Triggers and factors associated with moral distress and moral injury in health and social care workers: A systematic review of qualitative studies

PLoS ONE, Год журнала: 2024, Номер 19(6), С. e0303013 - e0303013

Опубликована: Июнь 27, 2024

At some point in their career, many healthcare workers will experience psychological distress associated with being unable to take morally or ethically correct action, as it aligns own values; a phenomenon known moral distress. Similarly, there are increasing reports of experiencing long-term mental and pain, alongside internal dissonance, injury. This review examined the triggers factors injury Health Social Care Workers (HSCW) employed across range clinical settings aim understanding how mitigate effects identify potential preventative interventions.

Язык: Английский

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Suicidal ideation and suicide attempts in healthcare professionals during the COVID-19 pandemic: A systematic review

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

Опубликована: Дек. 6, 2022

Background COVID-19 has caused a series of economic, social, personal, and occupational consequences that may affect the mental health healthcare workers (HCWs), with consequent risk developing suicidal ideation behaviors. Objectives The aim this study was to identify main factors predispose HCWs suicide attempts during pandemic. Methods A systematic review studies published between January 2020 August 2022 conducted following PRISMA guidelines in electronic databases: Pubmed, Scopus, Web Science, CINAHL, PsycINFO. Methodological quality assessed using critical appraisal tools for non-randomized Joanna Briggs Institute (JBI). followed protocol is listed International Prospective Register Systematic Reviews (PROSPERO) code CRD42022340732. Results total 34 were included review. There are number underlying such as higher rates depression, anxiety, pre-pandemic lifetime disorders or previous attempt, living alone, having problems alcohol and/or other drugs, etc. favor emergence tendencies times COVID-19. Similarly, pandemic have precipitated economic concerns, assessing one's working conditions poor, family members friends infected, changes services functions, feeling discriminated against stigmatized by society. Other age, sex, type worker show differences studies. Conclusion Organizations should ensure adoption strategies programmes early detection suicides well increased attention professions high workload. registration PROSPERO, identifier

Язык: Английский

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List of Abbreviations and Acronyms

Опубликована: Янв. 30, 2025

Язык: Английский

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Dimensions and Implications of Cultural Identity

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 60 - 87

Опубликована: Янв. 30, 2025

Abstract Cultural identity is intersectional: It includes not only race and nationality but also socioeconomic class, occupation, religion, gender, age/generation, life stage. Culture usefully characterized dimensionally. Hofstede identified dimensions of individualism/collectivism, power distance, uncertainty avoidance, gender role differentiation, short-term/long-term orientation, indulgence/restraint. Trust in individuals institutions, as well social capital—structural, relational, instrumental, cognitive—moderate the emotional effects stress adversity. clinicians enables effective treatment. The expression depression mediated by cultural communication styles, with their high-context/low-context, direct/indirect, self-enhancing/self-effacing, elaborate/understated. Word choices metaphors—which vary culture—help identify depression, indicate its severity, reveal suicide risk. Details critical for accurate diagnosis treatment can be “lost translation.”

Язык: Английский

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Seeing Depression Through A Cultural Lens

Oxford University Press eBooks, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Abstract Seeing Depression through a Cultural Lens, the collaborative work of clinical neuroscientist and scholar comparative culture, examines effects cultural identity on epidemiology, phenomenology, narratives depression, bipolar spectrum, suicide. Culture is associated with emotional communication style, “idioms distress,” conception depression disorders, how people mood disorders might be stigmatized. It linked to structural factors—environmental, social, economic circumstances—that create or mitigate risk sometimes precipitate episodes illness, facilitate impede treatment. shapes depressed people’s willingness disclose acknowledge their condition seek care, relationships clinicians, acceptance rejection specific treatments. context essential understanding underlies motives for suicide, facilitating inhibiting factors, social acceptability death by availability lethal means self-harm. always intersectional—comprising elements related race ethnicity; gender; age, generation, life stage; education; class; occupation; migrant minority status; region residence; religious belief practice. Lens explores implications each these dimensions using salient concepts form sciences; memorable from literature, film, clinic; quantitative findings epidemiology psychometrics. offers readers framework culturally aware assessment management bipolarity, suicidal in individuals populations.

