Rethinking the Physician's Duty in Disaster Care

doi:10.1001/virtualmentor.2010.12.6.jdsc1-1006

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Findings showed that whilst ethical principles of duty to care and utilitarianism (greatest good) are established and known in health care, the practicalities of application and moral consequence of decision making in crisis are not well-established, and in some cases, result in legal action and prosecution. 28 , 29 Similar conclusions were expressed by Holt, who noted the ethical challenges faced by medical practitioners in disasters and a need to provide education, guidelines, and a practical approach a priori to events. 30 …”

Section: Resultssupporting

confidence: 54%

Ethical Decision Making in Disaster and Emergency Management: A Systematic Review of the Literature

Cuthbertson,

Penney

2023

Prehosp. Disaster med.

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Ethical decision making in disaster and emergency management requires more than good intentions; it also asks for careful consideration and an explicit, systematic approach. The decisions made by leaders and the effects they have in a disaster must carry the confidence of the community to which they serve. Such decisions are critical in settings where resources are scarce; when decisions are perceived as unjust, the consequences may erode public trust, result in moral injury to staff, and cause community division. To understand how decisions in these settings are informed by ethics, a systematic literature review was conducted to determine what ethical guidance informs decision making in disaster and emergency management. This study found evidence of ethical guidance to inform decision making in disaster management in the humanitarian system, based on humanitarian principles. Evidence of the application of an ethical framework to guide or reference decision making was varied or absent in other emergency management agencies or systems. Development and validation of ethical frameworks to support decision making in disaster management practice is recommended.

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Section: Resultssupporting

confidence: 54%

Ethical Decision Making in Disaster and Emergency Management: A Systematic Review of the Literature

Cuthbertson,

Penney

2023

Prehosp. Disaster med.

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Ethical and Legal Challenges in Disaster Medicine

Pou¹

2013

Southern Medical Journal

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An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

Haroon

Thaver

2022

Hum Resour Health

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Background Globally the occurrence of disasters has increased more than fourfold during the last three decades. The main concern for the healthcare system responding to a disaster is its ability to deal with the sudden influx of patients and maintaining a certain level of surge capacity. Health workers are considered to be the major driving force behind any health system. Their role gets even more prominent during disasters or public health emergencies. With the lack of information on the health workforce in the tertiary healthcare system of Khyber Pakhtunkhwa, where most of the disaster surge is diverted, it is difficult to plan and respond to accommodate the sudden surge of patients. Methods This was a mixed method cross-sectional survey conducted in all the tertiary care hospitals of Khyber Pakhtunkhwa province of Pakistan to assess the current staffing situation and surge capacity based on the current workload. Annual service statistics of 2018 were collected from all the tertiary care hospitals of the province. WISN was piloted with only one healthcare staff category, i.e., for doctors in Ayub Teaching Hospital before assessment in all the tertiary care hospitals was undertaken. Results Overall, there were 1215 surplus doctors in medical and allied specialties and 861 doctors in surgical and allied specialties in the tertiary healthcare system. The health care system has an acute shortage of 565 emergency department doctors. The tertiary healthcare system of KP has an overall shortage of 1099 nurses. Based on the WISN generated numbers for doctors, the tertiary care system of KP has a combined healthcare staff (doctors and nurses) that can manage an additional surge of 6.3% of patients with the current patient workload. Conclusion The tertiary health care system of the Khyber Pakhtunkhwa Province of Pakistan does not possess the required ≥ 20% HR surge capacity indicating that the tertiary healthcare system is poorly prepared for disasters or public health emergencies. The lack of nursing staff, more than the doctors, is the major reason behind the lack of HR surge capacity of the tertiary health care system.

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Rethinking the Physician's Duty in Disaster Care

Cited by 4 publications

References 9 publications

Ethical Decision Making in Disaster and Emergency Management: A Systematic Review of the Literature

Ethical Decision Making in Disaster and Emergency Management: A Systematic Review of the Literature

Ethical and Legal Challenges in Disaster Medicine

An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

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