Supporting cancer care clinicians to 'hold' their patients during and beyond the COVID-19 pandemic: a role for reflective ethics discussions
Supporting cancer care clinicians to 'hold' their patients during and beyond the COVID-19 pandemic: a role for reflective ethics discussions
复制标题
DOI：
10.1111/imj.15375
复制
发表时间：
2021-07-01
影响因子：
2.1
通讯作者：
Heynemann, Sarah
中科院分区：
文献类型：
--
作者：
Delany, Clare;Benhamu, Joanne;Heynemann, Sarah
2019冠状病毒病大流行给全球医疗保健服务带来了沉重负担。本文研究了COVID-19如何影响癌症护理临床医生在澳大利亚提供癌症护理的能力。我们使用“抱着病人”的镜头（从依恋理论、心理学和澳大利亚土著知识中汲取）来概念化癌症临床医生的护理过程和与病人的治疗关系。这些“坚持”的概念与癌症护理临床医生对患者的深刻责任产生了共鸣。它们丰富了伦理语言，超越了利益、避免伤害、尊重患者自主权和提供公正治疗的责任。我们考虑到COVID-19对医疗服务和临床医生本身的破坏性影响。然后，我们展示了临床伦理模型和其他类似的反思性讨论方法如何成为一种相关的支持机制，以帮助临床医生处理和理解COVID-19对他们在大流行期间和之后的职业道德角色的破坏。
The COVID-19 pandemic has placed an overwhelming burden on healthcare delivery globally. This paper examines how COVID-19 has affected cancer care clinicians' capacity to deliver cancer care in the Australian context. We use the lens of 'holding patients' (drawing from attachment theory, psychology and from Australian Indigenous knowledge) to conceptualise cancer clinicians' processes of care and therapeutic relationships with patients. These notions of 'holding' resonate with the deep responsibility cancer care clinicians feel towards their patients. They enrich ethical language beyond duties to benefit, avoid harm, respect patients' autonomy and provide just treatment. We consider the disruptive effects of COVID-19 on care delivery and on clinicians themselves. We then show how models of clinical ethics and other similar reflective discussion approaches are a relevant support mechanism to assist clinicians to process and make sense of COVID-19's disruptions to their professional ethical role of holding patients during and beyond the pandemic.