2020
DOI: 10.1111/apa.15307
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Lessons learned from the COVID‐19 pandemic

Abstract: The coronavirus disease 2019 (COVID-19) outbreak raises unique ethical dilemmas because it makes demands on society from all sectors of life, nationally and across the globe. Health professionals must deal with decisions about the allocation of scarce resources that can eventually cause moral distress and may affect one's mental health.Everybody must deal with restrictions on freedom of movement that have shut down whole economies in an attempt to flatten the epidemic curve. Moving forward, there will be quest… Show more

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Cited by 77 publications
(88 citation statements)
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“…Most countries reacted to the outbreak with recommendations of social distancing (Gharebaghi et al, 2020), and some countries even enacted total self-quarantine (Qiu et al, 2020). Thus, in addition to direct illness-related effects, the COVID-19 pandemic affected most aspects of everyday life in the form of limited freedom of movement (Khoo and Lantos, 2020), increased isolation (Hellewell et al, 2020), and a risk or realized layoff or unemployment (Kawohl and Nordt, 2020). Although preventive actions and medical treatments undoubtedly have the highest priority during the outbreak, the mental consequences of the pandemic on the population are also pivotal.…”
Section: Introductionmentioning
confidence: 99%
“…Most countries reacted to the outbreak with recommendations of social distancing (Gharebaghi et al, 2020), and some countries even enacted total self-quarantine (Qiu et al, 2020). Thus, in addition to direct illness-related effects, the COVID-19 pandemic affected most aspects of everyday life in the form of limited freedom of movement (Khoo and Lantos, 2020), increased isolation (Hellewell et al, 2020), and a risk or realized layoff or unemployment (Kawohl and Nordt, 2020). Although preventive actions and medical treatments undoubtedly have the highest priority during the outbreak, the mental consequences of the pandemic on the population are also pivotal.…”
Section: Introductionmentioning
confidence: 99%
“…We also experienced that many doctors, nurses, and health-workers fell victim to the pandemic. Thus, we can pledge for the exclusive treatment for healthcare workers, technicians, and security personnel who risk their lives as front liners ( Khoo and Lantos, 2020 ). Equivalently, we can identify and provide maintenance to the pivotal elements of the process safety systems.…”
Section: Resultsmentioning
confidence: 99%
“…Moral distress and injury may be associated with perceptions of unjust allocation of ventilators or other scarce resources, inability to provide seemingly necessary treatment (e.g., nebulized medications) due to institutional policy and/or concern for virus transmission, and inability to allow families to visit loved ones (in some cases, even at the end of life). [28,29] Elevated levels of distress might also be attributed to working conditions (e.g., PPE shortages, uncomfortable PPE, and long work hours), fears of becoming infected or transmitting the virus to others, and the stress of treating unstable patients with limited evidence to guide decision-making. [16,30] Furthermore, during the COVID-19 pandemic, HCWs are not only being exposed to novel stressors in the workplace, but also outside the workplace.…”
Section: Mental Health Concerns Of Front-line Hcws During the Pandemicmentioning
confidence: 99%