Objective: Caring for patients during the COVID-19 pandemic has placed considerable stress on health care professionals (HCPs), increasing their risk of moral injury (MI) and clinician burnout. The present study sought to examine the prevalence and correlates of MI among physicians and nurses in mainland China during the pandemic. Method: A cross-sectional study was performed via an online survey conducted from March 27, 2020 to April 26, 2020. The 10-item Moral Injury Symptoms Scale-Health Professional version (MISS-HP) was administered along with measures of clinician mental health and burnout. A total of 3,006 physicians and nurses who completed the questionnaire were included in the final analysis. Unconditional logistic regression modeling was performed to determine the associations, including that between COVID-19 patient exposure and the risk of moral injury. Results: MISS-HP scores strongly and positively correlated with depression, anxiety, low well-being, and burnout symptoms. The estimated prevalence of MI in the total sample was 41.3%, 95% confidence interval (CI) [39.3%, 43.0%]. HCPs providing medical care to COVID-19 patients experienced a 28% greater risk of MI than those providing medical care to patients without the coronavirus (odds ratio = 1.28, 95% CI [1.05, 1.56], p = .01). Conclusions: A significant proportion of HCPs in mainland China are at risk for significant MI symptoms as well as mental health problems and burnout during the COVID-19 pandemic. MI symptoms are strongly correlated with higher clinician burnout, greater psychological distress, and lower level of subjective well-being. Effective strategies are needed to address MI and other mental health problems in frontline health care workers treating those with and without COVID-19 disease. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Objective: Caring for patients during the COVID-19 pandemic has placed considerable stress on health care professionals (HCPs), increasing their risk of moral injury (MI) and clinician burnout. The present study sought to examine the prevalence and correlates of MI among physicians and nurses in mainland China during the pandemic. Method: A cross-sectional study was performed via an online survey conducted from March 27, 2020 to April 26, 2020. The 10-item Moral Injury Symptoms Scale-Health Professional version (MISS-HP) was administered along with measures of clinician mental health and burnout. A total of 3,006 physicians and nurses who completed the questionnaire were included in the final analysis. Unconditional logistic regression modeling was performed to determine the associations, including that between COVID-19 patient exposure and the risk of moral injury. Results: MISS-HP scores strongly and positively correlated with depression, anxiety, low well-being, and burnout symptoms. The estimated prevalence of MI in the total sample was 41.3%, 95% confidence interval (CI) [39.3%, 43.0%]. HCPs providing medical care to COVID-19 patients experienced a 28% greater risk of MI than those providing medical care to patients without the coronavirus (odds ratio = 1.28, 95% CI [1.05, 1.56], p = .01). Conclusions: A significant proportion of HCPs in mainland China are at risk for significant MI symptoms as well as mental health problems and burnout during the COVID-19 pandemic. MI symptoms are strongly correlated with higher clinician burnout, greater psychological distress, and lower level of subjective well-being. Effective strategies are needed to address MI and other mental health problems in frontline health care workers treating those with and without COVID-19 disease. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Authors: Yuanxin Xue; Jillian Lopes; Kimberly Ritchie; Andrea M D'Alessandro; Laura Banfield; Randi E McCabe; Alexandra Heber; Ruth A Lanius; Margaret C McKinnon Journal: Front Psychiatry Date: 2022-06-13 Impact factor: 5.435
Authors: Priya-Lena Riedel; Alexander Kreh; Vanessa Kulcar; Angela Lieber; Barbara Juen Journal: Int J Environ Res Public Health Date: 2022-02-01 Impact factor: 3.390
Authors: Beijka Mensink; Annette van Schagen; Niels van der Aa; F Jackie June Ter Heide Journal: Front Psychiatry Date: 2022-07-11 Impact factor: 5.435
Authors: Simone M de la Rie; Antoine van Sint Fiet; Jannetta B A Bos; Nora Mooren; Geert Smid; Berthold P R Gersons Journal: Eur J Psychotraumatol Date: 2021-07-05
Authors: Kathryn Ducharlet; Mayuri Trivedi; Samantha L Gelfand; Hui Liew; Lawrence P McMahon; Gloria Ashuntantang; Frank Brennan; Mark Brown; Dominique E Martin Journal: Semin Nephrol Date: 2021-05 Impact factor: 5.299