ArticleInternational journal of mental health nursing2022
Chronicling moral distress among healthcare providers during the COVID-19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours.
Article in International journal of mental health nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Pediatric emergency disaster preparedness: a narrative review of global disparities, challenges, and policy solutions.International journal of emergency medicine · 2025Review
- Pre-implementation patient, provider, and administrator perspectives of remote measurement-based care in a safety net outpatient psychiatry department.Learning health systems · 2025Article
- Positive mental health, depression and burnout in healthcare workers during the second wave of COVID-19 pandemic.Journal of psychiatric and mental health nursing · 2025Article
- The collective experience of moral distress: a qualitative analysis of perspectives of frontline health workers during COVID-19.Philosophy, ethics, and humanities in medicine : PEHM · 2025Article
- Insights into general practitioners' self-care across 38 countries during the pandemic: a cross-sectional study.BMC psychology · 2024Article
- Terminal Care Performance of Nurses Caring for COVID-19 Patients: A Cross-Sectional Descriptive Study.Nursing open · 2024Article
- Extending the concept of moral distress to parents of infants hospitalized in the NICU: a qualitative study in Greece.BMC psychology · 2024Article
- A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents.Frontiers in education · 2024Article
- COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study.BMC primary care · 2023Article
- Changes in anxiety and depression among public health workers during the COVID-19 pandemic response.International archives of occupational and environmental health · 2023Article
- Adverse Childhood Experiences and Burnout in Athletic Trainers: An Exploratory Study.Journal of athletic training · 2023Article
- Multidimensional stressors and protective factors shaping physicians' work environments and work-related well-being in two large US cities during COVID-19.American journal of industrial medicine · 2023Article
- The relationship between moral distress, burnout, and considering leaving a hospital job during the COVID-19 pandemic: a longitudinal survey.BMC nursing · 2023Article
- The paradox of the impact of the COVID-19 pandemic on massage therapists in Australia and Canada: The reporting of a qualitative strand of a mixed methods study.Journal of bodywork and movement therapies · 2023Article
- Correlation between moral distress and clinical competence in COVID-19 ICU nurses.BMC nursing · 2023Article
- The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada.International journal of environmental research and public health · 2023Article
- Moral distress among neonatologists working in neonatal intensive care units in Greece: a qualitative study.BMC pediatrics · 2023Article
- Physicians' Distress Related to Moral Issues and Mental Health In-Between Two Late Waves of COVID-19 Contagions.International journal of environmental research and public health · 2023Article
- Health workforce perceptions on telehealth augmentation opportunities.BMC health services research · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
The COVID-19 pandemic has presented many novel situations that have amplified the presence of moral distress in healthcare. With limited resources to protect themselves against the virus and strict safety regulations that alter the way they work, healthcare providers have felt forced to engage in work behaviours that conflicted with their professional and personal sense of right and wrong. Although many providers have experienced moral distress while being physically in the workplace, others suffered while at home. Some healthcare providers worked in facilities that were unable to open during the pandemic due to restrictions, which could contribute to a sense of powerlessness and guilt. The current study assessed whether the ability to see patients each week impacted the relationship between an employee's moral distress and their mental health strain, burnout, and maladaptive coping. A total of 378 healthcare providers responded to weekly surveys over the course of 7 months (April 2020-December 2020). Hierarchical linear modeling techniques were used to examine the study variables over time. Results showed that moral distress predicted an individual's mental health strain and burnout, even after controlling for the prior week. However, moral distress was not a significant predictor of maladaptive coping. Interestingly, there was not a significant difference between the average ratings of moral distress between those who were able, and those who were not able to see patients, meaning that both groups experienced symptoms of moral distress. However, cross-level moderation results indicated that the ability to see patients magnified the relationships between moral distress and mental health strain and burnout over time. Implications of the results and recommendations for how moral distress should be addressed among healthcare providers are discussed.
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