Recognizing and supporting morally injured ICU professionals during the COVID-19 pandemic

Kok, Niek; Hoedemaekers, Astrid; Hoeven, Hans van der; Zegers, Marieke; Gurp, Jelle van

doi:10.1007/s00134-020-06121-3

Cited by 40 publications

(52 citation statements)

References 5 publications

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“…3 Since the onset of the pandemic, health care workers (HCWs) have faced unprecedented situations involving potentially life-altering moral-ethical decisions, including rationing of limited medical resources (e.g., beds, ventilators) to patients who are equally in need, 4 and the possibility of ending life for some patients to allocate resources to those with fewer comorbidities. 5 These complex moral-ethical decisions may have detrimental consequences for patients and HCWs alike, including reductions in quality of care 6 and HCW moral distress. 7 The overarching purpose of this study is to evaluate the associations between workplace experiences during COVID-19, moral distress, and the psychological well-being of HCWs.…”

Section: Impacts Of Morally Distressing Experiences On the Mental Health Of Canadian Health Care Workers During The Covid-19 Pandemicmentioning

confidence: 99%

Impacts of Morally Distressing Experiences on the Mental Health of Canadian Health Care Workers During the COVID-19 Pandemic

Plouffe

Nazarov

Forchuk

et al. 2021

Preprint

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Objective: Research is urgently needed to understand health care workers' (HCWs') experiences of moral-ethical dilemmas encountered throughout the COVID-19 pandemic, and their associations with organizational perceptions and personal well-being. The purpose of this research is to evaluate associations between workplace experiences during COVID-19, moral distress, and the psychological well-being of Canadian HCWs. Method: A total of 1383 French- and English-speaking Canadian HCWs employed during the COVID-19 pandemic were recruited to participate in an online survey. Participants completed measures reflecting moral distress, perceptions of organizational response to the pandemic, burnout, and symptoms of psychological disorders, including depression, anxiety, and posttraumatic stress disorder. Results: Structural equation modeling showed that when organizational predictors were considered together, resource adequacy, positive work life impact, and ethical work environment negatively predicted severity of moral distress, whereas COVID-19 risk perception positively predicted severity of moral distress. Moral distress also significantly and positively predicted symptoms of depression, anxiety, PTSD, and burnout. Conclusions: Our findings highlight an urgent need for HCW organizations to implement strategies designed to prevent long-term moral and psychological distress within the workplace. Ensuring availability of adequate resources, reducing HCW risk of contracting COVID-19, providing organizational support regarding individual priorities, and upholding ethical considerations are crucial to reducing severity of moral distress in HCWs.

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Section: Impacts Of Morally Distressing Experiences On the Mental Health Of Canadian Health Care Workers During The Covid-19 Pandemicmentioning

confidence: 99%

Impacts of Morally Distressing Experiences on the Mental Health of Canadian Health Care Workers During the COVID-19 Pandemic

Plouffe

Nazarov

Forchuk

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…beds, ventilators) to patients who are equally in need (Greenberg, 2020 ), and the possibility of ending life for some patients to allocate resources to those with fewer comorbidities (Williamson et al, Williamson, et al, 2020 ). These complex moral-ethical decisions may have detrimental consequences for patients and HCWs alike, including reductions in quality of care (Kok, Hoedemaekers, van der Hoeven, Zegers, & van Gurp, 2020 ) and HCW moral distress (Khoo & Lantos, 2020 ). The overarching purpose of this study is to evaluate the associations between workplace experiences during COVID-19, moral distress, and the psychological well-being of HCWs.…”

Section: Introductionmentioning

confidence: 99%

Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic

Plouffe

Nazarov

Forchuk

et al. 2021

European Journal of Psychotraumatology

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“…Healthcare professionals sometimes have to face the difficult situation of working in unsafe working conditions and trying to provide high quality patient care. 22 However, when does workbased risk become unacceptable? There is a duty to treat patients regardless of their illness, but there are limits to this duty if there is too much risk.…”

Section: Extended Essaymentioning

confidence: 99%

Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond

Rodríguez

Siow

et al. 2021

J Med Ethics

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This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising from mutual engagement and dialogue in group settings, towards responding to individual moral distress and towards building an ethical practice environment. Finally, we look at CoPs in healthcare and explore how these group experiences can be used to build collective moral resilience.

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Recognizing and supporting morally injured ICU professionals during the COVID-19 pandemic

Cited by 40 publications

References 5 publications

Impacts of Morally Distressing Experiences on the Mental Health of Canadian Health Care Workers During the COVID-19 Pandemic

Impacts of Morally Distressing Experiences on the Mental Health of Canadian Health Care Workers During the COVID-19 Pandemic

Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic

Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond

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