Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19

Romero-García, Marta; Delgado‐Hito, Pilar; Gálvez-Herrer, Macarena; Ángel-Sesmero, José Antonio; Velasco-Sanz, T.R.; Benito-Aracil, Llúcia; Calle, Gabriel Heras-La

doi:10.1016/j.iccn.2022.103206

Cited by 45 publications

(65 citation statements)

References 67 publications

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“…The HIV_COVID-19 HGM BioBank has been created to offer different samples donated by patients with the objective to discover new findings in newborns, children, adolescents and adults infected by HIV-1, COVID-19, or HIV-1/COVID-19 [ 7 ]. It is worth noting that biobanks have been identified as a biomedical scientific infrastructural development integrated into the preexisting form of regulation, medicine, law, and society.…”

Section: Methodsmentioning

confidence: 99%

HIV HGM biobank as a research platform for paediatric infectious diseases and COVID-19 pandemic

et al. 2022

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Aim The initial cases of COVID-19 appeared in December 2019 and Spain was one of the most affected countries during the first wave (March to June). Since then, HIV HGM BioBank has been restructured as an established Paediatrics and Adults HIV_COVID-19 BioBank that aims at the long-term storage of samples obtained from not only HIV-1, but also from COVID-19 patients and HIV-1_COVID-19 coinfected patients. Methods HIV HGM BioBank holds high quality biological samples from newborns, children, adolescents and adults with their associated clinical data. Research groups trying to establish large networks focused on research on specific clinical problems in epidemiology, biology, routes of transmission and therapies, are potential users of the clinical samples and of associated data of HIV-1_COVID-19 HGM BioBank. Results The HIV HGM BioBank is an academic and ethical enterprise complying with all the legal regulatory rules to provide service to the society. HIV_COVID-19 HGM BioBank has been repurposed to offer an important resource for global research of COVID-19 in newborns, children, adolescents, adults and elders to study the biological effect of the pandemic. Conclusion Herein, we present a description of how HIV HGM BioBank has rapidly become an indispensable structure in modern biomedical research, including COVID-19 research.

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Section: Methodsmentioning

confidence: 99%

HIV HGM biobank as a research platform for paediatric infectious diseases and COVID-19 pandemic

et al. 2022

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“… Romero-García et al (2022) mentioned that the interaction between moral distress, mental health, and coping is a limitation of their study. However, demographic characteristic differences also affect the prevalence of anxiety and depression, and the choice of coping strategies.…”

Section: Dear Editormentioning

confidence: 98%

“…We read the recently published article titled “Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19” by Romero-García et al (2022) with great interest. This study provides important insights into how moral distress among ICU staff during the COVID-19 pandemic, coupled with avoidance-oriented and passive coping styles, is a significant predictor of anxiety and depression.…”

Section: Dear Editormentioning

confidence: 99%

Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19

Ito¹,

Tsubaki²,

Haniuda³

2022

Intensive and Critical Care Nursing

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“…Studies of moral distress related to the COVID-19 pandemic have reported that approximately 60% to 80% of health care workers have experienced at least some situations that generate moral distress [ 9 – 13 ]. However, the intensity (severity) of moral distress among health workers during the pandemic, in those studies that reported mean moral distress levels, has been found to be low in most [ 11 , 13 – 21 ] though not all [ 22 – 24 ] studies. Among these studies, some assessed the intensity of moral distress for specific situations [ 15 , 20 ], some assessed both the frequency and intensity of moral distress for specific situations [ 13 , 14 , 17 , 18 , 21 , 22 , 24 , 25 ] and others assessed it with a global measure of moral distress without anchoring the assessment to specific potentially-morally-distressing situations [ 11 , 19 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, the intensity (severity) of moral distress among health workers during the pandemic, in those studies that reported mean moral distress levels, has been found to be low in most [ 11 , 13 – 21 ] though not all [ 22 – 24 ] studies. Among these studies, some assessed the intensity of moral distress for specific situations [ 15 , 20 ], some assessed both the frequency and intensity of moral distress for specific situations [ 13 , 14 , 17 , 18 , 21 , 22 , 24 , 25 ] and others assessed it with a global measure of moral distress without anchoring the assessment to specific potentially-morally-distressing situations [ 11 , 19 , 23 ]. The systematic reviews by Gianetta and colleagues [ 1 ] and by Tian and colleagues [ 26 ] provide comprehensive discussions of instruments that have been used to measure moral distress.…”

Section: Introductionmentioning

confidence: 99%

A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic

2022

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Background There have been no studies to date of moral distress during the COVID-19 pandemic in national samples of U.S. health workers. The purpose of this study was to determine, in a national sample of internal medicine physicians (internists) in the U.S.: 1) the intensity of moral distress; 2) the predictors of moral distress; 3) the outcomes of moral distress. Methods We conducted a national survey with an online panel of internists, representative of the membership of the American College of Physicians, the largest specialty organization of physicians in the United States, between September 21 and October 8, 2020. Moral distress was measured with the Moral Distress Thermometer, a one-item scale with a range of 0 (“none”) to 10 (“worst possible”). Outcomes were measured with short screening scales. Results The response rate was 37.8% (N = 810). Moral distress intensity was low (mean score = 2.4, 95% CI, 2.2–2.6); however, 13.3% (95% CI, 12.1% - 14.5%) had a moral distress score greater than or equal to 6 (“distressing”). In multiple linear regression models, perceived risk of death if infected with COVID-19 was the strongest predictor of higher moral distress (β (standardized regression coefficient) = 0.26, p < .001), and higher perceived organizational support (respondent belief that their health organization valued them) was most strongly associated with lower moral distress (β = -0.22, p < .001). Controlling for other factors, high levels of moral distress, but not low levels, were strongly associated (adjusted odds ratios 3.0 to 11.5) with screening positive for anxiety, depression, posttraumatic stress disorder, burnout, and intention to leave patient care. Conclusions The intensity of moral distress among U.S. internists was low overall. However, the 13% with high levels of moral distress had very high odds of adverse mental health outcomes. Organizational support may lower moral distress and thereby prevent adverse mental health outcomes.

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Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19

Cited by 45 publications

References 67 publications

HIV HGM biobank as a research platform for paediatric infectious diseases and COVID-19 pandemic

HIV HGM biobank as a research platform for paediatric infectious diseases and COVID-19 pandemic

Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19

A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic

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