COVID-19, Moral Conflict, Distress, and Dying Alone.

J Bioeth Inq

University of Illinois College of Medicine, 840 South Wood Street #440, Chicago, IL, 60612, USA.

Published: December 2020

COVID-19 has truly affected most of the world over the past many months, perhaps more than any other event in recent history. In the wake of this pandemic are patients, family members, and various types of care providers, all of whom share different levels of moral distress. Moral conflict occurs in disputes when individuals or groups have differences over, or are unable to translate to each other, deeply held beliefs, knowledge, and values. Such conflicts can seriously affect healthcare providers and cause distress during disastrous situations such as pandemics when medical and human resources are stretched to the point of exhaustion. In the current pandemic, most hospitals and healthcare institutions in the United States have not allowed visitors to come to the hospitals to see their family or loved ones, even when the patient is dying. The moral conflict and moral distress (being constrained from doing what you think is right) among care providers when they see their patients dying alone can be unbearable and lead to ongoing grief and sadness. This paper will explore the concepts of moral distress and conflict among hospital staff and how a system-wide provider wellness programme can make a difference in healing and health.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652046PMC
http://dx.doi.org/10.1007/s11673-020-10040-9DOI Listing

Publication Analysis

Top Keywords

moral conflict
12
moral distress
12
care providers
8
distress
5
moral
5
covid-19 moral
4
conflict
4
conflict distress
4
distress dying
4
dying covid-19
4

Similar Publications

Anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis is characterised by small vessel necrotising inflammatory vasculitis. Prior to immunosupressant therapy availability it usually led to a fatal outcome. Current treatment has changed ANCA-associated vasculitis into a condition with a significant response rate, although with a not negligible relapse occurrence and cumulative organ lesions, mostly due to drug-related toxicities.

View Article and Find Full Text PDF

Comprehensive analysis of GDF15 as a biomarker in primary mitochondrial myopathies.

Mol Genet Metab

January 2025

Neuromuscular Diseases Unit, Neurology Department, Hospital Universitario 12 de Octubre, Madrid, Spain; Mitochondrial and Neuromuscular Research Group '12 de Octubre', Hospital Research Institute (imas12), Madrid 28041, Spain; Biomedical Network Research Centre on Rare Diseases (CIBERER), Instituto de Salud Carlos III, Madrid, Spain. Electronic address:

Background And Objectives: Mitochondrial diseases are caused by defects in oxidative phosphorylation, with primary mitochondrial myopathies (PMM) being a subset where muscle involvement is predominant. PMM presents symptoms ranging from exercise intolerance to progressive muscle weakness, often involving ocular muscles, leading to ptosis and progressive external ophthalmoplegia (PEO). PMM can be due to variants in mitochondrial or nuclear DNA.

View Article and Find Full Text PDF

Moral Complexity in Traffic: Advancing the ADC Model for Automated Driving Systems.

Sci Eng Ethics

January 2025

Department of Philosophy and Religious Studies, North Carolina State University, Raleigh, NC, USA.

The incorporation of ethical settings in Automated Driving Systems (ADSs) has been extensively discussed in recent years with the goal of enhancing potential stakeholders' trust in the new technology. However, a comprehensive ethical framework for ADS decision-making, capable of merging multiple ethical considerations and investigating their consistency is currently missing. This paper addresses this gap by providing a taxonomy of ADS decision-making based on the Agent-Deed-Consequences (ADC) model of moral judgment.

View Article and Find Full Text PDF

Background: Nurses experience high levels of stress while providing end-of-life care, which puts them under emotional pressure, stress and conflict. Therefore, this study aimed to explain the experiences of nurses during the provision of end-of-life care in Iran.

Methods: A qualitative descriptive study conducted using a conventional content analysis approach in Gorgan in 2023.

View Article and Find Full Text PDF

Public Health Travel Restrictions Implemented for Persons at Risk of Transmitting SARS-CoV-2 Infection-United States, January 1, 2020-April 6, 2022.

J Public Health Manag Pract

January 2025

Author Affiliations: Division of Global Migration Health, Centers for Disease Control and Prevention (Ms Surpris, Ms Jungerman, Dr Preston, Dr Gertz, Ms Duong, Dr Roy, Ms Morales, Mr Olmstead, Ms Delea, Dr Alvarado-Ramy, Dr Brown, and Dr Chen); Council of State and Territorial Epidemiologist (CSTE) Fellow, Atlanta, Georgia (Mr Olmstead); and University of South Florida, Tampa, Florida (Ms Surpris).

Context: Federal public health travel restrictions (FPHTR) in the United States are implemented for persons who meet specific criteria to prevent spread of communicable diseases of public health concern. FPHTR can mitigate the risk of disease transmission during air travel and mitigating disease translocation between geographic areas.

Objective: To characterize and determine the extent of FPHTR implementation during the COVID-19 pandemic.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!