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10.1002/da.23205

http://scihub22266oqcxt.onion/10.1002/da.23205
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34293236!8426909!34293236
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suck abstract from ncbi


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pmid34293236      Depress+Anxiety 2021 ; 38 (10): 1007-1017
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  • Moral distress in frontline healthcare workers in the initial epicenter of the COVID-19 pandemic in the United States: Relationship to PTSD symptoms, burnout, and psychosocial functioning #MMPMID34293236
  • Norman SB; Feingold JH; Kaye-Kauderer H; Kaplan CA; Hurtado A; Kachadourian L; Feder A; Murrough JW; Charney D; Southwick SM; Ripp J; Peccoralo L; Pietrzak RH
  • Depress Anxiety 2021[Oct]; 38 (10): 1007-1017 PMID34293236show ga
  • INTRODUCTION: Little is known about the relationship between moral distress and mental health problems. We examined moral distress in 2579 frontline healthcare workers (FHCWs) caring for coronavirus disease 2019 (COVID-19) patients during the height of the spring 2020 pandemic surge in New York City. The goals of the study were to identify common dimensions of COVID-19 moral distress; and to examine the relationship between moral distress, and positive screen for COVID-19-related posttraumatic stress disorder (PTSD) symptoms, burnout, and work and interpersonal functional difficulties. METHOD: Data were collected in spring 2020, through an anonymous survey delivered to a purposively-selected sample of 6026 FHCWs at Mount Sinai Hospital; 2579 endorsed treating COVID-19 patients and provided complete survey responses. Physicians, house staff, nurses, physician assistants, social workers, chaplains, and clinical dietitians comprised the sample. RESULTS: The majority of the sample (52.7%-87.8%) endorsed moral distress. Factor analyses revealed three dimensions of COVID-19 moral distress: negative impact on family, fear of infecting others, and work-related concerns. All three factors were significantly associated with severity and positive screen for COVID-19-related PTSD symptoms, burnout, and work and interpersonal difficulties. Relative importance analyses revealed that concerns about work competencies and personal relationships were most strongly related to all outcomes. CONCLUSION: Moral distress is prevalent in FHCWs and includes family-, infection-, and work-related concerns. Prevention and treatment efforts to address moral distress during the acute phase of potentially morally injurious events may help mitigate risk for PTSD, burnout, and functional difficulties.
  • |*Burnout, Professional/epidemiology[MESH]
  • |*COVID-19[MESH]
  • |*Stress Disorders, Post-Traumatic/epidemiology[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Morals[MESH]
  • |Pandemics[MESH]
  • |Psychosocial Functioning[MESH]
  • |SARS-CoV-2[MESH]


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