Moral Distress, Mattering, and Secondary Traumatic Stress in Provider Burnout: A Call for Moral Community

Epstein, Elizabeth G.; Haizlip, Julie; Liaschenko, Joan; Zhao, David; Bennett, Rachel; Marshall, Mary Faith

doi:10.4037/aacnacc2020285

Cited by 56 publications

(59 citation statements)

References 90 publications

(162 reference statements)

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“…Also, supported with the study conducted by Haizlip et al, 2020 who reported that, higher levels of mattering at work were associated with lower burnout and higher engagement. Epstein and et al (2020) who mentioned that, mattering, moral distress and secondary traumatic stress as they relate to burnout.…”

Section: Discussionmentioning

confidence: 99%

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

et al. 2021

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Coronavirus is a communicable disease that originates from a large family of viruses that causes the diseases. It is also complicated by the fact that patients may have irregular symptoms. This means COVID-19 exhibits clinical presentations ranging from asymptomatic to acute respiratory distress syndrome and multiple-organ failure that leading to death. In addition, COVID-19 also is transmitted from person to person through respiratory droplets (World Health Organization, 2020).It is problematic to imagine a scenario, where healthcare worker perceive their work as unimportant to hospitals but are still motivated, satisfied and increase the value of their jobs and hospitals.Therefore, the importance of their activities in the workplace is a major concern for nurses, directors and leadership/head nurses (Poku et al., 2020;Ribeiro et al., 2020). Nurses are employees who are directly affected by the novel coronavirus (Kang et al., 2020). This has affected the psychological abilities of nurses, especially staff working in coronavirus treatment.The work of nurses includes some specific requirements that make this group particularly vulnerable to emissions, distort perceptions and affect participation in the work. The current situation is much more dangerous, for example in a pandemic situation initiated by COVID-19 where work demands are very widespread. The fierce tragedy of the current epidemic, the risk of openness of infectious diseases, the expansion of immediate challenges, the lack of personal defences and other clinical supplies, the lack of testing, the limited choice of treatment, the concerns about pollution and to friends and family. Really focussed, honest, moral and complete assets are included in the designated selection (Pfefferbaum & North, 2020).

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Section: Discussionmentioning

confidence: 99%

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

et al. 2021

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“…When work and professional environments are not well organized and managed, they can have adverse consequences for workers that, far from dignifying them, exhaust them and consume their psychological resources. Burnout has become one of the most important psychosocial occupational hazards in today's society, generating significant costs for both individuals and organizations [1][2][3][4]. Although burnout was initially considered to be specific to professionals working in the care of people [5], later evidence has shown that this syndrome can develop among all types of professions and occupational groups [6,7].…”

Section: Introductionmentioning

confidence: 99%

Burnout: A Review of Theory and Measurement

Edú-Valsania

Laguía

León

2022

IJERPH

254

174

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A growing body of empirical evidence shows that occupational health is now more relevant than ever due to the COVID-19 pandemic. This review focuses on burnout, an occupational phenomenon that results from chronic stress in the workplace. After analyzing how burnout occurs and its different dimensions, the following aspects are discussed: (1) Description of the factors that can trigger burnout and the individual factors that have been proposed to modulate it, (2) identification of the effects that burnout generates at both individual and organizational levels, (3) presentation of the main actions that can be used to prevent and/or reduce burnout, and (4) recapitulation of the main tools that have been developed so far to measure burnout, both from a generic perspective or applied to specific occupations. Furthermore, this review summarizes the main contributions of the papers that comprise the Special Issue on “Occupational Stress and Health: Psychological Burden and Burnout”, which represent an advance in the theoretical and practical understanding of burnout.

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“…Secondary traumatic stress (STS) describes the psychological experience of caring for traumatized or suffering others, and it is work related as a natural consequence of caring for traumatized people ( 13 ). STS is closely related to compassion fatigue (CF) and burnout ( 14 ). Stamm proposed Professional Quality of Life (ProQOL) model and she defined compassion fatigue (CF) as comprising both STS and burnout ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

ICU Nurse's Moral Distress as an Occupational Hazard Threatening Professional Quality of Life in the Time of Pandemic COVID 19

et al. 2021

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Background: Moral distress is an unpleasant feeling that arises when one is forced to behave in such a way that it violates one’s personal beliefs and values about what is right and what is wrong. Moral distress, unlike other forms of distress, contains an incompatible conflict between one’s personal moral limitations and the acts that accompany it. Objective: to investigate moral distress and its effects on the ICU nursing staff, their professional quality of life as well as, related factors. Methods: The total sample of this cross-sectional study comprised of 258 ICU nurses working in reference hospitals for COVID 19 recruited online using google forms. The study tools are: a) “Measure of Moral Distress for Healthcare Professionals (MMD-HP)” to assess intensity and frequency of moral distress b) “Professional Quality of Life Scale (ProQOL-5)” to assess professional quality of life. Data were analyzed using IBM SPSS Statistics 25,0 (IBM Analytics, IBM Software Group Statistical Package). Results: Overall MMD-HP score ranged from 3 to 262 with a mean score of 116.52 (SD= 68.56). Distress score ranged from 5 to 79 with a mean score of 43.67 (SD=17.44) while intensity score ranged from 3 to 108 with a mean score 52.04 (SD=22.69). Bivariate analysis showed there is a statistically significant positive correlation between the intensity of moral distress and overall moral distress score with years of service in ICU and age. Nurses’ Assistants (m=48.1 p=0.021) scored higher than Registered nurses in distress and intensity score (m=54.1 p=0.020) while female also scored higher in overall MMD-HP (m=121.2 p=0.049). Multivariate logistic regression analysis, showed that secondary trauma scale was independently associated with a higher distress scale score and a higher MMD-HP. Conclusion: Educational support that provide information about dealing with moral distress during the coronavirus pandemic and how ICU nurses should deal with ethical issues that may confront in the everyday professional life is essential. Hospitals should monitor moral distress and there should be workshops that could build moral resilience and maintain high professional quality of life.

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Moral Distress, Mattering, and Secondary Traumatic Stress in Provider Burnout: A Call for Moral Community

Cited by 56 publications

References 90 publications

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

Burnout: A Review of Theory and Measurement

ICU Nurse's Moral Distress as an Occupational Hazard Threatening Professional Quality of Life in the Time of Pandemic COVID 19

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