COVID-19, Moral Conflict, Distress, and Dying Alone

被引:40
|
作者
Anderson-Shaw, Lisa K. [1 ]
Zar, Fred A. [2 ]
机构
[1] Univ Illinois, Dept Med Educ, Coll Med, 1853 Polk St M-C 785, Chicago, IL 60612 USA
[2] Univ Illinois, Coll Med, 840 South Wood St 440, Chicago, IL 60612 USA
关键词
COVID-19; Moral distress; Moral conflict; End of life;
D O I
10.1007/s11673-020-10040-9
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
COVID-19 has truly affected most of the world over the past many months, perhaps more than any other event in recent history. In the wake of this pandemic are patients, family members, and various types of care providers, all of whom share different levels of moral distress. Moral conflict occurs in disputes when individuals or groups have differences over, or are unable to translate to each other, deeply held beliefs, knowledge, and values. Such conflicts can seriously affect healthcare providers and cause distress during disastrous situations such as pandemics when medical and human resources are stretched to the point of exhaustion. In the current pandemic, most hospitals and healthcare institutions in the United States have not allowed visitors to come to the hospitals to see their family or loved ones, even when the patient is dying. The moral conflict and moral distress (being constrained from doing what you think is right) among care providers when they see their patients dying alone can be unbearable and lead to ongoing grief and sadness. This paper will explore the concepts of moral distress and conflict among hospital staff and how a system-wide provider wellness programme can make a difference in healing and health.
引用
收藏
页码:777 / 782
页数:6
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