造成道德困扰的伦理挑战:养老院工作人员在COVID-19大流行期间的工作经验
Annaclara Ariander1, Anna Olaison2, Christer Andersson3
1Primary Health Care Centre in Johannelund and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Scandinavian journal of primary health care
|February 9, 2024
概括
瑞典养老院的医疗保健工作人员在COVID-19大流行期间因资源不足和道德挑战而遭受道德困扰. 这种困境影响了他们提供优质住院护理的能力,并强调了需要改进支持和指导方针的需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- COVID-19大流行给全球医疗保健系统带来了前所未有的挑战.
- 照顾弱势群体的养老院面临着独特的运营和道德困境.
研究的目的:
- 调查在COVID-19大流行期间瑞典养老院的医疗保健工作人员的经历.
- 确定这些员工所面临的伦理挑战和道德困境的来源.
主要方法:
- 采用与医疗保健工作人员的个人访谈进行的定性研究.
- 使用潜在的定性内容分析来解释采访数据.
- 瑞典有10家养老院参与了这项活动,其中包括医生,护士和护士助理.
主要成果:
- 出现了四个明显的类别:平衡资源与护理需求,优先考虑护理与道德价值观,不信任合作,以及领导/员工流动作为道德困境的一个因素.
- 发现的一个潜在主题是工作人员处理大流行引起的伦理挑战的经验.
- 关键问题包括护理条件不够好,被迫违背个人道德价值观.
结论:
- 在疫情期间,养老院工作人员经历了严重的道德困境,原因是资源限制和道德冲突.
- 迫切需要提醒雇主和政策制定者注意员工面临的伤害和不平等.
- 制定改进的指导方针和让员工参与决策是维持养老院劳动力的关键.
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