HEALTH CARE STUDENTS' KNOWLEDGE OF THE ETHICAL DIMENSIONS OF PROFESSIONAL RESPONSIBILITIES

Authors

  • Radka Goranova-Spasova Faculty of Public Health “Prof. Dr. Tsekomir Vodenicharov, DSc”, Medical University- Sofia, Bulgaria
  • Natalia Shtereva-Nikolova Faculty of Public Health “Prof. Dr. Tsekomir Vodenicharov, DSc”, Medical University- Sofia, Bulgaria
  • Alexandrina Vodenicharova Faculty of Public Health “Prof. Dr. Tsekomir Vodenicharov, DSc”, Medical University- Sofia, Bulgaria

Keywords:

healthcare students, professional obligation, ethical code,, ethical guidance for good medical practice

Abstract

Health care specialists practice their profession in accordance with the rules of good medical and clinical
practice. Young specialist should be aware of certain ethical rules and apply the Code of professional ethics for
nurses, midwives and associated medical specialists in Bulgaria. Ethical codes are rational control mechanism for
different professional groups. They reduce the chance of taking moral risk and therefore have a preventive role. The
purpose of codes is to clearly delineate responsibilities, not to dictate specific actions. Therefore, they correlate with
responsibilities.The ethical guidance of good medical practice helps medical staff to improve professionalism; to
ensure the quality of medical services and to reduce the risk for patients.
The aim of our survey is to study out the knowledge of healthcare students in Medical University-Sofia about ethical
dimensions of professional responsibilities.
Methodology: Sociological (documentary method and direct individual questionnaire) and statistical methods were
used for the purpose of the research. The study was conducted through an online survey among students from the
Faculty of Public Health "Prof. Dr. Tsekomir Vodenicharov, DSc", Medical College "Yordanka Filaretova" and
University Branch "Prof. Dr. Ivan Mitev" – Vratsa.
Results: In our survey took part 310 students from various medical specialties. Over half of the participants (51%)
are studying to become nurses. 69.5% of the students are familiar with the professional code of ethics and even
greater proportion are familiar with the rules of good practice in healthcare (89%). 94.8% report that they have the
same attitude to patients with different social and economic status and 98.1% answer positively to the question “My
professional activity is based on competence, the quality of medical care and patient care”. 29.3% have been in
conflict situation with patient and 33.8% had conflict with a colleague. Considering that respondents are students,
we assume this percentage as high. Lack of good communication and understanding of rights and responsibilities
can be a prerequisite for broken trust.
In conclusion, our study gives grounds to claim that future healthcare professionals are aware of their professional
responsibilities, incl. their ethical aspects. Increasing knowledge and experience in dealing with conflict situations
would contribute to better relationships with patients and colleagues.

References

Albert, J. S., Younas, A., & Sana, S. (2020). Nursing students' ethical dilemmas regarding patient care: An integrative review. Nurse education today, 88, 104389.

Aleksandrova, S. (2010). Bioethics, Ed. MU Pleven. [In Bulgarian]

Andersson, H., Svensson, A., Frank, C., Rantala, A., Holmberg, M., & Bremer, A. (2022). Ethics education to support ethical competence learning in healthcare: an integrative systematic review. BMC medical ethics, 23(1), 29.

Bikova P., Vasileva N., Dimitrova M., Terzieva A., & Chaneva G. (2015). Conflicts in the nursing teams, Nursing, No. 2, pp. 47-50. [In Bulgarian]

Bulgarian association of health professionals in nursing. (2015). Code of professional ethics for nurses, midwives and associated medical professionals in Bulgaria Avaible at: https://www.lex.bg/bg/laws/ldoc/2136548777 [In Bulgarian]

Bulgarian association of health professionals in nursing. (2020). Guidance for good medical practice in health care, Avaible at: https://www.mh.government.bg/media/filer_public/2020/09/11/pravila_dmpzg_02092020.pdf [In Bulgarian]

Chakarova L. (2011). Professional ethics for healthcare professionals Ed. EKS-PRES, Gabrovo. [In Bulgarian]

Dobrilova, P., Stefanova, K., & Yankova, J. (2016). Analysis of conflict situations in nursing practice, Science & Technologies, Volume VI, No 1: Medical biology studies, Clinical studies, Social medicine and health care, 155- 160. [In Bulgarian]

Lechasseur, K., Caux, C., Dollé, S., & Legault, A. (2018). Ethical competence: an integrative review. Nurs. Ethics 25 (6), 694–706.

Shtereva- Nikolova N., & Goranova-Spasova R. (2014). Manual of Medical Ethics, Ed. ID Print, Sofia. [In Bulgarian]

Stievano, A., & Tschudin, V. (2019). The ICN code of ethics for nurses: a time for revision. International nursing review, 66(2), 154–156.

Taylor, C. (2012). Values, ethics and advocacy. In C. Taylor, C. Lillis, P. LeMone, & P. Lynn (Eds.), Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.

Tollesfen, A., Olsen, A., & Clancy, A. (2021). Nurses’s experiences of ethical responsibility: A hermeneutic phenomenological design. Nordic Journal of Nursing research, Vol. 41 (2), 34-41.

Vodenicharova A., & Popova Kr. (2019). Medical ethics, Ed. GoreksPres, Sofia. [in Bulgarian]

Vodenicharova, A., Gradinarova, N., & Deliverska, M. (2020). The role of ethical standards as a factor for better motivation among medical professionals. General Medicine. 22(4), 15–18.

Downloads

Published

2022-12-16

How to Cite

Goranova-Spasova, R., Shtereva-Nikolova, N., & Vodenicharova, A. (2022). HEALTH CARE STUDENTS’ KNOWLEDGE OF THE ETHICAL DIMENSIONS OF PROFESSIONAL RESPONSIBILITIES. KNOWLEDGE - International Journal , 55(1), 161–166. Retrieved from https://ikm.mk/ojs/index.php/kij/article/view/5695