Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine
Objective: The present study aimed to investigate the correlation between moral distress and mental health symptoms, socio-demographic, occupational, and COVID-19-related variables, and to determine differences in healthcare workers’ (HCW) moral distress during the first wave of the COVID-19 pandemi...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:10f83d37a9b344b19837a4e7ae7568ce2021-11-18T05:19:45ZMoral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine1664-107810.3389/fpsyg.2021.775204https://doaj.org/article/10f83d37a9b344b19837a4e7ae7568ce2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.775204/fullhttps://doaj.org/toc/1664-1078Objective: The present study aimed to investigate the correlation between moral distress and mental health symptoms, socio-demographic, occupational, and COVID-19-related variables, and to determine differences in healthcare workers’ (HCW) moral distress during the first wave of the COVID-19 pandemic.Method: Data from 3,293 HCW from a web-based survey conducted between the 20th of April and the 5th of July 2020 were analyzed. We focused on moral distress (Moral Distress Thermometer, MDT), depressive symptoms (Patient Health Questionnaire-2, PHQ-2), anxiety symptoms (Generalized Anxiety Disorder-2, GAD-2), and increased general distress of nurses, physicians, medical-technical assistants (MTA), psychologists/psychotherapists, and pastoral counselors working in German hospitals.Results: The strongest correlations for moral distress were found with depressive symptoms, anxiety symptoms, occupancy rate at current work section, and contact with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nurses and MTA experienced significantly higher moral distress than physicians, psychologists/psychotherapists, and pastoral counselors. The average level of moral distress reported by nurses from all work areas was similar to levels which before the pandemic were only experienced by nurses in intensive or critical care units.Conclusion: Results indicate that moral distress is a relevant phenomenon among HCW in hospitals during the COVID-19 pandemic, regardless of whether they work at the frontline or not and requires urgent attention.Juliane Nora SchneiderNina HiebelMilena Kriegsmann-RabeJonas SchmuckYesim ErimEva MorawaLucia Jerg-BretzkePetra BeschonerChristian AlbusJulian HannemannKerstin WeidnerSusann Steudte-SchmiedgenLukas RadbruchHolger BrunschFranziska GeiserFrontiers Media S.A.articleCOVID-19moral distresshealthcarehealthcare workersmental healthdepressionPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021) |
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| collection |
DOAJ |
| language |
EN |
| topic |
COVID-19 moral distress healthcare healthcare workers mental health depression Psychology BF1-990 |
| spellingShingle |
COVID-19 moral distress healthcare healthcare workers mental health depression Psychology BF1-990 Juliane Nora Schneider Nina Hiebel Milena Kriegsmann-Rabe Jonas Schmuck Yesim Erim Eva Morawa Lucia Jerg-Bretzke Petra Beschoner Christian Albus Julian Hannemann Kerstin Weidner Susann Steudte-Schmiedgen Lukas Radbruch Holger Brunsch Franziska Geiser Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| description |
Objective: The present study aimed to investigate the correlation between moral distress and mental health symptoms, socio-demographic, occupational, and COVID-19-related variables, and to determine differences in healthcare workers’ (HCW) moral distress during the first wave of the COVID-19 pandemic.Method: Data from 3,293 HCW from a web-based survey conducted between the 20th of April and the 5th of July 2020 were analyzed. We focused on moral distress (Moral Distress Thermometer, MDT), depressive symptoms (Patient Health Questionnaire-2, PHQ-2), anxiety symptoms (Generalized Anxiety Disorder-2, GAD-2), and increased general distress of nurses, physicians, medical-technical assistants (MTA), psychologists/psychotherapists, and pastoral counselors working in German hospitals.Results: The strongest correlations for moral distress were found with depressive symptoms, anxiety symptoms, occupancy rate at current work section, and contact with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nurses and MTA experienced significantly higher moral distress than physicians, psychologists/psychotherapists, and pastoral counselors. The average level of moral distress reported by nurses from all work areas was similar to levels which before the pandemic were only experienced by nurses in intensive or critical care units.Conclusion: Results indicate that moral distress is a relevant phenomenon among HCW in hospitals during the COVID-19 pandemic, regardless of whether they work at the frontline or not and requires urgent attention. |
| format |
article |
| author |
Juliane Nora Schneider Nina Hiebel Milena Kriegsmann-Rabe Jonas Schmuck Yesim Erim Eva Morawa Lucia Jerg-Bretzke Petra Beschoner Christian Albus Julian Hannemann Kerstin Weidner Susann Steudte-Schmiedgen Lukas Radbruch Holger Brunsch Franziska Geiser |
| author_facet |
Juliane Nora Schneider Nina Hiebel Milena Kriegsmann-Rabe Jonas Schmuck Yesim Erim Eva Morawa Lucia Jerg-Bretzke Petra Beschoner Christian Albus Julian Hannemann Kerstin Weidner Susann Steudte-Schmiedgen Lukas Radbruch Holger Brunsch Franziska Geiser |
| author_sort |
Juliane Nora Schneider |
| title |
Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| title_short |
Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| title_full |
Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| title_fullStr |
Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| title_full_unstemmed |
Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine |
| title_sort |
moral distress in hospitals during the first wave of the covid-19 pandemic: a web-based survey among 3,293 healthcare workers within the german network university medicine |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/10f83d37a9b344b19837a4e7ae7568ce |
| work_keys_str_mv |
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