在COVID-19期间住院护理设施的伦理挑战:领导者的视角
Anna-Carin Karlsson1, Anna-Karin Edberg1, Malin Sundström1
1Research Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
Nursing ethics
|June 6, 2024
概括
住院护理机构的领导者在COVID-19大流行期间面临着道德困境,平衡个人需求与群体保护. 这导致了对老年人的以个人为中心的护理受到损害.
科学领域:
- 老年学是指老年学的学科.
- 生物伦理学生物伦理学
- 医疗保健管理的管理
背景情况:
- 以人为中心的护理是为老年人提供高质量的护理的基石.
- 随着COVID-19大流行,老年人成为一个脆弱群体,需要在住院护理设施 (RCF) 采取保护措施.
- 在RCF中,与流行病有关的限制影响了以人为中心的护理的提供.
研究的目的:
- 探索RCF领导人在COVID-19大流行期间遇到的人为中心的伦理挑战.
- 了解RCF领导人关于在流行病相关约束的情况下维持伦理护理标准的观点.
主要方法:
- 定性描述性研究设计.
- 与瑞典RCF的26名领导人进行了半结构化采访.
- 用于数据解释的传统内容分析.
主要成果:
- 主要的伦理挑战是优先考虑群体/社会保护,而不是个人需求.
- 领导人努力平衡保护群体与促进老年人的自主权.
- 护理提供往往基于不确定性而不是证据,导致尊严受到损害,并增加了员工健康的风险.
结论:
- 领导者经历了重大的伦理冲突,导致了不体面和妥协的人为中心的护理.
- 这些发现强调了利益相关者和管理层需要解决RCF中具有挑战性的工作条件.
- 解决这些道德挑战对于改善护理质量和支持医疗保健专业人员至关重要.
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