Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 18, Issue 17, Pages -Publisher
MDPI
DOI: 10.3390/ijerph18179243
Keywords
COVID-19; mixed methods; ICU healthcare professionals; moral distress; professional quality of life
Funding
- Official Nurses' Association of the Balearic Islands [PI 2020/0578]
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This study found that the provision of COVID-19 patient care had a significant impact on ICU healthcare professionals, leading to psychological, professional, and moral distress. Factors such as workload and lack of protective equipment were negatively related to professional quality of life. The main impact themes of the pandemic on these professionals included clinical, professional, and personal and family impacts.
The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey (n = 122) based on three validated questionnaires, and individual semi-structured in-depth online interviews (n = 11). Respondents scored 2.5 out of 5 on the moral distress scale, moderate/high on the compassion satisfaction scale, and moderate on the burnout and compassion fatigue subscales. Age was significantly and negatively related to professional quality of life but was positively related to workload and unavailability of protective equipment. Three main groups of themes relating to the impact of the pandemic emerged from the in-depth interviews: (a) clinical, (b) professional, and (c) personal and family impacts in the two waves. ICU healthcare professionals should be viewed as second victims of the COVID-19 pandemic as they have suffered significant psychological, professional, and moral harm.
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