Moral injury and mental health among health-care workers during the COVID-19 pandemic: meta-analysis

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Янв. 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.

Язык: Английский

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Moral Injury in Health Care: Identification and Repair in the COVID-19 Era

Journal of General Internal Medicine, Год журнала: 2022, Номер 37(14), С. 3739 - 3743

Опубликована: Авг. 15, 2022

Язык: Английский

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Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations

Human Resources for Health, Год журнала: 2024, Номер 22(1)

Опубликована: Янв. 25, 2024

Abstract Background Health and care workers (HCW) faced the double burden of SARS-CoV-2 pandemic: as members a society affected by public health emergency HWC who experienced fear becoming infected infecting others, stigma, violence, increased workloads, changes in scope practice, among others. To understand short long-term impacts terms COVID-19 pandemic other emergencies international concern (PHEICs) on HCW relevant interventions to address them, we designed conducted living systematic review (LSR). Methods We reviewed literature retrieved from MEDLINE—PubMed, Embase, SCOPUS, LILACS, World Organization database, ClinicalTrials.org ILO published January 2000 until December 2021. included quantitative observational studies, experimental quasi-experimental, mixed methods or qualitative studies; addressing mental, physical well-being quality life. The targeted HCW; exposures, implemented during PHEICs. assess risk bias used Johanna Briggs Institute (JBI) Critical Appraisal Tools. Data were qualitatively synthetized using meta-aggregation meta-analysis was performed estimate pooled prevalence some outcomes. Results 1013 studies mainly research, cross-sectional, with medium bias/quality, at least one following: mental issue, well-being, Additionally, short- impact PHEICs review, although scarce, behavioral individual oriented, aimed improving through development interventions. A lack organizational systemic bottlenecks noted. Discussion impacted greatest toll health. are intricate complex. revealed consequences for service delivery, unplanned absenteeism, disruption occupation turnover that subvert capacity answer PHEICs, specifically challenging resilience systems.

Язык: Английский

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Why Are Healthcare Providers Leaving Their Jobs? A Convergent Mixed-Methods Investigation of Turnover Intention among Canadian Healthcare Providers during the COVID-19 Pandemic

Nursing Reports, Год журнала: 2024, Номер 14(3), С. 2030 - 2060

Опубликована: Авг. 21, 2024

Background: Staffing shortages across the healthcare sector pose a threat to continuity of Canadian system in post-COVID-19 pandemic era. We sought understand factors associated with turnover intention as well providers’ (HCPs) perspectives and experiences related both organizational professional turnover. Method: A convergent questionnaire mixed-methods design was employed. Descriptive statistics ordinal logistic regressions were used analyze quantitative data ascertain intention. Thematic analysis qualitative open-field textbox HCPs’ Results: Quantitative analyses revealed that 78.6% HCPs surveyed (N = 398) reported at least 25% likelihood regarding their organization, 67.5% reporting profession. Whereas regression models significant impact years worked, burnout, support on for organizations, age, sex, contributed leaving Patterns meaning drawn from participants’ responses organized according following four themes: (1) Content stay, (2) Drowning no one cares, (3) Moral stressors, (4) Wrestling costs benefits. Conclusions: Many described weighing benefits organization or profession during COVID-19 pandemic. Although challenging working conditions, moral burnout may play role intention, there is ample room intervene support.

Язык: Английский

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Healthcare Workers and COVID-19-Related Moral Injury: An Interpersonally-Focused Approach Informed by PTSD

Frontiers in Psychiatry, Год журнала: 2022, Номер 12

Опубликована: Фев. 14, 2022

The COVID-19 pandemic has resulted in a still-unfolding series of novel, potentially traumatic moral and ethical challenges that place many healthcare workers at risk developing injury. Moral injury is type psychological response may arise when one transgresses or witnesses another transgress deeply held values, feels an individual institution duty to provide care failed do so. Despite knowledge this widespread exposure, date, empirical data are scarce as how prevent and, where necessary, treat COVID-19-related workers. Given the relation between post-traumatic stress disorder (PTSD), we point here social interpersonal factors critical moderators PTSD symptomology consider translate interventions for Specifically, first review alterations cognitive functioning observed among individuals with give rise difficulties. Drawing on Nietlisbach Maercker's 2009 work relevant survivors trauma PTSD, then role perceived support, acknowledgment exclusion potential areas targeted intervention Finally, building existing literature (e.g., Phoenix Australia—Centre Posttraumatic Mental Health Canadian Centre Excellence—PTSD, 2020) conclude organizational considerations bolster against development during pandemic.

