卫生保健工作者对在Covid-19期间引起道德困扰的伦理挑战性情况的定性描述
Kristin Alve Glad1, Hilde Wøien2,3, Synne Øien Stensland1,2
1Norwegian Centre for Violence and Traumatic Stress Studies.
Nursing ethics
|June 10, 2024
概括
在COVID-19大流行期间,医疗保健工作者经历了严重的道德困境,主要是由于系统层面的问题,如工作人员不足和资源短缺. 解决这些系统性因素对于减轻医疗保健专业人员的痛苦至关重要.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 由于COVID-19的流行,对医疗保健服务和感染控制措施的需求增加了.
- 由于严重疾病的威胁和有限的资源,医疗保健工作者 (HCW) 面临着道德挑战的情况 (ECS).
- 这些条件导致HCWs之间广泛的道德困境.
研究的目的:
- 系统地探索从第一手讲述伦理上具有挑战性的情况 (ECS),这些情况在HCW中引起了道德上的痛苦.
- 确定HCW在公共卫生紧急情况期间所经历的道德痛苦的根本原因.
主要方法:
- 采用了一个开放的队列研究设计.
- 来自挪威四所大学医院的977名HCW参加了2022年1月的比赛.
- 用定性主题分析来分析ECS的描述,按根源原因分类.
主要成果:
- 508名参与者 (52%) 报告说他们经历了ECS引起的道德痛苦.
- 大多数报告的ECS源于系统层面的问题,特别是资源稀缺和人力不足.
- 较小比例的ECS被归因于患者或单位/团队层面的因素.
结论:
- 缓解HCWs之间的道德痛苦需要系统层面的干预.
- 资源限制和人员不足被确定为大流行期间道德困境的主要驱动因素.
- 有针对性的系统性改进对于支持HCW福祉至关重要.
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