Delivering compassionate NHS healthcare: A qualitative study exploring the ethical implications of resetting NHS maternity and paediatric services following the acute phase of the COVID-19 pandemic
Delivering compassionate NHS healthcare: A qualitative study exploring the ethical implications of resetting NHS maternity and paediatric services following the acute phase of the COVID-19 pandemic
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DOI：
10.1016/j.socscimed.2023.116503
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发表时间：
2024-02-06
影响因子：
5.4
通讯作者：
Frith，Lucy
中科院分区：
文献类型：
--
作者：
Chiumento，Anna;Fovargue，Sara;Frith，Lucy
可以区分医疗保健和功能性医疗服务，前者具有明显的同情心。遏制新冠肺炎传播的措施，如个人防护装备、远程医疗和探视限制，给服务提供造成了障碍，并给医疗保健带来了压力。通过对NHS高级管理人员(n=11)、卫生专业人员(n=26)的37次定性访谈，以及与公众的5次焦点小组讨论(n=n=26)，我们探索了在英国新冠肺炎大流行急性阶段后重建服务时造成的日常伦理紧张的经历。我们的分析丰富了对NHS业务文件中概述的体恤关怀的理解-涵盖医疗保健的情感、道德和关系组成部分，而不仅仅是治疗的功能。从这一分析中，我们考虑了支撑NHS医疗保健的规范标准，得出的结论是，在可能的情况下，应该促进为患者及其家人提供富有同情心的医疗保健，卫生专业人员本身也应该在工作场所得到同情的支持。我们的发现表明，需要考虑短期采用功能性治疗方法的后果，包括支持卫生专业人员和告知公众的战略，以避免同情医疗保健支离破碎造成的长期损害。
A distinction can be drawn between healthcare,where compassion is evident, and thefunctionaldelivery of health services. Measures to curb the spread of COVID-19, such as personal protective equipment, telehealth, and visiting restrictions created barriers to service delivery and put pressure on healthcare. Through 37 qualitative interviews with NHS senior managers (n = 11), health professionals (n = 26), and 5 focus group discussions with members of the public (n = 26), we explored experiences of the everyday ethical tensions created as services were being re-established following the acute phase of the COVID-19 pandemic in England. Our analysis enriches an understanding of compassionate care as outlined in NHS operational documents - covering the emotional, moral, and relational components of healthcarebeyond the functionalities of treatment. From this analysis, we consider the normative standards underpinning NHS healthcare, concluding that, wherever possible, offering compassionate healthcareto patients and their families should be facilitated, and health professionals should themselves be compassionately supported in the workplace. Our findings foreground the need to consider the consequences of the short-term adoption of a functional treatment approach, including strategies that support health professionals and inform the public, to avoid the long-term damage caused by the fracturing of compassionate healthcare.