Язык: Английский

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The Italian COVID‐19 Anxiety Syndrome Scale: Investigation of the COVID‐19 anxiety syndrome and its association with psychological symptoms in an Italian population

Clinical Psychology & Psychotherapy, Год журнала: 2022, Номер 29(6), С. 1972 - 1990

Опубликована: Июнь 30, 2022

The COVID-19 Anxiety Syndrome Scale (C-19ASS) is a quick and reliable scale assessing dysfunctional coping strategies activated in response to fear threat. present study aimed provide preliminary validation of the Italian version C-19ASS investigated whether would mediate relationship between Big Five personality traits psychological outcomes.

Язык: Английский

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Toward a Dimensional Contextual Model of Moral Injury: A Scoping Review on Healthcare Workers

Current Treatment Options in Psychiatry, Год журнала: 2023, Номер 10(3), С. 199 - 216

Опубликована: Июль 4, 2023

Abstract Purpose of Review Healthcare workers (HCWs) may be exposed to potentially morally injurious events (PMIEs) while on the job and consequently experience acute, functional moral distress prolonged, impairing injury. Recent Findings We reviewed 185 articles and/or injury among HCWs. This included 91 empirical studies (approximately 50% retained articles), 68 editorials (37%), 18 reviews (10%), 8 protocol papers (4%). Themes were explored using bibliometric network analysis keyword co-citation. Empirical found evidence PMIE exposure a considerable proportion Greater severity was associated with worse mental occupational health outcomes, especially women (vs. men), younger HCWs older), nurses physicians), those who worked more hours, less experience. Programs prevent treat lack evidence. Summary Efforts maintain well-being effectiveness should consider potential impact To that end, we introduce dimensional contextual model in healthcare settings discuss recommendations for prevention treatment.

Язык: Английский

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Prevalence of occupational moral injury and post-traumatic embitterment disorder: a systematic review and meta-analysis

BMJ Open, Год журнала: 2024, Номер 14(2), С. e071776 - e071776

Опубликована: Фев. 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.

Язык: Английский

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Exposure to moral stressors and associated outcomes in healthcare workers: prevalence, correlates, and impact on job attrition

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Фев. 9, 2024

Introduction: Healthcare workers (HCWs) often experience morally challenging situations in their workplaces that may contribute to job turnover and compromised well-being. This study aimed characterize the nature frequency of moral stressors experienced by HCWs during COVID-19 pandemic, examine influence on psychosocial-spiritual factors, capture impact such factors related HCWs' self-reported attrition intentions.

Язык: Английский

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Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings

The Journal of the American Board of Family Medicine, Год журнала: 2024, Номер 37(1), С. 43 - 58

Опубликована: Янв. 1, 2024

Introduction:

Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, family practice physicians advanced (APCs) in an Upper Midwestern health care system.

Methods:

The Mini Z reduction measure was administered by anonymous electronic survey March 2022. We conducted bivariate analyses of study variables, then assessed relationships variables to with multivariate binary logistic regression.

Results:

Of 1118 (63% response rate), 589 496 APCs were included (n = 1085). Most female (56%), (54%), White (86%), while 21% practice, 46% reported burnout, 349 practiced rurally. Rural urban clinician rates comparable (45% vs 47%). Part-time protected against for rural clinicians, but not clinicians. models stress (OR: 8.53, 95% CI: 4.09 17.78, P < .001), lack workload control 3.06, 1.47-6.36, .003), busy/chaotic environments 2.53, 1.29-4.99, .007), intent leave 2.18, 1.06-4.45, .033) increased odds. 13.43 4.90-36.79, P .001) also significantly

Conclusions:

Burnout between APCs. associated decreased Addressing drivers (stress, control, chaos) may improve environments, reduce turnover, aid recruitment. be particularly impactful practice.

Язык: Английский

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