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Implementation of clinical ethics in Anesthesiology services to improve the quality of patient care

Universitas Syiah Kuala, Indonesia

Received: 17 Mar 2025; Revised: 24 Nov 2025; Accepted: 11 Dec 2025; Available online: 12 Dec 2025.
Open Access Copyright 2021 JAI (Jurnal Anestesiologi Indonesia)
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

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Abstract

Background: Clinical ethics is currently widely discussed in anesthesiology practice in hospitals. The implementation of clinical ethics is very important to be applied in providing patients care. Anesthesiology services are a type of medical services that are full of ethical dimensions because each procedure from pre-operative, during-operative and post-operative is directly correlated with the four quadrants of clinical ethics. There has not been much study conducted regarding the implementation of clinical ethics and describing the quality of patient satisfaction.

Objective: The purpose of this study was to describe the implementation of clinical ethics in anaesthesiology and the quality of patient satisfaction.

Method: An observational study using cross sectional design was conducted at Zainoel Abidin Hospital Banda Aceh, Indonesia in October-December 2023 on 111 patients receiving anaesthesiology services, male and female, aged 2-65 years, patients who will undergo elective surgery.

Results: The present study found that the implementation of clinical ethics in anesthesiology services was 62,45% with each category being medical indications (72,26%), patient preferences (66,21%), quality of life (60,21%) and contextual features (51,12%). Meanwhile, the level of quality of patient satisfaction in anesthesiology services was strongly satisfied (69,37%), satisfied (18,02%), neutral (8,10%), not satisfied (2,71%) and strongly not satisfied (1,80%).

Conclusion: The implementation of good clinical ethics certainly helps to improve the quality of patient satisfaction in anesthesiology services.

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Keywords: anesthesiology services; clinical ethics; patient satisfaction

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