A Scoping Review of Moral Stressors, Moral Distress and Moral Injury in Healthcare Workers during COVID-19

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(3), P. 1666 - 1666

Published: Feb. 1, 2022

Ethical dilemmas for healthcare workers (HCWs) during pandemics highlight the centrality of moral stressors and distress (MD) as well potentially morally injurious events (PMIEs) injury (MI). These constructs offer a novel approach to understanding workplace in settings, especially demanding times COVID-19, but they so far lack clear identification causes consequences. A scoping review stressors, distress, PMIEs, MI COVID-19 was conducted using databases Web Science Core Collection PsycINFO based on articles published up October 2021. Studies were selected following inclusion criteria: (1) measurement either stress, MD, or among HCWs; (2) original research qualitative quantitative methods; (3) availability peer-reviewed article English German. The initial search revealed n = 149,394 studies from 34 EBSCOhost. Nineteen included review. Conditions representing PMIEs MD their potential outcomes contexts are presented discussed. Highlighting HCWs brings attention need conceptualizing impact any degree. Therefore, development common, theoretically founded model is desirable.

Language: Английский

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Moral distress in frontline healthcare workers in the initial epicenter of the COVID‐19 pandemic in the United States: Relationship to PTSD symptoms, burnout, and psychosocial functioning

Depression and Anxiety, Journal Year: 2021, Volume and Issue: 38(10), P. 1007 - 1017

Published: July 22, 2021

Introduction Little is known about the relationship between moral distress and mental health problems. We examined in 2579 frontline healthcare workers (FHCWs) caring for coronavirus disease 2019 (COVID-19) patients during height of spring 2020 pandemic surge New York City. The goals study were to identify common dimensions COVID-19 distress; examine distress, positive screen COVID-19-related posttraumatic stress disorder (PTSD) symptoms, burnout, work interpersonal functional difficulties. Method Data collected 2020, through an anonymous survey delivered a purposively-selected sample 6026 FHCWs at Mount Sinai Hospital; endorsed treating provided complete responses. Physicians, house staff, nurses, physician assistants, social workers, chaplains, clinical dietitians comprised sample. Results majority (52.7%–87.8%) distress. Factor analyses revealed three distress: negative impact on family, fear infecting others, work-related concerns. All factors significantly associated with severity PTSD Relative importance that concerns competencies personal relationships most strongly related all outcomes. Conclusion Moral prevalent includes family-, infection-, Prevention treatment efforts address acute phase potentially morally injurious events may help mitigate risk PTSD,

Language: Английский

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Association between Moral Distress and Burnout Syndrome in university-hospital nurses

Revista Latino-Americana de Enfermagem, Journal Year: 2023, Volume and Issue: 31

Published: Feb. 1, 2023

to analyze the association between moral distress and Burnout Syndrome among nurses in a university hospital.descriptive, analytical study conducted with 269 working hospital located Rio Grande do Sul, Brazil. Data were collected person 2019 by previously trained collectors. A sociodemographic employment questionnaire, Brazilian Scale of Moral Distress Nurses Maslach Inventory applied. Descriptive statistical analysis was used.an identified intensity frequency its dimensions dimensions. low professional achievement high emotional exhaustion showed higher prevalence distress.an Syndrome, as well their dimensions, evidenced. The results suggest need investigate urgent interventions mitigate situations manifestations developing strategies for workers' health.

Language: Английский

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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

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

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Estimation of moral distress among nurses: A systematic review and meta-analysis

Nursing Ethics, Journal Year: 2023, Volume and Issue: 30(3), P. 334 - 357

Published: Jan. 27, 2023

Moral distress is a common challenge among professional nurses when caring for their patients, especially they need to make rapid decisions. Therefore, leaving moral unconsidered may jeopardize patient quality of care, safety, and satisfaction.To estimate nurses.This systematic review meta-analysis conducted search in Scopus, PubMed, ProQuest, ISI Web Knowledge, PsycInfo up end February 2022. Methodological included studies was assessed using the Newcastle Ottawa checklist. Data from were pooled by with random effect model STATA software version 14. The selected key measure mean score total its' 95% Confidence Interval reported. Subgroup analyses meta-regressions identify possible sources heterogeneity potentially influencing variables on distress. Funnel plots Begg's Tests used assess publication bias. Jackknife method sensitivity analysis.The protocol this project registered PROSPERO database under decree code CRD42021267773.Eighty-six manuscripts 19,537 participants 21 countries included. estimated 2.55 0-10 scale [95% Interval: 2.27-2.84, I2: 98.4%, Tau2:0.94]. Publication bias small study ruled out. significantly decreased COVID-19 pandemic versus before. Nurses working developing experienced higher level compared counterparts developed countries. Nurses' workplace (e.g., hospital ward) not linked severity disturbance.The results showed low Although high, reported levels than those it necessary that future focus creating supportive environment hospitals medical centers reduce improve healthcare.

