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

Measuring moral distress in Swedish intensive care: Psychometric and descriptive results DOI Creative Commons
Anna Nordin, Åsa Engström, Angelica Fredholm

et al.

Intensive and Critical Care Nursing, Journal Year: 2023, Volume and Issue: 76, P. 103376 - 103376

Published: Jan. 25, 2023

To investigate the construct validity and psychometric properties of Swedish version Moral Distress Scale-Revised to describe moral distress in an intensive care context.The Italian was translated semantically adjusted context. A web survey with 14 items, as well three additional eight background questions answered by critical nurses (N = 71) working units during second year coronavirus disease pandemic. Inferential descriptive statistics were used four-factor model examine nurses' distress.The result shows a factor four components differing from previous model. Critical demonstrated significant differences regarding priorities compared before pandemic, type household; experience whether they had supervised students pandemic.The component structure might have originated specific situation perceived The health organisations' role preventing healing effects is important for managers understand.Moral common it necessary use valid instrument when measuring it. psychometrical investigation Scale-Revised, adapted need further semantic cultural adaptation. Perceived household type, supervising pandemic related be aware conditions that may trigger such response.

Language: Английский

Citations

6
Factors associated with professional identity among ICU nurses during COVID‐19: A cross‐sectional study DOI Creative Commons
Baoyi Zhang,

Hongmei Tao,

Minyi Xie

et al.

Nursing Open, Journal Year: 2023, Volume and Issue: 10(8), P. 5701 - 5710

Published: May 20, 2023

To determine the associated factors of professional identity among intensive care unit (ICU) nurses during COVID-19 pandemic in China.Multicentre cross-sectional study.This study invited 348 ICU five hospitals China from May to July 2020. Online self-report questionnaires were adopted collect their demographic and occupational characteristics, perceived benefits identity. Based on univariate multiple linear regression analysis, a path analysis was performed factors' effects identity.The mean score 102.38 ± 16.46. Perceived benefits, doctor recognition level family support with nurses' The revealed that had direct In addition, indirect through mediation benefits.

Language: Английский

Citations

6
The four domains of the person-centred practice framework from the perspective of critical care nurses in intensive care units during a pandemic DOI
Maria Andersson, Anna Nordin, Angelica Fredholm

et al.

Intensive and Critical Care Nursing, Journal Year: 2023, Volume and Issue: 78, P. 103449 - 103449

Published: May 9, 2023

Language: Английский

Citations

5
Institutional Constraints as an Obstacle for Prioritizing Nursing Interventions During the COVID-19 Pandemic—Critical Care Nurses’ Experiences DOI Creative Commons
Åsa Engström, Angelica Fredholm, Anna Nordin

et al.

SAGE Open Nursing, Journal Year: 2022, Volume and Issue: 8

Published: Jan. 1, 2022

The demands of the pandemic such as staff shortages and limited resources combined with new guidelines regarding infection control may have required prioritizing nursing interventions.The aim this study was to describe critical care nurses' experiences interventions for patients COVID-19 in intensive units (ICUs) during pandemic.A qualitative descriptive gathered from open-ended questions included a cross-sectional online questionnaire. Characteristics were presented using statistics, analyzed content analysis an inductive approach. conducted Sweden focused on nurses working ICUs spring 2021 second year pandemic.During pandemic, 87% had provided orientations co-workers, 52% supervised students. In all, 70 answered question whether they prioritized differently pandemic; 86% reported that 14% not. resulted one theme, Institutional constraints obstacle interventions, three categories: Prioritizing lifesaving Performing less frequently, Not able provide I wish provide.Institutional is overall theme. It illustrates how been forced prioritize, thereby not being wanted do provide, it describes their feelings situation. need recovery possibilities reflection. organization must also recover only return before but learn recent events take actions reduce long-term effects staffing.

Language: Английский

Citations

6
The Feasibility and Impact of an Asynchronous Interprofessional Well-Being Course on Burnout in Health Care Professionals DOI Open Access
Mari Ricker, Audrey J. Brooks, Mei‐Kuang Chen

et al.

HCA Healthcare Journal of Medicine, Journal Year: 2024, Volume and Issue: 5(3)

Published: June 28, 2024

Well-being initiatives are essential components in fostering an engaged workforce and creating effective health care ecosystem. Health professional (HCP) burnout is widespread has worsened since the COVID-19 pandemic. In 2014, with Resources Services Administration funding support, Andrew Weil Center for Integrative Medicine created online course HCP well-being. It was subsequently studied medical residents revised 2020. this study, we explore impact of across larger systems, as well long-term on HCPs.

Language: Английский

Citations

0
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
Larysa Zasiekina,

Anastasiia Martyniuk

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 10, 2024

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 Life Scale (ProQOL) assess burnout, stress, satisfaction; Moral Distress Questionnaire for examine everyday healthcare facilities dilemmas nurses; Continuous Traumatic Stress Response (CTSR) ongoing threats, resulting exhaustion/detachment, rage/betrayal, fear/helplessness. The sample consisted 130 female nurses (mean age 40.20 ± 12.15 years) from surgical departments 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. Nurse did not differ according demographic variables, marital status, degree nursing, or combatant care. age, job experience found be correlated. 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

0
Moral distress related to paid and unpaid care among healthcare workers during the COVID-19 pandemic DOI Creative Commons
Julia Smith, Muhammad Haaris Tiwana, Alice Mũrage

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(9), P. e0310132 - e0310132

Published: Sept. 10, 2024

While there is growing literature on experiences of healthcare workers and those providing unpaid care during COVID-19, little research considers the relationships between paid burdens contributions. We administered a moral distress survey to in Canada, 2022, collecting data both care. There were no significant differences proportion participants by gender, with genders equally affected certain responsibilities such as reduced contact family/loved ones. However, men significantly more distressed about specific responsibilities. Unpaid was not associated intention leave work. At work, women concerned patients unable see family, while others mistreating COVID patients. This study enhances understanding relationships, particularly crises, proposes an innovative method for assessing burdens.

Language: Английский

Citations

0
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: 2022, Volume and Issue: 11, P. 1574 - 1574

Published: Dec. 23, 2022

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: The 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 63 duplicates, 371 papers excluded after title abstract screening, leaving 47 articles for full-text screening. A further 30 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

1
Grief Support and Coping Mechanism Mediate the Effect of Grief on Burnout Among Intensive Care Unit Nurses DOI
Gurbinder Kaur Jit Singh, Wah Yun Low, Khatijah Lim Abdullah

et al.

Dimensions of Critical Care Nursing, Journal Year: 2023, Volume and Issue: 42(6), P. 339 - 348

Published: Sept. 27, 2023

Patients' death caused the intensive care unit (ICU) nurses to grieve, which led their burnout. Intensive use various coping mechanisms and need support overcome grief.The aim of this study was identify mediation effects grief on impact burnout.This cross-sectional among 660 ICU from 9 hospitals used 4 self-reported instruments collect data, apart sociodemographic employment-related variables. A final model developed through structural equation modeling after establishing construct validities measures confirmatory factor analysis.The representation each hospital greater than 50%, with majority being female (90.8%) a mean age 27.27 years. Most perceived absence grief, low burnout, moderate support. The mechanisms. Grief significantly mediated relationship between burnout using bootstrapping method strength variance counted for (VAF) 34.95%. fit indices acceptable values validated direct indirect relationships support, burnout.The significant influence in mediating effect is an important finding. nursing management can finding provide nurses, enhance resources, promote future studies test model's validity applicability health professionals who frequently face patients' death.

Language: Английский

Citations

0
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

Citations

0