How Moral Distress Contributes to Depression Varies by Gender in a Sample of Sub-Saharan African Nurses DOI Creative Commons
JohnBosco Chika Chukwuorji,

Michael Onwe Nwogiji,

Chuka Mike Ifeagwazi

et al.

Psychiatry International, Journal Year: 2024, Volume and Issue: 5(2), P. 205 - 216

Published: May 6, 2024

Although research has shown that moral distress harms mental health in diverse populations, information on potential moderators of such associations is scarce. In a sample sub-Saharan African nurses, we examined the link between and depressive symptoms. We explored for whom when relationships may hold with regard to gender, age, work experience. Participants consisted 398 nurses drawn from tertiary healthcare institution southeastern Nigeria. Data were collected using Moral Distress Questionnaire (MDQ) clinical Center Epidemiological Studies Depression Scale Revised (CEDS-R). Hayes regression-based macro results moderation effects indicated association high increased symptoms was robust women but not significant men. older age higher years nursing experience associated reduced depression, nurses’ did moderate relationship To promote well-being preserve integrity gender-based differentials how morals contribute should be considered policy practice.

Language: Английский

Moral injury and mental health among health-care workers during the COVID-19 pandemic: meta-analysis DOI Creative Commons
Bruno Messina Coimbra, Cecilia Zylberstajn, Mirjam van Zuiden

et al.

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: Jan. 2, 2024

: During the COVID-19 pandemic, health-care workers (HCWs) may have been confronted with situations that culminate in moral injury (MI). MI is psychological distress result from perpetrating or witnessing actions violate one's codes. Literature suggests can be associated mental health problems.

Language: Английский

Citations

17
Critical Care Nurses’ Moral Resilience, Moral Injury, Institutional Betrayal, and Traumatic Stress After COVID-19 DOI
Guy Weissinger, Deborah Swavely, Heidi Holtz

et al.

American Journal of Critical Care, Journal Year: 2024, Volume and Issue: 33(2), P. 105 - 114

Published: March 1, 2024

Background Traumatic stress and moral injury may contribute to burnout, but their relationship institutional betrayal resilience is poorly understood, leaving risk protective factors understudied. Objectives To examine traumatic symptoms, resilience, experienced by critical care nurses how symptoms relate betrayal, patient-related burnout. Methods This cross-sectional study included 121 used an online survey. Validated instruments were measure key variables. Descriptive statistics, regression analyses, group t tests relationships among Results Of participating nurses, 71.5% reported significant and/or stress. Both associated with Regression models showed that was increased likelihood of injury. Increases in scores on Response Moral Adversity subscale a lower symptoms. Conclusions especially response difficult circumstances, be environments, system (eg, betrayal) must also addressed systemically rather than relying individual-level interventions address nurses’ needs.

Language: Английский

Citations

8
Moral Injuries in Healthcare Workers: What Causes Them and What to Do About Them? DOI Creative Commons
Sarah Rabin, Natalia B. Kika, Danielle Lamb

et al.

Journal of Healthcare Leadership, Journal Year: 2023, Volume and Issue: Volume 15, P. 153 - 160

Published: Aug. 1, 2023

Moral injury (MI) refers to the persisting distress which may occur following exposure potentially morally injurious events (PMIEs).The COVID-19 pandemic has drawn attention MI in healthcare workers, who have been found experience more frequent PMIEs their day-to-day work than those other occupational groups such as military.These on an individual, team, organizational or system level and associated with increased clinician burnout distress, poor psychological wellbeing.This paper focuses workers' experiences of MI, including potential causes ways reduce them.There are myriad challenges that influence development chronic understaffing pressure treat high numbers patients limited resources.There also multiple impacts MI: at individual-level, can lead staff absences understaffing, prolonged patient contact decision-making power.COVID-19 exacerbated impacts, a lack support during time mortality, uncertainty heightened clinical frontline scarce resources understaffing.Potential methods for reduction workers include pre-exposure mitigation, fostering environments same way hazards post-exposure facilitating process peer spiritual advisors and, if is mental ill-health, talking therapies using trauma-focused compassion-oriented frameworks.

