Displaying publications 21 - 40 of 65 in total

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  1. Sivaraman MA, Noor SN
    Sci Eng Ethics, 2016 Apr;22(2):467-85.
    PMID: 26049934 DOI: 10.1007/s11948-015-9666-9
    Embryonic Stem Cell Research (ESCR) raises ethical issues. In the process of research, embryos may be destroyed and, to some, such an act entails the 'killing of human life'. Past studies have sought the views of scientists and the general public on the ethics of ESCR. This study, however, explores multi-faith ethical viewpoints, in particular, those of Buddhists, Hindus and Catholics in Malaysia, on ESCR. Responses were gathered via semi-structured, face-to-face interviews. Three main ethical quandaries emerged from the data: (1) sanctity of life, (2) do no harm, and (3) 'intention' of the research. Concerns regarding the sanctity of life are directed at particular research protocols which interfere with religious notions of human ensoulment and early consciousness. The principle of 'do no harm' which is closely related to ahimsa prohibits all acts of violence. Responses obtained indicate that respondents either discourage research that inflicts harm on living entities or allow ESCR with reservations. 'Intention' of the research seems to be an interesting and viable rationale that would permit ESCR for the Buddhists and Hindus. Research that is intended for the purpose of alleviating human suffering is seen as being ethical. This study also notes that Catholics oppose ESCR on the basis of the inviolability of human life.
    Matched MeSH terms: Morals
  2. Nishakanthi G
    Asian Bioeth Rev, 2019 Dec;11(4):437-460.
    PMID: 33717327 DOI: 10.1007/s41649-019-00102-5
    Ethics is a philosophical branch of inquiry that reasons between what is right and wrong. The moral philosophy of Socrates, Aristotle, and Plato from ancient Greek became the basis of most of the western ethics. These days, ethics can be divided based on its inquiries for example, normative, descriptive, metaethics, and applied ethics or based on its theories like utilitarianism, emotivism, and universal ethics. In context with applied ethics that examines issues involving emerging technologies, this study will look into the ethics of Malaysian stem cell technology based on written literature. It was mainly to identify Malaysian literature on stem cell ethics through conventional search since the mainstream international database indicated an obvious shortage. The critical review of this literature will facilitate in the understanding of unique position of Malaysia towards stem cell and its ethics in reference to the limited number. Despite the limitation, this can be a preliminary study urging for more inquiries and exploration to fulfil the multiple perspectives in ethics such as the diversity of Malaysian ethics, the impact of ethics in stem cell regulation in Malaysia, and if western contemporary ethics influences Malaysian ethics particularly involving stem cell technology.
    Matched MeSH terms: Morals
  3. Nihlén Fahlquist J
    Scand J Public Health, 2021 Nov;49(7):815-820.
    PMID: 33550931 DOI: 10.1177/1403494821990250
    AIM: Not only is the coronavirus pandemic about science and facts, it also raises a number of ethical questions. Some of the most important questions in this context are related to responsibility. First, what is a government's primary responsibility? Second, how should both the government and individuals consider personal moral responsibility in this context?

    METHOD: This paper uses conceptual and normative analysis to address responsibility in the context of the pandemic. The paper also refers to reports published by the German Ethics Council, the Malaysian Bioethics Community and the Swedish National Council on Medical Ethics.

    RESULTS: The primary responsibility of governments is to create a balance between individual values and rights, one hand, and the health of the population, on the other. There are good reasons to conceive of individual responsibility as a virtue, having to do with the development of crucial character traits and habits. The responsibility of governments is connected to individual responsibility through the values of trust and solidarity.

    CONCLUSIONS: Governments need to communicate clearly (a) how they balance conflicts between collective health and individual rights and values and (b) what the chosen strategy entails in terms of collective and individual responsibility. Success requires attention to ethical values from all involved. Individuals will need to develop new character traits to help manage this pandemic and to prevent new ones. Governments must facilitate the development of such character traits by building trust and solidarity with and among citizens.

