ABSTRACT
Background: It seems we are now experiencing [responsibility problems] among medical trainees [MTs] and some of those recently graduated from medical schools in Iran. Training responsible professionals have always been one of the main concerns of medical educators. Nevertheless, there is a dearth of research in the literature on [responsibility] especially from the medical education point of view. Therefore, the present study was carried out with the aim of presenting a theoretical based framework for understanding how MTs approach their responsibilities in educational settings
Method: This qualitative study was conducted at Shiraz University of Medical Sciences [SUMS] using the grounded theory methodology. 15 MTs and 10 clinical experts and professional nurses were purposefully chosen as participants. Data was analyzed using the methodology suggested by Corbin and Strauss, 1998
Results: [Try to find acceptance toward expectations], [try to be committed to meet the expectations] and [try to cope with unacceptable expectations] were three main categories extracted based on the research data. Abstractly, the main objective for using these processes was [to preserve the integrity of student identity] which was the core category of this research too. Moreover, it was also found that practically, [responsibility] is considerably influenced by lots of positive and negative contextual and intervening conditions
Conclusion: [Acceptance] was the most decisive variable highly effective in MTs' responsibility. Therefore, investigating the [process of acceptance] regarding the involved contextual and intervening conditions might help medical educators correctly identify and effectively control negative factors and reinforce the constructive ones that affect the concept of responsibility in MTs
ABSTRACT
Induced abortion is not only a serious threat for women's health, but also a controversial topic for its ethical and moral problems. We aimed to evaluate the relationship between neutralization techniques and attempting to commit abortion in married women with unintended pregnancy. After in-depth interviews with some women who had attempted abortion, neutralization themes were gathered. Next, to analyze the data quantitatively, a questionnaire was created including demographic and psychosocial variables specifically related to neutralization. The participants were divided into two groups [abortion and control] of unintended pregnancy and were then compared. Analysis of psychosocial variables revealed a significant difference in the two groups at neutralization, showing that neutralization in the control group [56.97 +/- 10.24] was higher than that in the abortion group [44.19 +/- 12.44]. To evaluate the findings more accurately, we examined the causal factors behind the behaviors of the abortion group. Binary logistic regression showed that among psychosocial factors, neutralization significantly affected abortion [95% CI=1.07-1.35]. Despite the network of many factors affecting induced abortion, neutralization plays an important role in reinforcing the tendency to attempt abortion. Furthermore, the decline of religious beliefs, as a result of the secular context of the modern world, seems to have an important role in neutralizing induced abortion