Becoming futile: the emotional pain of treating COVID-19 patients DOI Creative Commons
Jason Rodriquez

Frontiers in Sociology, Journal Year: 2023, Volume and Issue: 8

Published: Nov. 8, 2023

The COVID-19 pandemic has had a profoundly detrimental impact on the emotional wellbeing of health care workers. Numerous studies have shown that their rates various forms work-related distress, which were already high before pandemic, worsened as demands workers intensified. Yet much less is known about specific social processes generated these outcomes. This study adds to our collective knowledge by focusing how one process, act treating critically ill patients, contributed pain among workers.This article draws from 40 interviews conducted with intensive unit (ICU) staff in units overwhelmed patients. participants recruited two suburban community hospitals Massachusetts and between January May 2021.The results show uncertainty over treat given absence standard protocols combined ineffective treatments led an unprecedented number deaths caused significant pain, characterized visceral, embodied experience signaled moral exhaustion, depersonalization, burnout. Furthermore, ICU workers' occupational identities undermined they confronted limits own abilities medicine more generally.The inability save incurable patients while giving maximal such individuals immense amount contributing understanding well-documented increase distress related measures psychological distress. While recent socialization portrayed clinical empathy performed interactional strategy, here be than dramaturgical and, this context, entailed considerable risk wellbeing.

Language: Английский

War-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine DOI Creative Commons
Larysa Zasiekina,

Anastasiia Martyniuk

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: Jan. 6, 2025

Abstract Background At the beginning of 2022, Central Europe entered a state emergency due to Russian invasion Ukraine. Nurses were particularly vulnerable decline in their professional quality life, facing repeated exposure military trauma, ethical dilemmas, prolonged working hours, and increased stress fatigue. This study aimed contribute our understanding potential mediating effect war-related continuous traumatic on association between moral distress including compassion satisfaction fatigue, represented by burnout secondary stress. Methods used Professional Quality Life (ProQOL) Scale assess burnout, stress, satisfaction; Moral Distress Questionnaire for examine everyday healthcare facilities dilemmas nurses; Continuous Traumatic Stress Response (CTSR) ongoing threats, resulting exhaustion/rage, fear/betrayal. The sample consisted 130 female nurses (mean age 40.20 ± 12.15 years) from general surgery, neurosurgery, trauma orthopaedic urgent care who had been undergoing advanced training work with injured personnel at Volyn Medical Institute (Ukraine) March May 2023. All experienced direct indirect 105 participants personnel. Results results mediation analysis indicated that fully mediated relationship different components namely, satisfaction. Conclusion Research has shown significant various aspects underscoring need targeted interventions trauma.

Language: Английский

Citations

2
“Like fighting a fire with a water pistol”: A qualitative study of the work experiences of critical care nurses during the COVID‐19 pandemic DOI Creative Commons
Jordan Miller, Ben Young, Louise McCallum

et al.

Journal of Advanced Nursing, Journal Year: 2023, Volume and Issue: 80(1), P. 237 - 251

Published: July 28, 2023

To understand the experience of critical care nurses during COVID-19 pandemic, through application Job-Demand-Resource model occupational stress.Qualitative interview study.Twenty-eight (CCN) working in ICU UK NHS pandemic took part semi-structured interviews between May 2021 and 2022. Interviews were guided by constructs Job-Demand Resource model. Data analysed using framework analysis.The most difficult job demands pace amount, complexity, physical emotional effort their work. Prolonged high led to CCN experiencing exhaustion, burnout, post-traumatic stress symptoms impaired sleep. Support from colleagues supervisors was a core resource. Sustained psychological well-being had negative organizational consequences with expressing increased intention leave role.The combination reduced resources impacts on which is translating into consideration leaving profession.The full mental health are unlikely resolve without appropriate interventions.Managers healthcare systems should use these findings inform: (i) structure organization workplaces so that they support staff be well, (ii) supportive interventions for who carrying significant distress as result after pandemic. These changes required improve recruitment retention.We used COREQ guidelines reporting qualitative studies.Six provided input survey content schedule. Two authors members study team (T.S. S.C.) worked

Language: Английский

Citations

15
Moral Distress, Health and Intention to Leave: Critical Care Nurses’ Perceptions During COVID-19 Pandemic DOI Creative Commons
Maria Andersson, Angelica Fredholm, Anna Nordin

et al.

