Expertise Gained During the COVID-19 Pandemic: Exploring Ethical Implications Through Practitioners' Narratives.

IF 1.5 4区医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-05-20 DOI:10.1177/15394492241254742

Bethany A Gruskin, Marinthea Richter, Kathryn M Loukas, Amber M Angell

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Abstract

The COVID-19 pandemic necessitated a transition to telehealth. Research supports the use of telehealth; however, there is a paucity of literature on the ethical considerations of this shift. This study explored ethics through narratives of practitioners' lived experiences of transitioning to telehealth. Semi-structured interviews were conducted virtually with 10 pediatric health care professionals. Transcripts were analyzed from a narrative phenomenological perspective. Discussed themes include responding to the rapid redirection, collaborating with colleagues and caregivers, applying therapeutic use of self, and evolving pragmatic clinical reasoning. Transitioning to telehealth resulted in ethical dilemmas pertaining to clients and practitioners. The need for additional support was salient to ensure clients received beneficial services that would not cause harm (non-maleficence). Communities of practice formed organically as forums to explore strategies for sharing comprehensive and equitable information (veracity and justice). Knowledge generated through providers' experiences may inform future guidelines on service delivery transitions.

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在 COVID-19 大流行期间获得的专业知识：通过从业人员的叙述探索伦理意义。

COVID-19 大流行使得有必要向远程保健过渡。研究支持远程保健的使用；然而，有关这一转变的伦理考虑因素的文献却很少。本研究通过讲述从业人员过渡到远程保健的亲身经历来探讨伦理问题。通过虚拟方式对 10 名儿科医疗保健专业人员进行了半结构化访谈。研究人员从叙事现象学的角度对访谈记录进行了分析。讨论的主题包括应对快速重新定向、与同事和护理人员合作、应用自我治疗以及发展实用临床推理。向远程医疗过渡导致了与客户和从业人员有关的伦理困境。为确保客户获得不会造成伤害（非恶意）的有益服务，需要额外的支持。实践社区作为探索全面、公平信息共享策略的论坛有机地形成了（真实性和公正性）。从服务提供者的经验中获得的知识可为未来的服务提供过渡指南提供参考。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.