Johnstone Megan-Jane, Turale Sue
School of Nursing and Midwifery, Deakin Centre for Quality and Patient Safety Research, Deakin University, Melbourne, Victoria, Australia.
Nurs Health Sci. 2014 Mar;16(1):67-77. doi: 10.1111/nhs.12130.
Little is known about nurses' direct experiences of ethical preparedness for dealing with catastrophic public health emergencies and healthcare disasters or the ethical quandaries that may arise during such events. A systematic literature review was undertaken to explore and synthesize qualitative research literature reporting nurses' direct experiences of being prepared for and managing the ethical challenges posed by catastrophic public health emergencies and healthcare disasters. Twenty-six research studies were retrieved for detailed examination and assessed by two independent reviewers for methodological validity prior to inclusion in the review. Of these, 12 studies published between 1973 and 2011 were deemed to meet the inclusion criteria and were critically appraised. The review confirmed there is a significant gap in the literature on nurses' experiences of ethical preparedness for managing public health emergencies and healthcare disasters, and the ethical quandaries they encounter during such events. This finding highlights the need for ethical considerations in emergency planning, preparedness, and response by nurses to be given more focused attention in the interests of better informing the ethical basis of emergency disaster management.
对于护士应对灾难性公共卫生突发事件和医疗灾难的道德准备的直接经验，以及在此类事件中可能出现的道德困境，我们所知甚少。我们进行了一项系统的文献综述，以探索和综合定性研究文献，这些文献报告了护士为应对灾难性公共卫生突发事件和医疗灾难所带来的道德挑战并进行管理的直接经验。我们检索了26项研究进行详细审查，并由两名独立评审员在纳入综述之前对其方法的有效性进行评估。其中，1973年至2011年间发表的12项研究被认为符合纳入标准，并进行了严格评估。该综述证实，关于护士应对公共卫生突发事件和医疗灾难的道德准备经验以及他们在此类事件中遇到的道德困境的文献存在重大空白。这一发现凸显了在应急规划、准备和应对过程中，护士的道德考量需要得到更集中的关注，以便更好地为应急灾难管理的道德基础提供信息。
