Experiences of Moral Distress in Canadian Intensive Care Unit Professionals During and After the COVID-19 Pandemic: A Qualitative Exploratory Multiple Case Study in Ontario and Alberta, Canada

Journal of Intensive Care Medicine, Год журнала: 2025, Номер unknown

Опубликована: Апрель 18, 2025

Background: Since the beginning of COVID-19 pandemic, moral distress among healthcare workers in Intensive Care Unit (ICU) has garnered both media and academic attention. Moral been theorized as occurring when individuals are constrained from doing what they perceive morally right. This study sought to empirically examine lived experiences clinical administrative professionals a sample Canadian ICUs during pandemic. Methods: Qualitative case methodology was used overarching approach, collecting comparing data two distinct cases: one ICU Ontario Alberta. Data collection involved primary sources: semi-structured interviews with staff document review institutional government directives provide contextual data. analysis commenced concurrently collection, generated within- across-case themes, well allowed descriptive accounts distress. Results: Thirty-six across sites were interviewed. Participants described three categories constraints leading These were: 1) The rapidity opaqueness policy development, specifically pertaining 2) implementation family visitation treatment triage decisions, 3) resource shortages, which reduced patient interactions, shifted professional responsibilities. Each these yielded circumstances forced decisions that perceived wrong because compromised care quality outcomes. Conclusions: While sharing similarities growing literature on context this reveals new insights how provincial direct bearing Policies choose between actions considered most right least wrong. Understanding specific policy-driven highlights need for systems processes mitigate sustain our health workforce.

Язык: Английский

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Mental well-being of intensive care unit nurses after the second surge of the COVID-19 pandemic: A cross-sectional and longitudinal study

Intensive and Critical Care Nursing, Год журнала: 2022, Номер 74, С. 103313 - 103313

Опубликована: Авг. 22, 2022

To determine the impact of second surge COVID-19 pandemic (October 2020 to June 2021) on mental well-being intensive care unit nurses and factors associated with health outcomes. An online survey was available for Dutch in October 2021, measuring symptoms; anxiety, depression (Hospital Anxiety Depression Scale), post-traumatic stress disorder (Impact Event Scale-6). Additionally, work-related fatigue measured using Need For Recovery-11 questionnaire. Previous data from first (March until 2020) were used study longitudinally a subgroup nurses. Logistic regression analyses performed symptoms. In total, 589 (mean age 44.8 [SD, 11.9], 430 [73.8 %] females) participated, whom 164 also completed questionnaire 2020. After surge, 225/589 (38.2 %) experienced one or more symptoms 294/589 (49.9 fatigue. Compared measurement, occurrence remained high (55/164 [33.5 vs 63/164 [38.4 %], p = 0.36) significantly higher (66/164 [40.2 83/164 [50.6 0.02). Granted holidays as requested (aOR, 0.54; 95 % CI, 0.37–0.79), being confident about future 0.59; 0.37–0.93) better perceived work-life balance 0.42; 0.27–0.65) less The further drained reserves nurses, resulting

Язык: Английский

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The early career resilience experience of generation Z newly graduated registered nurses in standardized training in the emergency department: a qualitative study in Shanghai

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Июнь 6, 2024

Abstract Background The period of standardized training is a transitional stage when Generation Z newly graduated registered nurses (Gen NGRNs) change their role from student to nurse. Affected by the COVID-19, they lack clinical practice and practicum experience in emergency departments university studies. At beginning career, are under great pressure. Resilience one factors that reduce stress level increases endurance. It interest understand how this representative group gained played resilience early careers. Objective To explore Gen NGRNs’ process resilience, provide new perspective theoretical basis for psychological rehabilitation or intervention medical staff who experienced transition shock. Methods This study employed qualitative design based on phenomenological approach. 18 third-level class-A hospital Shanghai participated department were enrolled using purposive sampling. Data collection was through in-depth semi-structured interviews continued until reaching data saturation. Results investigation uncovered three themes ten subthemes. Pressure challenge contained high workload risk coexist, death’s response, more emergencies professional requirements. Coping adaptation team help, restructuring, peer support, transformational leadership. Reflection planning enhance learning, appreciate life. Conclusions Our described embodiment coping physical mental faced NGRNs during department. emphasized nurse educators should pay attention character actual needs NGRNs, formulate strategies, so as guide quickly adapt grow role. ultimate goal increase retention improve quality nursing.

