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Master Thesis

Choix et jugements moraux des soignants au temps de la pandémie de COVID 19 : une étude pilote randomisée au CHU de Caen

Abstract : Introduction. Healthcare professionals are challenged with ethical dilemmas as “witness” and/or "resolver" (being the one to decide). The COVID-19 pandemic, by creating a tension between needs and resources, has increased the exposure of healthcare professionals to this type of situation. Consequentialist ethics based values were provided to guide them in their ethical approaches and patient care. The study's objective was to determine whether these values were consistent with those that guided healthcare professionals in their ethical reflections usually. A secondary objective was to investigate the impact of the witness position on the dilemma resolver position. Method. This is a prospective randomised study of doctors and paramedics at the Caen University Hospital. They were given a choice between two critical patients of which only one could be cared for. Participants were randomised into two groups, either as the “witness” and then as “resolver” or vice versa. Results. A total of 186 healthcare professionals were included (123 doctors/63 paramedics) in the study. A prioritisation of patients based on their instrumental value was observed. The principle of unbiased beneficence was not strictly applied. The principle of benefit maximisation was respected but not always when weighed against other moral principles. The impact of the witness position on the resolver position was limited. Conclusion. The values provided in the case of resource shortage are in some cases consistent with the healthcare professionals’ values, while others are not. Being a witness to a dilemma does not have a systematic impact on its resolution.
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Master Thesis
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Submitted on : Wednesday, September 8, 2021 - 1:02:58 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
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Clémentine Truffaux. Choix et jugements moraux des soignants au temps de la pandémie de COVID 19 : une étude pilote randomisée au CHU de Caen. Médecine humaine et pathologie. 2021. ⟨dumas-03331177⟩



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