    Matched MeSH terms: Morals
  4. Siti Aishah Md Yusop, Shaharudin Abd Aziz, Nelfianty Mohd Rasyid
    MyJurnal
    The purpose of this study is to identify the relationship between goal orientation and aggressiveness among under 18 handball players in Negeri Sembilan. This study used survey method using Task and Ego Orientation in Sport Questionaire (TEOSQ) and The Judgement About Moral Behavior in Youth Sport Questionaire (JAMBYSQ). The respondents are the Under 18 handball players that represent eight districts in Negeri Sembilan (n = 192, 96 male and 96 females). Data were analyzed using descriptive statistics (percent, frequency, mean and standard deviation) and inferential statistics (t-test) and correlation. The findings showed that the orientation pattern of the female players were higher than the male players for both the task orientation and the ego. The results of the t-test showed that female handball players have higher levels of cognitive and somatic anxiety than male players. However, from the aspect of aggression, the findings showed that female players are more likely to show aggressive action compared to male. In conclusion, the findings showed that there was a significant relationship between goal orientation and aggression among under 18 handball players. Indirectly, this study stressed the importance of goal orientation. Coaches also need to put more focus on the task-orientation compared to ego-orientation.
    Matched MeSH terms: Morals
  5. Nazri Mohd Yusof
    MyJurnal
    Integration and islamisation (INI) programmes for undergraduate medical students have been practiced, reviewed and published in many journals. However, there is only a dearth of study on the implementation of such a programme for postgraduate clinical students. Hence, there is a need to examine such a programme because of the different learning environment and characteristic of the students. The aim of this paper is to examine the existing clinical postgraduate programme at IIUM and attempts to improve the INI curriculum. Method: The study employs an analytical method and important factors for the development of the curriculum are analysed to come out with the objective, content, teaching methodology and assessment method suitable for the program. Result: The study identified the important factors that determine the curriculum to be the needs of National Health Service, the mission of the university, the requirement of the professional body and characteristic of the students. The study proposes that the objective of the program is to produce holistic orthopaedic surgeons who understand the belief of Muslim patients and is able to facilitate them in their ibadah and daily life as a Muslims. This is achieved through offering a course which consists of 4 main subjects on the principles of shariah which include the element of Islamic worldview, fiqh ibadah, fiqh muamalah and Islamic moral values with emphasis on issues related to medicine. The teaching method proposed is having regular seminars which consist of presentations and discussion of important concept in Islamic fiqh and followed by case study on fiqh issues related to Medicine. Finally, the students should be assessed from the case write up which they are required to submit before they can sit for the final professional exam. Conclusion: This improved program enables students to complete their study without compromising their duties to provide services at their respective hospitals.
    Matched MeSH terms: Morals
  6. Ooi, Cheng Lee, Nazri Abdul Muthalib
    MyJurnal
    Many factors contribute to the reluctance towards blood donation, but available studies done in Malaysia involving University students does not reflect the knowledge of the public in general. The objective of this study is to determine knowledge, attitude practice towards blood donation among the Sandakan population. A cross-sectional study was employed using an adapted 29-item structured validated questionnaire available in English and Bahasa, consisting of subject’s demography, questions regarding knowledge, attitude, and perception of blood donation. Convenient random sampling was done within the hospital compound, 79 healthy adults consented, and their data were used for the final data analysis, yielding an excellent internal consistency (Cronbach’s α coefficient = 0.816). Out of all, 74.7% of the respondents had a high level of knowledge, and independent t-tests showed that those who were not married, had tertiary education, donated blood in the past, had a statistically significant higher level of knowledge and 96.2% of respondents have a positive attitude. Some donors (40.6%) donated blood for moral satisfaction, and only a quarter (25%) experienced adverse events. Fear of pain, needle, fainting was the highest reason for reluctance in blood donation (36.2% of non-donors), followed by self-perception of being medically unfit to donate (31.9% of non-donors). Even though the sampled population in Sandakan showed an adequate level of knowledge as well as a positive attitude towards blood donation, blood product shortage is still present. This study may contribute by serving as an educational platform for awareness and education to improve the number of blood donors.
    Matched MeSH terms: Morals
  7. Vijayananthan A, Nawawi O
    Biomed Imaging Interv J, 2008 Jan;4(1):e5.
    PMID: 21614316 MyJurnal DOI: 10.2349/biij.4.1.e5