Language: Английский

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The Psychological Impact of COVID-19 on Front Line Nurses: A Synthesis of Qualitative Evidence

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(24), P. 12975 - 12975

Published: Dec. 9, 2021

Caring for people with COVID-19 on the front line has psychological impacts healthcare professionals. Despite important of pandemic nurses, qualitative evidence this topic not been synthesized. Our objective: To analyze and synthesize studies that investigate perceptions nurses about treating hospitalized line. A systematic review published in English or Spanish up to March 2021 was carried out following databases: The Cochrane Library, Medline (Pubmed), PsycINFO, Web Science (WOS), Scopus, CINHAL. PRISMA statement recommendations synthesis were followed. Results: main caring perceived by working fear, anxiety, stress, social isolation, depressive symptoms, uncertainty, frustration. fear infecting family members being infected repercussion nurses. Other negative added suffer as progress anger, obsessive thoughts, compulsivity, introversion, apprehension, impotence, alteration space-time perception, somatization, feeling betrayal. Resilience a coping tool used Conclusions: Front care causes frustration, betrayal It is necessary provide support reduce impact derived from COVID-19, improve training programs future pandemics, long-term impacts.

Language: Английский

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The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(17), P. 9243 - 9243

Published: Sept. 1, 2021

The large numbers of patients admitted to intensive care units due COVID-19 has had a major impact on healthcare professionals. incidence mental health disorders among these professionals increased considerably and their professional quality life suffered during the pandemic. This study aims explore provision patient ICU A mixed methods with an exploratory concurrent design was conducted between June November 2020 in Balearic Islands, Spain. Data were collected using self-report online survey (n = 122) based three validated questionnaires, individual semi-structured in-depth interviews 11). Respondents scored 2.5 out 5 moral distress scale, moderate/high compassion satisfaction moderate burnout fatigue subscales. Age significantly negatively related but positively workload unavailability protective equipment. Three main groups themes relating pandemic emerged from interviews: (a) clinical, (b) professional, (c) personal family impacts two waves. should be viewed as second victims they have significant psychological, harm.

Language: Английский

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Chronicling moral distress among healthcare providers during the COVID‐19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours

International Journal of Mental Health Nursing, Journal Year: 2021, Volume and Issue: 31(1), P. 111 - 127

Published: Oct. 13, 2021

The COVID-19 pandemic has presented many novel situations that have amplified the presence of moral distress in healthcare. With limited resources to protect themselves against virus and strict safety regulations alter way they work, healthcare providers felt forced engage work behaviours conflicted with their professional personal sense right wrong. Although experienced while being physically workplace, others suffered at home. Some worked facilities were unable open during due restrictions, which could contribute a powerlessness guilt. current study assessed whether ability see patients each week impacted relationship between an employee's mental health strain, burnout, maladaptive coping. A total 378 responded weekly surveys over course 7 months (April 2020-December 2020). Hierarchical linear modeling techniques used examine variables time. Results showed predicted individual's strain even after controlling for prior week. However, was not significant predictor Interestingly, there difference average ratings those who able, able patients, meaning both groups symptoms distress. cross-level moderation results indicated magnified relationships burnout Implications recommendations how should be addressed among are discussed.

Language: Английский

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Alarm fatigue and moral distress in ICU nurses in COVID-19 pandemic

BMC Nursing, Journal Year: 2022, Volume and Issue: 21(1)

Published: May 24, 2022

Abstract Introduction Most ICU nurses feel overwhelmed by the variety of alarms at same time. Therefore, experience very stressful situations in relation to many responsibilities and care demands. This condition has recently been exacerbated COVID-19 potentially endangers patient safety. The aim this study was investigate alarm fatigue moral distress crisis. Method is a descriptive-analytical cross-sectional (April-May 2021). Sampling done convenience among affiliated Isfahan University Medical Sciences, Iran. Data were collected using Nurses’ scale (MDS). analyzed ANOVA, independent t-test multivariate logistic regression. Result results showed that mean score moderate)19.08 ± 6.26 (and low (33.80 11.60). there significant relationship between related training courses) P = .012(.So that, who trained working with ventilators settings significantly less than other nurses. Also, found marital status( .001) Shift type( .01). On hand, risk higher participants have PhD. no correlation ( r 0.111, 0.195). Conclusion It suggested practical courses on management be included curriculum should before starting work an annual basis. In order protect ensure quality patients, nurse managers reduce number rotating shifts

Language: Английский

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Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID‐19 pandemic

Nursing in Critical Care, Journal Year: 2022, Volume and Issue: 28(2), P. 261 - 271

Published: July 12, 2022

Abstract Background During the COVID‐19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity courage have a role in dealing with these problems. Aim The purpose this study was assess nurses' during pandemic. Design Descriptive cross‐sectional survey. Methods A total 362 working units pandemic hospitals Turkey participated between January March 2021. Data were obtained using personal information form, Moral Sensitivity Questionnaire, Courage Scale. link online data collection tools sent management participating institutions, who forwarded it nurses. Reporting followed CHERRIES guidelines. Results In study, response rate 89%. mean score 90.70 ± 28.89 their 82.08 13.51. weak inverse correlation found scores (r = −.176, p .001). Total differed significantly according years Intensive unit (ICU) ( .007). education level .012), nursing .016), willingness work ICU < Conclusion suggests that had moderate high levels courage. sociodemographic characteristics conditions affect Relevance Clinical Practice results can help guide efforts improve address among

Language: Английский

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