Evidence map›Paper›PMID 35305638›Full record

ArticleBMC medical ethics2022

The effect of deliberative process on the self-sacrificial decisions of utilitarian healthcare students.

Yongmin Shin, Seungmin Kim, Do-Hwan Kim, Seunghee Lee, Minhae Cho, Jungjoon Ihm

Abstract read
In one paragraph

Article in BMC medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yongmin ShinDental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.ORCID 0000-0002-9917-2632
Seungmin KimDental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.ORCID 0000-0001-9153-6414
Do-Hwan KimDepartment of Medical Education, College of Medicine, Hanyang University, Seoul, Korea.ORCID 0000-0003-4137-7130
Seunghee LeeDepartment of Medical Education, College of Medicine, Seoul National University, Seoul, Korea.ORCID 0000-0001-8672-5253
Minhae ChoSchool of Social Work, University of Memphis, Memphis, USA.ORCID 0000-0002-7448-7785
Jungjoon IhmDental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea. ijj127@snu.ac.kr.ORCID 0000-0002-3136-5956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has highlighted prosocial behavior as a professional healthcare core competency. Although medical students are expected to work in the best interests of their patients, in the pandemic context, there is a greater need for ethical attention to be paid to the way medical students deal with moral dilemmas that may conflict with their obligations.

methodsThis study was conducted in the spring semester of 2019 on 271 students majoring in health professions: medicine, dentistry, and veterinary medicine. All participants provided informed consent and completed measures that assessed utilitarian moral views, cognitive reflections, cognitive reappraisal, and moral judgment.

resultsThe healthcare-affiliated students who scored higher on the instrumental harm subscale in the measurement of utilitarian moral views were more likely to endorse not only other-sacrificial actions but also self-sacrificial ones for the greater good in moral dilemma scenarios. In particular, those engaged in deliberative processes tended to make more self-sacrificial judgments. The mediation analysis also revealed that the effect of deliberative processes on self-sacrificial judgments was mediated by cognitive reappraisal.

conclusionsThese findings suggested that cognitive reappraisal through deliberative processes is involved when the students with utilitarian inclination make prosocial decisions, that it is necessary to consider both moral views and emotional regulation when admitting candidates, and that moral education programs are needed in the healthcare field.

Indexed as

COVID-19PandemicsDelivery of Health CareHumansMoralsStudentsCognitive reappraisalDeliberative processDual process modelMedical ethicsUtilitarian judgments

Identifiers

PMID35305638
PMCPMC8933755

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.