COVID-19大流行-在资源有限的环境中执业的医疗保健工作者面临的伦理挑战
Joseph Olusesan Fadare1, Adekunle Olatayo Adeoti1, Samuel Ayokunle Dada1
1Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
概括
在COVID-19等大流行期间,医疗保健工作者面临着独特的伦理挑战,特别是在资源有限的地区. 他们的护理义务往往是强制性的,即使没有防护设备或补偿,也需要国家道德框架.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 流行病的准备 流行病的准备
背景情况:
- COVID-19大流行凸显了医疗保健工作者 (HCW) 面临的重大道德困境.
- 在资源有限的环境中,HCW面临着复杂的伦理挑战.
- 迫切需要澄清疫情期间的HCW权利和责任.
研究的目的:
- 审查特定于COVID-19流行病的伦理问题.
- 检查卫生保健工作者的角色和道德义务.
- 倡导国家流行病/流行病道德框架.
主要方法:
- 在多个数据库 (MEDLINE,科学网,EMBASE,谷歌学者,PubMed) 中进行全面的文献搜索.
- 包括相关文章,报纸文章和在线新闻来源.
- 咨询职业行为准则 (WMA,MDC NIGERIA).
主要成果:
- 确定的主要伦理问题包括公平的资源分配,保密性和污名化,关怀义务,临床试验行为以及获得疗法/疫苗的机会.
- 医疗保健工作者有道德和义务在流行病期间照顾患者,即使没有足够的防护设备或补偿.
- 审查强调了对高温劳动者道德指导方针和支持系统的急需.
结论:
- 对于政府和利益相关者来说,制定国家流行病/流行病道德框架至关重要.
- 这一框架应解决HCW所面临的确定的伦理挑战.
- 积极的道德规划对于未来的流行病准备和应对至关重要.
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