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新冠疫情期间积累的专业知识:通过从业者的叙述探讨伦理影响。

Expertise Gained During the COVID-19 Pandemic: Exploring Ethical Implications Through Practitioners' Narratives.

作者信息

Gruskin Bethany A, Richter Marinthea, Loukas Kathryn M, Angell Amber M

机构信息

University of Southern California, Los Angeles, USA.

University of New England, Portland, ME, USA.

出版信息

OTJR (Thorofare N J). 2025 Apr;45(2):286-294. doi: 10.1177/15394492241254742. Epub 2024 May 20.

Abstract

The COVID-19 pandemic necessitated a transition to telehealth. Research supports the use of telehealth; however, there is a paucity of literature on the ethical considerations of this shift. This study explored ethics through narratives of practitioners' lived experiences of transitioning to telehealth. Semi-structured interviews were conducted virtually with 10 pediatric health care professionals. Transcripts were analyzed from a narrative phenomenological perspective. Discussed themes include , and Transitioning to telehealth resulted in ethical dilemmas pertaining to clients and practitioners. The need for additional support was salient to ensure clients received beneficial services that would not cause harm (non-maleficence). Communities of practice formed organically as forums to explore strategies for sharing comprehensive and equitable information (veracity and justice). Knowledge generated through providers' experiences may inform future guidelines on service delivery transitions.

摘要

新冠疫情使得向远程医疗的转变成为必要。研究支持远程医疗的使用;然而,关于这一转变的伦理考量的文献却很匮乏。本研究通过从业者向远程医疗转变的生活经历叙事来探讨伦理问题。对10名儿科医疗保健专业人员进行了虚拟半结构化访谈。从叙事现象学的角度对访谈记录进行了分析。讨论的主题包括……向远程医疗的转变导致了与客户和从业者相关的伦理困境。为确保客户获得不会造成伤害的有益服务(不伤害原则),额外支持的需求很突出。实践社区有机形成,作为探讨分享全面和公平信息策略(真实性和正义)的论坛。通过提供者的经验产生的知识可能为未来服务提供转变的指南提供参考。

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