SAGE Open Nursing, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Moral distress increases the risk that critical care nurses will lose ability to provide quality nursing care.To describe person-related conditions and perceptions of moral distress, health intention leave among in intensive units, examine relationship between conditions, leave.Cross-sectional, with 220 15 Swedish ICUs, data gathered via a self-reported questionnaire.Highest scores were reported futile poor teamwork 21% entertaining an leave. Self-reported was lower than before COVID-19 pandemic 4.1% pronounced exhaustion disorder. health, reduced capacity tolerate demands under time pressure, emotional instability or irritability, physical weakness, being more easily fatigued decreased well-being factors had care. Sleeping problems teamwork.Different strategies are needed reduce leadership is crucial for managing crises such as pandemic.

Language: Английский

Citations

13
From Moral Distress to Moral Integrity: Qualitative Evaluation of a New Moral Conflict Assessment Tool DOI

Soudabeh Jolaei,

Patricia Rodney,

Rosalie Starzomski

et al.

American Journal of Critical Care, Journal Year: 2025, Volume and Issue: 34(1), P. 52 - 59

Published: Jan. 1, 2025

Moral distress affects the well-being of health care professionals and can lead to burnout attrition. Assessing moral taking action based on this assessment are important. A new conflict (MCA) designed prompt was developed tested.

Language: Английский

Citations

0
Sources of moral distress in nursing professionals: A scoping review DOI
Murilo Karasinski, Évelin Lemos de Oliveira,

Victor Lucas de Souza Pousa

et al.

Nursing Ethics, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 11, 2025

This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The was conducted according to Arksey and O’Malley methodology, using SPIDER framework guide systematic search in BVS, PubMed, PsycArticles, Scielo, Scopus databases. Initially, 2320 publications were identified. After application inclusion exclusion criteria, 83 studies selected for analysis terms their methodological characteristics, objectives, practice contexts, various facilitated grouping these into specific situations, reflecting challenges experienced by nurses under different settings. augments knowledge causes nursing, highlighting impact this phenomenon on physical mental health professionals, as well quality care provided.

Language: Английский

Citations

0
Moral distress among critical care nurses before and during the COVID-19 pandemic: A systematic review DOI

Fatemeh Beheshtaeen,

Camellia Torabizadeh, Sahar Khaki

et al.

Nursing Ethics, Journal Year: 2023, Volume and Issue: 31(4), P. 613 - 634

Published: Dec. 20, 2023

Moral distress has emerged as a significant concern for critical care nurses, particularly due to the complex and demanding provided critically ill patients in units. The ongoing COVID-19 pandemic introduced new ethical challenges changes clinical practice, further exacerbating experience of moral among these nurses. This systematic review compares factors influencing nurses before during gain comprehensive understanding impact on distress. For this review, PubMed, Scopus, ProQuest, Web Science, medRxiv, bioRxiv, Embase, Google Scholar were all utilized search. search covered articles published from 2012 December 2022, encompassing 10-year timeframe capture relevant research In total, 52 included review. findings indicate that personal, caring-related, organizational can influence nurses' Before pandemic, including futile end-of-life care, conflicts with physicians, nurse performance authority, poor teamwork, decision-making regarding treatment processes patient limited human resources equipment, medical errors, restraints, age work affect Similarly, contributing include fear contracting spreading COVID-19, about processes, being female. study revealed approximately similar both periods. Futile issues primary causes Implementing prevention strategies reducing underlying could decrease major issue improve quality care.

Language: Английский

Citations

9
Long-term impact of COVID-19 on nursing and care delivery: A national survey among anaesthetic and critical care nurses DOI Creative Commons
Catarina Tingsvik, Lina Bergman, Ann‐Charlotte Falk

et al.

