{"id":75119,"date":"2025-03-28T00:15:39","date_gmt":"2025-03-27T23:15:39","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=75119"},"modified":"2025-03-27T15:04:28","modified_gmt":"2025-03-27T14:04:28","slug":"235-se-sebevrazednymi-myslenkami-814-s-depresi-jak-povinne-ockovani-traumatizovalo-kanadske-zdravotnicke-pracovniky","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/03\/28\/235-se-sebevrazednymi-myslenkami-814-s-depresi-jak-povinne-ockovani-traumatizovalo-kanadske-zdravotnicke-pracovniky\/","title":{"rendered":"23,5 % se sebevra\u017eedn\u00fdmi my\u0161lenkami, 81,4 % s depres\u00ed: Jak povinn\u00e9 o\u010dkov\u00e1n\u00ed traumatizovalo kanadsk\u00e9 zdravotnick\u00e9 pracovn\u00edky"},"content":{"rendered":"
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Lidsk\u00e9 n\u00e1klady na kanadsk\u00fd mand\u00e1t o\u010dkov\u00e1n\u00ed proti COVID-19<\/strong><\/span>
\nNov\u00e1 studie odhaluje etick\u00e9 poru\u0161ov\u00e1n\u00ed, diskriminaci a zni\u010duj\u00edc\u00ed osobn\u00ed dopady na zdravotnick\u00e9 pracovn\u00edky v Ontariu.<\/em><\/p>\n

Nov\u00e1 studie Chaufana et al. s n\u00e1zvem\u00a0\u201eNejde o zdrav\u00ed \u2013 a rozhodn\u011b se o to nestar\u00e1\u201c: Kvalitativn\u00ed studie zku\u0161enost\u00ed zdravotn\u00edk\u016f se z\u00e1sadami povinn\u00e9ho o\u010dkov\u00e1n\u00ed v kanadsk\u00e9m Ontariu<\/em>\u00a0byla publikov\u00e1na v Journal\u00a0of Public Health and Emergency<\/em>\u00a0.<\/p>\n

Pozad\u00ed:<\/strong><\/span>
\nKdy\u017e byly k dispozici vakc\u00edny proti COVID-19, up\u0159ednostnili o\u010dkov\u00e1n\u00ed zdravotni\u010dt\u00ed pracovn\u00edci (HCW). Navzdory p\u0159etrv\u00e1vaj\u00edc\u00edm spor\u016fm bylo povinn\u00e9 o\u010dkov\u00e1n\u00ed zavedeno ve v\u011bt\u0161in\u011b zdravotnick\u00fdch za\u0159\u00edzen\u00ed v Kanad\u011b \u2013 mnoho z nich plat\u00ed dodnes. \u010cetn\u00e9 studie zkoumaly takzvan\u00e9 v\u00e1h\u00e1n\u00ed s vakc\u00ednami ve zdravotnictv\u00ed. Jen m\u00e1lo studi\u00ed v\u0161ak zkoum\u00e1 skute\u010dn\u00e9 zku\u0161enosti posti\u017een\u00fdch povinn\u00fdm o\u010dkov\u00e1n\u00edm z pohledu samotn\u00fdch zdravotn\u00edk\u016f. Tato studie analyzuje pr\u00e1v\u011b tyto zku\u0161enosti u c\u00edlen\u011b vybran\u00e9 skupiny HCWs v Ontariu \u2013 v\u010detn\u011b jejich rozhodovac\u00edch proces\u016f, dopadu po\u017eadavku na jejich \u017eivoty a \u017eivobyt\u00ed a jejich hodnocen\u00ed dopadu na p\u00e9\u010di o pacienty. Studie je sou\u010d\u00e1st\u00ed v\u011bt\u0161\u00edho v\u00fdzkumn\u00e9ho projektu k p\u0159ehodnocen\u00ed politiky COVID-19 v Kanad\u011b.<\/p>\n

Metody:<\/strong><\/span>
\nByla provedena reflexivn\u00ed tematick\u00e1 anal\u00fdza kvalitativn\u00edch dat. Data jsou \u010derp\u00e1na z odpov\u011bd\u00ed na otev\u0159enou ot\u00e1zku az odpov\u011bd\u00ed s libovoln\u00fdm textem na uzav\u0159en\u00e9 ot\u00e1zky od 245 HCWs v publikovan\u00e9m pr\u016fzkumu 468 respondent\u016f v Ontariu. Skupina byla r\u016fznorod\u00e1 z hlediska proo\u010dkovanosti, povol\u00e1n\u00ed, v\u011bku, socioekonomick\u00e9ho z\u00e1zem\u00ed, etnick\u00e9ho p\u016fvodu a pohlav\u00ed. \u00da\u010dastn\u00edci byli rekrutov\u00e1ni pomoc\u00ed vzorkov\u00e1n\u00ed sn\u011bhov\u00e9 koule prost\u0159ednictv\u00edm soci\u00e1ln\u00edch m\u00e9di\u00ed a profesion\u00e1ln\u00edch s\u00edt\u00ed v\u00fdzkumn\u00edk\u016f.<\/p>\n

