ArticlePloS one2021
Ethical and psychosocial considerations for hospital personnel in the Covid-19 crisis: Moral injury and resilience.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comprehensive psychosocial support in CBRNE incidents: a systematic review of strategies for citizens and frontline personnel.BMC emergency medicine · 2025Pooled it
- Pooled it
- The Association of Moral Injury and Healthcare Clinicians' Wellbeing: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The Marginalization of Spiritual Dimensions in Nursing Moral Injury Research: A Bibliometric Analysis, 2018-2025.Journal of religion and health · 2026Article
- Essential competencies required of nurse managers in times of COVID-19: A scoping review.International nursing review · 2025Article
- Moral Injury Among Medical Personnel and First Responders Across Different Healthcare and Emergency Response Settings: A Narrative Review.International journal of environmental research and public health · 2025Review
- Self-compassion and work engagement among clinical nurses: the mediating role of moral resilience.Frontiers in public health · 2025Article
- Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure.The American journal of bioethics : AJOB · 2024Article
- Moral Distress and Moral Injury in Military Healthcare Clinicians: A Scoping Review.AJPM focus · 2024Article
- Exposure to moral stressors and associated outcomes in healthcare workers: prevalence, correlates, and impact on job attrition.European journal of psychotraumatology · 2024Article
- Coping, Supports and Moral Injury: Spiritual Well-Being and Organizational Support Are Associated with Reduced Moral Injury in Canadian Healthcare Providers during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Ethical challenges and dilemmas in the rationing of health commodities and provision of high-risk clinical services during COVID-19 pandemic in Ethiopia: the experiences of frontline health workers.Philosophy, ethics, and humanities in medicine : PEHM · 2023Article
- Correlation between moral distress and clinical competence in COVID-19 ICU nurses.BMC nursing · 2023Article
- Ethical challenges faced by healthcare workers in pediatric oncology care during the COVID-19 pandemic in Australia.Pediatric blood & cancer · 2023Article
- Evaluating the impact of COVID-19 pandemic on the physicians' psychological health: A systematic scoping review.Frontiers in medicine · 2023Article
- Editorial: Individual and organizational vulnerability and resilience factors in the COVID-19 pandemic.Frontiers in psychology · 2023Article
- Associations between psychosocial stressors at work and moral injury in frontline healthcare workers and leaders facing the COVID-19 pandemic in Quebec, Canada: A cross-sectional study.Journal of psychiatric research · 2022Article
- Nurse leaders' resilience and their role in supporting nurses' resilience during the COVID-19 pandemic: A scoping review.Journal of nursing management · 2022Article
- Moral Injury during the COVID-19 pandemic: A delphi model survey of family medicine residents.International journal of psychiatry in medicine · 2022Article
- The Moral Impact of the COVID-19 Pandemic on Nurses' Burnout, Work Satisfaction and Adaptive Work Performance: The Role of Autobiographical Memories of Potentially Morally Injurious Events and Basic Psychological Needs.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aims at investigating the nature of resilience and stress experience of health care workers during the COVID-19 pandemic. Thirteen healthcare workers from Italian and Austrian hospitals specifically dealing with COVID-19 patients during the first phase of the pandemic were interviewed. Data was analysed using grounded theory methodology. Psychosocial effects on stress experience, stressors and resilience factors were identified. We generated three hypotheses. Hypothesis one is that moral distress and moral injury are main stressors experienced by healthcare workers. Hypothesis two states that organisational resilience plays an important part in how healthcare workers experience the crisis. Organisational justice and decentralized decision making are essential elements of staff wellbeing. Hypothesis three refers to effective psychosocial support: Basic on scene psychosocial support based on the Hobfoll principles given by trusted and well-known mental health professionals and peers in an integrated approach works best during the pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.