Learning professional ethics: student experiences in a health mentor program
Abstract
BACKGROUND: The use of patient centred approaches to healthcare education is evolving, yet the effectiveness of these approaches in relation to professional ethics education is not well understood. The aim of this study was to explore the experiences and learning of health profession students engaged in an ethics module as part of a Health Mentor Program at the University of Toronto. METHODS: Students were assigned to interprofessional groups representing seven professional programs and matched with a health mentor. The health mentors, individuals living with chronic health conditions, shared their experiences of the healthcare system through 90 minute semi-structured interviews with the students. Following the interviews, students completed self-reflective papers and engaged in facilitated asynchronous online discussions. Thematic analysis of reflections and discussions was used to uncover pertaining to student experiences and learning regarding professional ethics. RESULTS: Five major themes emerged from the data: (1) Patient autonomy and expertise in care; (2) ethical complexity and its inevitable reality in the clinical practice setting; (3) patient advocacy as an essential component of day-to-day practice; (4) qualities of remarkable clinicians that informed personal ideals for future practice; (5) patients' perspectives on clinician error and how they enabled suggestions for improving future practice. DISCUSSION: The findings of a study in one university context suggest that engagement with the health mentor narratives facilitated students' critical reflection related to their understanding of the principles of healthcare ethics.
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Group discussions can draw attention to situations where care and treatment have been experienced as unethical.
“Furthermore, such discussions can draw attention to situations where care and treatment have been experienced as unethical, such as when the patients’ concerns are not heard, or their needs are not met [61].”
From Ethics education to support ethical competence learning in healthcare: an integrative systematic review (2022) · cites this paper as [61]
Students were empowered to advocate for patients when they are in vulnerable situations.
“More specifically, students were empowered to advocate for patients when they are in vulnerable situations.”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [64]
Students reflected on the importance of patient advocacy in day-to-day practice in a study on experiences within an ethics and professionalism module with patient mentors.
“Students reflected on the importance of patient advocacy in day-to-day practice in a study on experiences within an ethics and professionalism module with patient mentors.64”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [64]
Reflecting on role models some authors referred to broadening understanding of the role of the healthcare provider, qualities of remarkable clinicians that inform personal ideals, creating a future professional model and professional identity.
“Reflecting on role models some authors referred to broadening understanding of the role of the healthcare provider,27 qualities of remarkable clinicians that inform personal ideals,64 creating a future professional model55 and professional identity.71”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [64]
Various qualitative studies suggested that patient involvement can attribute to dealing with ethical complexity in clinical practice and patients' perspectives on clinician error and developing reflective skills.
“Various qualitative studies suggested that patient involvement can attribute to dealing with ethical complexity in clinical practice and patients’ perspectives on clinician error64 and developing reflective skills.29 48 55”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [64]
Patient-centredness included the ability to see patient mentors as individuals, the importance of patient autonomy and expertise in care, adopting a non-patronising and non-judgemental attitude, recognising patients' needs and seeing the patient as a capable part of the team.
“Patient-centredness included the ability to see patient mentors as individuals,27 the importance of patient autonomy and expertise in care,64 adopting a non-patronising and non-judgemental attitude,55 recognising patients’ needs41 and seeing the patient as a capable part of the team.41”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [64]
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Reflection and reflective practice in health professions education: a systematic review
Mann, K., Gordon, J., & MacLeod, A. (2009) · Advances in Health Sciences Education · doi:10.1007/s10459-007-9090-2 · Cited by 2,175 · see citing works
Charon, R. (2006) · doi:10.1093/oso/9780195166750.001.0001 · Cited by 1,436 · see citing works
Mezirow, J. (2000) · Cited by 647 · see citing works
An appraisal of medical students’ reflection‐in‐learning
Sobral, D. T. (2000) · Medical Education · doi:10.1046/j.1365-2923.2000.00473.x · Cited by 169 · see citing works
How can we know that ethics education produces ethical doctors?
