Riesgos y daños en la salud mental del personal sanitario por la atención a pacientes con COVID-19.

Torres-Muñoz, Víctor; Farías-Cortés, Juan Diego; Reyes-Vallejo, Luis Antonio; Guillén-Díaz-Barriga, Centli

doi:10.48193/revistamexicanadeurologa.v80i3.653

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…The COVID-19 pandemic has brought a psychological burden on the general population. In the case of health personnel, there is an abrupt transition from normal clinical practice due to the need to face a hitherto unknown disease, under extreme working conditions, with the constant fear of becoming sick or dying [ 35 , 36 ]. So, the fact that the residents were on the front line of care for patients with COVID-19 could have a negative influence on their moral reasoning, which was not observed in the general population.…”

Section: Discussionmentioning

confidence: 99%

How the COVID-19 pandemic affects the moral reasoning of pediatric residents and the general population

Jean-Tron,

Ávila-Montiel,

Hill-de

et al. 2023

BMC Med Educ

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Background Kohlberg’s theory of moral development asserts that people progress through different stages of moral reasoning as their cognitive abilities and social interactions mature. Individuals at the lowest stage of moral reasoning (preconventional stage) judge moral issues based on self-interest, those with a medium stage (conventional stage) judge them based on compliance with rules and norms, and those at the highest stage (postconventional stage) judge moral issues based on universal principles and shared ideals. Upon attaining adulthood, it can be considered that there is stability in the stage of individuals’ moral development; however, the effect of a global population crisis such as the one experienced in March 2020, when the World Health Organization (WHO) declared the COVID-19 pandemic, is unknown. The purpose of this study was to evaluate the changes in the moral reasoning of pediatric residents before and after one year of the COVID-19 pandemic and compare them with a general population group. Methods This is a naturalistic quasi-experimental study conducted with two groups, one comprised 47 pediatric residents of a tertiary hospital converted into a COVID hospital during the pandemic and another group comprised 47 beneficiaries of a family clinic who were not health workers. The defining issues test (DIT) was applied to the 94 participants during March 2020, before the pandemic initiated in Mexico, and later during March 2021. To assess intragroup changes, the McNemar-Bowker and Wilcoxon tests were used. Results Pediatric residents showed higher baseline stages of moral reasoning: 53% in the postconventional group compared to the general population group (7%). In the preconventional group, 23% were residents and 64% belonged to the general population. In the second measurement, one year after the start of the pandemic, the group of residents had a significant decrease of 13 points in the P index, unlike the general population group in which a decrease of 3 points was observed. This decrease however, did not equalize baseline stages. Pediatric residents remained 10 points higher than the general population group. Moral reasoning stages were associated with age and educational stage. Conclusions After a year of the COVID-19 pandemic, we found a decrease in the stage of moral reasoning development in pediatric residents of a hospital converted for the care of patients with COVID-19, while it remained stable in the general population group. Physicians showed higher stages of moral reasoning at baseline than the general population.

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Section: Discussionmentioning

confidence: 99%

How the COVID-19 pandemic affects the moral reasoning of pediatric residents and the general population

Jean-Tron,

Ávila-Montiel,

Hill-de

et al. 2023

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“…It resulted in work overload in all health work sectors [20]. Examples of frequent stressors that affect health workers (e.g., doctors, nurses and pharmacists) include the need to be on call for 24-hour periods, sleep deprivation, an increase in the number of omissions and errors [21,22], scarce material and work equipment (e.g., protective equipment) and the risk of getting sick while working [2,[23][24][25][26]. During the COVID-19 pandemic, additional stressors emerged: grief over the death of friends or loved ones due to infection [27,28], fear of infections, the fatality rate among health workers [29,30] and dealing with social stigma and discrimination [31,32].…”

Section: Job Demands and Resources Modelmentioning

confidence: 99%

A Mediation Model of Self-Efficacy and Depression between Burnout and Alcohol Consumption among Health Workers during the COVID-19 Pandemic

Domínguez-Espinosa

Sánchez

Velázquez

et al. 2023

COVID

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To verify the role played by burnout in the prediction of alcohol consumption, considering the integration of the theory of job demands-resources (JD-R) and sociocognitive theory (SCT), we developed an analytical model in which self-efficacy and depression act as mediators of this relationship. A cross-sectional online survey was taken by 3856 workers enrolled in various public agencies of the Mexican Health Ministry during the COVID-19 pandemic in Mexico. The results indicate that of the three dimensions of burnout, only depersonalization predicts alcohol consumption; however, self-efficacy regulates the effect of emotional exhaustion and achievement dissatisfaction on alcohol consumption. Similarly, the three components of burnout have indirect effects through depression, suggesting that depression and self-efficacy mediate the relationship between burnout and alcohol consumption. Burnout alone cannot explain alcohol consumption, but when depression is present, burnout increases the predisposition to consume alcohol; when self-efficacy is present, the probability of alcohol consumption decreases.

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“…The Self-fulfillment subscale, which assesses feelings of self-efficacy and self-fulfillment at work. It is composed of 8 items (4,7,9,12,17,18,19,21) and a maximum score of 48. The items were answered by workers using a Likert-type frequency scale ranging from zero "0" (Never) to "6" (Daily) [22].…”

Section: Instrumentmentioning

confidence: 99%

“…Providing nursing care in this context can have important short- and long-term consequences for nursing professionals [ 3 ]. One of the most prominent consequences of the pandemic is the impact it has had on the mental health of these professionals caring for patients with COVID-19 [ 4 ]. The COVID-19 pandemic emergency has created the need for an organisational renewal of care pathways based on the principles of “primary health care” recommended by the World Health Organization (WHO) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout in Specialized Care Nurses during the First COVID-19 Outbreak in Spain

et al. 2022

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Background: One of the most outstanding consequences of the pandemic is the impact it had on the mental health of nurses caring for patients with COVID-19 in specialised services. Aim: The aim was to analyse the burnout levels of nursing professionals during the COVID-19 pandemic in specialised care and their relationship with variables of the socio-occupational context. Method: This was a quantitative, descriptive, observational, cross-sectional study, which included a sample of 355 nursing professionals. The instrument used was a questionnaire (Maslach Burnout Inventory Human Services Survey (MBI-HSS)). Results: A mean score of 27.44 (SD = 12.01) was obtained in the subscale “Emotional exhaustion”; in “Depersonalisation”, the mean score was 7.26 (SD = 6.00); and, finally, in “Personal fulfilment”, the mean score was 38.27 (SD = 7.04). Statistically significant differences were found in the subscale “Emotional exhaustion”, which is higher in women than in men. The subscale “Personal Accomplishment” was higher in the age group 51–65 years. Regarding the “Depersonalisation” subscale, statistically significant differences were found with respect to the years of experience in the current service, which is higher in the group aged 39 years or more. Conclusion: Intervention programmes are required in healthcare systems to improve the emotional well-being of nursing professionals.

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Riesgos y daños en la salud mental del personal sanitario por la atención a pacientes con COVID-19.

Cited by 12 publications

References 5 publications

How the COVID-19 pandemic affects the moral reasoning of pediatric residents and the general population

How the COVID-19 pandemic affects the moral reasoning of pediatric residents and the general population

A Mediation Model of Self-Efficacy and Depression between Burnout and Alcohol Consumption among Health Workers during the COVID-19 Pandemic

Burnout in Specialized Care Nurses during the First COVID-19 Outbreak in Spain

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