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Predictors of medical students' ethical decision-making: A pilot study using the Theory of Interpersonal Behavior
Journal article   Peer reviewed

Predictors of medical students' ethical decision-making: A pilot study using the Theory of Interpersonal Behavior

Honghe Li, Dennis H. Novack, Pamela Duke, Edward Gracely, Christina Cestone and Tiffany Davis
Patient education and counseling, v 103(12), pp 2508-2514
01 Dec 2020
DOI: https://doi.org/10.1016/j.pec.2020.05.026
PMID: 32540095
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Social Sciences Social Sciences - Other Topics Social Sciences, Interdisciplinary
Objective: To understand medical students' (MS) ethical decision-making using the Theory of Interpersonal Behavior (TIB). Methods: We conducted two rounds of focus groups to develop a TIB-based questionnaire by eliciting students' perspectives on an ethical dilemma they will encounter in a standardized patient (SP) station, in which an SP "surgeon" asked them to intubate a sedated patient whom the student knew had requested no student involvement. We administrated questionnaires to 241 third-year MS following this SP station, asking for their decisions in the SP station and if a surgeon made the same request in their clerkship. Confirmatory factor analysis (CFA) was used to test whether observed data fit the proposed TIB-based model. Results: The CFA provided an acceptable fit to the a priori proposed model. Fifty-five percent of students indicated they would intubate in an actual situation versus 18% in the SP station (p < 0.05). Using logistic regression, TIB domains affect and facilitating factors reported significant association with students' decisions in both the SP and hypothesized actual situations. Conclusions: The TIB appears to be an effective theoretical framework for explaining students' ethical decision-making. Practice implications: The TIB may guide design and assessment of educational programs for professional formation. (C) 2020 Elsevier B.V. All rights reserved.

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6 citations in Web of Science
10 citations in Scopus

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Public, Environmental & Occupational Health
Social Sciences, Interdisciplinary
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