International Journal on Science and Technology

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Ethical Awareness and Clinical Practice in Assisted Reproductive Technology: A Multidisciplinary Perspective from a Tertiary Hospital in Saudi Arabia

Author(s) Maha A. AlGhuraibi, Majidah A. Aleisawi, Mona Z. Alanazy, Rawan A. Alqahtani, Sarah T. Alanazi, Budur A. Almuqaybil, Norah A. Alghazi, Youssef M. Almodhaibri, Sharog khaziem Alenezi
Country Saudi Arabia
Abstract Background:
Assisted reproductive technologies (ART), including in vitro fertilization (IVF), raise complex ethical questions about informed consent, embryo handling, confidentiality and patients’ rights. These issues involve not only IVF physicians and nurses but also supporting professions such as laboratory, radiology, dental and echocardiography staff. However, multidisciplinary ethical awareness in IVF services in Saudi Arabia is not well described.
Objective:
To assess knowledge, awareness, attitudes and self-reported ethical practice related to IVF among multidisciplinary healthcare workers in a Saudi tertiary hospital.
Methods:
A cross-sectional survey was conducted in the IVF department and related services (laboratory, radiology, echocardiography, dental and nursing) of a tertiary hospital in Saudi Arabia from January to June 2024. All eligible staff with at least six months of experience were invited. A structured, self-administered questionnaire measured sociodemographic and professional characteristics, knowledge of ethical principles in IVF (score 0–25), awareness of patient rights and institutional policies, attitudes towards ethical issues, and self-reported ethical practice. Descriptive statistics, one-way ANOVA and multivariable logistic regression were used to analyse factors associated with high ethical awareness (upper tertile of combined knowledge and awareness scores).
Results:
Of 200 eligible staff, 152 completed the survey (response rate 76%). Participants were mainly nurses (35.5%) and IVF physicians/embryologists (19.7%), with a mean age of 34.7 years and mean clinical experience of 8.9 years. The mean knowledge score was 17.3 (SD 3.4), and the mean awareness score was 13.6 (SD 3.1). IVF physicians/embryologists and nurses had significantly higher knowledge and awareness scores than support professions (p < 0.01). Overall, 53.3% of participants were classified as having high ethical awareness. In multivariable analysis, previous ethics training (adjusted OR 2.47, 95% CI 1.29–4.71), ≥10 years of clinical experience (OR 2.05, 95% CI 1.02–4.11) and working in IVF/nursing roles (OR 1.94, 95% CI 1.01–3.72) were independently associated with high awareness.
Conclusion:
Ethical awareness related to IVF in this Saudi tertiary hospital was generally good, especially among IVF and nursing staff, but important gaps were identified among support professions and in some aspects of everyday practice. Targeted, multidisciplinary ethics and patient-rights training, supported by institutional policies and systems that promote privacy, informed consent and ethics consultation, may help strengthen ethical and patient-centred care in ART services.
Field Medical / Pharmacy
Published In Volume 15, Issue 3, July-September 2024
Published On 2024-08-10
DOI https://doi.org/10.5281/zenodo.17897032
Short DOI https://doi.org/hbfbj9
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