Evidence map›Paper›PMID 37835082›Full record

ArticleInternational journal of environmental research and public health2023

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.

Andrea M D'Alessandro-Lowe, Mauda Karram, Kim Ritchie, Andrea Brown, Heather Millman, Emily Sullo, Yuanxin Xue, Mina Pichtikova, Hugo Schielke, Ann Malain and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Andrea M D'Alessandro-LoweDepartment of Psychology Neuroscience and Behaviour, McMaster University, Hamilton, ON L8S 4L6, Canada.ORCID 0000-0002-7482-0656
Mauda KarramDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.ORCID 0000-0002-3142-3992
Kim RitchieDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Andrea BrownDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Heather MillmanDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Emily SulloDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.ORCID 0000-0002-1983-5441
Yuanxin XueDepartment 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.
Hugo SchielkeHomewood Health Centre, Guelph, ON NIE 6K9, Canada.
Ann MalainHomewood Health Centre, Guelph, ON NIE 6K9, Canada.
Charlene O'ConnorHomewood Health Centre, Guelph, ON NIE 6K9, Canada.
Ruth LaniusHomewood Research Institute, Guelph, ON N13 6K9, Canada.
Randi E McCabeDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L9C 0E3, Canada.
Margaret C McKinnonHomewood Research Institute, Guelph, ON N13 6K9, Canada.
Homewood Research Institute · CAMcMaster University · CAUniversity of Toronto · CASt. Joseph’s Healthcare Hamilton · CATrent University · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare providers (HCPs) have described the onset of shame- and trust-violation-related moral injuries (MI) throughout the COVID-19 pandemic. Previous research suggests that HCPs may turn to various coping methods and supports, such as spirituality/religiosity, substance use, friends/family or organizational support, to manage workplace stress. It remains unknown, however, if similar coping methods and supports are associated with MI among this population. We explored associations between MI (including the shame and trust-violation presentations individually) and coping methods and supports. Canadian HCPs completed an online survey about their mental health and experiences during the COVID-19 pandemic, including demographic indices (e.g., sex, age, mental health history) and measures of MI, organizational support, social support, spiritual well-being, self-compassion, alcohol use, cannabis use and childhood adversity. Three hierarchical multiple linear regressions were conducted to assess the associations between coping methods/supports and (i) MI, (ii) shame-related MI and (iii) trust-violation-related MI, when controlling for age, mental health history and childhood adversity. One hundred and seventy-six (

Indexed as

COVID-19Stress Disorders, Post-TraumaticAdaptation, PsychologicalCanadaHealth PersonnelHumansPandemicscopingCOVID-19healthcare providersmoral injuryorganizational supportspiritualitysupports

Identifiers

PMID37835082
PMCPMC10572244
OpenAlexW4386997487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.