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The prevalence of exposure to potentially morally injurious events among physicians during the COVID-19 pandemic
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-04-16 , DOI: 10.1080/20008198.2021.1898791
Alexandra Maftei 1 , Andrei-Corneliu Holman 1
Affiliation  

ABSTRACT

Background: Given the profound psychological distress caused by the Covid-19 pandemic, healthcare workers are at high risk of being exposed to potentially morally injurious events (PMIEs).

Objective: We aimed to explore the prevalence and associated factors with PMIEs in a sample of Romanian physicians, of which almost half worked in Covid-19 treatment medical units.

Method: We ran a web-based survey in April 2020, three weeks after the general lockdown to contain the novel coronavirus. Participants (N = 114, aged 23 to 67, M = 38.85, SD = 9.82, 74.6% females) answered the PMIE scale items, in addition to questions related to the physical and emotional self-impact related questions, and demographical and work-related variables (i.e. age, gender, medical experience, and speciality).

Results: Results suggested that almost 50% of the participants reported high levels of PMIE exposure. No significant associations were found between PMIE exposure, and the type of medical unit physicians worked in (Covid-19 or non-Covid-19), nor their specialization and medical experience. Demographic variables (i.e. age and gender) and experience did not predict PMIE exposure. However, we found significant associations between PMIE and the physicians’ physical and emotional self-reported impact.

Conclusions: Healthcare systems, governments, and societies worldwide need to recognize that physicians are prone to PMIE exposure and related adverse psychological outcomes due to their daily activity in containing the pandemic. Public policies need to actively offer and promote psychological support, to protect and help physicians from the adverse mental health outcomes following the pandemic.



中文翻译:

在 COVID-19 大流行期间,医生接触潜在道德伤害事件的流行率

摘要

背景:鉴于 Covid-19 大流行造成的严重心理困扰,医护人员面临潜在道德伤害事件 (PMIE) 的高风险。

目的:我们旨在探索罗马尼亚医生样本中 PMIE 的患病率和相关因素,其中近一半在 Covid-19 治疗医疗单位工作。

方法:我们在 2020 年 4 月进行了一项基于网络的调查,即在全面封锁以遏制新型冠状病毒的三周后。参与者(N = 114,年龄在 23 至 67 岁之间,M = 38.85,SD  = 9.82,74.6% 为女性)回答了 PMIE 量表项目,以及与身体和情感自我影响相关的问题,以及人口统计和工作-相关变量(即年龄、性别、医疗​​经验和专业)。

结果:结果表明,几乎 50% 的参与者报告了高水平的 PMIE 暴露。未发现 PMIE 暴露与工作的医疗单位医生类型(Covid-19 或非 Covid-19)以及他们的专业和医疗经验之间存在显着关联。人口统计变量(即年龄和性别)和经验不能预测 PMIE 暴露。然而,我们发现 PMIE 与医生自我报告的身体和情绪影响之间存在显着关联。

结论:全世界的医疗保健系统、政府和社会都需要认识到,由于医生在遏制大流行的日常活动中,他们很容易暴露于 PMIE 和相关的不良心理结果。公共政策需要积极提供和促进心理支持,以保护和帮助医生免受大流行后不良心理健康结果的影响。

更新日期:2021-04-16
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