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Table 6 Issues in different aspects of healthcare ethics

From: Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal

Issues in healthcare ethics Agree Disagree Chi square Cramer’s V P-value
Patient wishes must always be adhered to
 Doctors 79 (66.9) 39(33.1) 4.40 0.14 0.036*
 Nurses 69(80.2) 17(19.8)
Patient should always be informed of wrong doing
 Doctors 83(70.3) 35(29.7) 0.008 0.006 0.930
 Nurses 60(69.7) 26(30.3)
Confidentiality is not important
 Doctors 9 (7.6) 109 (92.4) 1.53 0.87 0.215
 Nurses 3 (3.5) 83 (96.5)
Doctor should do irrespective of patient’s opinion
 Doctors 71(60.2) 47(39.8) 0.90 0.06 0.341
 Nurses 46(53.5) 40(46.5)
Close relative should always be told about patient’s opinion
 Doctors 91(77.1) 27(22.9) 14.91 0.27 <0.001*
 Nurses 83(96.5) 3(3.5)
Children should never be treated without the consent of their parents
 Doctors 85(72.0) 33(28.0) 5.58 0.16 0.017*
 Nurses 74(86.0) 12(14.0)
If law allows abortion, doctors cannot refuse to do abortion
 Doctors 54(45.7) 64(54.3) 11.62 0.23 0.001*
 Nurses 60(69.7) 26(30.3)
If there is disagreement between patients/families and health care professionals about treatment decisions, doctors decision should be final
 Doctors 24(20.3) 94(79.7) 4.58 0.15 0.032*
 Nurses 8(9.3) 78(90.7)
Ethical conduct is only important to avoid legal action
 Doctors 13(11.0) 105(89.0) 2.34 0.10 0.125
 Nurses 16(18.6) 70(81.4)
Ethics as part of a syllabus should be taught in every medical/nursing teaching institution
 Doctors 116(98.3) 2(1.7) 0.097 0.02 0.755
 Nurses 85(98.8) 1(1.2)
It is very difficult to keep confidentiality, so it should be abandoned
 Doctors 3(2.5) 115(97.5) 6.88 0.18 0.009*
 Nurses 10(11.6) 76(88.4)
Doctors are receiving income from referring patients for medical tests
 Doctors 80(67.8) 38(32.2) 1.17 0.076 0.874
 Nurses 52(60.5) 34(39.5)
Consent is only required for surgeries, not for tests and medicines
 Doctors 15(12.7) 103(87.3) 0.24 0.03 0.623
 Nurses 9(10.5) 77(89.5)
Copying answers in degree examinations is bad/sin
 Doctors 101(85.5) 17(14.5) 0.11 0.023 0.740
 Nurses 75(87.2) 11(12.8)
Acceptability in recording nervous system examination or blood pressure as normal when it has not been done for completion of documentation
 Doctors 11(9.3) 107(90.7) 7.49 0.19 0.006*
 Nurses 20(23.3) 66(76.7)
If a patient wishes to die, he or she should be assisted in doing so
 Doctors 11(9.3) 107(90.7) 1.06 0.07 0.302
 Nurses 12(14.0) 74(86.0)
Doctors are influenced by drug company inducements, including gifts
 Doctors 95(80.5) 23(19.5) 0.02 0.01 0.874
 Nurses 70(81.4) 16(18.6)
In order to prevent transmission of tuberculosis, disclosure of tuberculosis positive status to neighbours should be done
 Doctors 62(52.5) 56(47.5) 1.03 0.07 0.310
 Nurses 39(45.3) 47(54.7)
It is ethical to refuse a patient given a situation, a male doctor needs to examine a female patient and female attendant is not available
 Doctors 40(33.9) 78(66.1) 6.95 0.18 0.008*
 Nurses 45(52.3) 41(47.7)
Presence of interest in learning healthcare ethics
 Doctors 114(96.6) 4(2.0) 2.97 0.12 0.085
 Nurses 86(100.0) 0(0.0)
Doctors/nurses must serve hard to reach remote areas and under-served population
 Doctors 105(89.0) 13(11.0) 0.752 0.061 0.386
 Nurses 73(84.9) 13(15.1)
Necessity of incorporating medical ethics in undergraduate curriculum
 Doctors 115(97.4) 3(2.6) 15.19 0.27 <0.001*
 Nurses 70(81.3) 16(18.7)
  1. Data are frequencies (percentages), *p < 0.05 is statistically significant