Ethical conflicts experienced by physicians in community-based practice

Moore, Susan S. (2017) Ethical conflicts experienced by physicians in community-based practice. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: The ability to understand, examine, and make decisions related to morally difficult situations differs from one medical specialist to another depending on the clinical situation and circumstance. With a further understanding of the ethical conflicts experienced by physicians in community-based practice comes the ability to better support physicians and ethics committees in the future. Purpose: The purpose for this research practicum was to conduct a qualitative research study to gain confidence as a qualitative researcher through the process of applying knowledge, principles, and skills of qualitative inquiry and qualitative data analysis. Methods: To meet the objectives: 1) literature was reviewed related to ethical conflicts, a qualitative, exploratory design, and discussion related to issues qualitative recruitment were identified and, 2) one physician was recruited to interview utilizing an inductive approach to data analysis. Results: Preliminary findings is that primary care physicians do experience ethical conflicts within their daily community-based practice. The categories identified by the interviewed physician were: (1) ethical conflicts from the type of care provided to patient/family, and (2) ethical conflicts from the role of living and working in a rural community. Conclusions: The research presented contributes to a larger study and the understanding of the experience of ethical conflict and supports needed. Describing successes and challenges of recruitment strategies may contribute to a dialogue about best practice for qualitative recruitment.

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