Paved With Good Intentions: Hospital Visitation Restrictions in the Age of Coronavirus Disease 2019*
Paved With Good Intentions: Hospital Visitation Restrictions in the Age of Coronavirus Disease 2019*
复制标题
DOI：
10.1097/pcc.0000000000002506
复制
发表时间：
2020-10-01
影响因子：
4.1
通讯作者：
Harding, Meghan
中科院分区：
文献类型：
--
作者：
Andrist, Erica;Clarke, Rachel G.;Harding, Meghan
在2019年冠状病毒病大流行期间，医院探访限制已被广泛实施，作为减少冠状病毒传播的一种手段。虽然减少传播是一个重要的目标，但这并不是高质量医疗保健必须实现的唯一目标。严格限制探视的政策削弱了我们提供人道的、以家庭为中心的护理的能力，特别是在重症期间和生命结束时。因此，这些政策的执行增加了提供者遭受道德压力和伤害的风险。利用我们在儿科重症监护室的经验，我们调查目前的探视限制的缺点。我们认为，医院探视限制可以以无害的方式实施，但这需要坚定不移地承认疾病和死亡期间社会和家庭支持的价值。我们主张探视限制政策由独立的、医学知识渊博的决策机构实施，并有患者及其家属的知情参与。
Hospital visitation restrictions have been widely implemented during the coronavirus disease 2019 pandemic as a means of decreasing the transmission of coronavirus. While decreasing transmission is an important goal, it is not the only goal that quality healthcare must aim to achieve. Severely restricted visitation policies undermine our ability to provide humane, family-centered care, particularly during critical illness and at the end of life. The enforcement of these policies consequently increases the risk of moral distress and injury for providers. Using our experience in a PICU, we survey the shortcomings of current visitation restrictions. We argue that hospital visitation restrictions can be implemented in ways that are nonmaleficent, but this requires unwavering acknowledgment of the value of social and familial support during illness and death. We advocate that visitation restriction policies be implemented by independent, medically knowledgeable decision-making bodies, with the informed participation of patients and their families.