1School of Medical and Health Sciences,Edith Cowan University,Joondalup,Western Australia,Australia.
3Harvard Humanitarian Initiative,Harvard T.H. Chan School of Public Health,Harvard University,Cambridge,Massachusetts.
Disaster Med Public Health Prep. 2019 Apr;13(2):191-196. doi: 10.1017/dmp.2018.15. Epub 2018 Apr 10.
Disasters place unprecedented demands on emergency medical services and can test paramedics personal commitment as health care professionals. Despite this challenge, guidelines and codes of ethics are largely silent on the issue, providing little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. The objective of this research is to explore how paramedics view their duty to treat during disasters.
The authors employed qualitative methods to gather Australian paramedic perspectives.
Our findings suggest that paramedic decisions around duty to treat will largely depend on individual perception of risk and competing obligations. A code of ethics for paramedics would be useful, but ultimately each paramedic will interpret these suggested guidelines based on individual values and the situational context.
Coming to an understanding of the legal issues involved and the ethical-social expectations in advance of a disaster may assist paramedics to respond willingly and appropriately. (Disaster Med Public Health Preparedness. 2019;13:191-196).
灾难对紧急医疗服务提出了前所未有的要求，并考验着护理人员作为医疗保健专业人员的个人承诺。尽管面临这一挑战，但准则和道德规范在很大程度上对此问题保持沉默，几乎没有为护理人员提供期望他们做什么或在面临风险时应如何履行治疗职责的指导。本研究的目的是探讨护理人员如何看待他们在灾难中的治疗义务。
作者采用定性方法收集澳大利亚护理人员的观点。
我们的研究结果表明，护理人员在治疗义务方面的决策在很大程度上取决于个人对风险的感知和相互竞争的义务。护理人员的道德准则将是有用的，但最终每个护理人员将根据个人价值观和情境背景来解释这些建议的准则。
在灾难发生之前，了解所涉及的法律问题和道德-社会期望，可能有助于护理人员自愿和适当地做出回应。（灾害医学与公共卫生准备。2019；13:191-196）。
