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The Moral, Ethical, Personal, and Professional Challenges Faced by Physicians during the COVID-19 Pandemic
Krzysztof Goniewicz1, Mariusz Goniewicz2, Anna Włoszczak-Szubzda3
1Department of Security, Polish Air Force University, 08-521 Dęblin, Poland.
Insights
Physicians face moral dilemmas during pandemics, balancing patient care with personal safety. While willing to make sacrifices, many are unprepared for high personal risks, impacting their willingness to work extra hours.
Area of Science:
- Medical Ethics
- Public Health
- Sociology of Medicine
Background:
- The COVID-19 pandemic highlighted ethical challenges for physicians, particularly concerning their professional duties amidst personal risk.
- Discussions on healthcare workers' moral attitudes during crises necessitate defining the scope and limits of physicians' pandemic-related responsibilities.
Purpose of the Study:
- To ethically assess and define the boundaries and scope of physicians' duties during a pandemic.
- To investigate physicians' willingness to undertake specific professional actions under pandemic conditions.
Main Methods:
- A questionnaire-based study was conducted in Lublin, Poland, from May to June 2020.
- Data was collected from 549 physicians across various medical centers.
- The study assessed four key areas: emergency standby, unpaid overtime, health risk tolerance, and inter-departmental transfer readiness.
Main Results:
- Most physicians expressed willingness for personal sacrifice in professional duties.
- However, a significant portion were unprepared for the high level of personal health risk associated with pandemic work.
- Excessive workload and personal risk negatively impacted willingness for unpaid overtime.
Conclusions:
- Physicians' duty to care is conditional on self-protection; it should not lead to intimidation or depersonalization.
- Respecting the rights and interests of all parties, including healthcare providers, is crucial during pandemics.
- Pandemic preparedness strategies must address physician well-being and risk mitigation to ensure sustained workforce engagement.
Abstract:
The COVID-19 pandemic, apart from the main problems concerning the health and life of patients, sparked a discussion about physicians' moral and social professional attitudes. During a pandemic, physicians have the same ethical, moral, and medical responsibilities, however, the situation is different since they are self-exposed to a danger, which may influence their willingness to work. The problem of the professional moral attitudes of health care workers, recurring in ethical discussions, prompts us to define the limits of the duties of physicians in the event of a pandemic, hence this research aimed to assess these duties from an ethical perspective and to define their boundaries and scope. The study was conducted in May and June 2020 in the city of Lublin, covering all medical centers, and the questionnaire was completed by 549 physicians. The research was conducted in four areas: emergency standby in the event of a disaster, even if it is not requested; willingness to work overtime in the event of a disaster, even without payment; willingness to take health risks by caring for people who are infectious or exposed to hazardous substances; readiness to be transferred to other departments in the event of a disaster. Although most of the respondents declared to be agreed on personal sacrifices in the performance of professional duties, they were not prepared for a high level of personal risk when working in a pandemic. Excessive workload, its overwhelming nature, and personal risk are not conducive to readiness to work overtime, especially without pay. Research shows how important it is to respect the rights and interests of all parties involved in a pandemic. Physicians' duty to care for a patient is also conditioned by the duty to protect themselves and should not be a tool for intimidating and depersonalizing their social and professional lives.
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