Moral Injury, Emotional Labor and Burnout: An Unbearable Burden for Health Professionals

Safdar, C. Aqeel; Qayyum, Rashid

doi:10.12669/pjms.37.5.4794

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…This scenario suggests the need for scientific studies to explore the prevalence of burnout and relevant factors in different populations with a special focus on medical undergraduate students. [15][16][17] According to our findings, a higher prevalence of burnout was observed in females, day scholars, students with sleep deprivation and sedentary lifestyle but the association was not statistically significant. These findings are in agreement with a study conducted by Shah et al, according to which the prevalence of stress was significantly higher in females and in students who reported difficulty in sleeping; however, this study did not show a significant association of stress with low household income which is in contrast to our findings.…”

Section: Discussioncontrasting

confidence: 51%

Burnout prevalence and associated factors in medical students in integrated modular curriculum: A cross-sectional study

Irshad

Ashraf

Azam³

et al. 2022

Pak J Med Sci

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Objectives: The present study aimed to explore the prevalence of burnout syndrome and to find the association of burnout symptoms with sociodemographic factors in medical students. Methods: A cross-sectional study was conducted between September 2019 to January 2021 at Shifa College of Medicine, Islamabad. A total of 284 medical students from the first year to the fifth year participated in this cross-sectional study. After taking informed consent, students were asked to record responses on the Burnout Clinical Subtype Questionnaire BCSQ-12. In addition, a structured questionnaire was developed to obtain information about the sociodemographic status. Results: Prevalence of burnout was observed among day scholars, females, and students having a relatively sedentary lifestyle. Low family income showed a significant association of burnout in medical students (p=0.025). A significant association was found in the mean scores of neglect subtype of burnout with low family household income (p = 0.010). The mean scores of the overload subtype of burnout and daily duration of sleep also showed a significant association (p = 0.039). Conclusion: The prevalence of burnout was associated with low household income and sleep deprivation. Gender, academic year and physical activity did not have a significant association with burnout syndrome. The high prevalence of burnout syndrome necessitates appropriate interventions to identify and reduce the prevalence of burnout in medical students. doi: https://doi.org/10.12669/pjms.38.4.5052 How to cite this:Irshad K, Ashraf I, Azam F, Shaheen A. Burnout prevalence and associated factors in medical students in integrated modular curriculum: A cross-sectional study. Pak J Med Sci. 2022;38(4):---------. doi: https://doi.org/10.12669/pjms.38.4.5052 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussioncontrasting

confidence: 51%

Burnout prevalence and associated factors in medical students in integrated modular curriculum: A cross-sectional study

Irshad

Ashraf

Azam³

et al. 2022

Pak J Med Sci

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“…Failing to consistently meet patients’ needs has a profound impact on their wellbeing which makes the basis of ensuing moral injury. 11 …”

Section: Discussionmentioning

confidence: 99%

Moral injury and psychological resilience among healthcare professionals amid COVID-19 pandemic

Akhtar

Faize²,

Malik³

et al. 2022

Pak J Med Sci

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Objectives: The present research studied moral injury and psychological resilience in healthcare professionals amid COVID-19 pandemic. Relationship between moral injury and resilience was explored in addition to finding the difference in study variables based on socio-demographics factors. Methods: This cross-sectional research was carried out from August 2020 to January 2021. A sample of 108 healthcare professionals including doctors, nurses, and paramedical staff was collected through purposive sampling technique. Data was gathered through face-to-face survey method and online forum using psychometrically sound tools. Results: Findings revealed that more than two third of the sample (69.44%) has high level of moral injury which is clinically significant while only 30.56% fall within normal range. Moral injury has significant positive correlation with number of work hours (p < .05) whereas negative correlation with resilience (p < .01) and years of experience (p < .05). Women and health care professionals belonging to psychiatry department have reported to experience significantly high level of moral injury (p < .01). Conclusion: The findings of the study are helpful for stakeholders of health care system to better understand and prepare for the situations that brings moral injury and challenge psychological resilience particularly in times of pandemic, humanitarian crisis, or natural disasters. doi: https://doi.org/10.12669/pjms.38.5.5122 How to cite this:Akhtar M, Faize FA, Malik RZ, Tabusam A. Moral injury and psychological resilience among healthcare professionals amid COVID-19 pandemic. Pak J Med Sci. 2022;38(5):---------. doi: https://doi.org/10.12669/pjms.38.5.5122 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Moral injury and mental health outcomes in nurses: A systematic review

Anastasi,

Gravante,

Barbato

et al. 2024

Nurs Ethics

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Introduction: Moral injury involves the adverse psychological, biological, spiritual, behavioural, and social consequences of actions that violate moral values. It can lead to anxiety, depression, burnout, and post-traumatic stress disorder. Nurses, who often face ethical dilemmas, are particularly vulnerable. Despite its significance, the relationship between moral injury and mental health outcomes in nurses remains underexplored. Aim: This systematic review aimed to describe the associations among moral injury, anxiety, depression, and quality of life in nurses. Methods: The review was registered in PROSPERO (CRD42023438731) and was conducted following the PRISMA guidelines. A literature search was performed in December 2023 across PubMed, CINAHL, Scopus, and Web of Science. Peer-reviewed primary research involving nurses, published in English or Italian, without time restrictions, was considered eligible. The risk of bias and the quality of evidence were assessed using the Joanna Briggs Institute checklist and the GRADE approach. Results: Out of 4730 articles identified, eight met the inclusion criteria. The analysis revealed significant positive associations between moral injury, anxiety, and depression, along with a significant negative association with quality of life. Conclusion: These findings highlight the need for healthcare systems to implement strategies that mitigate moral injury among nurses. Future research should prioritize longitudinal studies to explore causal relationships and develop targeted interventions. Additionally, standardizing the concept and measurements of moral injury is crucial for enhancing the comparability and understanding of this phenomenon.

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Moral Injury, Emotional Labor and Burnout: An Unbearable Burden for Health Professionals

Cited by 3 publications

References 5 publications

Burnout prevalence and associated factors in medical students in integrated modular curriculum: A cross-sectional study

Burnout prevalence and associated factors in medical students in integrated modular curriculum: A cross-sectional study

Moral injury and psychological resilience among healthcare professionals amid COVID-19 pandemic

Moral injury and mental health outcomes in nurses: A systematic review

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