Design and Development of Dentistry Ethical Codes: Proposed for National Implementation in Iran
Abstract
Objectives: The dental profession has a special place of trust in the society, and dental clinicians must adhere to ethical standards in all dental procedures. Ethical conduct is one of the main expectations of individuals from this profession. The aim of this study was to design and develop dental ethical codes for national implementation in Iran.
Materials and Methods: This qualitative study was performed using directed content analysis method and purposive sampling. Data were collected until saturation through 15 semi-structured face-to-face individual interviews and two expert panels with academic staffs from dental faculties in Tehran, Iran.
Results: Data were classified into five principles and 90 codes. The principles included consideration of patients’ interest as a priority, respect for human dignity and patient autonomy, confidentiality of patient information, the excellence of knowledge and skills, and building trust.
Conclusion: The ethical codes for Iranian dentists were drafted considering Islamic teachings and the prevailing culture. Some codes were exclusively developed for the cultural atmosphere of Iran especially on topics such as interaction with patients previously treated by other dentists. Some codes addressed the principles of consultation and continuing the therapeutic communication with such patients. Some items have not been considered in codes released by other associations, such as religious considerations in Islamic cover and alcohol consumption that were taken into consideration in this draft. These codes can serve as a guide for professional practice of dentists. It seems that these sets can help us reach the standardized code.
2. Newsome PR, Langley PP. Professionalism, then and now. Br Dent J. 2014 May;216(9):497-502.
3. Jones AR, Siegler M, Winslade WJ. Clinical ethics. A practical approach to ethical decision in clinical medicine. 8th ed., McGraw-Hill Education, New York, 2015:1-2.
4. Edwards AA. An important change to the American Dental Association Principles of Ethics and Code of Professional Conduct: The evolution of Section 5.H, and a new perspective on the announcement of specialties. J Am Dent Assoc. 2017 Feb;148(2):125-7.
5. United Nations. Universal Declaration of Human Rights. 1948; Available at: https://www.un.org/en/universal-declaration-human-rights/
6. American Dental Association. The ADA Principles of Ethics and Code of Conduct. 2018; Available at: https://www.ada.org/en/about-the-ada/principles-of-ethics-code-of-professional-conduct
7. The American Association of Dental Consultants. Code of Ethics. 2018; Available at: https://www.aadc.org/site_page.cfm?pk_association_webpage_menu=4398&pk_association_webpage=9748
8. Texas Dental Association. TDA Principles of Ethics and Code of Professional Conduct 2015; Available at: https://www.tda.org/Portals/0/manuals/TDA%20Revised%20CODE%20of%20Ethics%205-14-14.pdf
9. California Dental Association. Code of Ethics. 2017; Available at: https://www.cda.org/Portals/0/pdfs/code_of_ethics/code_of_ethics.pdf
10. American College of Dentists. Ethics Handbook for Dentists. Gaithersburg, Maryland, 2016:1-23.
11. College of Dental Surgeons of British Columbia. Code of ethics 2015; Available at: https://www.cdsbc.org/CDSBCPublicLibrary/Code-of-Ethics.pdf
12. Newfoundland & Labrador Dental Board. Code of ethics. 2008; Available at: http://nldb.ca/downloads/Code-of-Ethics.pdf.
13. Manitoba Dntal Association. Code of ethics 2002; Available at: https://www.manitobadentist.ca/professional-legislation-ethics.cfm.
14. General Dental Council. Standards for the Dental Team. 2013; Available at: https://standards.gdc-uk.org
15. Australian Dental Association. Code of Ethics and Disciplinary Procedures. 2012; Available at: https://www.adansw.com.au/getattachment/About/Public-Constitution,-Policies-and-By-Laws/Code-of-Ethics-and-Disciplinary-ProceduresAug2012.pdf.aspx
16. World Dental Federation. Dental Ethics Manual 2. 2018; Available at: https://www.fdiworlddental.org/sites/default/files/media/resources/fdi-dental_ethics_manual_2.pdf
17. Dental Council of India. Code of Dental Ethics. 2014; Available at: http://www.wbja.nic.in/wbja_adm/files/The%20Revised%20Dentist%20(Code%20od%20Ethics)%20Regulations,%202014.pdf
18. Ammari M, Ghoddousi A. Codification of the psychiatric patients rights charter in Iran. J Fundam Mental Health 2018 Nov-Dec;20(6):382-94.
19. Sanjari M, Zahedi F, Aalaa M, Peimani M, Parsapoor A, Cheraghi MA, et al. Code of ethics for Iranian nurses. J Med Ethics Hist Med. 2011 Dec;5(1):17-28.
20. Medical Ethics and History of Medicine. Code of ethics for the national pharmaceutical system. Available at: https://pec.kums.ac.ir/kums_content/media/image/2016/07/85246_orig.pdf
21. Islamic Repiblic of Iran Medical Council. Professional Ethics Guide for Medical Professionals. 2018; Available at: https://centlab.tbzmed.ac.ir/Uploads/User/5460/files/%D8%A7%D8%AE%D9%84%D8%A7%D9%82_%D9%BE%D8%B2%D8%B4%DA%A9%DB%8C1_83170.pdf
22. Schulein TM. A chronology of dental education in the United States. J Hist Dent. 2004 Nov;52(3):97-108.
23. Qualitative analysis of content by Zhang Y, Wildemuth BM. Available at: https://pdfs.semanticscholar.org/b269/343ab82ba8b7a343b893815a0bae6472fcca.pdf.
24. Lincoln YS, Guba EG. Criteria for Assessing Naturalistic Inquiries as Reports.1988 Available at: https://eric.ed.gov/?id=ED297007
25. Lovino R. Revising the American Dental Association Principles of Ethics and Code of Professional Conduct: Adding "Respect for Human Dignity" as the sixth principle of dental ethics to accommodate advances in genetic science. J Am Dent Assoc. 2016 Dec;147(12):918-22.
26. Rahimi SA, Alizadeh M, Légaré F. Shared decision making in Iran: Current and future trends. Z Evid Fortbild Qual Gesundhwes. 2017 Jun;123:52-5.
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Issue | Vol 16, No 4 (2019) | |
Section | Original Article | |
DOI | https://doi.org/10.18502/fid.v16i4.2090 | |
Keywords | ||
Codes of Ethics Dentistry Health Services Administration Patient Rights |
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