scholarly journals RISKS OF PSYCHOLOGICAL TRAUMA IN HEALTH CARE WORKERS DURING COVID-19 PANDEMIC

2020 ◽  
pp. 309-329 ◽  
Author(s):  
М.А. Падун
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Social Role ◽  
Moral Dilemma ◽  
Psychological Trauma ◽  
Moral Injury ◽  
International Studies ◽  
Psychological Consequences ◽  
Care Workers ◽  
Four Levels

Анализируются риски психической травматизации у работников сферы здравоохранения в период пандемии COVID-19. Рассматриваются два источника психической травмы у медицинских работников: (1) переживание угрозы собственному здоровью и жизни, а также заражения родных и близких; (2) моральная травматизация в связи с перегрузкой системы здравоохранения и гибелью большого числа пациентов; моральными дилеммами при распределении ресурсов между пациентами; переживанием оставленности в опасной ситуации со стороны системы здравоохранения в условиях дефицита средств индивидуальной защиты; отсутствием солидарности со стороны несоблюдающих карантин граждан. Обсуждается уязвимость самоуважения к воздействию моральной травмы, а также указывается на его роль при совладании с ситуациями, представляющими угрозу жизни. Приводятся результаты зарубежных исследований психологических последствий пандемии для медицинских работников. Анализируются механизмы дополнительного дистресса, связанного с дискурсом героизации и дегероизации медработников. Утверждается, что навязывание социальной роли героя может привести к саморастрачиванию, ощущению себя жертвой, дистрессу и психическому истощению. Указывается на наличие противоречия между проводимой информационной политикой героизации медработников в условиях пандемии и недостатком реальной заботы об их безопасности в российских регионах. Наряду с негативными, обсуждаются возможные позитивные психологические последствия переживания кризиса. Обсуждаются меры профилактики негативных психологических последствий деятельности медработников в условиях эпидемии, которые разделяются на четыре уровня: (1) государства; (2) организации; (3) руководителей конкретных подразделений; (4) горизонтального взаимодействия между коллегами: врачами, медсестрами, санитарами. The risks of psychological trauma in health care workers during the COVID-19 pandemic are analyzed. Two sources of psychological traumatization in health care workers were considered: (1) experiencing the threat to one 's health and life, as well as infection of relatives and family members; (2) moral injury due to the collapse of health care systems and the death of many patients; moral dilemma in the allocation of resources among patients; leaving by the health care system with the lack of personal protective equipment; lack of solidarity of citizens resisted to quarantine. The vulnerability of self-esteem to moral injury and its role in dealing with dangerous situations was discussed. The results of international studies of the psychological consequences of the pandemic for health care workers were given. Mechanisms of additional distress associated with the discourse of heroization and deheroization of health care workers are analyzed. It was argued that imposing a hero 's social role can lead to victimization, distress, and exhaustion. It was pointed out that there was a contradiction between the information policy of the medical workers' glorification and the lack of their real security in Russian regions. In addition to the negative, the possible positive psychological consequences of experiencing the crisis were discussed. Measures to prevent the negative psychological effects on health care workers in the epidemic were discussed. These measures were divided into four levels: (1) states; (2) organizations; (3) heads of specific units; (4) horizontal interaction between colleagues: doctors, nurses, hospital attendants.

Moral Injury, Traumatic Stress, and Threats to Core Human Needs in Health-Care Workers: The COVID-19 Pandemic as a Dehumanizing Experience

2022 ◽  
pp. 216770262110575
Author(s):  
Sarah L. Hagerty ◽  
Leanne M. Williams
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Traumatic Stress ◽  
Psychological Trauma ◽  
The United States ◽  
Moral Injury ◽  
Psychological Injury ◽  
Human Needs ◽  
Care Workers ◽  
Basic Human Needs

