Not in their hands only: hospital hygiene, evidence and collective moral responsibility.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2023-03-01 DOI:10.1007/s11019-022-10120-0
Saana Jukola, Mariacarla Gadebusch Bondio
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引用次数: 2

Abstract

Hospital acquired infections (HAIs) are a major threat to patient safety. This paper addresses the following question: given what is known about the causes of and possible interventions on HAIs, to whom or what should the moral responsibility for preventing these infections be attributed? First, we show how generating robust evidence on the effectiveness of preventive hygiene measures is a complex endeavour and review the existing evidence on the causes of HAIs. Second, we demonstrate that the existing literature on the ethical aspects of infection control has focused on responsibility at the individual-level. Thirdly, we argue that these accounts do not accommodate systemic factors relevant for HAI prevention. We show that the notion of collective responsibility is useful for making understandable how systemic factors, such as employment conditions in hospitals, are both causally and ethically relevant in infection control.

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不仅仅掌握在他们手中:医院卫生、证据和集体道德责任。
医院获得性感染(HAIs)是对患者安全的主要威胁。本文解决了以下问题:鉴于对艾滋病的原因和可能的干预措施的了解,预防这些感染的道德责任应该归咎于谁或什么?首先,我们展示了如何产生关于预防性卫生措施有效性的有力证据是一项复杂的工作,并审查了有关卫生保健影响因素的现有证据。其次,我们证明了感染控制的伦理方面的现有文献集中在个人层面的责任。第三,我们认为这些账户没有考虑到与HAI预防相关的系统性因素。我们表明,集体责任的概念有助于理解系统因素(如医院的就业条件)在感染控制中的因果关系和伦理关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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