When pandemic and everyday ethics collide: supporting ethical decision-making in maternity care and paediatrics during the Covid-19 pandemic

对COVID 19（C19）的反应将对NHS产生深远的影响。该项目的重点是这种反应如何在决定如何优先考虑和重新配置服务时为非C19服务提供者带来重大的道德问题。 我们的中心目标是评估和支持两个非C19领域的伦理决策：产科和儿科。我们选择这些领域是因为它们受到C19反应的显著影响，专业和患者组织强调了这两个领域的问题影响（第一个1001天，皇家助产士学院，让分娩更好）。对非C19产妇和儿科服务的现行地方政策和决策过程进行快速审查。检查政策如何应用于临床实践和试点测试方法，以伦理支持。3.为当地政策制定和从业者层面的伦理支持提出建议;并开发工具来支持良好的决策实践。这个跨学科项目是对非C19孕产妇和儿科的现行政策、流程和实践的经验性伦理分析。设计：经验伦理学，采用弗里思的共生经验伦理学方法，其中哲学理论用于探索数据，得出规范性结论，并提出政策和实践建议。研究方法：快速审查当地政策和决策过程;（根据国家流行病伦理框架）分析所涉及的价值观;与参与政策制定的关键利益相关者和医疗保健从业人员进行访谈，以了解政策如何应用于临床实践以及他们在伦理决策中可能需要哪些支持。

The response to Covid 19 (C19) will have far reaching consequences for the NHS. This project focuses on how this response has created significant ethical issues for providers of non-C19 services when deciding how to prioritise and reconfigure services. Our central aim is to evaluate and support ethical decision-making in two non-C19 areas: maternity and paediatrics.We have chosen these areas because they have been significantly affected by the C19 response, with professional and patient organisations highlighting the problematic effects on both areas (First 1001 Days, Royal College of Midwives, Make Births Better).Objectives1. Conduct a rapid review of current local policies and policy-making processes for non-C19 maternity and paediatric services.2. Examine how the policies are applied in clinical practice and pilot test approaches to ethics support. 3. Make recommendations for ethics support at local policy-making and practitioner levels; and develop tools to support good decision-making practice.This inter-disciplinary project is an empirically informed ethical analysis of current policies, processes and practice in non-C19 maternity and paediatrics.Design: empirical ethics, employing Frith's symbiotic empirical ethics approach, where philosophical theory is used to explore the data, draw normative conclusions, and make policy and practice recommendations. Methods: rapid review of local policies and decision-making processes; analysis (against the national ethics framework for pandemics) of the values being engaged; interviews with key stakeholders involved in policy formation, and healthcare practitioners to understand how the policies are being applied in clinical practice and what support they might need in their ethical decision-making.