Holding Down the Fort: Ethical Issues Related to Staffing During the COVID-19 Pandemic
This activity has been archived and credit is no longer available.
In this presentation, panelists Donna Graves, Greg Lomasang, and Dr. Georgina Morley discuss typical nurse staffing ratios and policies regarding working hours and breaks for nurses. They then focus on the ethical workplace issues arising from the breakdown of these norms due to the COVID-19 pandemic.
This Bioethics Grand Rounds session took place on Wednesday, September 14, 2022 at 5:00 p.m. and has been approved for Ethics Credit and Social Work Credit.
Activity Information
This activity has been archived and credit is no longer available.
Needs Statement
Ethical dilemmas can arise in the day-to-day practice of physicians, nurses, social workers, advanced practice providers, and other allied health professionals. The series aims to review classic and emerging issues in healthcare, focusing on developments in the field of clinical ethics, the practice of ethics consultation, and the role of ethics in shared clinical decision-making. The series also aims to expand the knowledge of learners, foster the skills needed to resolve ethical dilemmas in clinical practice, and enhance the quality of patient care.
Educational Objectives
At the conclusion of the session, the participants should be able to:
- Describe sources of shortages among nursing staff.
- Identify ethical issues raised by staffing shortages related to the COVID-19 pandemic.
- Describe strategies for addressing ethical problems related to the COVID-19 pandemic.
Target Audience
Professional Categories
- Physicians
- Medical Students
- Fellows
- Residents
- Nurses
- Other Health Professionals
Specialties
- Infectious Disease
- Internal Medicine
Interest Groups
- COVID
- Ethics
- Hospital Medicine
Accreditation/Credit Designation
Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Baylor College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been designated by Baylor College of Medicine for 1.0 credit of education in medical ethics and/or professional responsibility.
Social Work: The Baylor College of Medicine Division of Continuing Professional Development (License Number 7270) is an approved continuing education provider for Social Workers through the Texas State Board of Social Worker Examiners. This activity has been approved for 1 continuing education unit.
Nursing: Texas Children’s Hospital is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. This Nursing Continuing Professional Development activity awards 1.0 contact hours per session.
Activity Director
Term of Approval
September 1, 2022 through September 30, 2024. Original release date: September 1, 2022.
Disclosure Policy
Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.
In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.
In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.
BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.
All of the relevant financial relationships listed for these individuals have been mitigated.
Disclosures
The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:
Presenters
-
Donna Graves, R.N., M.S.N., CCRN-K
Director of Patient Care
Baylor St. Luke’s Medical Center
Disclosure:
Nothing to disclose.
-
Greg Lomasang, M.S.N., R.N., NEA-BC
Director of Patient Care
Baylor St. Luke’s Medical Center
Disclosure:
Nothing to disclose.
-
Georgina Morley, Ph.D., M.Sc., RN (UK)
Nurse Ethicist
Cleveland Clinic
Disclosure:
Nothing to disclose.
Activity Director
-
Janet Malek Weinstein, Ph.D.
Associate Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
Planning Committee Members
-
Trevor Bibler, Ph.D.
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Marisa B. Buchmann, M.S.N., R.N., C.P.N.
Nursing Professional Development Leader
Houston Methodist Hospital
Disclosure:
Nothing to disclose.
-
Leon Budrie, M.D., M.B.A., M.S.
Clinical Ethics Fellow
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Andrew Childress, Ph.D.
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Amanda Garey, Ph.D., R.N.
Accredited Provider Program Director
Baylor College of Medicine, Texas Children's Hospital
Disclosure:
Nothing to disclose.
-
David Garvis, Ph.D.
Clinical Ethicist
Baylor St. Luke’s Medical Center
Disclosure:
Nothing to disclose.
-
Claire Horner, J.D., M.A.
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Clarise Jacobson
Senior Business Strategy and Development Associate
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Holland Kaplan, M.D.
Clinical Ethics Fellow
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Janet Malek Weinstein, Ph.D.
Associate Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Susan M. Miller, M.D., M.P.H.
Professor and Chair, General Internal Medicine
Houston Methodist Hospital
Disclosure:
Nothing to disclose.
-
Adam Pena, LL.M., J.D., M.A.
Assistant Professor
Center for Medical Ethics and Health Policy, Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Joelle Robertson-Preidler, Ph.D.
Clinical Ethics Fellow
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Sabrina Wallace
Patient Care Coordinator
Houston Methodist Hospital
Disclosure:
Nothing to disclose.