Moral distress in healthcare professionals

  1. Joan Bertran Muñoz 1
  2. Francisco José Cambra Lasaosa 1
  3. Joan Carrera i Carrera 1
  4. Montse Esquerda Aresté 1
  5. Marc Illa Mestre 1
  6. David Lorenzo Izquierdo 1
  7. Helena Roig Carrera 1
  1. 1 Universitat Ramon Llull
    info

    Universitat Ramon Llull

    Barcelona, España

    ROR https://ror.org/04p9k2z50

Journal:
Ramon Llull journal of applied ethics

ISSN: 2013-8393

Year of publication: 2021

Issue: 12

Pages: 235-249

Type: Article

DOI: 10.34810/RLJAEV1N12ID389313 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Ramon Llull journal of applied ethics

Sustainable development goals

Abstract

The COVID-19 pandemic has generated, because of its disruptive, exceptional and sudden character, great changes in the care, planning and organization of healthcare systems, bringing about scenar-ios for which nobody was prepared, especially healthcare professionals. In these scenarios, moral distress, affecting mainly healthcare profession-als, makes its appearance. The goal of this article is to analyse and describe the roots of moral distress, the areas in which it has appeared during the pandemic and, lastly, to offer a proposal to fight against it.

Bibliographic References

  • Brainard, J. (2020). Scientists are drowning in COVID-19 papers. Can new tools keep them afloat? Science. Available in: https://www. sciencemag.org/news/2020/05/scientists-are-drowning-covid-19-papers-can-new-tools-keep-them-afloat.
  • Corley, M. C. (2002). Nurse moral distress: A proposed theory and research agenda. Nursing Ethics, 9(6), 636-650.
  • Epstein, E. G., Delgado, S. (2010). Understanding and Addressing Moral Distress. OJIN: The Online Journal of Issues in Nursing. https://ojin.nursingworld.org/MainMenuCategories/EthicsStandards/Resources/Courage-and-Distress/Understanding-Moral-Distress. html#Jameton84.
  • Fourie, C. (2015). Moral distress and moral conflict in clinical ethics. Bioethics. 2015; 29 (2):91-97.
  • Fourie, C. (2017). Who Is Experiencing What Kind of Moral Distress? Distinctions for Moving from a Narrow to a Broad Definition of Moral Distress. AMA Journal of Ethics, 19, 6: 578-584.
  • Greenberg, N., Docherty, M., Gnanapragasam, S., Wessely, S. (2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ, 368.
  • Jameton, A. (1984). Nursing practice: The ethical issues. Prentice-Hall, Englewood Cliffs, NJ.
  • Litz, B.T., Stein, N., Delaney, E., et al. (2009). Moral injury and moral repair in war veterans: a preliminary model and intervention strategy. Clin Psychol Rev, 29:695-706. doi:10.1016/j.cpr.2009.07.003.
  • Mahasa, E. (2020). Hydroxychloroquine for covid-19: the end of the line? BMJ; vol. 369.
  • Parker, J., Mirzaali, M. (2020). The Moral Cost of Coronavirus. Journal Medical Ethics blog. Avaible: https://blogs.bmj.com/medical-ethics/2020/03/16/the-moral-cost-of-coronavirus/
  • Rodriguez, A. (1998). Ética general. Eunsa, Pamplona.
  • Rosenberg, A.R. (2020). Cultivating deliberate resilience during the Coronavirus Disease 2019 pandemic. JAMA Pediatrics, in print.
  • Rubio O, et al. (2020). Recomendaciones éticas para la toma de decisiones difíciles en las unidades de cuidados intensivos ante la situación excepcional de crisis por la pandemia por covid-19: revisión rápida y consenso de expertos. Medicina Intensiva, in print.
  • Shanafelt, T., Ripp, J., Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, 323(21), 2133-2134.
  • Spaemann, R. (2007). Ética: cuestiones fundamentales. Eunsa, Pamplona.
  • Spronk, B., Widdershoven, G., & Alma, H. (2020). Addressing harm in moral case deliberation: the views and experiences of facilitators. BMC Medical Ethics, 21(1), 1-11.
  • Thorne, S., Konikoff, L., Brown, H. & Albersheim, S. (2018). Navigating the dangerous terrain of moral distress: understanding response patterns in the NICU. Qualitative health research, 28(5), 683-701.
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