ArticleThe western journal of emergency medicine2020
Healthcare Ethics During a Pandemic.
Article in The western journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
- Lower Mortality Associated With Preemptive Health System Resource Reallocation During COVID-19: A Longitudinal Study in 85 Countries.Disaster medicine and public health preparedness · 2026Article
- Loss and Grief Among Bereaved Family Members During COVID-19 in Brazil: A Grounded Theory Analysis.Behavioral sciences (Basel, Switzerland) · 2025Article
- Healthcare providers' perspectives on factors influencing their critical care decision-making during the COVID-19 pandemic: An international pilot survey.World journal of critical care medicine · 2025Article
- "For the first time…I am seriously fighting burnout": clinician experiences with a challenging electronic health record transition.JAMIA open · 2024Article
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- Remote Teaching in a Rwandan Emergency Medicine Residency: A Viable Option with Limited In-person Staff.The East African health research journal · 2024Article
- Scarce resources, public health and professional care: the COVID-19 pandemic exacerbating bioethical conflicts - findings from global qualitative expert interviews.BMC public health · 2023Article
- The impact of COVID-19 on Australian clinicians' decision making in line with the principles of Choosing Wisely.Nursing open · 2023Article
- Nurses' Perceptions of Ethical Conflicts When Caring for Patients with COVID-19.International journal of environmental research and public health · 2023Article
- Weighing up the pros and cons of dysphagia triage in South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2023Article
- Ethical challenges faced by healthcare workers in pediatric oncology care during the COVID-19 pandemic in Australia.Pediatric blood & cancer · 2023Article
- Ethical issues experienced by nurses during COVID-19 in university hospitals.Revista da Escola de Enfermagem da U S P · 2023Article
- The Nexus Between Ethical Leadership and Employees' Perception of Workplace Safety During COVID-19 Under Mediation and Moderation Model.Risk management and healthcare policy · 2023Article
- Willingness to Work during Public Health Emergencies: A Systematic Literature Review.Healthcare (Basel, Switzerland) · 2022Review
- Factors influencing public health nurses' ethical sensitivity during the pandemic.Nursing ethics · 2022Article
- What if some patients are more "important" than others? A possible framework for Covid-19 and other emergency care situations.BMC medical ethics · 2022Article
- Perception of healthcare workers towards ethical aspects of responsiveness of COVID 19 outbreak: A cross-sectional study.Journal of family medicine and primary care · 2022Article
- Searching for a new normal-Hospital-employed researchers' experiences during the COVID-19 pandemic.International journal of nursing practice · 2021Article
- Nursing ethics in an era of pandemic.Applied nursing research : ANR · 2021Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As clinicians and support personnel struggle with their responsibilities to treat during the current COVID-19 pandemic, several ethical issues have emerged. Will healthcare workers and support staff fulfill their duty to treat in the face of high risks? Will institutional and government leaders at all levels do the right things to help alleviate healthcare workers risks and fears? Will physicians be willing to make hard, resource-allocation decisions if they cannot first husband or improvise alternatives?With our healthcare facilities and governments unprepared for this inevitable disaster, front-line doctors, advanced providers, nurses, EMS, and support personnel struggle with acute shortages of equipment-both to treat patients and protect themselves. With their personal and possibly their family's lives and health at risk, they must weigh the option of continuing to work or retreat to safety. This decision, made daily, is based on professional and personal values, how they perceive existing risks-including available protective measures, and their perception of the level and transparency of information they receive. Often, while clinicians get this information, support personnel do not, leading to absenteeism and deteriorating healthcare services. Leadership can use good risk communication (complete, widely transmitted, and transparent) to align healthcare workers' risk perceptions with reality. They also can address the common problems healthcare workers must overcome to continue working (ie, risk mitigation techniques). Physicians, if they cannot sufficiently husband or improvise lifesaving resources, will have to face difficult triage decisions. Ideally, they will use a predetermined plan, probably based on the principles of Utilitarianism (maximizing the greatest good) and derived from professional and community input. Unfortunately, none of these plans is optimal.
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Registered trials
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