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[Recommendations for ethical decision making regarding hospital visitation during the COVID-19 pandemic]
Annette Rogge1, Michaela Naeve-Nydahl2, Peter Nydahl3
1Institut für experimentelle Medizin, Abteilung Medizinethik, CAU Kiel, Klinisches Ethikkomitee, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland. annette.rogge@uksh.de.
Insights
Hospital visitation restrictions during the COVID-19 pandemic caused significant psychological distress for patients, families, and staff. These guidelines aim to aid ethical decision-making in healthcare settings.
Area of Science:
- Healthcare Management
- Medical Ethics
- Public Health Policy
Background:
- The COVID-19 pandemic necessitated stringent hospital visitation restrictions.
- These restrictions imposed substantial psychological burdens on patients, relatives, and healthcare employees.
- Hospitals faced complex ethical and organizational challenges in implementing these policies.
Purpose of the Study:
- To provide recommendations for decision-making regarding hospital visitation policies.
- To address the ethical considerations arising from visitation restrictions.
- To support healthcare institutions at both organizational (meso) and unit (micro) levels.
Main Methods:
- The study outlines recommendations based on ethical principles and organizational challenges.
- It synthesizes existing knowledge on the impact of visitation restrictions.
- The approach focuses on practical guidance for hospital administrators and staff.
Main Results:
- Visitation restrictions significantly impact the psychological well-being of all involved parties.
- Ethical decision-making frameworks are crucial for navigating these complex situations.
- The recommendations offer a structured approach to managing visitation policies.
Conclusions:
- Hospital visitation policies during pandemics require careful ethical consideration.
- Addressing the psychological impact on patients, families, and staff is paramount.
- Implementing clear guidelines supports better decision-making and mitigates negative consequences.
Abstract:
Visitation restrictions in hospitals during the COVID-19 (coronavirus disease 2019) pandemic led to great psychological burden for patients, their relatives and employees. For hospitals, they represent a complex organizational challenge with respect to ethics. The present recommendations are intended to support decision-making at the meso- and microlevels.
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