Effect of medical students' values on their clinical decision-making.

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dc.contributor.author Moyo, Mpatisi en
dc.contributor.author Shulruf, Boaz en
dc.contributor.author Weller, Jennifer en
dc.contributor.author Goodyear-Smith, Felicity en
dc.date.accessioned 2019-05-27T03:02:58Z en
dc.date.issued 2019-04 en
dc.identifier.citation Journal of Primary Health Care 11(1):64-74 Apr 2019 en
dc.identifier.issn 1172-6164 en
dc.identifier.uri http://hdl.handle.net/2292/46569 en
dc.description.abstract INTRODUCTION Personal and professional values of health-care practitioners influence their clinical decisions. AIM To investigate how medical students' values influence their clinical decisions. METHODS Values of 117 medical students were measured using an instrument we developed, the Healthcare Practitioner Values Scale. Factors that students consider in clinical decision-making were identified in four clinical scenarios using qualitative coding. Differences in values between students who considered given factors in decision-making and students who did not consider the same factors were analysed. Random effects models were used to investigate which differences were explained by variation in the clinical scenarios and factors considered in decision-making. RESULTS Six factors that students consider in clinical decision-making were identified and grouped into three categories: patient-centred (patient perspective, family and social circumstances); clinical (patient safety, symptoms and treatment efficacy); and situational factors (health-care practitioner self-awareness and service cost). Students who prioritised spirituality placed more emphasis on patient-centred factors, and less emphasis on clinical factors in different scenarios; students who prioritised critical thinking placed less emphasis on patient-centred factors; and students who prioritised capability, professionalism and safety values placed more emphasis on situational factors. Total proportion of variance in value differences explained by factors and clinical scenarios was 25.2% for spirituality and 56.2% for critical thinking. DISCUSSION Students who prioritise different values consider different factors in their clinical decisions. Spirituality and critical thinking values are more likely to influence students' decision-making approaches than other values. Improving students' awareness of how their own values influence their decisions can help them improve their clinical decision-making. en
dc.format.medium Print en
dc.language eng en
dc.relation.ispartofseries Journal of primary health care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://www.publish.csiro.au/hc/forauthors/openaccess en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title Effect of medical students' values on their clinical decision-making. en
dc.type Journal Article en
dc.identifier.doi 10.1071/hc18055 en
pubs.issue 1 en
pubs.begin-page 64 en
pubs.volume 11 en
dc.rights.holder Copyright: The authors en
pubs.end-page 74 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Journal Article en
pubs.elements-id 763976 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id School of Medicine en
pubs.org-id Cent Medical & Hlth Sci Educat en
dc.identifier.eissn 1172-6156 en
pubs.record-created-at-source-date 2019-05-02 en
pubs.dimensions-id 31039991 en

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