Covid‐19: Ethical Challenges for Nurses

Hastings Center Report - Tập 50 Số 3 - Trang 35-39 - 2020
Georgina Morley, Christine Grady1, Joan McCarthy, Connie M. Ulrich
1NATIONAL INSTITUTES OF HEALTH

Tóm tắt

AbstractThe Covid‐19 pandemic has highlighted many of the difficult ethical issues that health care professionals confront in caring for patients and families. The decisions such workers face on the front lines are fraught with uncertainty for all stakeholders. Our focus is on the implications for nurses, who are the largest global health care workforce but whose perspectives are not always fully considered. This essay discusses three overarching ethical issues that create a myriad of concerns and will likely affect nurses globally in unique ways: the safety of nurses, patients, colleagues, and families; the allocation of scarce resources; and the changing nature of nurses’ relationships with patients and families. We urge policy‐makers to ensure that nurses’ voices and perspectives are integrated into both local and global decision‐making so as to minimize the structural injustices many nurses have faced to date. Finally, we urge nurses to seek sources of support throughout this pandemic.

Từ khóa


Tài liệu tham khảo

“Coronavirus Resource Center ” Johns Hopkins University accessed April 12 2020 https://coronavirus.jhu.edu/.

World Health Organization, 2020, State of the World's Nursing 2020: Investing in Education, Jobs and Leadership

American Nurses Association, 2015, Code of Ethics for Nurses with Interpretive Statements

10.1007/s11673-013-9456-5

Institute of Medicine, 2012, Introduction and CSC Framework

10.17226/25765

R.Truog C.Mitchell andG.Daley “The Toughest Triage—Allocating Ventilators in a Pandemic ”New England Journal of Medicine(March 23 2020 [epub ahead of print]): doi:10.1056/NEJMp2005689.

10.2105/AJPH.2017.303882

N.Berlingeret al. “Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS‐CoV‐2 (COVID-19) ” The Hastings Center March 16 2020 https://www.thehastingscenter.org/wp-content/uploads/HastingsCenterCovidFramework2020.pdf.

10.1001/journalofethics.2017.19.6.nlit1-1706

Department of Health Pandemic Flu: Managing Demand and Capacity in Health Care Organisations (Surge) April 2009 https://www.hsj.co.uk/download?ac=1205655.

NHS England Coronavirus: Principles for Increasing the Nursing Workforce in Response to Exceptional Increased Demand in Adult Critical Care version 1 March 25 2020 https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/specialty-guide-critical-care-workforce-v1-25-march-2020.pdf.

Aiken L., 2011, Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals with Different Nurse Work Environments, Critical Medicine, 49, 1047

G.Morley C.Bradbury‐Jones andJ.Ives “Moral Distress in End of Life Care ” inContemporary European Perspectives on the Ethics of End of Life Care ed. N. Emmerich et al. (Springer International Publishing forthcoming).

10.1136/jme.20.4.218

10.1093/medlaw/fwi023

C.Pagel M.Ultey andS.Ray “Covid‐19: How to Triage Effectively in a Pandemic ”BMJ Opinion(blog) March 9 2020 https://blogs.bmj.com/bmj/2020/03/09/covid-19-triage-in-a-pandemic-is-even-thornier-than-you-might-think/.

Wilkinson Butcherine and Savulescu “Withdrawal Aversion and the Equivalence Test.”

J. L.Scully “Disablism in a Time of Pandemic: Some Things Don't Change ”IJFAB the Blog April 1 2020 http://www.ijfab.org/blog/2020/04/disablism-in-a-time-of-pandemic-some-things-dont-change/.

Berlingeret al. “Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS‐CoV‐2 (COVID-19).”

10.1177/0969733015608071

N.Gray “Palliative Care in the Time of COVID ” Ink Vessel March 18 2020 https://inkvessel.com/2020/03/18/palliative-care-in-the-time-of-covid/.