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Multidisciplinary support for ethics deliberations during the first COVID wave.

Bénédicte Lombart1, Laura Moïsi1, Valérie Bellamy1

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Nursing Ethics
|March 4, 2022
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Summary
This summary is machine-generated.

During the COVID-19 pandemic, an Ethics-Support Cell (EST) addressed dilemmas concerning resource allocation and treatment intensity. The EST facilitated clear, transparent decisions for patient care amidst ethical challenges.

Keywords:
COVIDclinical ethicsempirical approachesethics and leadership/managementethics of care/care ethicsmoral distressorganisational ethicstheory/philosophical perspectivestopic areas

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Area of Science:

  • Medical Ethics
  • Public Health Crises
  • Healthcare Management

Background:

  • The first COVID-19 wave in France (February 2020) caused concern over healthcare system saturation.
  • A multidisciplinary Ethics-Support Cell (EST) was established to aid medical teams in navigating ethical dilemmas.

Purpose of the Study:

  • To prospectively gather data on EST assistance requests during the initial COVID-19 wave.
  • To document the functions and operational scope of the EST during this period.

Main Methods:

  • An observational, real-time study of consultation requests for ethical dilemmas.
  • A standardized data collection grid was used by the EST to ensure consistent information gathering.
  • Interventions were limited to clinicians within the university hospital.

Main Results:

  • 33 requests were analyzed, with a mean patient age of 80.8 years; most had COVID-19 and comorbidities.
  • Requests primarily concerned Intensive Care Unit (ICU) admission and therapeutic proportionality.
  • Dilemmas arose from limited resources and treatment intensity considerations.

Conclusions:

  • Ethical dilemmas persisted despite established decision-making protocols during the COVID-19 crisis.
  • EST interventions focused on patient-centered treatment, feasibility, and dignified care.
  • The study underscores the value of ethical support and transparent decision-making in public health emergencies.