Keywords
Moral Sensitivity
Patient Satisfaction
Quality of Care
Physician
Patient Satisfaction
Quality of Care
Physician
Abstract
Objective: Aim of our study is to assess interactions between the moral sensitivity of physicians and the satisfaction of patients.
Methods: Data were collected through a standard questionnaire of the physicians’ moral sensitivity for decision-making and a researcher-made patient satisfaction questionnaire. All information were analyzed by SPSS statistical software version 23. Results: Mean score for physicians’ moral sensitivity was 91.6±0.63 which shows a high level of moral sensitivity. The average patient satisfaction was 61.97±3.55 out of the total score (23-115) which shows a moderate level of satisfaction with the highest scores in the domain of "professionalism" and the lowest scores were related to the domain of "Technical Quality of Care Conclusion: For improving patient satisfaction, adopting appropriate strategies like performing the periodic evaluation of this phenomenon, and providing some codified training in this regard are required to increase the level of moral sensitivity of physicians and provide high-quality care.
References
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35. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: A literature review. Nursing ethics. 2008;15(3):304-21.
36. Noh D, Kim S, Kim S. Moral distress, moral sensitivity and ethical climate of nurses working in psychiatric wards. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(4):307-19.
37. Makarem J, Larijani B, Joodaki K, Ghaderi S, Nayeri F, Mohammadpoor M. Patients' satisfaction with inpatient services provided in hospitals affiliated to Tehran University of Medical Sciences, Iran, during 2011-2013. Journal of medical ethics and history of medicine. 2016;9.
38. Joolaee S, Givari A, Taavoni S, Bahrani N, REZA PR. PATIENTS'SATISFACTION WITH PROVIDED NURSING CARE. 2008.
39. Kalroozi F, Dadgari F, Zareiyan A. Patients’ satisfaction with patient’s bill of right observance. Iranian Journal of Military Medicine Fall. 2010;12(3):143-8.
40. Nasiripour A, Saeedzadeh Z. Correlation between nurses' communication skills and inpatient service quality in the hospitals of Kashan University of Medical Sciences. Journal of health promotion management. 2012;1(1):45-54.
41. Özlü ZK, Uzun Ö. Evaluation of satisfaction with nursing care of patients hospitalaized in surgical clinics of different hospitals. International Journal of Caring Sciences. 2015;8(1):19-24.
42. Sultana A. Level of Satisfaction of Admitted Patients. Journal of Rawalpindi Medical College. 2016;20(1):59-62.
43. Boffeli TJ, Thongvanh KL, Evans SJH, Ahrens CR. Patient experience and physician productivity: debunking the mythical divide at HealthPartners clinics. The Permanente Journal. 2012;16(4):19.
44. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988:25-36.
45. Hall JA, Irish JT, Roter DL, Ehrlich CM, Miller LH. Satisfaction, gender, and communication in medical visits. Medical care. 1994.
46. Tucker FG, Tucker JB. An evaluation of patient satisfaction and level of physician training. Journal of health care marketing. 1985;5(3).
47. Hall MF, Press I. Keys to patient satisfaction in the emergency department: results of a multiple facility study. Journal of Healthcare Management. 1996;41(4):515.
2. Roberts LW, Warner TD, Hammond KAG, Geppert CM, Heinrich T. Becoming a good doctor: perceived need for ethics training focused on practical and professional development topics. Academic Psychiatry. 2005;29(3):301-9.
3. Grace NA, Yanshiyi DY, Victoria ON, Abubakar KM, Istifanus JA, Kwaru M-IZ. Current level of knowledge, perception and practice of medical law and ethics among Nigerian medical practitioners. Med & L. 2016;35:633.
4. Cunningham DE, Mohanna K, Wills P. Handbook of primary care ethics. Education for primary care: an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors. 2018;29(4):246.
