scholarly journals Leadership, Professional Quality of Life, and Moral Distress During COVID‐19: A Mixed‐Methods Approach

Author(s):  
Michelle M. Ness ◽  
Jennifer Saylor ◽  
Leigh Ann DiFusco ◽  
Kristen Evans
Author(s):  
Cristina Moreno-Mulet ◽  
Noemí Sansó ◽  
Alba Carrero-Planells ◽  
Camelia López-Deflory ◽  
Laura Galiana ◽  
...  

The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey (n = 122) based on three validated questionnaires, and individual semi-structured in-depth online interviews (n = 11). Respondents scored 2.5 out of 5 on the moral distress scale, moderate/high on the compassion satisfaction scale, and moderate on the burnout and compassion fatigue subscales. Age was significantly and negatively related to professional quality of life but was positively related to workload and unavailability of protective equipment. Three main groups of themes relating to the impact of the pandemic emerged from the in-depth interviews: (a) clinical, (b) professional, and (c) personal and family impacts in the two waves. ICU healthcare professionals should be viewed as second victims of the COVID-19 pandemic as they have suffered significant psychological, professional, and moral harm.


Author(s):  
Wallace Chi Ho Chan ◽  
Raymond Kam Wing Woo ◽  
Denis Ka-Shaw Kwok ◽  
Clare Tsz Kiu Yu ◽  
Lawrence Man-Hon Chiu

Introduction This study aimed to examine the mental health of palliative care professionals in Hong Kong during the COVID-19 pandemic, the relationship of mental health with socio-demographic factors, and the impact of the pandemic on palliative care services. Methods A total of 142 palliative care professionals in Hong Kong participated in an online survey. The questionnaire includes measurements on depression, anxiety, perceived stress, post-traumatic stress, professional quality of life, items that measure the effect of COVID-19 on palliative care services, and one open-ended question for describing how the services were affected. Descriptive and multivariate regression analyses were conducted. Quantitative and qualitative data about the impact of COVID-19 on palliative care services were analyzed and triangulated using a mixed-methods approach. Results Up to 82%, 43%, and 42% of the participants felt moderately to highly stressed, anxious, and depressed, respectively, during the pandemic. Younger participants tended to have poorer mental health and professional quality of life. Around 82% felt stressed when communicating with patients and family members under the no-visiting policy during the pandemic. More than three-quarters of participants showed lack of confidence in the anti-epidemic policy of the government. Qualitative findings identified 3 themes affecting the provision of palliative care: 1. the tightening of restrictions on visitors; 2. the limited provision of services; and 3. staff deployment. Conclusions Appropriate responses are required to give extra support to palliative care professionals during the pandemic and facilitate their coping with the impact of COVID-19 on the provision of palliative care.


2021 ◽  
Vol 33 (2) ◽  
pp. 88
Author(s):  
Maria Malliarou ◽  
Athanasios Nikolentzos ◽  
Dimitrios Papadopoulos ◽  
Theodora Bekiari ◽  
Pavlos Sarafis

2017 ◽  
Vol 23 (3) ◽  
pp. 113-129 ◽  
Author(s):  
Wesley H. McCormick ◽  
Timothy D. Carroll ◽  
Brett A. Slagel ◽  
Kent D. Drescher ◽  
Jason A. Nieuwsma ◽  
...  

2019 ◽  
Author(s):  
Alessandro Quartiroli ◽  
Christopher R. D. Wagstaff ◽  
Edward F. Etzel

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