Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic
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...
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Taylor & Francis Group
2021
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oai:doaj.org-article:7ed64b88ca694d2abedd02eab9164d3d2021-11-11T14:23:42ZImpacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic2000-806610.1080/20008198.2021.1984667https://doaj.org/article/7ed64b88ca694d2abedd02eab9164d3d2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1984667https://doaj.org/toc/2000-8066Background 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.Rachel A. PlouffeAnthony NazarovCallista A. ForchukDominic GargalaErisa DedaTri LeJesse Bourret-GheysenBrittni JacksonVanessa SoaresFardous HosseinyPatrick SmithMaya RothArlene G. MacDougallMichelle MarlboroughRakesh JetlyAlexandra HeberJoy AlbuquerqueRuth LaniusKen BaldersonGabrielle DupuisViraj MehtaJ. Don RichardsonTaylor & Francis Grouparticlemoral distresscovid-19health caredepressive disordersanxietyposttraumatic stress disorderorganizational environmentPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021) |
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DOAJ |
| language |
EN |
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moral distress covid-19 health care depressive disorders anxiety posttraumatic stress disorder organizational environment Psychiatry RC435-571 |
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moral distress covid-19 health care depressive disorders anxiety posttraumatic stress disorder organizational environment Psychiatry RC435-571 Rachel A. Plouffe Anthony Nazarov Callista A. Forchuk Dominic Gargala Erisa Deda Tri Le Jesse Bourret-Gheysen Brittni Jackson Vanessa Soares Fardous Hosseiny Patrick Smith Maya Roth Arlene G. MacDougall Michelle Marlborough Rakesh Jetly Alexandra Heber Joy Albuquerque Ruth Lanius Ken Balderson Gabrielle Dupuis Viraj Mehta J. Don Richardson Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| description |
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. |
| format |
article |
| author |
Rachel A. Plouffe Anthony Nazarov Callista A. Forchuk Dominic Gargala Erisa Deda Tri Le Jesse Bourret-Gheysen Brittni Jackson Vanessa Soares Fardous Hosseiny Patrick Smith Maya Roth Arlene G. MacDougall Michelle Marlborough Rakesh Jetly Alexandra Heber Joy Albuquerque Ruth Lanius Ken Balderson Gabrielle Dupuis Viraj Mehta J. Don Richardson |
| author_facet |
Rachel A. Plouffe Anthony Nazarov Callista A. Forchuk Dominic Gargala Erisa Deda Tri Le Jesse Bourret-Gheysen Brittni Jackson Vanessa Soares Fardous Hosseiny Patrick Smith Maya Roth Arlene G. MacDougall Michelle Marlborough Rakesh Jetly Alexandra Heber Joy Albuquerque Ruth Lanius Ken Balderson Gabrielle Dupuis Viraj Mehta J. Don Richardson |
| author_sort |
Rachel A. Plouffe |
| title |
Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| title_short |
Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| title_full |
Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| title_fullStr |
Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| title_full_unstemmed |
Impacts of morally distressing experiences on the mental health of Canadian health care workers during the COVID-19 pandemic |
| title_sort |
impacts of morally distressing experiences on the mental health of canadian health care workers during the covid-19 pandemic |
| publisher |
Taylor & Francis Group |
| publishDate |
2021 |
| url |
https://doaj.org/article/7ed64b88ca694d2abedd02eab9164d3d |
| work_keys_str_mv |
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