5. Shah ND, Mehta RY, Dave KR. Sensitising intern doctors to ethical issues in a doctor–patient relationship. Indian journal of medical ethics. 2017;2(3):141-6.
6. Christen M, Katsarov J. Moral sensitivity as a precondition of moral distress. The American Journal of Bioethics. 2016;16(12):19-21.
7. Lützén K, Johansson A, Nordström G. Moral sensitivity: Some differences between nurses and physicians. Nursing Ethics. 2000;7(6):520-30.
8. Rushton CH, Penticuff JH. A framework for analysis of ethical dilemmas in critical care nursing. AACN Advanced Critical Care. 2007;18(3):323-8.
9. Stefanovska VV, Petkovska MS. Patient satisfaction in outpatient healthcare services at secondary level vs. tertiary level. Srp Arh Celok Lek. 2014;142(9-10):579-85.
10. Mitropoulos P, Vasileiou K, Mitropoulos I. Understanding quality and satisfaction in public hospital services: A nationwide inpatient survey in Greece. Journal of Retailing and Consumer Services. 2018;40:270-5.
11. Graham B. Defining and measuring patient satisfaction. The Journal of hand surgery. 2016;41(9):929-31.
12. Taheri M TM, Samadi S, Amini S, Abbasi M. The Influence of Physicians Social Capital on Patients Satisfaction. International Journal of Pharmaceutical Research. 2020;12(3):1079-86.
13. Crow H, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. Measurement of satisfaction with health care: Implications for practice from a systematic review of the literature. Health technology assessment. 2002.
14. Hekkert KD, Cihangir S, Kleefstra SM, van den Berg B, Kool RB. Patient satisfaction revisited: a multilevel approach. Social science & medicine. 2009;69(1):68-75.
15. Xiong C, Chen X, Zhao X, Liu C. Patient satisfaction and gender composition of physicians-a cross-sectional study of community health services in Hubei, China. BMC health services research. 2018;18(1):217.
16. Consuegra-Sánchez L, Martínez JA, Fernández Costa Á, Soria Arcos F, Castillo Moreno JA. Measuring Patient Satisfaction in a Cardiology Service Using Associative Maps. A New Method. Revista Española de Cardiología (English Edition). 2018.
17. Forbes DR, Nolan D. Factors associated with patient-satisfaction in student-led physiotherapy clinics: A qualitative study. Physiotherapy theory and practice. 2018;34(9):705-13.
18. Meyerhoefer CD, Sherer SA, Deily ME, Chou S-Y, Guo X, Chen J, et al. Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems. Journal of the American Medical Informatics Association. 2018;25(8):1054-63.
19. Pozdnyakova A, Laiteerapong N, Volerman A, Feld LD, Wan W, Burnet DL, et al. Impact of medical scribes on physician and patient satisfaction in primary care. Journal of general internal medicine. 2018;33(7):1109-15.
20. Borhani F, Keshtgar M, Abbaszadeh A. Moral self-concept and moral sensitivity in Iranian nurses. Journal of medical ethics and history of medicine. 2015;8:4.
21. Mahdiyoun SA, Pooshgan Z, Imanipour M, Razaghi Z. Correlation between the Nurses, Moral Sensitivity and the Observance of Patients' Rights in ICUs. Medical Ethics Journal. 2017;11(40):7-14.
22. Drachman DA. Benchmarking patient satisfaction at academic health centers. The Joint Commission journal on quality improvement. 1996;22(5):359-67.
23. Vogus TJ, McClelland LE. When the customer is the patient: Lessons from healthcare research on patient satisfaction and service quality ratings. Human Resource Management Review. 2016;26(1):37-49.
24. Mpinga EK, Chastonay P. Satisfaction of patients: a right to health indicator? Health policy. 2011;100(2-3):144-50.
25. Boquiren VM, Hack TF, Beaver K, Williamson S. What do measures of patient satisfaction with the doctor tell us? Patient education and counseling. 2015;98(12):1465-73.
