Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2025
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تعهدات حرفهای دستیاران پزشکی در یک بیمارستان آموزشی:
یک مطالعه مقطعی
Professionalism Among Medical Residents in a Teaching Hospital: A Cross-Sectional Study
اخلاق پزشکی
Medical Ethics
گزارش کوتاه
Brief Report
<span style="line-height:2;"><span style="font-size:16px;"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-family:"B Koodak"">سابقه و هدف:</span></b> <span lang="AR-SA" style="font-family:"B Zar"">تعهد حرفه</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">ای مجموعه</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">ای از ارزش</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">ها، رفتارها و روابطی است که موجب تقویت و استحکام اعتماد جامعه به پزشکان می</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">شود و توسعه آن یکی از اهداف حیاتی و </span><span lang="FA" style="font-family:"B Zar"">موضوعات اصلی آموزش در </span><span lang="AR-SA" style="font-family:"B Zar"">دانشکده</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">های پزشکی است. </span><span lang="FA" style="font-family:"B Zar"">مطالعه حاضر با هدف بررسی میزان تعهد حرفهای دستیاران پزشکی در </span><span lang="FA" style="font-family:"B Zar"">یک بیمارستان آموزشی، انجام پذیرفت.<span style="letter-spacing:-.2pt"></span></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">مواد و روش </span></span></b><b><span lang="FA" style="font-family:"B Koodak""><span style="letter-spacing:-.1pt"></span></span></b><b><span lang="AR-SA" style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">ها:</span></span></b> <span lang="AR-SA" style="font-family:"B Zar"">مطالعه توصیفی- مقطعی حاضر، در سال 1400 در جمعیت دستیاران در حال تحصیل چهار رشته ماژور بیمارستان افضلیپور کرمان (داخلی، جراحی، اطفال و زنان و زایمان) انجام شد. دادهها به وسیله پرسشنامه </span><span dir="LTR">ABIM</span><span lang="AR-SA" style="font-family:"B Zar""> جمعآوری شد</span><span lang="FA" style="font-family:"B Zar""> و </span><span lang="AR-SA" style="font-family:"B Zar"">آشنا بودن با مفهوم تعهد حرفهای از عوامل مورد بررسی در این مطالعه بود. آنالیز دادهها با استفاده از نرمافزار </span><span dir="LTR">SPSS</span><span lang="AR-SA" style="font-family:"B Zar""> نسخه 22، روشهای آمار توصیفی و تحلیلی (</span><span dir="LTR">Mann-Whitney</span><span lang="AR-SA" style="font-family:"B Zar""> و </span><span dir="LTR">Kruskal-Walis</span><span lang="AR-SA" style="font-family:"B Zar"">) انجام شد و مقدار </span><span dir="LTR">P</span><span lang="AR-SA" style="font-family:"B Zar""> کم</span><span lang="AR-SA" style="font-family:"B Zar"">تر از 05/0 معنیدار در نظر گرفته شد.</span><span lang="FA" style="font-family:"B Zar""><span style="letter-spacing:-.1pt"></span></span></span></span></span><br>
<span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-family:"B Koodak"">یافته</span></b><b><span lang="FA" style="font-family:"B Koodak""><span style="letter-spacing:-.2pt"></span></span></b><b><span lang="AR-SA" style="font-family:"B Koodak"">ها:</span></b> <span lang="FA" style="font-family:"B Zar"">در این مطالعه، تعهدات حرفهای 67 دستیار پزشکی بررسی شد. بیش</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="font-family:"B Zar"">ترین </span><span lang="AR-SA" style="font-family:"B Zar"">تعداد</span><span lang="FA" style="font-family:"B Zar""> دستیاران، زن بودند (6/65 درصد). میانگین تعهد حرفهای 8/7 و نسبتاً مطلوب بود. میانگین نمره احترام و نوع</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="font-family:"B Zar"">دوستی</span><span lang="FA" style="font-family:"B Zar"">، تعالی و شرافت و درستکاری به</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="font-family:"B Zar"">ترتیب، </span><span lang="AR-SA" style="font-family:"B Zar"">1/96</span><span lang="AR-SA" style="font-family:"Cambria","serif"">±</span><span lang="AR-SA" style="font-family:"B Zar"">7/02، 1/99</span><span lang="AR-SA" style="font-family:"Cambria","serif"">±</span><span lang="AR-SA" style="font-family:"B Zar"">8/26 و 02/5</span><span lang="AR-SA" style="font-family:"Cambria","serif"">±</span><span lang="AR-SA" style="font-family:"B Zar"">8/32 بود. میانگین نمره احترام و نوع</span> <span lang="AR-SA" style="font-family:"B Zar"">دوستی در دستیارانی که با مفهوم تعهد حرفهای آشنا بودند، بیش</span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="AR-SA" style="font-family:"B Zar"">تر بود (0/024=</span><span dir="LTR">P</span><span lang="AR-SA" style="font-family:"B Zar"">).