V\u00fdsledky:<\/strong><\/span>
\nV\u011bt\u0161ina respondent\u016f byla neo\u010dkovan\u00e1, byla propu\u0161t\u011bna z d\u016fvodu nedodr\u017een\u00ed po\u017eadavk\u016f na o\u010dkov\u00e1n\u00ed, za\u017eila osobn\u00ed ztr\u00e1ty a vyj\u00e1d\u0159ila negativn\u00ed n\u00e1zory na povinn\u00e9 o\u010dkov\u00e1n\u00ed a jeho dopad na p\u00e9\u010di o pacienty. Bylo identifikov\u00e1no \u0161est kl\u00ed\u010dov\u00fdch t\u00e9mat:<\/p>\n

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  1. P\u0159edpisy odporuj\u00ed v\u011bdeck\u00fdm d\u016fkaz\u016fm a odborn\u00e9 praxi<\/li>\n
  2. Rozpor s principy l\u00e9ka\u0159sk\u00e9 etiky<\/li>\n
  3. Osobn\u00ed t\u011b\u017ekosti jsou ignorov\u00e1ny nebo odm\u00edtnuty<\/li>\n
  4. Fyzick\u00e9 po\u0161kozen\u00ed nen\u00ed rozpozn\u00e1no<\/li>\n
  5. Diskriminace neo\u010dkovan\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f a pacient\u016f<\/li>\n
  6. Negativn\u00ed dopad na p\u00e9\u010di o pacienty<\/li>\n<\/ol>\n
    \n
    \"\"<\/figure>\n<\/div>\n

    Z\u00e1v\u011br:<\/strong><\/span>
    \nStudie ukazuje, \u017ee v ontarijsk\u00e9m syst\u00e9mu zdravotn\u00ed p\u00e9\u010de byla zp\u016fsobena zna\u010dn\u00e1 \u0161koda neposlu\u0161n\u00fdm zdravotn\u00edk\u016fm a pacient\u016fm. Povinn\u00e9 o\u010dkov\u00e1n\u00ed poru\u0161uje pr\u00e1vo t\u011bchto odborn\u00edk\u016f na pr\u00e1ci a jejich pr\u00e1vo na informovan\u00fd souhlas \u2013 jak pro zam\u011bstnance, tak pro pacienty. Tato etick\u00e1 poru\u0161en\u00ed spojen\u00e1 s rostouc\u00edm nedostatkem d\u016fkaz\u016f o \u00fa\u010dinnosti o\u010dkov\u00e1n\u00ed proti COVID-19 v prevenci p\u0159enosu viru \u2013 jeho \u00fadajn\u00e9mu prim\u00e1rn\u00edmu v\u011bdeck\u00e9mu \u00fa\u010delu \u2013 vy\u017eaduj\u00ed nal\u00e9hav\u00e9 p\u0159ehodnocen\u00ed t\u00e9to praxe.<\/p>\n

    Tato studie to neomyln\u011b objas\u0148uje: povinn\u00e9 o\u010dkov\u00e1n\u00ed bylo o\u010dividn\u00fdm poru\u0161en\u00edm pr\u00e1va na informovan\u00fd souhlas a t\u011blesn\u00e9 sebeur\u010den\u00ed. Diskriminovala \u2013 a nakonec po\u0161kodila \u2013 ty, kte\u0159\u00ed se odm\u00edtli podvolit n\u00e1tlaku.<\/p>\n

    Podle p\u0159edchoz\u00ed studie, rovn\u011b\u017e od Chaufana et al. Ve studii proveden\u00e9 v roce 2016 vedlo povinn\u00e9 o\u010dkov\u00e1n\u00ed na pracovi\u0161ti k sebevra\u017eedn\u00fdm my\u0161lenk\u00e1m u 23,5 % zdravotn\u00edk\u016f a depresi nebo \u00fazkosti u 81,4 %.<\/p>\n

    Pokud by vl\u00e1d\u00e1m skute\u010dn\u011b le\u017eelo na srdci blaho sv\u00fdch ob\u010dan\u016f, musely by zav\u00e9st \u00fapln\u00fd z\u00e1kaz povinn\u00e9ho o\u010dkov\u00e1n\u00ed.<\/strong>
    \nA ti, kte\u0159\u00ed na t\u00e9to povinnosti b\u011bhem pandemie trvali, by m\u011bli n\u00e9st odpov\u011bdnost za zp\u016fsoben\u00e9 \u0161kody.<\/p>\n

    Nicolas Hulscher, MPH \u2013 21. b\u0159ezna 2025<\/em><\/p>\n<\/div>\n<\/div>\n

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    Zdroj<\/a><\/span><\/h3>\n

     <\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    Lidsk\u00e9 n\u00e1klady na kanadsk\u00fd mand\u00e1t o\u010dkov\u00e1n\u00ed proti COVID-19 Nov\u00e1 studie odhaluje etick\u00e9 poru\u0161ov\u00e1n\u00ed, diskriminaci a…<\/p>\n","protected":false},"author":2,"featured_media":75120,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[6498,213,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/75119"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=75119"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/75119\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/75120"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=75119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=75119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=75119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}