Sydney Health Ethics, University of Sydney, Level 1, Medical Foundation Building K25, Camperdown, NSW, 2006, Australia.
Susan Wakil School of Nursing and Midwifery, University of Sydney, 88 Mallet St, Camperdown, NSW, 2050, Australia.
J Bioeth Inq. 2020 Dec;17(4):581-589. doi: 10.1007/s11673-020-10057-0. Epub 2020 Nov 9.
This article explores the consequences of failure to communicate early, as recommended in risk communication scholarship, during the first stage of the COVID-19 pandemic in Australia and the United Kingdom. We begin by observing that the principles of risk communication are regarded as basic best practices rather than as moral rules. We argue firstly, that they nonetheless encapsulate value commitments, and secondly, that these values should more explicitly underpin communication practices in a pandemic. Our focus is to explore the values associated with the principle of communicating early and often and how use of this principle can signal respect for people's self-determination whilst also conveying other values relevant to the circumstances. We suggest that doing this requires communication that explicitly acknowledges and addresses with empathy those who will be most directly impacted by any disease-control measures. We suggest further that communication in a pandemic should be more explicit about how values are expressed in response strategies and that doing so may improve the appraisal of new information as it becomes available.
本文探讨了在澳大利亚和英国 COVID-19 大流行的第一阶段,未能按照风险沟通研究建议尽早进行沟通的后果。我们首先观察到,风险沟通原则被视为基本的最佳实践,而不是道德规范。我们首先认为,它们虽然包含价值承诺,但其次,这些价值观应该更明确地为大流行中的沟通实践提供基础。我们的重点是探讨与尽早频繁沟通原则相关的价值观,以及如何使用这一原则既能表示对人们自主决定权的尊重,又能传达与情况相关的其他价值观。我们认为,要做到这一点,需要进行明确的沟通,以同理心承认并解决那些将受到任何疾病控制措施最直接影响的人。我们还认为,大流行期间的沟通应该更明确地说明如何在应对策略中表达价值观,而这样做可能会提高对新信息的评估,因为新信息会不断出现。