Moral Distress, COVID-۱۹, and Healthcare Workers, a Systematic Review and Meta-Synthesis: Solutions by JUMS Clinical Decision-making Scheme
- سال انتشار: 1402
- محل انتشار: مجله علوم دارویی و شیمی، دوره: 6، شماره: 1
- کد COI اختصاصی: JR_JMCH-6-1_009
- زبان مقاله: انگلیسی
- تعداد مشاهده: 143
نویسندگان
Research Center for Non communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran
Research Center for Non communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran
achelor of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran
Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
Associate Professor, Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Although studies are conducted on moral distress during the COVID-۱۹ period, those being conducted by using various methods of moral distress assessment, the majority of which were developed for moral distress conditions befor the arrival of the pandemic, and qualitative studies are better suited to the COVID-۱۹-driven moral and ethical dilemma. For COVID-۱۹ era, we aimed at reviewing qualitative studies on moral distress.Methods: Based on the PRISMA-P and COREQ criteria, a comprehensive evaluation of qualitative studies looking at moral distress in Hrealthcare workers (HCWs) working with COVID-۱۹ patients was conducted. A combination of relevant terms was searched in the MEDLINE and PsycINFO, EMBASE, SCOPUS, and Web of Science databases. The CASP checklist was used to evaluate the research quality. To synthesize the data, a meta-aggregation method was employed in conjunction with the ConQual methodology. Results: Nine studies with ۶۴۴ participants were evaluated. ۴ studies were about physicians in Emergency departments or acute care centers, ۲ studies were about nursing students, and ۳ studies were about the nursing staff. A total number of ۱۱ subthemes were found in cases of moral distress experienced in the emergency department. All themes and subthemes were summarized in ۳ themes adapting to categories: of resource constraints, scientific limitation, and personal variables.Conclusion: New ethical dilemmas have been emerging during the COVID-۱۹ pandemic and we sought systematically categorize these moral distress cases and evaluate compliance of our decision-making rules with such circumstances. Our proposed model of decision-making based on the available protocols of legitimate and acceptable authorities is a way to avoid moral distress in facing limited science in practice.کلیدواژه ها
Moral distress, COVID-۱۹, Healthcare Workers, Systematic reviewاطلاعات بیشتر در مورد COI
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