</span><span lang="FA" style="background:white"><span style="font-family:"B Zar""> بیش</span></span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="background:white"><span style="font-family:"B Zar"">ترین امتیاز مربوط به خرده مقیاس شرافت و درست</span></span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="background:white"><span style="font-family:"B Zar"">کاری بود و خرده مقیاس احترام و نوع دوستی کم</span></span><span lang="AR-SA" style="font-family:"B Zar""></span><span lang="FA" style="background:white"><span style="font-family:"B Zar"">ترین امتیاز را به خود اختصاص داد.</span></span><span lang="AR-SA" style="font-family:"B Zar""></span></span></span></span><br>
<b><span dir="RTL" lang="FA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">استنتاج:</span></span></span></b> <span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">تعهد حرفه</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""></span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">ای دستیاران پزشکی، نسبتاً مطلوب بوده است.</span></span> <span dir="RTL" lang="FA"><span style="font-family:"B Zar"">با این وجود</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">، انجام مطالعات بیش</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""></span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">تر در این زمینه جهت شناسایی عوامل مؤثر برای ارتقای تعهد حرفه</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""></span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">ای پزشکان پیشنهاد می</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""></span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar"">شود</span></span></span></span>
<span style="font-size:16px;"><span style="line-height:2;"><span style="font-family:"Times New Roman","serif""><b><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></b> Professionalism is a set of values, behaviors, and relationships that enhance and maintain society’s trust in physicians. Its development is a vital goal and a key focus of medical education. This study was conducted to investigate the levels of professionalism among medical residents at a teaching hospital.</span><br>
<span style="font-family:"Times New Roman","serif""><b><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Materials and methods:</span></span></b> This descriptive cross-sectional survey was conducted in 2021 on medical residents studying four major specialities (Internal Medicine, Surgery, Pediatrics, and Obstetrics) at Kerman’s Afzalipour Teaching Hospital. Data were collected using the ABIM professionalism questionnaire. The level of familiarity with the concept of medical professionalism and ethics was one of the factors assessed in this study. Data analysis was performed using SPSS version 22 software, employing descriptive and analytical statistical methods, including the Mann-Whitney and Kruskal-Wallis tests. A P value less than 0.05 was considered significant.</span><br>
<span style="font-family:"Times New Roman","serif""><b><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Results:</span></span></b><b> </b>In this study, the level of professionalism in 67 medical residents was assessed. The majority of participants were women (65.6%). The overall mean professionalism score was 7.8, which was considered relatively favorable. The mean scores for the subscales of respect/altruism, excellence/honor, and honesty were 7.02 ± 1.96, 8.26 ± 1.99, and 8.32± 2.05, respectively. The average score for respect/altruism was significantly higher in medical residents who were familiar with the concept of professionalism (P=0.024). The highest score was observed in the honor and integrity subscale, while the respect and altruism subscale had the lowest score.</span><br>
<span style="font-family:"Times New Roman","serif""><b><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.1pt">Conclusion:</span></span></b><span style="letter-spacing:-.1pt"> According to the results of the present study, the levels of professionalism among participating medical residents were relatively favorable. However, to further improve professionalism in medical personnel, additional studies are needed to better identify the factors influencing it.</span></span></span></span><br>
تعهد حرفهای, دستیار پزشکی, بیمارستان آموزشی
professionalism, medical residents, teaching Hospital
197
201
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-18205-1&slc_lang=fa&sid=1
Fatemeh
Zolfaghari
فاطمه
ذوالفقاری