    Good Clinical Practice (GCP) is an international ethical and scientific quality standard for the design, conduct, performance, monitoring, auditing, recording, analyses and reporting of clinical trials. It also serves to protect the rights, integrity and confidentiality of trial subjects. It is very important to understand the background of the formation of the ICH-GCP guidelines as this, in itself, explains the reasons and the need for doing so. In this paper, we address the historical background and the events that led up to the formation of these guidelines. Today, the ICH-GCP guidelines are used in clinical trials throughout the globe with the main aim of protecting and preserving human rights.
    Matched MeSH terms: Morals
  8. Jamilah J, Ahmad Najib A, Dzulkhairi MR, Ariff HO, Nasri Ismail NM
    MyJurnal
    Muslim doctors are those qualified doctors who practise their professional knowledge and skills in line with Islam and upholds the highest standards of ethical and professional behaviour. The medical curriculum of the Faculty of Medicine and Health Sciences of Universiti Sains Islam Malaysia (USIM) was designed with the integration of Islamic input which aims at producing doctors who are able to practise medicine that is integrated with Islamic, moral and ethical values. Halaqah Studies and Fundamental Islamic Knowledge (FIK) courses such as History of Medicine in Islam, Science and Medicine in Quran and Sunnah, Akhlak and Tasawuf, Islamic Jurisprudence and Medical Ethics and Fiqh Issues are taught to students during the pre-clinical and clinical phases. Memorization of selected Quranic verses throughout the programme aim to get the students to apply the verses of the al-Quran into practice in everyday life and especially in their clinical practice. Islamic values are emphasised during doctor-patient interactions in all clinical postings. Islamic knowledge and values integrated in the curriculum are assessed in written and clinical examinations. The outcome of the integration of the Naqli component in the medical curriculum has been demonstrated positively by the students in the patient management problems and clinical consultations. Studies on the outcome of the integrated Islamic input in the medical curriculum among the clinical students and graduates are being carried out.
    Matched MeSH terms: Morals
  9. Anuar, I., Zahedi, F., Kadir, A., Mokhtar, A.B.
    MyJurnal
    Background : The implementation of Occupational Safety and Health Management System (OSHMS) requires a level of measurement. The effectiveness of OSHMS implementation was influenced by inhibiting and supporting factors. The objective of this study was to determine the inhibiting and supporting factors towards the implementation of OSHMS in medical laboratories.
    Methodology : The implementation of Occupational Safety and Health Management System (OSHMS) requires a level of measurement. The effectiveness of OSHMS implementation was influenced by inhibiting and supporting factors. The objective of this study was to determine the inhibiting and supporting factors towards the implementation of OSHMS in medical laboratories.
    Result : This study showed the level of compliance to the OSHMS MS1722 guideline among medical laboratories who are MS ISO 15189 accredited & have a higher scores in overall measurement indicators OSHMS compared to those do not have SAMM accreditation. Private medical laboratories services have higher scores in overall measurement indicators OSHMS, compared to government medical laboratories. However, there was no significant difference (p>0.05) between medical laboratories which have ISO 9000 quality management system certification, compared to level of compliance to the OSHMS MS 1722 guideline among medical laboratories. There was also no significant difference (p>0.05) between the laboratories who had been operating for more than 10 years compared to those with less than 10 years, towards implementing the OSHMS. Results showed that majority of medical laboratories management perceived that difficulty and complexities of OSH legislation are the most important factor that prevent them from implementing OSHMS in their organization. The most important supporting factor, that medical laboratories management perceived as the most important to comply to the OSHMS were their moral responsibilities towards the community.
    Conclusion : In conclusion, the study shows there were many inhibiting and supporting factors that contribute towards effective implementation of OSHMS elements in workplace.
    Matched MeSH terms: Morals
  10. Mohd Rizal Abdul Manaf
    Int J Public Health Res, 2012;2(1):129-136.
    MyJurnal
    Introduction Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology. The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. A physician must recognize responsibility to patients first and foremost, as well as to society, to other health professionals, and to self. This paper presents some information regarding medical ethics, including the values and principles of ethical conduct. Later the requirements of consent form is presented to guide the researchers before conducting a study.
    Matched MeSH terms: Morals
  11. Salari N, Shohaimi S, Khaledi-Paveh B, Kazeminia M, Bazrafshan MR, Mohammadi M
    Philos Ethics Humanit Med, 2022 Nov 09;17(1):13.
    PMID: 36348378 DOI: 10.1186/s13010-022-00126-0
    BACKGROUND: Moral distress is one of the most important problems that nurses face in their care of patients. Various studies have reported the frequency and severity of moral distress in nurses. However, to date, a comprehensive study that shows the results of these research across the world was not found, therefore due to the importance of this issue, its role in the health of nurses and patients, and the lack of general statistics about it worldwide, the present study was conducted to determine the frequency and severity of moral distress in nurses through a systematic review and meta-analysis.

