CC BY-NC-ND 4.0 · Avicenna J Med 2013; 03(03): 57-62
DOI: 10.4103/2231-0770.118458
ORIGINAL ARTICLE

Negative ethical behaviors in Saudi hospitals: How prevalent are they perceived to be? - Statement agreement study

R Fayez
Department of Psychiatry, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia
,
A Nawwab
Medical Student, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
H Al-Jahdali
Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
S Baharoon
Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
S Binsalih
Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
A Al Sayyari
Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
› Author Affiliations

Abstract

Background: There is limited information about the prevalence of unethical behavior and how is perceived among health care providers. The aim of this study is to assess such behavior and how is perceived. Materials and Methods: This is a cross-sectional study among three groups of professionals. Total participants were 370 and included medical staff, medical residents, and nurses in five medical specialties in four tertiary hospitals in Saudi Arabia (two Ministry of Health Hospitals and two military Hospitals). Participants were asked to rate their agreement with occurrence of 15 "negative" unethical behavior scenarios in their workplace. The scenarios covered areas of "respect for persons", "interprofessional relationships," and "empathy with patients". Results: Majority of respondents agreed that "unethical" behavior occurred in their workplace, including confidentiality being compromised (36.3%), informed consent not taken properly (60.2%), and bad news not well-delivered (62.2%). Other significant area agreement included doctors lacking empathy (47.8%), patient autonomy not fully respected (42.5%), discrimination (41.2%), and being pressurized to write inaccurate reports (31.2%). Respondents in medicine had the lowest rate of agreement and those in psychiatry had the highest (mean of 49.8% and 82.3%, respectively). Respondents with length of employment of less than 6 years had significantly higher agreement that unethical behavior occurs compared to those with length of employment of more than 6 years. Males were more likely than females to agree that unethical behavior occurs. The biggest difference was seen in the behavior of "informed consent not properly taken" with a gender margin of 18.7% (P = 0.001). Conclusion: There is high prevalence of behavior that is considered unethical as perceived by various health care workers at Saudi hospitals.



Publication History

Article published online:
09 August 2021

© 2013. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Deshpande SP, George E, Joseph J. Ethical climates and managerial success in Russian organizations. J Bus Ethics 2000;23:211-7.
  • 2 Hian Chye Koh EfHYB. Organisational ethics and employee satisfaction and commitment. Manage Decision 2004;42:677-93.
  • 3 Satterwhite WM 3 rd , Satterwhite RC, Enarson CE. Medical students′ perceptions of unethical conduct at one medical school. Acad Med 1998;73:529-31.
  • 4 Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students′ perceptions of their ethical environment and personal development. Acad Med 1994;69:670-9.
  • 5 Kay J. Traumatic deidealization and the future of medicine. JAMA 1990;26;263:572-3.
  • 6 Wolf TM, Balson PM, Faucett JM, Randall HM. A retrospective study of attitude change during medical education. Med Educ 1989;23:19-23.
  • 7 Satterwhite RC, Satterwhite WM 3 rd , Enarson C. An ethical paradox: The effect of unethical conduct on medical students′ values. J Med Ethics 2000;26:462-5.
  • 8 Saeed KS. How physician executives and clinicians perceive ethical issues in Saudi Arabian hospitals. J Med Ethics 1999;25:51-6.
  • 9 Satish P, Deshpande JJ. Factors impacting ethical behavior in hospitals. J Bus Ethics 2006;69:207-16.
  • 10 Weaver GR, Trevino LK, Agle B. ′Somebody I look up to:′ Ethical role models in organizations. Organ Dyn 2005;34:313-30.
  • 11 Perryer C, Jordan C. The influence of gender, age, culture and other factors on ethical beliefs: A comparative study in Australia and Singapore. Public Adm Manage: An Interactive J 2002;7:367-82.
  • 12 Robertson DW. Ethical theory, ethnography, and differences between doctors and nurses in approaches to patient care. J Med Ethics 1996;22:292-9.
  • 13 Don Munro MB, Powis D. Personality factors in professional ethical behaviour: Studies of empathy and narcissism. Aust J Psychol 2005;57:49-60.
  • 14 Hejaili F, Juhani A, Flaiw A, Ghamdi G, Jondeby M, Eid A, et al. Is there a bias against women in kidney transplantation practices in Saudi Arabia? Exp Clin Transplant 2006;4:571-3.
  • 15 Kittmer T, Hoogenes J, Pemberton J, Cameron BH. Exploring the hidden curriculum: A qualitative analysis of clerks′ reflections on professionalism in surgical clerkship. Am J Surg 2013;205:426-33.
  • 16 Tamim FH, Jamal A, Al Shamsi H, Al Sayyari A. Professional boundary ethics attitudes and awareness among nurses and physicians in a university hospital in the Kingdom of Saudi Arabia. Ethics Behav 2010;20:21-32.
  • 17 Betz M, O′Connell L, Shepard J. Gender differences in proclivity for unethical behavior. J Bus Ethics 1989;8:321-4.
  • 18 Costa AS. Are women more ethical than men? J Bus Ethics 1994;13:859-71.
  • 19 Lempp H, Seale C. The hidden curriculum in undergraduate medical education: Qualitative study of medical students′ perceptions of teaching. BMJ 2004;329:770-3.
  • 20 Cordingley L, Hyde C, Peters S, Vernon B, Bundy C. Undergraduate medical students′ exposure to clinical ethics: A challenge to the development of professional behaviours? Med Educ 2007;41:1202-9.
  • 21 Caldicott CV, Faber-Langendoen K. Deception, discrimination, and fear of reprisal: Lessons in ethics from third-year medical students. Acad Med 2005;80:866-73.
  • 22 Branch WT Jr. Supporting the moral development of medical students. J Gen Intern Med 2000;15:503-8.
  • 23 Patenaude J, Niyonsenga T, Fafard D. Changes in students′ moral development during medical school: A cohort study. CMAJ 2003;168:840-4.
  • 24 Mattick K, Bligh J. Teaching and assessing medical ethics: Where are we now? J Med Ethics 2006;32:181-5.