Australian Critical Care, Journal Year: 2024, Volume and Issue: 37(5), P. 775 - 782

Published: April 9, 2024

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has put an exceptional strain on intensive care delivery and significantly impacted nursing practice in the unit, consequently affecting nurses' working environment health. Little is known about long-term impact workforce anaesthetic departments.Aim/objectiveThis cross-sectional study aimed to describe of COVID-19 profession from perspectives critical nurses.MethodsIn this study, online questionnaire with open- close-ended questions was distributed registered nurses anaesthesia between February 8 March 7, 2022. The data were analysed using content analysis descriptive statistics.ResultsOf 514 who responded questionnaire, 256 (50%) worked 215 (42%) care. expressed three categories: hold, insights experiences forming a new professional identity, organisational conditions profession. Critical considered comparable that before pandemic. Nurse anaesthetics experienced changes tasks activities compared pandemic.ConclusionsNursing still influenced by due lack resources persistent high workload needs be reclaimed prioritised. Re-establishing high-quality shared responsibility organisation profession, create prerequisites for this. Furthermore, views into their developed both positively negatively during pandemic, which must further considered, including profession's values.

Language: Английский

Citations

3
Critical care nurses’ experiences of ethical challenges in end-of-life care DOI
Lena Palmryd, Åsa Rejnö, Anette Alvariza

et al.

Nursing Ethics, Journal Year: 2024, Volume and Issue: unknown

Published: May 22, 2024

Background In Swedish intensive care units, nine percent of patients do not survive despite receiving advanced life-sustaining treatments. As these transition to end-of-life care, ethical considerations may become paramount. Aim To explore the challenges that critical nurses encounter when caring for at end life in an context. Research design The study used a qualitative approach with interpretive descriptive design. context and participants Twenty from eight units urban region Sweden were interviewed, predominately women median age fifty-one years. Ethical This was approved by Ethics Review Authority. Findings Critical described encountering treatments persisted minimal survival prospects administering pain-relieving medications could inadvertently hasten patients’ deaths. Challenges also arose expressed desire withdraw possibility recovery, or family members wanted shield information about poor prognosis; wishes occasionally conflicted healthcare guidelines. encountered potential organ donors, highlighting balance between preservation maintaining patient dignity. Conclusion life. They issues ranging administration pain-relief, preferences donation considerations. Addressing is essential delivering compassionate person-centered supporting during

Language: Английский

Citations

3
Coping in times of disruption and deprivation—Experiences of family members during COVID‐19 patients' critical illness: A qualitative study DOI Creative Commons
Helene Berntzen, Ranveig Lind, Hanne Birgit Alfheim

et al.

Nursing Open, Journal Year: 2023, Volume and Issue: 10(7), P. 4825 - 4837

Published: April 2, 2023

Abstract Aim To explore the experiences and needs of family members during course COVID‐19 critical illness from onset to rehabilitation. Design An exploratory qualitative study. Methods Twelve surviving critically ill patients restricted visiting patients, were interviewed digitally. Reflexive thematic analysis was used. Results Three themes generated data; ‘Experiencing a double burden’, ‘Becoming an insignificant other’ ‘Regaining significance’. Family often themselves, which represented extra burden when patient deteriorated. From admission, became bystanders, deprived most contact with as communication information intensive care unit appeared unstructured haphazard. However, discharged, great responsibility placed on members.

Language: Английский

Citations

8
Factors contributing to moral distress among intensive care nurses: A scoping review DOI Creative Commons
Amina Mussa Abdallah Ahmad, Wegdan Bani‐Issa,

Fatma Refaat

et al.

F1000Research, Journal Year: 2024, Volume and Issue: 11, P. 1574 - 1574

Published: July 15, 2024

Background: The intensive care unit (ICU) is a busy and complex workplace, several work-related personal factors are known to make ICU nurses more vulnerable moral distress than other healthcare professionals. It crucial identify these guide future studies preventive strategies. This scoping review explores such present current knowledge on the that trigger research by reviewing explore summarize in nurses. Methods: PubMed, EBSCO, CINAHL Plus databases were searched potentially relevant published between 2011 2022. Inclusion criteria: peer-reviewed English provided results regarding causes or correlated After removing 618 duplicates, 316 papers excluded after title abstract screening, leaving 71 articles for full-text screening. A further 54 as their outcomes did not include caused distress, specific nurses, so 17 eventually analysed using qualitative content analysis through an inductive approach. findings of extracted coded independently two authors, data grouped categorized. Results: categories contributing nurses' organized into themes subthemes. Four major identified: Powerlessness, end-of-life care, ineffective teamwork, characteristics Conclusions: highlights contribute critical which mainly attributable organizational climate nature clinical environment. Descriptive intervention (experimental action research) must investigate causality identified variables inform management strategies improve support nurses’ coping relative distress.

Language: Английский

Citations

2