Campbell, A. V., Chin, J., & Voo, T. C. (2007) · Medical Teacher · doi:10.1080/01421590701504077 · Cited by 142 · see citing works
Why Our Ethics Curricula Don't Work
Bertolami, C. N. (2004) · Journal of Dental Education · doi:10.1002/j.0022-0337.2004.68.4.tb03758.x · Cited by 142 · see citing works
Narrative based medicine: Narrative in medical ethics
Jones, A. H. (1999) · BMJ · doi:10.1136/bmj.318.7178.253 · Cited by 140 · see citing works
Patients’ views of patient‐centred care: a phenomenological case study in one surgical unit
Marshall, A., Kitson, A. A., & Zeitz, K. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2012.05965.x · Cited by 85 · see citing works
Concept analysis: patient autonomy in a caring context
Lindberg, C., Fagerström, C., Sivberg, B. V., & Willman, A. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12412 · Cited by 66 · see citing works
Medical ethics on film: towards a reconstruction of the teaching of healthcare professionals
Volandes, A. E. (2007) · Journal of Medical Ethics · doi:10.1136/jme.2006.017665 · Cited by 49 · see citing works
Ethics education for health professionals: A values based approach
Godbold, R., & Lees, A. (2013) · Nurse Education in Practice · doi:10.1016/j.nepr.2013.02.012 · Cited by 45 · see citing works
The role of emotions in health professional ethics teaching
Gillam, L., Delany, C., Guillemin, M., & Warmington, S. (2014) · Journal of Medical Ethics · doi:10.1136/medethics-2012-101278 · Cited by 37 · see citing works
Emotions and Clinical Ethics Support. A Moral Inquiry into Emotions in Moral Case Deliberation
Molewijk, B. C., Kleinlugtenbelt, D., Pugh, S. M., & Widdershoven, G. A. M. (2011) · HEC Forum · doi:10.1007/s10730-011-9162-9 · Cited by 36 · see citing works
CURRENT TRENDS IN TEACHING ETHICS OF HEALTHCARE PRACTICES
Hattab, A. S. (2004) · Developing World Bioethics · doi:10.1111/j.1471-8731.2004.00091.x · Cited by 30 · see citing works
What Health Science Students Learn from Playing a Standardized Patient in an Ethics Course
Haddad, A. M. (2010) · Cambridge Quarterly of Healthcare Ethics · doi:10.1017/s096318011000037x · Cited by 26 · see citing works
Evaluation of moral competency using standardized patient: presenting an experience.
Asghari, F., & Larijani, B. A. (2010) · PubMed · Cited by 4 · see citing works
Jefferson InterProfessional Education Center, Thomas Jefferson University.
Arenson, C. A., Rose, M. A., & Lyons, K. J. (2010) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 19 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Andersson, H., Svensson, A., Frank, C., Rantala, A., Holmberg, M., & Bremer, A. (2022) · BMC Medical Ethics · doi:10.1186/s12910-022-00766-z · Cited by 252 · see citing works
“Furthermore, such discussions can draw attention to situations where care and treatment have been experienced as unethical, such as when the patients’ concerns are not heard, or their needs are not met [61].”