    METHODS: In this review study, searching national and international databases of SID, MagIran, IranMedex, IranDoc, Google Scholar, Embase, ScienceDirect, Scopus, CINHAL, PubMed, and Web of Science (WoS) between 2005 and February 2020 were extracted. The random-effects model was used for analysis, and the heterogeneity of studies with the I2 index was investigated. Data were analyzed using Comprehensive Meta-Analysis (Version 2).

    RESULTS: The frequency of moral distress in 9 articles with a sample size of 1576 persons was 1.7 ± 0.5 from (0-4), in 13 articles with a sample size of 1870 persons, 3.07 ± 0.1 from (0-5), in 6 articles with a sample size of 1316 persons, 3.2 ± 0.29 from (0-6), in 18 articles with a sample size of 1959 persons, 4.6 ± 0.518 from (1-7) and in 35 articles with a sample size of 3718 persons, 81.1 ± 4.6 from (216-30), and the severity of moral distress in 4 articles with a sample size of 1116 persons, 1.7 ± 0.37 from (0-4), in 5 articles with a sample size of 1282 persons, 2.6 ± 0.28 from (0-5), in 5 articles with a sample size of 944 persons, 3.9 ± 0.63 from (0-6) and in 8 articles with a sample size of 901 persons was 82.3 ± 5.4 (0-216).

    CONCLUSION: The results of this study showed that the frequency and severity of moral distress in nurses are high and are a serious problem in nurses. Therefore, policymakers in this field should consider its role in the health of nurses and patients.

    Matched MeSH terms: Morals*
  12. Sarawa DI, Mas'ud A
    Heliyon, 2020 Jan;6(1):e03132.
    PMID: 32042941 DOI: 10.1016/j.heliyon.2019.e03132
    The paper proposes and validates the strategic public procurement regulatory compliance model with mediation effect of ethical behavior. It expands the socio-economic theory of regulatory compliance to explore the mediating effect of ethical behavior on the influence of professionalism, familiarity, enforcement, resistance to political pressure and compliance with public procurement regulation. A quantitative research design was deployed using 125 procurement officers as a sample group. The data from the sample was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results validated the hypotheses for the strategic public procurement regulatory compliance model with mediation effect of ethical behavior. The study not only confirmed the earlier findings on the direct effects of professionalism, familiarity, enforcement, resistance to political pressure and ethical behavior on compliance, but also established the mediating effect of ethical behavior on compliance on all the predictors except resistance to political pressure. The study implied that ethical behavior of public procurement officers should be a strategic point of concern by both policymakers and professional bodies. Theoretically, the studyexpands thesocio-economic theory of regulatory compliance within the context of procurement literature through mediation effects of ethical behavior via structural analysis.
    Matched MeSH terms: Morals
  13. Mardiana Mansor
    MyJurnal
    The article review was to identify, discuss, explore, critically analyze and evaluate the scenario of Human ImmunodeficiencyVirus (HIV) among women in nursing perspective taking into account global perspective. The current aim is to reduce the number of HIV globally, especially among women. Acquired immune deficiency syndrome (AIDS) is considered as a disease state of hopelessness and imminent death. HIV and AIDS status demotivate the women emotionally in physical, social, and emotional perspectives. HIV-positive women portray of AIDS is deeply discrediting; with physical failure, moral failure, and social ostracism.
    Matched MeSH terms: Morals
  14. Harith SH, Mahmud N
    Iran J Public Health, 2020 Feb;49(2):211-220.
    PMID: 32461928
    Background: Road accident statistics has been seen increasing over the years despite numerous efforts made by the authorities. Human factors have contributed 90% of accident occurrence with risky driving behavior being one of the significant human factors that can be further explained through norms. This review paper aimed to investigate the relationship between norms and drivers' risky driving behavior.

