在COVID-19大流行期间获得的专业知识:通过从业者的叙述探索道德影响
Bethany A Gruskin1, Marinthea Richter1, Kathryn M Loukas2
1University of Southern California, Los Angeles, USA.
OTJR : occupation, participation and health
|May 21, 2024
概括
在COVID-19大流行期间,对远程医疗的快速转变为儿童医疗保健专业人员带来了道德挑战. 了解这些生活经验可以为未来的远程医疗指南和支持系统提供信息.
科学领域:
- 医疗保健道德 医疗保健道德
- 远程医疗研究 远程医疗研究
- 儿科医疗保健 儿科医疗保健
背景情况:
- 在全球范围内,COVID-19大流行加速了远程医疗服务的采用.
- 现有研究强调了远程医疗的好处,但伦理方面的考虑仍未得到充分探索.
- 这项研究解决了从从业人员的角度理解远程医疗实施的伦理维度的差距.
研究的目的:
- 探索儿童医疗保健专业人员过渡到远程医疗的伦理考虑和生活经验.
- 确定在向虚拟护理的快速转变过程中遇到的关键主题和道德困境.
- 产生知识,可以为未来的远程医疗服务提供和道德准则提供信息.
主要方法:
- 采用了一个叙述性的现象学方法.
- 与10名儿科医疗保健专业人员进行了半结构化的虚拟访谈.
- 分析了采访成绩单,以确定反复出现的主题和道德挑战.
主要成果:
- 关键主题包括适应快速变化,跨专业和护理人员的合作,自我治疗的使用,以及不断发展的临床推理.
- 关于客户福利 (非恶性行为) 和公平提供服务 (正义,真实性) 的道德困境出现了.
- 实践者组成了实践的有机社区,分享战略和信息.
结论:
- 过渡到远程医疗给儿科医疗保健提供者和客户带来了重大的伦理挑战.
- 需要加强支持结构,以确保道德和有效的远程医疗服务提供.
- 提供者经验为制定未来远程医疗过渡和实践的强有力的指导方针提供了宝贵的见解.
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