BackgroundRole of active patient involvement in undergraduate medical education: a systematic review
Dijk, S. W., Duijzer, E. J., & Wienold, M. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037217 · Cited by 208 · see citing works
Evans, S. M., Knight, T., Walker, A., & Sutherland‐Smith, W. (2019) · Journal of Interprofessional Care · doi:10.1080/13561820.2019.1622517 · Cited by 34 · see citing works
The patient involvement in nursing education: A mixed-methods systematic review
Alberti, S., Ferri, P., Ghirotto, L., Bonetti, L., Rovesti, S., Vannini, V., Jackson, M., Rossi, F., & Caleffi, D. (2023) · Nurse Education Today · doi:10.1016/j.nedt.2023.105875 · Cited by 28 · see citing works
Examining the perceived impact of an ethics workshop on interprofessional values and teamwork
Manspeaker, S. A., Brown, E. V. D., Wallace, S. E., DiBartola, L. M., & Morgan, A. A. (2017) · Journal of Interprofessional Care · doi:10.1080/13561820.2017.1336992 · Cited by 26 · see citing works
Ethics in Professional Practice: An Education Resource for Health Science Students
Kenny, B., Thomson, K. E., Semaan, A., Michele, L. D., Pollard, N., Nicole, M., Jimenez, Y. A., & McAllister, L. (2019) · International Journal of Practice-based Learning in Health and Social Care · doi:10.18552/ijpblhsc.v7i1.552 · Cited by 14 · see citing works
Teaching About Partnerships Between Patients and the Team: Exploring Student Perceptions
Langlois, S., & Mehra, K. (2020) · Journal of Patient Experience · doi:10.1177/2374373520933130 · Cited by 12 · see citing works
Self-citationHosseinpour, A., Keshmiri, F., Jambarsang, S., Jabinian, F., & Shiryazdi, S. M. (2022) · BMC Nursing · doi:10.1186/s12912-022-01015-9 · Cited by 11 · see citing works
Leadership in Ethical Practice: Students Learning Outcomes
Blaich, C. F., Kenny, B., & Jimenez, Y. A. (2023) · Journal of Academic Ethics · doi:10.1007/s10805-023-09479-3 · Cited by 10 · see citing works
Ethics Education Learning Outcomes for Health Professions Students
Kenny, B., Jimenez, Y. A., Pollard, N., Thomson, K. E., Semaan, A., & McAllister, L. (2021) · Journal of Academic Ethics · doi:10.1007/s10805-021-09433-1 · Cited by 9 · see citing works
Sundqvist, A., Anderzén‐Carlsson, A., Nilsson, U. G., & Holmefur, M. (2017) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2016.10.002 · Cited by 8 · see citing works
Les enjeux éthiques en réadaptation. Un état des lieux de la conceptualisation de notions éthiques
Goulet, M., & Drolet, M.-J. (2019) · Canadian Journal of Bioethics · doi:10.7202/1058248ar · Cited by 5 · see citing works
Palmaria, C., Bolderston, A., & Fawcett, S. (2024) · Journal of medical imaging and radiation sciences · doi:10.1016/j.jmir.2024.101724 · Cited by 4 · see citing works
Teaching Forensic Social Work: Innovative Education through Service-Learning
Eaton-Stull, Y. M., Potts, N., Pridgen, S., & Farren, D. (2023) · Journal of Forensic Social Work · doi:10.15763/issn.1936-9298.2023.7.1.62-71 · Cited by 3 · see citing works
Hache, C., Luc, M.-A., & Hache, G. (2024) · Phronesis · doi:10.7202/1115047ar · Cited by 1 · see citing works
Lees, J., Halliwell, F., Russell, M. A., Ng, L., Lysk, J., & Dobson, F. (2026) · Advances in Health Sciences Education · doi:10.1007/s10459-026-10502-6 · Cited by 2 · see citing works
Keshmiri, F., & Hoseinpour, A. (2021) · Research Square · doi:10.21203/rs.3.rs-842059/v1
Langlois, S., Metersky, K., & Mohler, E. (2025) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-65420-0_47-1
Self-citationLanglois, S., Metersky, K., & Mohler, E. (2025) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-65435-4_47
Self-citationHosseinpour, A., Keshmiri, F., Jambarsang, S., Jabinian, F., & Shiryazdi, S. M. (2022) · Figshare · doi:10.6084/m9.figshare.20652149
- Authors
- Langlois, S., & Lymer, E.
- Affiliations
- University of Toronto (CA)
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Langlois, Sylvia
- Venue
- Education for Health
- Published
- 2016
- Volume
- 29
- Issue
- 1
- Pages
- 10
- ISSN
- 1357-6283 (ISSN-L)
- OpenAlex
- W2298181006
- Cited by
- 20
- References
- 19
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2017: 2
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Education for Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- professional ethics education, patient-centered care, interprofessional education, patient autonomy, patient advocacy, critical reflection, health professions students, patient perspectives
- MeSH terms
- Ethics, Professional, Female, Health Occupations, Humans, Male, Mentors, Ontario, Patient Participation, Professional-Patient Relations, Self-Assessment, Students, Health Occupations, Program Evaluation, Patient-Centered Care, Qualitative Research, Patient Preference, Interdisciplinary Studies
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