26. Marcinowicz L, Chlabicz S, Grebowski R. Understanding patient satisfaction with family doctor care. Journal of evaluation in clinical practice. 2010;16(4):712-5.
27. Abbaszadeh A, Borhan F, Nematallahi L. Comparison of nursing students and nurses’ moral sensitivity in Kerman University of Medical Sciences. Iran J Med Eth. 2010;4(12):39-54.
28. Lützén K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing ethics. 2006;13(2):187-96.
29. Nejadsarvari N, Abbasi M, Borhani F, Ebrahimi A, Rasooli H, Motamedi MHK, et al. Relationship of moral sensitivity and distress among physicians. Trauma monthly. 2015;20(2).
30. AlMahmoud T, Hashim MJ, Elzubeir MA, Branicki F. Ethics teaching in a medical education environment: preferences for diversity of learning and assessment methods. Medical education online. 2017;22(1):1328257.
31. Devadasan N, Criel B, Van Damme W, Lefevre P, Manoharan S, Van der Stuyft P. Community health insurance schemes & patient satisfaction-evidence from India. The Indian journal of medical research. 2011;133(1):40.
32. Abdou H, Baddar F, Alkorashy H. The relationship between work environment and moral sensitivity among the nursing faculty assistants. World Applied Sciences Journal. 2010;11(11):1375-87.
33. Borhani F, Jalali T, Abbaszadeh A, Haghdoost A. Nurses’ perception of ethical climate and organizational commitment. Nursing ethics. 2014;21(3):278-88.
34. Gjerberg E, Lillemoen L, Førde R, Pedersen R. End-of-life care communications and shared decision-making in Norwegian nursing homes-experiences and perspectives of patients and relatives. BMC geriatrics. 2015;15(1):103.
35. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: A literature review. Nursing ethics. 2008;15(3):304-21.
36. Noh D, Kim S, Kim S. Moral distress, moral sensitivity and ethical climate of nurses working in psychiatric wards. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(4):307-19.
37. Makarem J, Larijani B, Joodaki K, Ghaderi S, Nayeri F, Mohammadpoor M. Patients' satisfaction with inpatient services provided in hospitals affiliated to Tehran University of Medical Sciences, Iran, during 2011-2013. Journal of medical ethics and history of medicine. 2016;9.
38. Joolaee S, Givari A, Taavoni S, Bahrani N, REZA PR. PATIENTS'SATISFACTION WITH PROVIDED NURSING CARE. 2008.
39. Kalroozi F, Dadgari F, Zareiyan A. Patients’ satisfaction with patient’s bill of right observance. Iranian Journal of Military Medicine Fall. 2010;12(3):143-8.
40. Nasiripour A, Saeedzadeh Z. Correlation between nurses' communication skills and inpatient service quality in the hospitals of Kashan University of Medical Sciences. Journal of health promotion management. 2012;1(1):45-54.
41. Özlü ZK, Uzun Ö. Evaluation of satisfaction with nursing care of patients hospitalaized in surgical clinics of different hospitals. International Journal of Caring Sciences. 2015;8(1):19-24.
42. Sultana A. Level of Satisfaction of Admitted Patients. Journal of Rawalpindi Medical College. 2016;20(1):59-62.
43. Boffeli TJ, Thongvanh KL, Evans SJH, Ahrens CR. Patient experience and physician productivity: debunking the mythical divide at HealthPartners clinics. The Permanente Journal. 2012;16(4):19.
44. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988:25-36.
45. Hall JA, Irish JT, Roter DL, Ehrlich CM, Miller LH. Satisfaction, gender, and communication in medical visits. Medical care. 1994.
46. Tucker FG, Tucker JB. An evaluation of patient satisfaction and level of physician training. Journal of health care marketing. 1985;5(3).
47. Hall MF, Press I. Keys to patient satisfaction in the emergency department: results of a multiple facility study. Journal of Healthcare Management. 1996;41(4):515.