Academic Journal

Ethical Conflict and Its Psychological Correlates among Hospital Nurses in the Pandemic: A Cross-Sectional Study within Swiss COVID-19 and Non-COVID-19 Wards

التفاصيل البيبلوغرافية
العنوان: Ethical Conflict and Its Psychological Correlates among Hospital Nurses in the Pandemic: A Cross-Sectional Study within Swiss COVID-19 and Non-COVID-19 Wards
المؤلفون: Michele Villa, Colette Balice-Bourgois, Angela Tolotti, Anna Falcó-Pegueroles, Serena Barello, Elena Corina Luca, Luca Clivio, Annette Biegger, Dario Valcarenghi, Loris Bonetti
المصدر: International Journal of Environmental Research and Public Health; Volume 18; Issue 22; Pages: 12012
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2021
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: ethical conflict, nurse, resilience, psychological distress, SARS-Cov-2, Covid-19, pandemic
جغرافية الموضوع: agris
الوصف: Background: During the Covid-19 pandemic, nurses experienced increased pressure. Consequently, ethical concerns and psychological distress emerged. This study aimed to assess nurses’ ethical conflict, resilience and psychological impact, and compare these variables between nurses who worked in Covid-19 wards and nurses who did not. Methods: Design—Multicentre online survey. Setting—Multi-site public hospital; all nursing staff were invited to participate. The survey included validated tools and a novel instrument to assess ethical conflict. Spearman’s rho coefficient was used to assess correlations between ethical conflict and psychological distress, logistic regressions to evaluate relationships between nurses’ characteristics and outcome variables, and the Mann–Whitney/t-test to compare groups. Results: 548 questionnaires out of 2039 were returned (275 = Covid-19; 273 = non-Covid-19). We found a low–moderate level of ethical conflict (median = 111.5 [76–152]), which emerged mostly for seeing patients dying alone. A moderate and significant positive correlation emerged between ethical conflict and psychological distress rs (546) = 0.453, p < 0.001. Nurses working in Covid-19-ICUs (OR = 7.18; 95%CI = 3.96–13.01; p < 0.001) and Covid-19 wards (OR = 5.85; 95%CI = 3.56–9.6; p < 0.001) showed higher ethical conflict. Resilience was a protective factor for ethical conflict. Conclusions: Ethical conflict was significantly linked to psychological distress, while a higher level of resilience was found to be a protective factor. These results can be informative for nursing management in future similar crises.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Mental Health; https://dx.doi.org/10.3390/ijerph182212012
DOI: 10.3390/ijerph182212012
الاتاحة: https://doi.org/10.3390/ijerph182212012
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.B942BC16
قاعدة البيانات: BASE