关于护士强制接种疫苗的伦理挑战:对定性和定量证据的系统审查
Po-Jen Kung1, Ching-Min Chen2, Esther Ching-Lan Lin2
1School of Nursing, Johns Hopkins University, Baltimore, United States; Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
International journal of nursing studies
|January 6, 2026
概括
对护士的强制性疫苗接种政策造成了伦理上的困扰和耻辱,影响了信任. 未来的政策应该优先考虑教育和对话,而不是严格的执法,以提高道德一致性.
科学领域:
- 护理伦理学 护理伦理学
- 公共卫生政策 公共卫生政策
- 疫苗接种研究研究
背景情况:
- 强制性疫苗接种政策,特别是关于COVID-19的政策,引发了全球的伦理辩论.
- 作为医疗保健工作者中最大的群体,护士在接种疫苗方面面临着专业职责和个人自主权之间独特的伦理紧张局势.
- 从护士的角度来看,强制性疫苗接种政策所带来的伦理挑战尚未得到充分理解.
研究的目的:
- 从护士的角度研究强制性疫苗接种政策的伦理挑战.
- 为与强制性疫苗接种相关的伦理政策制定提供信息.
- 为导航类似的未来公共卫生场景提供洞察力.
主要方法:
- 一个混合方法的系统审查,以Joanna Briggs研究所的方法指导.
- 在五个主要数据库 (Embase,MEDLINE,CINAHL,Web of Science,Scopus) 进行了搜索,并进行了额外的引用跟踪.
- 包括的研究 (2019年以后发表) 被评估质量,并使用叙事方法综合发现.
主要成果:
- 综述包括了28项研究 (19项定量研究,5项定性研究,4项混合研究).
- 确定了四个新兴主题:疫苗安全/有效性问题,未接种疫苗的护士所经历的耻辱感,平衡个人权利与公共卫生,以及领导和沟通的作用.
- 这些主题突出了护士们所面临的复杂的伦理格局.
结论:
- 强制性疫苗接种政策虽然支持公共卫生,但可能导致道德困境,信任下降和未接种疫苗的护士的耻辱感增加.
- 未来的疫苗接种政策应该从专注于执法转向通过教育,开放对话和尊重的参与来促进道德一致.
- 解决护士的伦理问题对于有效的公共卫生战略至关重要.
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