Wang Yaling, Li Yuchen, Shen Biyu, Li Huiling, Sun Hongyu, Yuan Changrong, Xie Hongzhen, Li Xiaomei, Li Yinglan, Guan Jian, Jia Qi'ai, Zhang Xinqing
School of Nursing, Soochow University, Suzhou, China.
Department of Nursing, Shanghai Children's Medical Center, Shanghai, China.
Int J Nurs Sci. 2022 Jan;9(1):5-10. doi: 10.1016/j.ijnss.2021.12.008. Epub 2021 Dec 24.
Major infectious disease has become a serious threat to people's health worldwide. As the world's largest healthcare workforce and the core forces fighting against the epidemic, nurses are on the frontline of this battle. A number of ethical issues have given rise to numerous concerns that have largely affected nurses in different ways as they respond to the epidemic. In addition, excessive expectations from people can exert undue pressure, which can easily lead to burnout in nurses.
In this consensus, the expert panel method was used to develop and reach a consensus. The members involved in the formation of the consensus included an expert discussion panel and a consensus writing expert group, a methodologist, and four secretaries. After 16 rounds of online expert consultation and two rounds of expert panel meetings, the writing team analyzed and reviewed the 78 amendments suggested by the experts to develop a consensus on nursing ethics for prevention and control of major infectious disease outbreaks based on the ethical vision of life care.
This expert consensus focuses on five essential domains: the responsibilities and rights of nurses, the nurse-patient relationship, the doctor-nurse relationship, and the relationship between society and nurses throughout the epidemic.
We hope this consensus can help nurses better understand and respond to the ethical issues and challenges in public health emergencies, and raise reasonable public expectations of the roles and responsibilities of nurses in these situations.
重大传染病已成为全球范围内对人们健康的严重威胁。护士作为全球最大的医疗护理队伍以及抗击疫情的核心力量，奋战在这场战役的前线。诸多伦理问题引发了众多关注，在护士应对疫情过程中，这些问题在很大程度上以不同方式影响着他们。此外，人们过高的期望会施加不当压力，这很容易导致护士职业倦怠。
在本共识制定过程中，采用专家小组法来达成共识。参与共识形成的成员包括一个专家讨论小组、一个共识撰写专家组、一名方法学家以及四名秘书。经过16轮在线专家咨询和两轮专家小组会议后，撰写团队分析并审议了专家提出的78条修改意见，基于生命关怀的伦理视角，就重大传染病疫情防控中的护理伦理达成共识。
本专家共识聚焦于五个关键领域：护士的责任与权利、护患关系、医护关系以及疫情期间社会与护士的关系。
我们希望这一共识能够帮助护士更好地理解并应对突发公共卫生事件中的伦理问题与挑战，同时使公众对护士在这些情况下的角色和责任形成合理期望。
