Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey

Sommerlatte, Sabine; Lugnier, Céline; Schoffer, Olaf; Jahn, Patrick; Kraeft, Anna-Lena; Kourti, Eleni; Michl, Patrick; Reinacher‐Schick, Anke; Schmitt, Jochen; Birkner, Thomas; Schildmann, Jan; Herpertz, Stephan

doi:10.1007/s00432-023-04580-x

“…HCWs who practice self-compassion may be better able to accept difficult emotions and experiences and maintain perspective during the pandemic [48,49]. On the same line, HCWs who have a high sense of coherence seem to have greater coping abilities and resilience in the face of stress [53].…”

Section: Predicting Depressive and Anxiety Symptoms At Follow-upmentioning

confidence: 97%

Changes in hospital staff’ mental health during the Covid-19 pandemic: longitudinal results from the international COPE-CORONA study

Lanzara

¹

,

Conti

²

,

Rosa

³

et al. 2023

Preprint

0

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This longitudinal study aimed to explore anxiety and depressive symptoms, individual resources, and job demands in a multi-country sample of 612 healthcare workers (HCWs) during the COVID-19 pandemic. Two online surveys were distributed to HCWs in seven countries (Germany, Andorra, Ireland, Spain, Italy, Romania, Iran) during the first (May-October 2020, T1) and the second (February-April 2021, T2) phase of the pandemic, assessing sociodemographic characteristics, contact with COVID-19 patients, anxiety and depressive symptoms, self-compassion, sense of coherence, social support, risk perception, and health and safety at the workplace. HCWs reported a significant increase in depressive and anxiety symptoms. HCWs with high depressive or anxiety symptoms at T1 and T2 reported a history of mental illness and lower self-compassion and sense of coherence over time. Risk perception, self-compassion, sense of coherence, and social support were strong independent predictors of depressive and anxiety symptoms at T2, even after controlling for baseline depressive or anxiety symptoms and sociodemographic variables. These findings pointed out that HCWs during the COVID-19 outbreak experienced a high burden of psychological distress. The mental health and resilience of HCWs should be supported during disease outbreaks by instituting workplace interventions for psychological support.

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“…HCWs who practice self-compassion may be better able to accept difficult emotions and experiences and maintain perspective during the pandemic [53,54]. On the same line, HCWs who have a high sense of coherence seem to have greater coping abilities and resilience in the face of stress [58].…”

Section: Plos Onementioning

confidence: 97%

Changes in hospital staff’ mental health during the Covid‑19 pandemic: Longitudinal results from the international COPE-CORONA study

Lanzara,

Conti,

Rosa

et al. 2023

PLoS ONE

5

0

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This longitudinal study aimed to explore anxiety and depressive symptoms, individual resources, and job demands in a multi-country sample of 612 healthcare workers (HCWs) during the COVID-19 pandemic. Two online surveys were distributed to HCWs in seven countries (Germany, Andorra, Ireland, Spain, Italy, Romania, Iran) during the first (May-October 2020, T1) and the second (February-April 2021, T2) phase of the pandemic, assessing sociodemographic characteristics, contact with COVID-19 patients, anxiety and depressive symptoms, self-compassion, sense of coherence, social support, risk perception, and health and safety at the workplace. HCWs reported a significant increase in depressive and anxiety symptoms. HCWs with high depressive or anxiety symptoms at T1 and T2 reported a history of mental illness and lower self-compassion and sense of coherence over time. Risk perception, self-compassion, sense of coherence, and social support were strong independent predictors of depressive and anxiety symptoms at T2, even after controlling for baseline depressive or anxiety symptoms and sociodemographic variables. These findings pointed out that HCWs during the COVID-19 outbreak experienced a high burden of psychological distress. The mental health and resilience of HCWs should be supported during disease outbreaks by instituting workplace interventions for psychological support.

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“…Moral Distress von Gesundheitspersonal während der COVID-19-Pandemie wurde auch in anderen Versorgungskontexten beschrieben [ 21 – 23 ]. In der Intensivmedizin wurden z.…”

Section: Diskussionunclassified

Changes in the routine work and moral distress in psychiatric care during the COVID-19 pandemic

Guinaudeau

¹

,

Baier

²

,

Kuehlmeyer

³

et al. 2023

Nervenarzt

1

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Zusammenfassung Hintergrund Während der COVID-19-Pandemie ist es zu besonderen moralischen Herausforderungen im Gesundheitswesen gekommen. Eine psychische Reaktion auf moralische Herausforderungen wird als Moral Distress (MD) bezeichnet. Ziel der Arbeit Identifikation von Ursachen für MD in der stationären psychiatrischen Versorgung im Kontext der COVID-19-Pandemie in Deutschland. Material und Methoden Es wurde eine Umfrage mit einem selbstadministrierten nichtvalidierten Onlinefragebogen als Querschnittserhebung durchgeführt, in dem 26 Items zum Erleben von MD untersucht sowie offene Fragen zum Umgang mit der Pandemie und Auswirkungen auf den Arbeitsalltag qualitativ ausgewertet wurden. Ärzt*innen, die in der stationären psychiatrischen Versorgung während der COVID-19-Pandemie in Deutschland tätig waren, wurden anonym mit einer Gelegenheitsstichprobe befragt. Die Erhebung fand vom 17.11.2020 bis 06.05.2021 statt. Ergebnisse Es wurden 141 Teilnehmer*innen eingeschlossen. Sie gaben vielfältige pandemiebedingte Veränderungen des Arbeitsalltages an, die teilweise in MD resultierten. Diskussion Moral Distress stellt für Ärzt*innen in der stationären psychiatrischen Versorgung unter Pandemiebedingungen (und darüber hinaus) einen potenziellen Belastungsfaktor dar, der weitere Forschung und einen angemessenen Umgang erfordert. Es ergeben sich sowohl Implikationen für Entscheidungstragende in Krisenstäben als auch ein Bedarf für Unterstützungsangebote z. B. durch Dienste zur klinischen Ethikberatung.

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Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey

Cited by 8 publications

References 36 publications

Changes in hospital staff’ mental health during the Covid-19 pandemic: longitudinal results from the international COPE-CORONA study

Changes in hospital staff’ mental health during the Covid-19 pandemic: longitudinal results from the international COPE-CORONA study

Changes in hospital staff’ mental health during the Covid‑19 pandemic: Longitudinal results from the international COPE-CORONA study

Changes in the routine work and moral distress in psychiatric care during the COVID-19 pandemic

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