Gandhi Preet, Petropanagos Angel, Popescu Andreea, Bugaresti Darren, Nitti Theresa, Chauhan Nipa, Chidwick Paula, Oliver Jill
University of British Columbia, Vancouver, Canada.
William Osler Health System, Brampton, ON, Canada.
Gerontol Geriatr Med. 2023 Jan 10;9:23337214221146660. doi: 10.1177/23337214221146660. eCollection 2023 Jan-Dec.
Long-term care (LTC) centers experienced an unprecedented emergency involving exponential mortality during the COVID-19 pandemic. Individuals residing in long-term care were particularly vulnerable to the effects of COVID-19, placing residents, staff, families, and organizations in a precarious position. Complex issues surrounding how to manage vulnerable populations during the pandemic have highlighted the importance of gathering information on ethical issues that require effective policy and decision-making. This project sought to identify the ethical issues faced in long-term care by residents, families, staff, and organizations from stakeholders themselves. A total of 305 participants from 45 countries responded, highlighting numerous ethical issues in long-term care during COVID-19. While numerous issues were mentioned, there was an overlap in the themes of responses between stakeholders. Visitation, isolation, harm, staff well-being, and the overall enforcement of policies during the pandemic represented the most often discussed issues. As a preliminary study of this issue, future research is necessary in order to effectively guide pandemic policymaking moving forward.
在新冠疫情期间，长期护理（LTC）中心经历了一场前所未有的紧急情况，死亡率呈指数级上升。居住在长期护理机构的人员尤其容易受到新冠疫情的影响，这使居民、工作人员、家庭和机构都处于岌岌可危的境地。围绕疫情期间如何管理弱势群体的复杂问题凸显了收集有关需要有效政策和决策的伦理问题信息的重要性。本项目旨在从利益相关者自身的角度识别居民、家庭、工作人员和机构在长期护理中面临的伦理问题。来自45个国家的305名参与者做出了回应，突出了新冠疫情期间长期护理中的诸多伦理问题。虽然提到了许多问题，但利益相关者之间的回应主题存在重叠。疫情期间的探视、隔离、伤害、工作人员福祉以及政策的整体执行是讨论最多的问题。作为对该问题的初步研究，有必要进行未来研究，以便有效地指导未来的疫情政策制定。
