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A comparison of Canadian and Taiwane...

University of Calgary (Canada).

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A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes./
Author:	Tsai, Tsuen-Chiuan.
Description:	283 p.
Notes:	Source: Dissertation Abstracts International, Volume: 69-12, Section: A, page: 4885.
Contained By:	Dissertation Abstracts International69-12A.
Subject:	Health Sciences, Education. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=NR44373
ISBN:	9780494443736

A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes.
Tsai, Tsuen-Chiuan.

A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes. - 283 p.

Source: Dissertation Abstracts International, Volume: 69-12, Section: A, page: 4885.

Thesis (Ph.D.)--University of Calgary (Canada), 2008.

Conclusion: With further research and improved educational offerings, students' abilities in ethical reasoning will be enhanced in a manner that improves the humane and ethical behaviors.

ISBN: 9780494443736Subjects--Topical Terms:

1017921
Health Sciences, Education.

A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes.
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020 $a 9780494443736
035 $a (UMI)AAINR44373
035 $a AAINR44373
040 $a UMI $c UMI
100 1 $a Tsai, Tsuen-Chiuan. $3 1025307
245 1 2 $a A comparison of Canadian and Taiwanese physician ethical reasoning using clinical vignettes.
300 $a 283 p.
500 $a Source: Dissertation Abstracts International, Volume: 69-12, Section: A, page: 4885.
502 $a Thesis (Ph.D.)--University of Calgary (Canada), 2008.
520 $a Conclusion: With further research and improved educational offerings, students' abilities in ethical reasoning will be enhanced in a manner that improves the humane and ethical behaviors.
520 $a Medical ethics and culture-sensitivity are now essential components in health care education. However, little is known on ethical reasoning. The research purposes are: to develop a set of clinical vignettes with common ethical dilemmas; to measure physicians' ethical decisions and to understand how they solve ethical dilemmas; to identify differences in ethical reasoning between Taiwanese and Canadian physicians; and to determine differences in ethical reasoning among expertise levels.
520 $a Methodology: This is a qualitative and quantitative study design. A theoretical model of ethical reasoning was first created based on literature review, and later modified by research results. This study used a set of 15 clinical ethics vignettes (CEVs) and think-aloud interviews to explore how physicians of two countries with varying level of expertise solved ethical problems. Several variables were used to examine subjects' reasoning ability: decisions of ethical behaviors, confidence levels, problem-solving strategies, and quality of ethical reasoning (ERI Part I and Part II). Comparisons were made between countries (Canada and Taiwan) and across three expertise levels (expert, resident and student).
520 $a Results: This study recruited 17 Canadian and 32 Taiwanese participants. The results included: (1) there was a significant difference in ethical decisions between Taiwanese and Canadian physicians (the Canadians had higher scores than the Taiwanese), (2) there were no significant differences in "decision scores" among the three levels of expertise; and (3) the correctness of ethical decisions was content-specific; (4) The ERI Part I and II scores that reflected differences of ethical reasoning in knowledge structures/strategies were significantly different by level of expertise; (5) subjects who made ethical decision by guessing tended to give wrong responses; (6) there was no significant relationship between the level of expertise and the method used to solve the ethical dilemma; and (7) subjects tended to be unaware of their deficiencies in ethical reasoning. The differences between countries were identified in six areas, and which were contributed to the differences between cultures and reasoning abilities.
590 $a School code: 0026.
650 4 $a Health Sciences, Education. $3 1017921
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Sociology, Ethnic and Racial Studies. $3 1017474
690 $a 0350
690 $a 0564
690 $a 0631
710 2 $a University of Calgary (Canada). $3 1017619
773 0 $t Dissertation Abstracts International $g 69-12A.
790 $a 0026
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=NR44373