The pandemic has threatened core human needs. The pandemic provides a context to study psychological injury as it relates to unmet basic human needs and traumatic stressors, including moral incongruence. We surveyed 1,122 health-care workers from across the United States between May 2020 and August 2020. Using a mixed-methods design, we examined moral injury and unmet basic human needs in relation to traumatic stress and suicidality. Nearly one third of respondents reported elevated symptoms of psychological trauma, and the prevalence of suicidal ideation among health-care workers in our sample was roughly 3 times higher than in the general population. Moral injury and loneliness predict greater symptoms of traumatic stress and suicidality. We conclude that dehumanization is a driving force behind the psychological injury resulting from moral incongruence in the context of the pandemic. The pandemic most frequently threatened basic human motivations at the foundational level of safety and security relative to other higher order needs.

scholarly journals Initial effects of the COVID-19 pandemic on Ecuadorian Healthcare Providers’ self-reported anxiety

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Gabriella Gaus Hinojosa
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Healthcare Providers ◽  
Nationwide Survey ◽  
Psychological Consequences ◽  
Care Providers ◽  
Explanatory Factors ◽  
Care Workers

During the early stages of the COVID-19 pandemic, Ecuador was one of the countries most impacted globally. High instances of corruption, widespread COVID-19 fatalities and cases, and a strained health care system impacted Ecuadorian healthcare providers’ occupational responsibilities and environment. The psychological consequences of the COVID-19 pandemic on Ecuadorian healthcare providers are limited. The aim of this study is to evaluate the psychological impact of the COVID-19 Pandemic on Ecuadorian health care providers’ anxiety. A nationwide survey of 293 physicians, nurses, and health care workers in Ecuador was conducted to understand their self-reported anxiety as measured by the Zung self-reported anxiety scale. Our findings suggest the overall mean sample score (M = 39.14, SD = 8.17) was just under the clinical anxiety threshold. Additionally, a majority (63%, n = 114) of the sample appeared to meet the clinical threshold for anxiety highlighting the significant psychological toll of the COVID-19 crisis on health care workers. Explanatory factors and future policy and research recommendations are discussed.

Tolerance, compliance and psychological consequences of post-exposure prophylaxis in health-care workers

1998 ◽  
Vol 9 (10) ◽  
pp. 591-594 ◽  
Author(s):  
X De La Tribonniere ◽  
M D Dufresne ◽  
S Alfandari ◽  
C Fontier ◽  
A Sobazek ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care Workers ◽  
Sexual Life ◽  
Post Exposure Prophylaxis ◽  
Psychological Consequences ◽  
Post Exposure ◽  
Care Workers ◽  
Hiv Seroconversion ◽  
Exposure Prophylaxis

Our objectives were to evaluate tolerance and compliance of postexposure triple therapy in health-care workers (HCWs) by retrospective observational study. Structured telephone interview of HCWs identified through data from antiretroviral prescribing centres. Twenty HCWs who received triple prophylaxis were identified over one year. Sixteen agreed to participate in the study. All but one source patient had documented HIV infection. Half HCWs were not aware of post-exposure therapy. Most HCWs received a zidovudine, lamivudine and indinavir combination. All completed at least 4 weeks of therapy. Only 50% received their first dosage less than 4 h after exposure. Nearly all experienced adverse events, mostly digestive (nausea and abdominal pain n =15) or psychological (anxiety and depression n =15), none resulting in therapy discontinuation. Most events occurred 2 to 7 days after therapy initiation. Most modified their sexual life with abstinence or condom use. Compliance was excellent. Half HCWs did not miss any tablet, 4 forgot one dosing a month and 4 one dosing a week. Follow up is over 6 months in all but one HCW. No HIV seroconversion has been observed to date. In France, post-exposure triple antiretroviral therapy is widely available 24 h a day in every emergency room but further training and development of HCWs is needed to decrease consulting time and increase referral to specialized physicians. Notable moderate adverse events, both physical and psychological are noted, however, compliance is excellent.

scholarly journals Moral Injury: The Invisible Epidemic in COVID Health Care Workers

2020 ◽  
Vol 76 (4) ◽  
pp. 385-386 ◽  
Author(s):  
Wendy Dean ◽  
Breanne Jacobs ◽  
Rita A. Manfredi
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Moral Injury ◽  
Care Workers ◽  
The Invisible

Organizational Factors and Health Care Workers' Physical Safety

2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Organizational Factors ◽  
Care Workers
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