Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.

Background From the beginning, the COVID-19 pandemic increased ICU workloads and created exceptionally difficult ethical dilemmas. ICU staff around the world have been subject to high levels of moral stress, potentially leading to mental health problems. There is only limited evidence on moral distr...

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Autores: Romero-García, Marta, Delgado Hito, Pilar, Gálvez Herrer, Macarena, Ángel Sesmero, José Antonio, Velasco-Sanz, Tamara Raquel, Benito-Aracil, Llucia, Heras-la-Calle, Gabriel
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Francisco de Vitoria
Repositorio:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
Idioma:inglés
OAI Identifier:oai:ddfv.ufv.es:10641/5589
Acceso en línea:https://hdl.handle.net/10641/5589
Access Level:acceso abierto
Palabra clave:Anxiety
Coping
COVID-19
Depression
ICU staff
Moral distress
Nurses
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spelling Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.Romero-García, MartaDelgado Hito, PilarGálvez Herrer, MacarenaÁngel Sesmero, José AntonioVelasco-Sanz, Tamara RaquelBenito-Aracil, LluciaHeras-la-Calle, GabrielAnxietyCopingCOVID-19DepressionICU staffMoral distressNursesBackground From the beginning, the COVID-19 pandemic increased ICU workloads and created exceptionally difficult ethical dilemmas. ICU staff around the world have been subject to high levels of moral stress, potentially leading to mental health problems. There is only limited evidence on moral distress levels and coping styles among Spanish ICU staff, and how they influenced health professionals’ mental health during the pandemic. Objectives To assess moral distress, related mental health problems (anxiety and depression), and coping styles among ICU staff during the first wave of the COVID-19 pandemic in Spain. Design Cross-sectional. Settings and participants The study setting consisted of intensive care unit and areas converted into intensive care units in public and private hospitals. A total of 434 permanent and temporary intensive care staff (reassigned due to the pandemic from other departments to units) answered an online questionnaire between March and June 2020. Methods Sociodemographic and job variables, moral distress, anxiety, depression, and coping mechanisms were anonymously evaluated through a self-reported questionnaire. Descriptive and correlation analyses were conducted and multivariate linear regression models were developed to explore the predictive ability of moral distress and coping on anxiety and depression. Results Moral distress during the pandemic is determined by situations related to the patient and family, the intensive care unit, and resource management of the organisations themselves. intensive care unit staff already reached moderate levels of moral distress, anxiety, and depression during the first wave of the pandemic. Temporary staff (redeployed from other units) obtained higher scores in these variables (p = 0.04, p = 0.038, and p = 0.009, respectively) than permanent staff, as well as in greater intention to leave their current position (p = 0.03). This intention was also stronger in health staff working in areas converted into intensive care units (45.2%) than in normal intensive care units (40.2%) (p = 0.02). Moral distress, coupled with primarily avoidance-oriented coping styles, explains 37% (AdR2) of the variance in anxiety and 38% (AdR2) of the variance in depression. Conclusions Our study reveals that the emotional well-being of intensive care unit staff was already at risk during the first wave of the pandemic. The moral distress they experienced was related to anxiety and depression issues, as well as the desire to leave the profession, and should be addressed, not only in permanent staff, but also in temporary staff, redeployed to these units as reinforcement workers.Elsevier20222022-01-0120222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10641/5589reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoriainstname:Universidad Francisco de VitoriaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddfv.ufv.es:10641/55892026-06-11T12:44:57Z
dc.title.none.fl_str_mv Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
title Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
spellingShingle Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
Romero-García, Marta
Anxiety
Coping
COVID-19
Depression
ICU staff
Moral distress
Nurses
title_short Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
title_full Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
title_fullStr Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
title_full_unstemmed Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
title_sort Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19.
dc.creator.none.fl_str_mv Romero-García, Marta
Delgado Hito, Pilar
Gálvez Herrer, Macarena
Ángel Sesmero, José Antonio
Velasco-Sanz, Tamara Raquel
Benito-Aracil, Llucia
Heras-la-Calle, Gabriel
author Romero-García, Marta
author_facet Romero-García, Marta
Delgado Hito, Pilar
Gálvez Herrer, Macarena
Ángel Sesmero, José Antonio
Velasco-Sanz, Tamara Raquel
Benito-Aracil, Llucia
Heras-la-Calle, Gabriel
author_role author
author2 Delgado Hito, Pilar
Gálvez Herrer, Macarena
Ángel Sesmero, José Antonio
Velasco-Sanz, Tamara Raquel
Benito-Aracil, Llucia
Heras-la-Calle, Gabriel
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Anxiety
Coping
COVID-19
Depression
ICU staff
Moral distress
Nurses
topic Anxiety
Coping
COVID-19
Depression
ICU staff
Moral distress
Nurses
description Background From the beginning, the COVID-19 pandemic increased ICU workloads and created exceptionally difficult ethical dilemmas. ICU staff around the world have been subject to high levels of moral stress, potentially leading to mental health problems. There is only limited evidence on moral distress levels and coping styles among Spanish ICU staff, and how they influenced health professionals’ mental health during the pandemic. Objectives To assess moral distress, related mental health problems (anxiety and depression), and coping styles among ICU staff during the first wave of the COVID-19 pandemic in Spain. Design Cross-sectional. Settings and participants The study setting consisted of intensive care unit and areas converted into intensive care units in public and private hospitals. A total of 434 permanent and temporary intensive care staff (reassigned due to the pandemic from other departments to units) answered an online questionnaire between March and June 2020. Methods Sociodemographic and job variables, moral distress, anxiety, depression, and coping mechanisms were anonymously evaluated through a self-reported questionnaire. Descriptive and correlation analyses were conducted and multivariate linear regression models were developed to explore the predictive ability of moral distress and coping on anxiety and depression. Results Moral distress during the pandemic is determined by situations related to the patient and family, the intensive care unit, and resource management of the organisations themselves. intensive care unit staff already reached moderate levels of moral distress, anxiety, and depression during the first wave of the pandemic. Temporary staff (redeployed from other units) obtained higher scores in these variables (p = 0.04, p = 0.038, and p = 0.009, respectively) than permanent staff, as well as in greater intention to leave their current position (p = 0.03). This intention was also stronger in health staff working in areas converted into intensive care units (45.2%) than in normal intensive care units (40.2%) (p = 0.02). Moral distress, coupled with primarily avoidance-oriented coping styles, explains 37% (AdR2) of the variance in anxiety and 38% (AdR2) of the variance in depression. Conclusions Our study reveals that the emotional well-being of intensive care unit staff was already at risk during the first wave of the pandemic. The moral distress they experienced was related to anxiety and depression issues, as well as the desire to leave the profession, and should be addressed, not only in permanent staff, but also in temporary staff, redeployed to these units as reinforcement workers.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10641/5589
url https://hdl.handle.net/10641/5589
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
instname:Universidad Francisco de Vitoria
instname_str Universidad Francisco de Vitoria
reponame_str DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
collection DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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