    Methods: A systematic review process was conducted through four academic databases namely Scopus, Wiley Online Library, Emerald and Web of Science of no limitation for date. Overall, 3443 titles were identified and after several screening and reviewing processes, only 27 studies were included.

    Results: The results of the review demonstrated mixed findings between subjective norm and risky driving behavior, whereas the relationship between group norm, moral norm, injunctive norm, descriptive norm and risky driving behavior were observed significant.

    Conclusion: Appropriate educational awareness is required to educate the society in practicing good norms for mutual benefit of the society. Parents also need to set a good example for their children by abiding the traffic rules and regulation.

    Matched MeSH terms: Morals
  15. Mohd-Tahir NA, Paraidathathu T, Li SC
    SAGE Open Med, 2015;3:2050312115596864.
    PMID: 26770795 DOI: 10.1177/2050312115596864
    Malaysia inherits a highly subsidized tax-based public healthcare system complemented by a fee-for-service private sector. Population health in Malaysia has considerably improved since independence using a relatively small amount of gross domestic product (~4%). Brain drain of highly specialized personnel, growth in healthcare spending, demographic and disease pattern changes and increase in patients' demands and expectations towards better medical care are exerting pressure on the sustainability of the system to continuously provide efficient and effective services at relatively low cost. Malaysia has adopted and implemented some of the quality use of medicine concepts such as National Essential Medicine List, health technology assessment and promotion of generic medicines in their health policy, but so far the results may not be optimal. Activities to further promote these strategies are needed for successful implementation to achieve more positive and sustained beneficial outcomes. Better strategic planning, management and collaboration between various stakeholders, considering the needs and barriers of the strategies, are important to ensure effective implementation of the strategies. More emphasis should be placed upon more equitable and rational distribution of healthcare resources to cater for rapid urbanization. Additionally, a sustainable health financing structure that is more progressive and does not encourage moral hazard should be established. In conclusion, Malaysia has achieved good outcomes in population health with relatively low financial inputs since independence. However, changes in the overall environment have created issues which would threaten the long-term viability of the healthcare system if not tackled properly. The numbers of internationally trialled strategies could be used to deal with these challenges. In addition, coordinated implementation of these strategies and effective engagement and communication between various stakeholders are necessary to further strengthen the Malaysian healthcare system effectively.
    Matched MeSH terms: Morals
  16. Lee RL
    Cult Med Psychiatry, 1981 Sep;5(3):233-48.
    PMID: 7318487
    Turner's concepts of structure and anti-structure are applied to the culture-bound syndromes to demonstrate that they are dialectical aspects of cultural reality, The Malay cases of amok, latah and possession hysteria are discussed as instances of anti-structural behaviors that dramatize role-reversals and role-enhancement. The performers of these behaviors are not subjected to the Malay code of moral conduct. The supernatural ethos in Malay culture plays an important role in shaping tolerance towards them. Although this tolerance has been gradually eroded as a result of the introduction of Western psychiatry, the anti-structural status of these syndromes has not faded away but has assumed new meanings in terms of psychopathology.
    Matched MeSH terms: Morals
  17. Nur Aziera Sukman, Nur Riza Mohd Suradi, Latifah Amin