Язык: Английский

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Psychosocial Burden and Quality of Life of Surveyed Nurses during the SARS-CoV-2 Pandemic

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(2), С. 994 - 994

Опубликована: Янв. 5, 2023

This study analyzes the impact of occupational burnout on quality life (QOL) nurses surveyed during SARS-CoV-2 pandemic. A total 668 active employed in public hospitals Podkarpackie voivodeship (Poland) were surveyed. Throughout pandemic, all wards where responders worked had a division into so-called "clean" and "dirty" zones, as well balanced working hours. The research used authors' survey questionnaire Maslach Burnout Inventory (MBI) Polish version World Health Organization Quality Life Instrument Short Form (WHOQOL-BREF). Descriptive statistics analysis collected material, while correlations between ordinal or quantitative variables made using Spearman's-rho coefficient. According to 94.0% respondents, stress is an integral part nursing profession. mean respondents' MBI was 50.83 +/- 9.05 pts. overall also averaged 65.74 13.12 There negative statistically significant BREF domains, most which characterized by clear strengths association. Higher exhaustion various aspects associated with poorer individual domains.

Язык: Английский

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Post-traumatic growth experience of first-line emergency nurses infected with COVID-19 during the epidemic period—A qualitative study in Shanghai, China

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Окт. 12, 2022

In March 2022, Shanghai, China, was hit by a severe wave of SARS-CoV-2 transmission caused the Omicron variant strain. The medical staff greatly infected during this period, which posed traumatic event for them. Meanwhile, they also experience post-traumatic growth under introspection and positive change. However, psychological coping after infection with COVID-19 among have rarely been investigated.To explore process influencing factors emergency nurses coronavirus disease (COVID-19) so as to provide new perspective theoretical basis rehabilitation or intervention who experienced events.The study used qualitative design based on phenomenological approach. A purposive sampling method subjective feelings 13 first-line in China. Semi-structured face-to-face interviews were conducted June 2022. Seven-step Colaizzi data analysis.Themes described extracted from insights at different stages fight against virus. Three main themes, i.e., stress adjustment well several sub-themes, identified.First-line are sensitive group that should be given more attention. Investigating how achieve case trauma can valuable references nursing management education future. Society, hospital managers pay attention PTG establish supportive strategies, will benefit retention rate career development nurses.

Язык: Английский

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Measuring moral distress in Swedish intensive care: Psychometric and descriptive results

Intensive and Critical Care Nursing, Год журнала: 2023, Номер 76, С. 103376 - 103376

Опубликована: Янв. 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.

Язык: Английский

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Factors associated with professional identity among ICU nurses during COVID‐19: A cross‐sectional study

Nursing Open, Год журнала: 2023, Номер 10(8), С. 5701 - 5710

Опубликована: Май 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.

Язык: Английский

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The four domains of the person-centred practice framework from the perspective of critical care nurses in intensive care units during a pandemic

Intensive and Critical Care Nursing, Год журнала: 2023, Номер 78, С. 103449 - 103449

Опубликована: Май 9, 2023

Язык: Английский

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Canadian respiratory therapists who considered leaving their clinical position experienced elevated moral distress and adverse psychological and functional outcomes during the COVID-19 pandemic

Health Promotion and Chronic Disease Prevention in Canada, Год журнала: 2023, Номер 43(10/11), С. 460 - 471

Опубликована: Ноя. 1, 2023

Respiratory therapists (RTs) faced morally distressing situations throughout the COVID-19 pandemic, including working with limited resources and facilitating video calls for families of dying patients. Moral distress is associated a host adverse psychological functional outcomes (e.g. depression, anxiety, symptoms posttraumatic stress disorder [PTSD] impairment) consideration position departure. The purpose this study was to understand impact moral its on leave clinical among Canadian RTs during pandemic.

Язык: Английский

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Canadian healthcare workers’ mental health and health behaviours during the COVID-19 pandemic: results from nine representative samples between April 2020 and February 2022

Can J Public Health, Год журнала: 2023, Номер 114(5), С. 823 - 839

Опубликована: Авг. 7, 2023

In the context of COVID-19, Canadian healthcare workers (HCWs) worked long hours, both to respond pandemic and compensate for colleagues who were not able work due infection burnout. This may have had detrimental effects on HCWs' mental health, as well engagement in health-promoting behaviours. study aimed identify changes health outcomes behaviours experienced by HCWs throughout COVID-19 pandemic.

Язык: Английский

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