Language: Английский

Citations

21
Prevalence of occupational moral injury and post-traumatic embitterment disorder: a systematic review and meta-analysis DOI Creative Commons
Chloe J. Brennan, Carl Roberts, Jon C. Cole

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(2), P. e071776 - e071776

Published: Feb. 1, 2024

Occupational moral injury and post-traumatic embitterment disorder (PTED) describe the psychological distress caused by exposure to injustice at work. This meta-analysis aims determine prevalence of occupational PTED establish whether estimates differ depending on occupation. A systematic review meta-analysis. Google Scholar, PubMed, APA PsycINFO, Web Science Core Collection, Scopus, ScienceDirect Sage Journals Online were searched in June 2020 updated November 2022. Observational studies that measured or average scores injury, any group geographical location. Two independent reviewers screened coded eligible studies. Study design, participant demographics, sampling method, location, measurement tool extracted. Risk bias was assessed using Quality Assessment Checklist for Prevalence Studies tool. Meta-analysis conducted random effects models. Results could not be combined summarised qualitatively a narrative synthesis Guidance Systematic Reviews. In total, 88 across armed forces veterans, healthcare, first responders, educators, journalists, child protection service employees, unemployed, public-sector employees mixed occupations included. included each separate based measure used ranged from 2 30. The pooled clinically relevant healthcare professionals 45%, potentially morally injurious event (PMIE) 67%. Exposure transgressions others betrayal significantly lower than civilian occupations. Pooled 26%. PMIEs, symptoms are prevalent work more likely forces. CRD42020191766.

Language: Английский

Citations

7
State Abortion Policy and Moral Distress Among Clinicians Providing Abortion After the Dobbs Decision DOI Creative Commons
Katherine Rivlin, Marta Bornstein,

Jocelyn Wascher

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(8), P. e2426248 - e2426248

Published: Aug. 1, 2024

Importance Moral distress occurs when individuals feel powerless to do what they think is right, including clinicians are prevented from providing health care deem necessary. The loss of federal protections for abortion following the Dobbs v Jackson Women’s Health Organization Supreme Court decision may place at risk experiencing moral distress, as many could face new legal and civil penalties in line with professional standards that perceive Objective To assess self-reported scores among abortion-providing overall by state-level policy. Design, Setting, Participants This survey study, conducted May December 2023, included US (physicians, advanced practice clinicians, nurses). A purposive electronic was disseminated nationally through listservs snowball sampling. Exposure Abortion policy each respondent’s state (restrictive vs protective using classifications Guttmacher Institute). Main Outcomes Measures Using descriptive statistics unadjusted adjusted negative binomial regression models, association between on Distress Thermometer (MDT), a validated psychometric tool 0 (none) 10 (worst possible), examined. Results Overall, 310 (271 [87.7%] women; mean [SD] age, 41.4 [9.7] years) completed 352 MDTs, 206 responses (58.5%) states 146 (41.5%) restrictive states. Reported ranged (median, 5) were more than double compared 8 [IQR, 6-9] 3 1-6]; P < .001). Respondents higher physicians 6 3-8] 4 2-7]; = .005), those practicing free-standing clinics hospitals .001), no longer still 4-9] 5 2-8]; .004), (states greatest decline volume since decision) stable (unadjusted incidence rate [IRR], 1.72 [95% CI, 1.55-1.92]; .001; IRR, 1.59 1.40-1.79]; surge increase 1.27 1.11-1.46]; 1.24 1.09-1.41]; Conclusions Relevance In this national study abortion, elevated all twice high restrict protect abortion. findings suggest structural changes addressing bans necessary care, such needed institutional, state, levels combat widespread distress.

Language: Английский

Citations

6
Moral injury and its mental health consequences among protesters: findings from Israel’s civil protest against the government's judicial reform DOI Creative Commons
Yossi Levi‐Belz,

Yoav Groweiss,

Carmel Blank

et al.

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(2)

Published: Nov. 23, 2023

Background: Government actions and participating in protracted-duration protests against it affect protesters' mental health, leading to high distress levels, such as posttraumatic depressive symptoms. Aside from exposure violence other issues, protest participation can pose unique challenges the protesters they may be exposed potentially morally injurious events (PMIEs), betrayal of leaders once trusted. This study's primary objective was examine extent psychological difficulties among civilians long-duration Israel. More specifically, study aimed understand contribution protest-related PMIEs

Language: Английский

Citations

14
Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort DOI Creative Commons
Danielle Lamb,

