Studying moral distress (MD) and moral injury (MI) among inpatient and outpatient healthcare professionals during the COVID-19 pandemic

被引:1
|
作者
Whitehead, Phyllis B. [1 ,6 ,7 ]
Haisch, Carl E. [2 ]
Hankey, Maria S. [3 ]
Mutcheson, Ryan B. [4 ]
Dewitt, Sarah A. [3 ]
Stewart, Christi A. [3 ]
Stewart, Jonathan D. [3 ]
Bath, Jennifer L. [3 ]
Boone, Sherry M. [3 ]
Jileaeva, Ilona [5 ]
Faulks, Emily R. [3 ]
Musick, David W. [5 ]
机构
[1] Carilion Clin, Palliat Med & Eth, Roanoke, VA USA
[2] ECU Hlth, Greenville, NC USA
[3] Caril Clini, Roanoke, VA USA
[4] Virginia Polytech Inst & State Univ, Blacksburg, VA USA
[5] Virginia Tech, Carilion Sch Med, Roanoke, VA USA
[6] Carilion Roanoke Mem Hosp, 906 Jefferson Roanoke, Roanoke, VA 24014 USA
[7] Virginia Tech Carilion, Sch Med, 1906 Jefferson, Roanoke, VA 24014 USA
来源
关键词
Moral injury; moral distress; ambulatory; trauma; pandemic; COVID-19; burnout; SINGLE-ITEM; BURNOUT; NURSES;
D O I
10.1177/00912174231205660
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: COVID-19 increased moral distress (MD) and moral injury (MI) among healthcare professionals (HCPs). MD and MI were studied among inpatient and outpatient HCPs during March 2022.Objectives: We sought to examine (1) the relationship between MD and MI; (2) the relationship between MD/MI and pandemic-related burnout and resilience; and (3) the degree to which HCPs experienced pandemic-related MD and MI based on their background.Methods: A survey was conducted to measure MD, MI, burnout, resilience, and intent to leave healthcare at 2 academic medical centers during a 4-week period. A convenience sample of 184 participants (physicians, nurses, residents, respiratory therapists, advanced practice providers) completed the survey. In this mixed-methods approach, researchers analyzed both quantitative and qualitative survey data and triangulated the findings.Results: There was a moderate association between MD and MI (r = .47, P < .001). Regression results indicated that burnout was significantly associated with both MD and MI (P = .02 and P < .001, respectively), while intent to leave was associated only with MD (P < .001). Qualitative results yielded 8 sources of MD and MI: workload, distrust, lack of teamwork/collaboration, loss of connection, lack of leadership, futile care, outside stressors, and vulnerability.Conclusions: While interrelated conceptually, MD and MI should be viewed as distinct constructs. HCPs were significantly impacted by the COVID-19 pandemic, with MD and MI being experienced by all HCP categories. Understanding the sources of MD and MI among HCPs could help to improve well-being and work satisfaction.
引用
收藏
页码:469 / 486
页数:18
相关论文
共 50 条
  • [11] Moral Injury in Chinese Health Professionals During the COVID-19 Pandemic
    Wang, Zhizhong
    Harold, Koenig G.
    Tong, Yan
    Wen, Jing
    Sui, Mu
    Liu, Hongyu
    Al Zaben, Faten
    Liu, Guangtian
    [J]. PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY, 2022, 14 (02) : 250 - 257
  • [12] Healthcare Workers' Moral Distress during the COVID-19 Pandemic: A Scoping Review
    Nagle, Evija
    Surina, Sanita
    Griskevica, Inguna
    [J]. SOCIAL SCIENCES-BASEL, 2023, 12 (07):
  • [13] Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic
    Hines, Stella E.
    Chin, Katherine H.
    Glick, Danielle R.
    Wickwire, Emerson M.
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (02) : 1 - 11
  • [14] Moral Injury and Burnout in Health Care Professionals During the COVID-19 Pandemic
    Mantri, Sneha
    Song, Ye Kyung
    Lawson, Jennifer M.
    Berger, Elizabeth J.
    Koenig, Harold G.
    [J]. JOURNAL OF NERVOUS AND MENTAL DISEASE, 2021, 209 (10) : 720 - 726
  • [15] Psychological distress and moral injury to oncologists and their patients during COVID-19 pandemic
    Rashid, Shazia
    Reeder, Clare
    Sahu, Satyajit
    Rashid, Sabia
    [J]. CURRENT PSYCHOLOGY, 2022, 41 (11) : 8175 - 8180
  • [16] Psychological distress and moral injury to oncologists and their patients during COVID-19 pandemic
    Shazia Rashid
    Clare Reeder
    Satyajit Sahu
    Sabia Rashid
    [J]. Current Psychology, 2022, 41 : 8175 - 8180
  • [17] Moral distress related to paid and unpaid care among healthcare workers during the COVID-19 pandemic
    Smith, Julia
    Tiwana, Muhammad Haaris
    Murage, Alice
    Samji, Hasina
    Morgan, Rosemary
    Delgado-Ron, Jorge Andres
    [J]. PLOS ONE, 2024, 19 (09):
  • [18] 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
    D'Alessandro-Lowe, Andrea M.
    Patel, Herry
    Easterbrook, Bethany
    Ritchie, Kim
    Brown, Andrea
    Xue, Yuanxin
    Karram, Mauda
    Millman, Heather
    Sullo, Emily
    Pichtikova, Mina
    Nicholson, Andrew
    Heber, Alex
    Malain, Ann
    O'Connor, Charlene
    Schielke, Hygge
    Rodrigues, Sarah
    Hosseiny, Fardous
    Mccabe, Randi E.
    Lanius, Ruth A.
    Mckinnon, Margaret C.
    [J]. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2024, 15 (01)
  • [19] Exploring experiences of moral injury and distress among health care workers during the Covid-19 pandemic
    Denham, Faye
    Varese, Filippo
    Hurley, Mitchell
    Allsopp, Kate
    [J]. PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE, 2023, 96 (04) : 833 - 848
  • [20] Nurse Reports of Moral Distress During the COVID-19 Pandemic
    Stephenson, Pam
    Warner-Stidham, Andrea
    [J]. SAGE OPEN NURSING, 2024, 10