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10.1111/inr.12645

http://scihub22266oqcxt.onion/10.1111/inr.12645
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33615479!ä!33615479

suck abstract from ncbi


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pmid33615479      Int+Nurs+Rev 2021 ; 68 (2): 181-188
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  • Ethical conflict during COVID-19 pandemic: the case of Spanish and Italian intensive care units #MMPMID33615479
  • Falco-Pegueroles A; Zuriguel-Perez E; Via-Clavero G; Bosch-Alcaraz A; Bonetti L
  • Int Nurs Rev 2021[Jun]; 68 (2): 181-188 PMID33615479show ga
  • AIM: To identify factors underlying ethical conflict occurring during the current COVID-19 pandemic in the critical care setting. BACKGROUND: During the first wave of the COVID-19 outbreak, Spanish and Italian intensive care units were overwhelmed by the demand for admissions. This fact revealed a crucial problem of shortage of health resources and rendered that decision-making was highly complex. SOURCES OF EVIDENCE: Applying a nominal group technique this manuscript identifies a series of factors that may have played a role in the emergence of the ethical conflicts in critical care units during the COVID-19 pandemic, considering ethical principles and responsibilities included in the International Council of Nurses Code of Ethics. The five factors identified were the availability of resources; the protection of healthcare workers; the circumstances surrounding decision-making, end-of-life care, and communication. DISCUSSION: The impact of COVID-19 on health care will be long-lasting and nurses are playing a central role in overcoming this crisis. Identifying these five factors and the conflicts that have arisen during the COVID-19 pandemic can help to guide future policies and research. CONCLUSIONS: Understanding these five factors and recognizing the conflicts, they may create can help to focus our efforts on minimizing the impact of the ethical consequences of a crisis of this magnitude and on developing new plans and guidelines for future pandemics. IMPLICATIONS FOR NURSING PRACTICE AND POLICY: Learning more about these factors can help nurses, other health professionals, and policymakers to focus their efforts on minimizing the impact of the ethical consequences of a crisis of this scale. This will enable changes in organizational policies, improvement in clinical competencies, and development of the scope of practice.
  • |*Ethics, Institutional[MESH]
  • |COVID-19/epidemiology/*therapy[MESH]
  • |Decision Making/*ethics[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/*ethics[MESH]
  • |Italy/epidemiology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/epidemiology/*therapy/virology[MESH]
  • |SARS-CoV-2[MESH]
  • |Spain/epidemiology[MESH]


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