Evidence map›Paper›PMID 36981725›Full record

ArticleInternational journal of environmental research and public health2023

The Hidden Crisis: Understanding Potentially Morally Injurious Events Experienced by Healthcare Providers during COVID-19 in Canada.

Kim Ritchie, Andrea M D'Alessandro-Lowe, Andrea Brown, Heather Millman, Mina Pichtikova, Yuanxin Xue, Maxwell Altman, Isaac Beech, Mauda Karram, Fardous Hosseiny and 8 more

Full text read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Kim RitchieTrent/Fleming School of Nursing, Trent University, Peterborough, ON K9L 0G2, Canada.ORCID 0000-0002-3387-6899
Andrea M D'Alessandro-LoweDepartment of Psychology Neuroscience and Behaviour, McMaster University, Hamilton, ON L8S 4L8, Canada.ORCID 0000-0002-7482-0656
Andrea BrownDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.ORCID 0000-0002-4275-0163
Heather MillmanDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Mina PichtikovaDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Yuanxin XueDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Maxwell AltmanDepartment of Psychology Neuroscience and Behaviour, McMaster University, Hamilton, ON L8S 4L8, Canada.
Isaac BeechDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Mauda KarramDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.ORCID 0000-0002-3142-3992
Fardous HosseinyAtlas Institute of Veterans and Families, Ottawa, ON K1Z 7K4, Canada.
Sara RodriguesAtlas Institute of Veterans and Families, Ottawa, ON K1Z 7K4, Canada.
Charlene O'ConnorHomewood Health Centre, Guelph, ON N1E 6K9, Canada.
Hugo SchielkeHomewood Health Centre, Guelph, ON N1E 6K9, Canada.
Ann MalainHomewood Health Centre, Guelph, ON N1E 6K9, Canada.
Randi E McCabeDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.ORCID 0000-0001-6437-4982
Alexandra HeberDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Ruth A LaniusHomewood Health Centre, Guelph, ON N1E 6K9, Canada.
Margaret C McKinnonDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare providers (HCPs) may be at elevated risk for moral injury due to increased exposure to potentially morally injurious events (PMIEs) throughout the COVID-19 pandemic. Identifying PMIEs experienced during the COVID-19 pandemic is a critical first step for understanding moral injury in HCPs. Accordingly, the purpose of the present study was to gain a deeper understanding of the work-related PMIEs experienced by HCPs in Canada during the pandemic.

methodsCanadian HCPs completed an online survey between February and December 2021 about mental health and functioning, including demographics and the Moral Injury Outcome Scale (MIOS). We conducted a qualitative thematic analysis of PMIEs described extemporaneously by HCPs in the open-text field of the MIOS.

resultsOne-hundred and twenty-four (

conclusionsUnderstanding broad categories of PMIES experienced by Canadian HCPs during the COVID-19 pandemic provides an opportunity to enhance cultural competency surrounding their experiences which will aid the development of targeted prevention and intervention approaches.

Indexed as

COVID-19Stress Disorders, Post-TraumaticCanadaHealth PersonnelHumansMoralsPandemicsCOVID-19healthcare providersmoral injurypotentially morally injurious events

Identifiers

PMID36981725
PMCPMC10049639

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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Registered trials

None linked

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.