Decision making by health professionals during COVID-19: an integrative review

To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. 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 invest...

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Published in:Revista Brasileira de Enfermagem 2022-01, Vol.75 (suppl 1), p.e20210067-9
Main Authors: Valente, Camila Oliveira, Silva, Fernanda Rios da, Mussi, Fernanda Carneiro, Lacerda, Maria Ribeiro, Freitas, Kátia Santana, Rosa, Darci de Oliveira Santa
Format: Article
Language:English
Subjects:
Clinical decision making
Coronavirus Infections
Coronaviruses
COVID-19
Critical thinking
Decision Making
Ethics
Health Personnel
Humans
Medical ethics
Medical personnel
NURSING
Pandemics
Personal Autonomy
Reproducibility of Results
SARS-CoV-2
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Summary:To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. 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. 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. 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.
ISSN:0034-7167
1984-0446
1984-0446
DOI:10.1590/0034-7167-2021-0067