Development and Psychometric Analysis of the Measure of Perceived Adherence to the Principles of Medical Ethics in Clinical Educational Settings: Trainee Version (PAMETHIC-CLIN-T)

Figures & data

Table 1 List of Items in the Measure of Adherence to the Principles of Medical Ethics in Clinical Educational Settings: Trainee Version (PAMETHIC-CLIN-T)

No	In the Educational Ward Where I Am Working:	Most Times	Some Times	Rarely	Never	I Do Not Know
1	HCPs are undertaking their duties regardless of patients SES status.
2	Informed consent is obtained from patients prior to healthcare delivery.
3	All information about patients’ health status is kept confidential.
4	Codes of professional practice and honesty are followed by HCPs.
5	Close coordination exists among HCPs.
6	HCPs are committed to fulfill their responsibilities.
7	The relevant codes of ethics are followed when dealing with immedicable patients.
8	Patients/their relatives’ dignity are maintained regardless of their gender, ethnicity, and socio-cultural characteristics.
9	Professional responsibilities are carried out at the right time and completely.
10	Respectful relationships exist among all HCPs, regardless of their roles and responsibilities.
11	Patients’ interests have higher priority and preferred over corporate and business considerations.
12	Equal care provision to patients is in practice regardless of recommendations, familial/other relationships, or other consideration.
13	Patients’ health is a high priority compared to economic interests of HCPs.
14	Healthcare provision is carried out according to the agreed principles of medical ethics.
15	The relevant codes of ethics are observed in dealing with end-stage patients.
16	Professional ethics standards are followed when interacting with aggressive patients.

Abbreviation: HCPs, Health Care Providers.

Table 2 Factor Loading for the Identified Four Factors in the Psychometric Appraisal of the Measure of Adherence to the Principles of Medical Ethics in Clinical Educational Settings: Trainee Version (PAMETHIC-CLIN-T)

The Extracted Factors	Items	Loadings	Cumulative Variance Explained	Cronbach’s Alpha	Inter-Item Correlation	Spearman–Brown Coefficient
1. Following of the anti-patronage rules and higher priority of patients’ health	11	0.744	40.98	0.84	0.46	0.81
	13	0.741
	12	0.713
	10	0.603
	14	0.451
	9	0.443
2. Confidentiality and patients’ informed consent	1	0.643	47.92	0.63	0.37	0.64
	3	0.621
	2	0.565
3. Ethically incongruous healthcare provision for immedicable and end-stage patients	15	−0.879	54.28	0.64	0.45	0.63
	7	−0.765
4. Discrimination in healthcare provision and disregarding the professional code of conducts	6	−0.757	60.57	0.79	0.43	0.74
	5	−0.751
	4	−0.614
	16	−0.488
	8	−0.380

Table 3 Scores of Reported Perceived Adherence to the Principles of Medical Ethics in the Clinical Educational Settings (PAMETHIC-CLIN-T) of the TBZUMS by the Respondents’ Study Field

Variables	N	Mean	SD	95% CI (Mean)		Minimum	Maximum
				Lower Bound	Upper Bound
Medicine	80	49.01	8.57	47.11	50.92	32.96	70.08
Dentistry	45	61.22	11.90	57.65	64.77	32.00	79.04
Midwifery	14	58.71	10.21	52.82	64.61	42.08	70.08
Nursing	37	53.97	8.51	51.13	56.81	32.96	68.96
Operating Room Nursing	13	55.54	11.30	48.71	62.36	40.00	75.04
Anesthesiology	16	45.31	8.87	40.58	50.04	20.96	55.04
Radiology	18	51.72	9.39	47.05	56.39	34.08	64.96
Physiotherapy	14	59.71	11.61	53.01	66.41	40.00	76.96
Occupational Therapy	13	61.62	10. 73	55.13	68.09	36.96	75.04
Speech Therapy	13	58.08	8.36	53.02	63.13	48.00	72.00
Total	263	54.24	10.98	52.91	55.57	20.96	79.04

Abbreviation: TBZUMS, Tabriz University of Medical Sciences.