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Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS-CoV-2 (COVID-19) Guidelines for Institutional Ethics Services Responding to COVID-19
During a public health emergency, healthcare executives have a
responsibility to plan for the handling of foreseen ethical difficulties.
When there is doubt about how to "do the right thing" in clinical
practice when obligations or ideals clash, ethical issues arise. Because
health care reacts to human suffering, ethical difficulties in health care
are widespread even under normal circumstances. Professionalism in
health care should include ethical behavior. Professionals, on the other
hand, frequently feel unsure or distressed about how to continue.
Patients with life-threatening illnesses, especially those who lack the
mental capacity to make decisions about life-saving procedures and
other medical care, are frequently the subject of doubt.
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During public health emergencies, an ethically sound framework for
health care must strike a balance between the patient-centered duty of
care—the focus of clinical ethics under normal circumstances—and
public-focused duties to promote equality of persons and equity in the
distribution of risks and benefits in society—the focus of public health
ethics. Because physicians, nurses, and other clinicians are trained to
care for individuals, the transition from patient-centered practice to
patient care guided by public health considerations causes significant
tension, particularly among clinicians who are not used to working in
emergency situations with limited resources.
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This article is intended to provide public health and clinical practice
guidelines on COVID-19 in the context of a health care institution's
preparation efforts. Its goal is to assist continual discussion of
substantial, foreseen ethical dilemmas that arise at contingency and
perhaps crisis levels of care. Its approach is to raise practical problems
to administrators and physicians that they may not have addressed
before and to encourage real-time policy and process assessment and
revision. This article will also go through the three responsibilities of
healthcare leaders in a public-health emergency: planning,
safeguarding, and guiding. It will provide thorough instructions to assist
hospital ethics committees and clinical ethics consultation (CEC)
services in swiftly preparing to support doctors caring for patients
under contingency and, perhaps, crisis care standards.
Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS-CoV-2 (COVID-19) Guidelines for Institutional Ethics Services Responding to COVID-19, 2020, www.mentice.com/hubfs/COVID-19/White%20paper%202020%20-%20Hastings%20Center%20COVID%20Ethical%20Framework.pdf.