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

被引：41

作者：

Plouffe, Rachel A. ^{[1
,2
]}

Nazarov, Anthony ^{[1
,2
,3
]}

Forchuk, Callista A. ^{[1
]}

Gargala, Dominic ^{[1
]}

Deda, Erisa ^{[4
]}

Tri Le ^{[1
]}

Bourret-Gheysen, Jesse ^{[1
]}

Jackson, Brittni ^{[1
]}

Soares, Vanessa ^{[1
]}

Hosseiny, Fardous ^{[5
,6
]}

Smith, Patrick ^{[5
,6
]}

Roth, Maya ^{[2
,4
,7
]}

MacDougall, Arlene G. ^{[2
,8
,9
]}

Marlborough, Michelle ^{[2
,4
]}

Jetly, Rakesh ^{[6
]}

Heber, Alexandra ^{[10
,11
]}

Albuquerque, Joy ^{[12
]}

Lanius, Ruth ^{[2
,13
]}

Balderson, Ken ^{[2
,4
]}

Dupuis, Gabrielle ^{[5
,6
]}

Mehta, Viraj ^{[2
,9
]}

Richardson, J. Don ^{[1
,2
,3
,4
]}

机构：

[1] Lawson Hlth Res Inst, MacDonald Franklin Operat Stress Injury Res Ctr, London, ON, Canada

[2] Western Univ, Schulich Sch Med & Dent, Dept Psychiat, London, ON, Canada

[3] McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada

[4] St Josephs Hlth Care London, Parkwood Inst, St Josephs Operat Stress Injury Clin, London, ON, Canada

[5] Ctr Excellence Posttraumat Stress Disorder PTSD, Ottawa, ON, Canada

[6] Univ Ottawa, Inst Mental Hlth Res Royal, Ottawa, ON, Canada

[7] Ryerson Univ, Yeates Sch Grad Studies, Toronto, ON, Canada

[8] Western Univ, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, ON, Canada

[9] St Josephs Hlth Care London & Parkwood Inst, Lawson Hlth Res Inst, London, ON, Canada

[10] Univ Ottawa, Dept Psychiat, Ottawa, ON, Canada

[11] Vet Affairs Canada, Ottawa, ON, Canada

[12] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[13] Western Univ, Schulich Sch Med & Dent, Dept Neurosci, London, ON, Canada

来源：

EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY | 2021年 / 12卷 / 01期

关键词：

Moral distress; COVID-19; health care; depressive disorders; anxiety; posttraumatic stress disorder; organizational environment; QUALITY-OF-LIFE; GENERALIZED ANXIETY DISORDER;

D O I：

10.1080/20008198.2021.1984667

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background 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. This research is important to prevent long-term moral and psychological distress and to ensure that workers can optimally provide health services. Objective Evaluate associations between workplace experiences during COVID-19, moral distress, and the psychological well-being of Canadian HCWs. Method A total of 1362 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 (PTSD). Results Structural equation modelling 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.

引用

页数：12

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