Objective: To investigate the experiences of healthcare staff in nursing homes during the COVID-19 pandemic.
Design: Individual interviews. Latent qualitative content analysis.
Setting: Ten nursing homes in Sweden.
Subjects: Physicians, nurses and nurse assistants working in Swedish nursing homes.
Main Outcome Measures: Participants' experiences of working in nursing homes during the COVID-19 pandemic.
Results: Four manifest categories were found, namely: ; ; and . The latent theme gave a deeper meaning to the categories.
Conclusion: During the pandemic, nursing home staff encountered ethical challenges that caused moral distress. Moral distress stemmed from not being given adequate conditions to perform their work properly, and thus not being able to give the residents adequate care. Another aspect of moral distress originated from feeling forced to act against their moral values when a course of action was considered to cause discomfort or harm to a resident. Alerting employers and policymakers to the harm and inequality experienced by staff and the difficulty in delivering appropriate care is essential. Making proposals for improvements and developing guidelines together with staff to recognize their role and to develop better guidance for good care is vital in order to support and sustain the nursing home workforce.
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http://dx.doi.org/10.1080/02813432.2024.2308573 | DOI Listing |
Risk Manag Healthc Policy
January 2025
Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, New Taipei City, 235603, Taiwan.
Purpose: As HF progresses into advanced HF, patients experience a poor quality of life, distressing symptoms, intensive care use, social distress, and eventual hospital death. We aimed to investigate the relationship between morality and potential prognostic factors among in-patient and emergency patients with HF.
Patients And Methods: A case series study: Data are collected from in-hospital and emergency care patients from 2014 to 2021, including their international classification of disease at admission, and laboratory data such as blood count, liver and renal functions, lipid profile, and other biochemistry from the hospital's electrical medical records.
Vet J
January 2025
Faculty of Data Science, Musashino University, 3-3-3 Ariake Koto-ku, Tokyo 135-8181, Japan. Electronic address:
The veterinary profession faces a critical challenge: burnout. Long hours, emotional strain, financial pressures, and difficult client interactions contribute to stress and drive veterinary professionals from the field. This harms not only their well-being but also patient care and workplace morale.
View Article and Find Full Text PDFNurs Ethics
January 2025
Pontifícia Universidade Católica do Paraná (PUCPR).
This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The review was conducted according to the Arksey and O'Malley methodology, using the SPIDER framework to guide the systematic search in the BVS, PubMed, PsycArticles, Scielo, and Scopus databases. Initially, 2320 publications were identified.
View Article and Find Full Text PDFPhilos Ethics Humanit Med
January 2025
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Australia.
Background: Moral distress is reported to be a critical force contributing to intensifying rates of anxiety, depression and burnout experienced by healthcare workers. In this paper, we examine the moral dilemmas and ensuing distress personally and collectively experienced by healthcare workers while caring for patients during the pandemic.
Methods: Data are drawn from free-text responses from a cross-sectional national online survey of Australian healthcare workers about the patient care challenges they faced.
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