Язык: Английский

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Preface

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. xv - xxii

Опубликована: Янв. 30, 2025

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Faces of Clinical Depression

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 23 - 47

Опубликована: Янв. 30, 2025

Abstract Current diagnostic criteria for major depressive disorder (MDD) do not capture the diversity of phenotypes clinically significant depression. Culture can entail suppression, normalization, or concealment symptoms. Clinically depressed people who are “subsyndromal” by MDD often fall in a “middle zone” between normal negative emotion and frank mental illness. Alternative clinical depression proposed that better accommodate cultural differences as well variations personality pathophysiology. Such validate illness whose subsyndromal entails functional impairment, persistent distress, suicide risk. Appreciation middle zone clinicians public could reduce stigma facilitate its timely treatment. Questionnaire-based screening tests like nine-item Patient Health Questionnaire, Center Epidemiologic Studies Depression Scale, Beck Inventory function if cut points modified according to culture their translations from English other languages consider connotations explicit meanings items.

Язык: Английский

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Unnatural Deaths

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 99 - 112

Опубликована: Янв. 30, 2025

Abstract Suicide and other “unnatural deaths” are the most dramatic expression of mortality depression, more deaths from depression bipolar spectrum disorders can be attributed to self-neglect careless risk-taking. A framework for relating culture suicide combines Joiner’s interpersonal theory with neuropsychiatric existential considerations availability highly lethal means: an interpersonal-neuropsychiatric model. Collectivist accentuates thwarted belongingness in those ostracized or bullied. shame and/or “face” contribute perceived burdensomeness. Cultural normalization, rationalization, romanticization increases acquired capacity suicide. Activation inhibition, pain pleasure relate its structural correlates. Mediators include formal education informal acculturation, normalized trauma, lifestyle-related occupation-related illness injury, culturally sanctioned substance use. Religious spiritual perspectives national, regional, ethnic cultures associated hope reasons live.

Язык: Английский

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Ancient Wisdom Meets Modern Science: Depression in Traditional Medicine

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 161 - 198

Опубликована: Янв. 30, 2025

Abstract The phenomenology and treatment of depression the bipolar spectrum are described in three systems traditional medicine, two which currently practiced: classical Greco-Roman Chinese medicine (TCM), Arabic Islamic medicine. These other (e.g., Ayurvedic medicine) contribute content to modern complementary, alternative, integrative (CAIM). conceive as a mind–body illness, comprehensive, holistic, non-stigmatized, dimensional (rather than categorical) way. Depression phenotypes distinguished by TCM have been correlated with distinct biomarkers. Traditional holistic treatments include changes diet, activity, environment well herbal medicaments physical like acupuncture massage. CAIM includes evidence-based alternatives complements mainstream that many patients find acceptable. They can help depressed reach maintain remissions.

Язык: Английский

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South Korea: Han and Passionate Intensity

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 342 - 379

Опубликована: Янв. 30, 2025

Abstract Korea has the highest suicide rate of all high-income countries: 28.91 per 100,000 population in 2019—with disproportionally high rates women and older adults. Cultural features contributing to suicide, often-undiagnosed depression, include normalization traumatic experiences, including family intimate partner violence; transgenerational effects historical trauma; widespread binge drinking; intense academic, occupational, romantic competition that produces many “losers”; preoccupation with “face” external appearance; gender inequality. two “national emotions”—han jeong. Han is a form righteous anger grim resolve yearning for vengeance. Jeong attachment entails both protective social capital risk unhealthy dependency. Hwa-byung, distinctive expression depression most common midlife, reflects an excess han. The interpersonal dimension deserves special attention Koreans.

Язык: Английский

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