Visitor restrictions in hospitals during infectious disease outbreaks: An ethical approach to policy development and requests for exemptions.

Bibliographic Details
Title: Visitor restrictions in hospitals during infectious disease outbreaks: An ethical approach to policy development and requests for exemptions.
Authors: McDougall, Rosalind1,2 rmcdo@unimelb.edu.au, Warton, Chanelle1,3, Chew, Christopher3,4, Delany, Clare2,5, Ko, Danielle6,7, Massie, John2,8,9
Source: Bioethics. Sep2023, Vol. 37 Issue 7, p715-724. 10p. 1 Diagram.
Subject Terms: *PREVENTION of infectious disease transmission, *VISITING the sick, *COVID-19, *ORGANIZATIONAL ethics, *HEALTH facility administration, *ETHICAL decision making, *RISK assessment, *POLICY sciences, *PERSONAL protective equipment, *COVID-19 pandemic, *BIOETHICS
Abstract: In this paper, we explore the ethics of restricting visitation to hospitals during an infectious disease outbreak. We aim to answer three questions: What are the features of an ethically justified hospital visitor restriction policy? Should policies include scope for case‐by‐case exemptions? How should decisions about exemptions be made? Based on a critical interpretive review of the existing ethical literature on visitor restrictions, we argue that an ethically justified hospital visitor restriction policy has the following features: proportionality, comprehensiveness, harm mitigation, exemptions for specific patient populations, visitation decisions made separately from a patient's treating clinicians, transparency, and consistency in application. We also argue that an ethical policy ought to include scope for case‐by‐case exemptions for individual patients. We propose a process for ethical decision‐making that provides a shared language and structure to decrease the risks and burdens of decision‐making when clinicians or managers are considering requests for exemptions. [ABSTRACT FROM AUTHOR]
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ISSN:02699702
DOI:10.1111/bioe.13188
Published in:Bioethics
Language:English