Cargando…
Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic
The coronavirus severe acute respiratory syndrome (COVID-19) pandemic has placed increased stress on healthcare workers (HCWs). While anxiety and post-traumatic stress have been evaluated in HCWs during previous pandemics, moral injury, a construct historically evaluated in military populations, has...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826570/ https://www.ncbi.nlm.nih.gov/pubmed/33435300 http://dx.doi.org/10.3390/ijerph18020488 |
_version_ | 1783640552172945408 |
---|---|
author | Hines, Stella E. Chin, Katherine H. Glick, Danielle R. Wickwire, Emerson M. |
author_facet | Hines, Stella E. Chin, Katherine H. Glick, Danielle R. Wickwire, Emerson M. |
author_sort | Hines, Stella E. |
collection | PubMed |
description | The coronavirus severe acute respiratory syndrome (COVID-19) pandemic has placed increased stress on healthcare workers (HCWs). While anxiety and post-traumatic stress have been evaluated in HCWs during previous pandemics, moral injury, a construct historically evaluated in military populations, has not. We hypothesized that the experience of moral injury and psychiatric distress among HCWs would increase over time during the pandemic and vary with resiliency factors. From a convenience sample, we performed an email-based, longitudinal survey of HCWs at a tertiary care hospital between March and July 2020. Surveys measured occupational and resilience factors and psychiatric distress and moral injury, assessed by the Impact of Events Scale-Revised and the Moral Injury Events Scale, respectively. Responses were assessed at baseline, 1-month, and 3-month time points. Moral injury remained stable over three months, while distress declined. A supportive workplace environment was related to lower moral injury whereas a stressful, less supportive environment was associated with increased moral injury. Distress was not affected by any baseline occupational or resiliency factors, though poor sleep at baseline predicted more distress. Overall, our data suggest that attention to improving workplace support and lowering workplace stress may protect HCWs from adverse emotional outcomes. |
format | Online Article Text |
id | pubmed-7826570 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-78265702021-01-25 Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic Hines, Stella E. Chin, Katherine H. Glick, Danielle R. Wickwire, Emerson M. Int J Environ Res Public Health Article The coronavirus severe acute respiratory syndrome (COVID-19) pandemic has placed increased stress on healthcare workers (HCWs). While anxiety and post-traumatic stress have been evaluated in HCWs during previous pandemics, moral injury, a construct historically evaluated in military populations, has not. We hypothesized that the experience of moral injury and psychiatric distress among HCWs would increase over time during the pandemic and vary with resiliency factors. From a convenience sample, we performed an email-based, longitudinal survey of HCWs at a tertiary care hospital between March and July 2020. Surveys measured occupational and resilience factors and psychiatric distress and moral injury, assessed by the Impact of Events Scale-Revised and the Moral Injury Events Scale, respectively. Responses were assessed at baseline, 1-month, and 3-month time points. Moral injury remained stable over three months, while distress declined. A supportive workplace environment was related to lower moral injury whereas a stressful, less supportive environment was associated with increased moral injury. Distress was not affected by any baseline occupational or resiliency factors, though poor sleep at baseline predicted more distress. Overall, our data suggest that attention to improving workplace support and lowering workplace stress may protect HCWs from adverse emotional outcomes. MDPI 2021-01-09 2021-01 /pmc/articles/PMC7826570/ /pubmed/33435300 http://dx.doi.org/10.3390/ijerph18020488 Text en © 2021 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hines, Stella E. Chin, Katherine H. Glick, Danielle R. Wickwire, Emerson M. Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title | Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title_full | Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title_fullStr | Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title_full_unstemmed | Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title_short | Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic |
title_sort | trends in moral injury, distress, and resilience factors among healthcare workers at the beginning of the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826570/ https://www.ncbi.nlm.nih.gov/pubmed/33435300 http://dx.doi.org/10.3390/ijerph18020488 |
work_keys_str_mv | AT hinesstellae trendsinmoralinjurydistressandresiliencefactorsamonghealthcareworkersatthebeginningofthecovid19pandemic AT chinkatherineh trendsinmoralinjurydistressandresiliencefactorsamonghealthcareworkersatthebeginningofthecovid19pandemic AT glickdanieller trendsinmoralinjurydistressandresiliencefactorsamonghealthcareworkersatthebeginningofthecovid19pandemic AT wickwireemersonm trendsinmoralinjurydistressandresiliencefactorsamonghealthcareworkersatthebeginningofthecovid19pandemic |