ArticleJournal of healthcare leadership2026
Ethical Prioritization of Healthcare Access During Pandemics in Jordan: A Cross-Sectional Study of Physician Awareness, Confidence in Ethical Decision-Making and the Role of COVID-19-Specific Training.
Article in Journal of healthcare leadership, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The COVID-19 pandemic posed unprecedented ethical challenges to healthcare professionals, particularly in resource-limited settings. This study aimed to assess physicians' awareness of ethical dilemmas, confidence in ethical decision-making, and the impact of training during the COVID-19 pandemic in Jordan. Methods: A cross-sectional survey was conducted among 300 physicians who worked in Jordanian hospitals during the COVID-19 pandemic. Data were collected on experience, perceived workload, COVID-19-specific training, awareness of ethical dilemmas, and confidence in decision-making. Chi-square tests, one-way ANOVA (Welch's), and multivariable ordinal logistic regression analysis were used for analysis. Results: Workload was significantly associated with confidence in ethical decision-making in bivariate analysis (Welch's F (4, 63.0) = 3.26, p = 0.017), with heavier workload groups reporting higher confidence; however, workload was not independently associated with confidence in the adjusted ordinal logistic regression model. General practitioners and specialists reported higher awareness than physicians who are sub-specialists or work in non-clinical or other healthcare-related roles (χ Conclusion: COVID-19-specific training was associated with higher ethical awareness, while clinical experience was associated with confidence in ethical decision-making. These findings underscore the need for structured COVID-19-specific training and support systems to prepare healthcare workers for future public health emergencies through targeted preparedness training and institutional support strategies in Jordan and similar low- and middle-income settings, including integration into crisis standards of care, aimed at promoting equitable, transparent, and ethically consistent patient prioritization during future public health emergencies.
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