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.

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