感染预防和控制专业人员的道德困扰:一个范围审查
Matt Mason1, Byeonghun Im2, Jocelyne M Basseal3
1School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, 4556, Australia; Collaborative for the Advancement of Infection Prevention and Control, Gold Coast, Queensland, 9726, Australia.
Infection, disease & health
|November 22, 2024
概括
在COVID-19大流行期间,感染预防和控制专业人员 (IPCP) 面临着重大的伦理挑战和道德困境. 需要更多的研究来理解和解决这些问题,特别是考虑到它们在公共卫生中的关键作用.
科学领域:
- 公共卫生 公共卫生
- 医学伦理 医学伦理
- 医疗保健管理的管理
背景情况:
- COVID-19大流行强调了感染预防和控制专业人员 (IPCP) 的关键作用.
- 由于指导方针不断变化,个人防护设备短缺和工作量增加,IPCP面临前所未有的伦理困境.
- IPCPs所经历的伦理挑战和道德困扰是不够研究的.
研究的目的:
- 检查IPCPs当前关于道德挑战和道德困境的研究.
- 在疫情期间识别IPCP经验的共同主题和变化.
主要方法:
- 使用Arksey和O'Malley的方法进行了范围审查.
- 在主要的学术数据库中进行了搜索,包括CINAHL,MEDLINE,Emcare,Scopus和韩国引文索引.
- 提取了两篇文章进行分析.
主要成果:
- 关键主题包括高工作量,增加认可,对准确信息的压力,以及需要同行支持.
- 经验因国籍,角色裁量权和行政系统而异.
- 挪威的地区医务官面临着更广泛的社区道德困境,而其他IPCP的经验则局限于设施.
结论:
- 与前线工作者相比,IPCPs的道德困境研究显著缺乏.
- 在决策和实施中,IPCPs的不可或缺的角色凸显了道德困境的负担.
- 进一步的研究对于开发策略至关重要,以建立IPCP的道德性,以便为未来的流行病做好准备.
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