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The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada

Background: Healthcare providers (HCPs) may be at elevated risk for moral injury due to increased exposure to potentially morally injurious events (PMIEs) throughout the COVID-19 pandemic. Identifying PMIEs experienced during the COVID-19 pandemic is a critical first step for understanding moral inj...

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Autores principales: Ritchie, Kim, D’Alessandro-Lowe, Andrea M., Brown, Andrea, Millman, Heather, Pichtikova, Mina, Xue, Yuanxin, Altman, Maxwell, Beech, Isaac, Karram, Mauda, Hosseiny, Fardous, Rodrigues, Sara, O’Connor, Charlene, Schielke, Hugo, Malain, Ann, McCabe, Randi E., Heber, Alexandra, Lanius, Ruth A., McKinnon, Margaret C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049639/
https://www.ncbi.nlm.nih.gov/pubmed/36981725
http://dx.doi.org/10.3390/ijerph20064813
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author Ritchie, Kim
D’Alessandro-Lowe, Andrea M.
Brown, Andrea
Millman, Heather
Pichtikova, Mina
Xue, Yuanxin
Altman, Maxwell
Beech, Isaac
Karram, Mauda
Hosseiny, Fardous
Rodrigues, Sara
O’Connor, Charlene
Schielke, Hugo
Malain, Ann
McCabe, Randi E.
Heber, Alexandra
Lanius, Ruth A.
McKinnon, Margaret C.
author_facet Ritchie, Kim
D’Alessandro-Lowe, Andrea M.
Brown, Andrea
Millman, Heather
Pichtikova, Mina
Xue, Yuanxin
Altman, Maxwell
Beech, Isaac
Karram, Mauda
Hosseiny, Fardous
Rodrigues, Sara
O’Connor, Charlene
Schielke, Hugo
Malain, Ann
McCabe, Randi E.
Heber, Alexandra
Lanius, Ruth A.
McKinnon, Margaret C.
author_sort Ritchie, Kim
collection PubMed
description Background: Healthcare providers (HCPs) may be at elevated risk for moral injury due to increased exposure to potentially morally injurious events (PMIEs) throughout the COVID-19 pandemic. Identifying PMIEs experienced during the COVID-19 pandemic is a critical first step for understanding moral injury in HCPs. Accordingly, the purpose of the present study was to gain a deeper understanding of the work-related PMIEs experienced by HCPs in Canada during the pandemic. Methods: Canadian HCPs completed an online survey between February and December 2021 about mental health and functioning, including demographics and the Moral Injury Outcome Scale (MIOS). We conducted a qualitative thematic analysis of PMIEs described extemporaneously by HCPs in the open-text field of the MIOS. Results: One-hundred and twenty-four (N = 124) HCPs were included in analysis. Eight PMIE-related themes were identified, comprising patients dying alone; provision of futile care; professional opinion being ignored; witnessing patient harm; bullying, violence and divided opinions; resources and personal protective equipment; increased workload and decreased staffing; and conflicting values. Conclusions: Understanding broad categories of PMIES experienced by Canadian HCPs during the COVID-19 pandemic provides an opportunity to enhance cultural competency surrounding their experiences which will aid the development of targeted prevention and intervention approaches.
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spelling pubmed-100496392023-03-29 The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada Ritchie, Kim D’Alessandro-Lowe, Andrea M. Brown, Andrea Millman, Heather Pichtikova, Mina Xue, Yuanxin Altman, Maxwell Beech, Isaac Karram, Mauda Hosseiny, Fardous Rodrigues, Sara O’Connor, Charlene Schielke, Hugo Malain, Ann McCabe, Randi E. Heber, Alexandra Lanius, Ruth A. McKinnon, Margaret C. Int J Environ Res Public Health Article Background: Healthcare providers (HCPs) may be at elevated risk for moral injury due to increased exposure to potentially morally injurious events (PMIEs) throughout the COVID-19 pandemic. Identifying PMIEs experienced during the COVID-19 pandemic is a critical first step for understanding moral injury in HCPs. Accordingly, the purpose of the present study was to gain a deeper understanding of the work-related PMIEs experienced by HCPs in Canada during the pandemic. Methods: Canadian HCPs completed an online survey between February and December 2021 about mental health and functioning, including demographics and the Moral Injury Outcome Scale (MIOS). We conducted a qualitative thematic analysis of PMIEs described extemporaneously by HCPs in the open-text field of the MIOS. Results: One-hundred and twenty-four (N = 124) HCPs were included in analysis. Eight PMIE-related themes were identified, comprising patients dying alone; provision of futile care; professional opinion being ignored; witnessing patient harm; bullying, violence and divided opinions; resources and personal protective equipment; increased workload and decreased staffing; and conflicting values. Conclusions: Understanding broad categories of PMIES experienced by Canadian HCPs during the COVID-19 pandemic provides an opportunity to enhance cultural competency surrounding their experiences which will aid the development of targeted prevention and intervention approaches. MDPI 2023-03-09 /pmc/articles/PMC10049639/ /pubmed/36981725 http://dx.doi.org/10.3390/ijerph20064813 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ritchie, Kim
D’Alessandro-Lowe, Andrea M.
Brown, Andrea
Millman, Heather
Pichtikova, Mina
Xue, Yuanxin
Altman, Maxwell
Beech, Isaac
Karram, Mauda
Hosseiny, Fardous
Rodrigues, Sara
O’Connor, Charlene
Schielke, Hugo
Malain, Ann
McCabe, Randi E.
Heber, Alexandra
Lanius, Ruth A.
McKinnon, Margaret C.
The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title_full The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title_fullStr The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title_full_unstemmed The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title_short The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada
title_sort hidden crisis: understanding potentially morally injurious events experienced by healthcare providers during covid-19 in canada
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049639/
https://www.ncbi.nlm.nih.gov/pubmed/36981725
http://dx.doi.org/10.3390/ijerph20064813
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