在流行病期间医生的道德职责
Kenneth V Iserson1, Arthur R Derse2, John C Moskop3
1Department of Emergency Medicine, The University of Arizona, Tucson, Arizona; Department of Emergency Medicine, Institute of Health Science Education, University of Guyana, Georgetown, Guyana.
The Journal of emergency medicine
|June 2, 2023
概括
流行病一再让世界感到惊,需要为医生制定道德准则. 本文提出了伦理规范,以帮助前线临床医生在健康危机期间做出困难的治疗分配决定.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 流行病,以高发病率和死亡率为特征,历史上一直影响着社会,经常让政府和医疗专业人员毫不准备.
- 最近的严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 流行病是全球卫生危机的典范,突出了缺乏准备.
- 尽管流行病经常发生,但关于管理此类事件的建立道德共识仍然难以捉摸.
研究的目的:
- 为了解决医生在流行病期间面临的伦理困境.
- 为管理当前和未来的流行病情况提出道德规范框架.
- 支持前线临床医生做出关键治疗分配决策.
主要方法:
- 历史流行病反应和道德挑战的审查.
- 分析紧急医生在流行病情景中的作用.
- 基于伦理理论和实践考虑,制定拟议的伦理规范.
主要成果:
- 发现大流行期间医生面临的重大伦理挑战.
- 关于指导临床决策的具体伦理准则的建议.
- 强调急救医生在资源分配中的关键作用.
结论:
- 拟议的伦理准则为医生在流行病期间面临道德上复杂的决策提供了指导.
- 建立明确的伦理标准对于有效和公平的流行病应对至关重要.
- 这些规范旨在改善未来卫生危机的准备和伦理实践.
相关概念视频
Ethics and Bioethics
1.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.4K
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Ethical Dilemmas I
963
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
963
Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K