    Telah terbukti bahawa pembangunan dan kejayaan bioteknologi dan teknologi modifikasi genetik (GM) pada masa hadapan bergantung secara langsung kepada persepsi masyarakat dan sikap pengguna. Kajian lepas menunjukkan bahawa pengguna mempunyai sikap skeptikal terhadap teknologi modifikasi genetik dalam penghasilan makanan. Kajian ini dijalankan untuk mengenal pasti dimensi yang menyumbang kepada pembentukan sikap pelajar terhadap makanan GM selain daripada sikap mereka terhadap perubahan dalam kualiti makanan dan bagaimana ini dapat membentuk cara hidup dan sikap mereka terhadap makanan GM. Pembentukan model dibina berdasarkan kepada model Latifah yang mengandungi enam dimensi iaitu persepsi faedah, persepsi risiko, penerimaan risiko, kebiasaan, aspek moral dan sokongan. Kaedah analisis faktor telah digunakan untuk mengenal pasti dimensi yang membentuk sikap pelajar dalam model yang dibina ini. Didapati dimensi penerimaan risiko mempunyai nilai kebolehpercayaan yang rendah, manakala dimensi baru diperoleh iaitu dimensi kawalan. Hasil analisis faktor telah disahkan dengan penggunaan kaedah pemodelan persamaan berstruktur (SEM). Hasil kajian mendapati bahawa dimensi persepsi faedah, persepsi risiko, kebiasaan, aspek moral, kawalan dan sokongan menyumbang kepada sikap para pelajar terhadap makanan GM.
    Matched MeSH terms: Morals
  18. Ainnur Erwana Saharudin, Khadijah Alavi
    MyJurnal
    Bapa tunggal merupakan satu golongan yang kurang dititikberatkan oleh masyarakat termasuk agensi-agensi dan NGO yang memfokuskan kepada kebajikan masyarakat berbanding dengan ibu tunggal. Hal ini kerana kebanyakan masyarakat merasakan bahawa golongan ini memiliki kekuatan fizikal dan mental yang tinggi memandangkan bapa tunggal adalah kaum lelaki. Namun, tidak dinafikan bahawa golongan bapa tunggal ini juga mengalami tekanan serius kerana kehilangan satu semangat atau sokongan tanpa pasangan hidupnya. Mereka terpaksa menyandang pelbagai tugas dalam rumah tangga dan membesarkan anak-anak. Kajian terdahulu lebih memfokuskan kepada ibu tunggal yang mendapat sokongan sosial daripada pelbagai agensi. Maka tekanan dan sokongan sosial penting dalam permasalahan bapa tunggal terutama dalam pengurusan rumah tangga dan pekerjaan harian. Objektif utama kajian ini ialah meneroka tekanan dan sokongan sosial dalam kalangan bapa tunggal. Kajian ini dijalankan dengan menggunakan pendekatan kualitatif berpandukan kajian kes. Teknik pengumpulan data kajian adalah melalui temu bual berstruktur. Tujuh orang informan telah dipilih bagi kajian ini dengan menggunakan teknik persampelan bertujuan (purposive sampling). Lokasi kajian yang dipilih ialah daerah Kuala Selangor, Selangor. Data temu bual berstruktur dianalisis secara tematik dan hasil kajian mendapati terdapat tiga faktor utama yang mempengaruhi tekanan terhadap bapa tunggal iaitu emosi, pengurusan rumah tangga dan pekerjaan yang ditemukan menerusi transkrip informan kajian. Manakala sokongan sosial yang diperlukan oleh golongan bapa tunggal ialah kewangan, sokongan moral dan tempat bersembang. Implikasi kajian ini diharapkan dapat mencadangkan program advokasi yang sesuai kepada pekerja sosial dalam mengendalikan kes bapa tunggal dalam komuniti dan institusi.
    Matched MeSH terms: Morals
  19. Voo TC, Lederman Z, Kaur S
    Public Health Ethics, 2020 Jul;13(2):133-142.
    PMID: 33294029 DOI: 10.1093/phe/phaa024
    This article argues that outbreak preparedness and response should implement a 'family presence' policy for infected patients in isolation that includes the option of physical visits and care within the isolation facility under some conditions. While such a 'physical family presence' (PFP) policy could increase infections during an outbreak and may raise moral dilemmas, we argue that it is ethically justified based on the least infringement principle and the need to minimize the harms and burdens of isolation as a restrictive measure. Categorical prohibition of PFP during the course of an outbreak or epidemic is likely to result in unnecessary harms to patients and families, and violate values such as the moral commitments of families to care for each other. Supporting the option of PFP under particular circumstances, on the other hand, will least infringe these moral considerations. An additional reason for a family presence policy is that it may facilitate voluntary cooperation with isolation and other restrictive measures. We provide an analysis of these considerations for supporting modes of family presence during an outbreak emergency, before defending the riskier option of PFP in the isolation facility from plausible objections and concerns.
    Matched MeSH terms: Morals
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