Hannah Scott,

Ewan Carr

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 31, 2025

Abstract Background Maintaining the mental health of healthcare workers is vital to reduce staff absences and high turnover, which in turn should improve patient care. Most research this area focusses on clinical staff, despite important contributions non-clinical make system, uses data from one time point. Our objectives were examine status variations for all types (HCWs) England over a three-year period, at increased risk poorer outcomes. Method We undertook prospective cohort study 22,092 HCWs 17 English acute NHS Trusts, collecting online survey common disorders (CMDs), depression, anxiety, alcohol misuse, PTSD, moral injury, burnout, wellbeing, resilience, post-traumatic growth four points April 2020 March 2023. analysed these cross-sectionally by collection Data weighted better represent individual Trust population demographics. Results Around 50% participants reported probable CMDs across points. The most consistent predictor any poor outcome was having met cut-off that baseline. There no differences between staff. Younger, female, lower paid those who felt poorly supported colleagues/managers, experienced potentially morally injurious events Conclusion evidence suggests are struggling, has not improved since end pandemic restrictions. Longer term work address structural inequalities underlie some findings needed, as well targeted, flexible support short term.

Language: Английский

Citations

0
The impact of trauma and how to intervene: a narrative review of psychotraumatology over the past 15 years DOI Creative Commons
Miranda Olff, Irma M. Hein, Ananda B. Amstadter

et al.

European journal of psychotraumatology, Journal Year: 2025, Volume and Issue: 16(1)

Published: Feb. 6, 2025

To mark 15 years of the European Journal Psychotraumatology, editors reviewed past 15-year research on trauma exposure and its consequences, as well developments in (early) psychological, pharmacological complementary interventions. In all sections this paper, we provide perspectives sex/gender aspects, life course trends, cross-cultural/global systemic societal contexts. Globally, majority people experience stressful events that may be characterized traumatic. However, definitions what is traumatic are not necessarily straightforward or universal. Traumatic have a wide range transdiagnostic mental physical health limited to posttraumatic stress disorder (PTSD). Research genetic, molecular, neurobiological influences show promise for further understanding underlying risk resilience trauma-related consequences. Symptom presentation, prevalence, course, response experiences, differ depending individuals' age developmental phase, sex/gender, sociocultural environmental contexts, socio-political forces. Early interventions potential prevent acute reactions from escalating PTSD diagnosis whether delivered golden hours weeks after trauma. prevention still scarce compared treatment where several evidence-based complementary/ integrative exist, novel forms delivery become available. Here, focus how best address negative outcomes following trauma, serve individuals across spectrum, including very young old, include considerations ethnicity, culture diverse beyond Western, Educated, Industrialized, Rich, Democratic (WEIRD) countries. We conclude with providing directions future aimed at improving well-being impacted by around world. The EJPT webinar provides 90-minute summary paper can downloaded here [http://bit.ly/4jdtx6k].

Language: Английский

Citations

0
The independent and combined impact of moral injury and moral distress on post-traumatic stress disorder symptoms among healthcare workers during the COVID-19 pandemic DOI Creative Commons
Andrea M. D'Alessandro‐Lowe, Herry Patel, Bethany Easterbrook

et al.

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: Feb. 9, 2024

Healthcare workers (HCWs) across the globe have reported symptoms of Post-Traumatic Stress Disorder (PTSD) during COVID-19 pandemic. Moral Injury (MI) has been associated with PTSD in military populations, but is not well studied healthcare contexts. Distress (MD), a related concept, may enhance understandings MI and its relation to among HCWs. This study examined independent combined impact MD on Canadian HCWs

Language: Английский

Citations

4
Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: the NHS CHECK study cohort DOI Creative Commons
Danielle Lamb,

Hannah Scott,

Ewan Carr

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 7, 2025

Abstract Background Maintaining the mental health of healthcare workers is vital to reduce staff absences and high turnover, which in turn should improve patient care. Most research this area focusses on clinical staff, despite important contributions non-clinical make system, uses data from one time point. Our objectives were examine status variations for all types (HCWs) England over a three-year period, at increased risk poorer outcomes. Method We undertook prospective cohort study 22,092 HCWs 17 English acute NHS Trusts, collecting online survey common disorders (CMDs), depression, anxiety, alcohol misuse, PTSD, moral injury, burnout, wellbeing, resilience, post-traumatic growth four points April 2020 March 2023. analysed these cross-sectionally by collection Data weighted better represent individual Trust population demographics. Results Around 50% participants reported probable CMDs across points. The most consistent predictor any poor outcome was having met cut-off that baseline. There no differences between staff. Younger, female, lower paid those who felt poorly supported colleagues/managers, experienced potentially morally injurious events Conclusion evidence suggests are struggling, has not improved since end pandemic restrictions. Longer term work address structural inequalities underlie some findings needed, as well targeted, flexible support short term.

Language: Английский

Citations

0