segmentation in medical students. Medical education, 47(10), 1022-1028. [DOI:10.1111/medu.12252] [PMID]
5. Hren, D., Marušić, M., & Marušić, A. (2011). Regression of moral reasoning during medical education: combined design study to evaluate the effect of clinical study years. PloS one, 6(3), e17406. [DOI:10.1371/journal.pone.0017406] [PMID] [PMCID]
6. Lin, C.-S., Tsou, K.-I., Cho, S.-L., Hsieh, M.-S., Wu, H.-C., & Lin, C.-H. (2012). Is medical students' moral orientation changeable after preclinical medical education? Journal of medical ethics, 38(3), 168-173. [DOI:10.1136/medethics-2011-100092] [PMID]
7. Morton, K. R., Worthley, J. S., Testerman, J. K., & Mahoney, M. L. (2007). Defining features of moral sensitivity and moral motivation: Pathways to moral reasoning in medical students. Journal of moral education, 35(3), 387-406. [DOI:10.1080/03057240600874653]
8. Murrell, V. S. (2014). The failure of medical education to develop moral reasoning in medical students. International journal of medical education, 5, 225-219. [DOI:10.5116/ijme.547c.e2d1] [PMID] [PMCID]
9. Patenaude, J., Niyonsenga, T., & Fafard, D. (2003). Changes in students' moral development during medical school: a cohort study. Cmaj, 168(7), 840-844.
10. Rzymska, I., Rzymski, P., Wilczak, M., Wloszczak-Szubzda, A., Jarosz, M. J., & Musielak, M. (2014). The influence of passive and active moral training on medical university on changes of students' moral competence index-results from randomized single blinded trial. Annals of Agricultural and Environmental Medicine, 21(1),161-166
11. Self, D. J., Olivarez, M., & Baldwin Jr, D. C. (1998). Clarifying the relationship of medical education and moral development. Academic Medicine: Journal of the Association of American Medical Colleges, 73(5), 517-520. [DOI:10.1097/00001888-199805000-00018] [PMID]
12. Self, D. J., Schrader, D., Baldwin Jr, D., & Wolinsky, F. (1993). The moral development of medical students: a pilot study of the possible influence of medical education. Medical education, 27(1), 26-34. [DOI:10.1111/j.1365-2923.1993.tb00225.x] [PMID]
13. Self, D. J., Wolinsky, F. D., & Baldwin, D. C. (1989). The effect of teaching medical ethics on medical students' moral reasoning. Academic medicine. 64(12), 755-759 [DOI:10.1097/00001888-198912000-00014] [PMID]
14. Smith, S. R., Balint, J. A., Krause, K. C., Moore-West, M., & Viles, P. H. (1994). Performance-based assessment of moral reasoning and ethical judgment among medical students. Academic medicine, 69(5), 381-386. [DOI:10.1097/00001888-199405000-00012] [PMID]
15. Zirak, M., Moghaddsiyan, S., Abdollahzadeh, F., & Rahmani, A. (2011). Moral development of nursing students of Tabriz University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine, 4(4), 45-55.
16. Zirak,M., Moghaddasian, S., Abdolahzadeh, F., & Rahmani, A. (2012). Level of Ethical Development in Nurses Working in Theaching Hospitals Affiliated to Tabriz University of Medical Sciences. Qom University of Medical Sciences Journal, 6(3); 32-39.

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