看護における高度な実践ジャーナル

Care and Ethical Standards Compromised by COVID-19 Outbreaks

Abstract

Khadije Jahangasht, Abbas Shamsalinia and Fatemeh Ghaffari

COVID-19 is an emerging disease that has challenged global health systems. Despite many efforts to manage the crisis, the number of new cases is still high. In Corona Crisis Management, both internationally and in terms of healthcare systems, the focus was on planning during crisis, and due to the lack of pre-crisis planning, healthcare providers systems enter to crisis situation suddenly and unprepared. The lack of biologic crisis maneuvers associated with emerging diseases such as SARS, Ebola, and COVID-19 by related organizations, and the lack of scenarios for how to deal with it, shocked health workers. In the early weeks of the COVID-19 outbreak, the operationalization of the planned actions fails, and the COVID-19 epidemic led to an influx of people with the disease into care units such as Such as emergency departments and outpatient clinics and hospital beds were filled. The increase of positive disease cases and comprehensive care needs, especially in intensive care units in the first weeks of the disease epidemic, led to extreme fatigue of health care providers, lack of personal protective equipment, shortage of manpower and infection of many health care workers to COVID-19. Sudden exposure to critical situations may cause some dimensions of standard care, including standard precautions when caring for patients and compliance with ethical standards by health care providers, especially at the front line was neglected.