Valente CO, Silva FRD, Mussi FC, Lacerda MR, Freitas KS, Rosa DDOS. Decision making by health professionals during COVID-19: an integrative review.
Rev Bras Enferm 2021;
75:e20210067. [PMID:
34669787 DOI:
10.1590/0034-7167-2021-0067]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 06/22/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE
To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.
METHODS
Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.
RESULTS
During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.
FINAL CONSIDERATIONS
Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.
Collapse