Moral distress has been an issue under consideration in healthcare practice. The COVID-19 pandemic became a critical factor that contributed to heightened moral distress and injury among healthcare ...professionals, including radiographers. Despite the substantial engagement of radiographers in the management of COVID-19 patients, the consequent moral distress and injury states experienced by this critical frontline workforce have not been widely explored. This study investigated the level of moral distress and the coping mechanisms employed by radiographers in Ghana during the pandemic to provide valuable information to support radiographers and prepare the workforce better against any future pandemics.
Utilising a cross-sectional design, a survey approach was employed for data collection between June 2023 and August 2023 from clinically-active radiographers who worked before and during the pandemic in Ghana. Both descriptive and inferential statistics were generated using Microsoft Excel 2019 and the Statistical Package for the Social Sciences (v.26).
Hundred (100) radiographers participated in the study. The result demonstrated that the COVID-19 pandemic escalated the risk of moral distress among radiographers from 22 % (n = 22) to 43 % (n = 43), with 33 % (n = 33) exhibiting signs of moral injury. This escalation impacted the mental health of 12 % (n = 12) of respondents and was reported as a contributor to career-changing decisions among radiographers. Notably, many of those affected did not seek formal support but relied on personal coping strategies and family support. Inadequate resources (69 %, n = 69), particularly regarding consumables, emerged as the primary cause of moral distress. The study underscored that the most effective means of mitigating moral distress in radiographers was through the provision of resources and additional staff support (66 %, n = 66).
This study sheds light on the state of moral distress and injury among radiographers during the COVID-19 pandemic, impacting the mental health of a minority and contributing to career-changing decisions. The findings emphasise the importance for healthcare institutions to proactively implement systems, such as resource provision, improved staffing, and emotional support, now and during similar future pandemics. This is crucial to address moral distress and cater to the mental health needs of radiographers, ensuring a resilient clinical radiography workforce.
La détresse morale est une question qui fait l'objet d'une attention particulière dans la pratique des soins de santé. La pandémie de COVID-19 est devenue un facteur critique qui a contribué à accroître la détresse t les blessures morales parmi les professionnels de la santé, y compris les radiographes. Malgré l'engagement important des radiographes dans la prise en charge des patients atteints de COVID-19, la détresse et les blessures morales subies par ce personnel de première ligne n'ont pas fait l'objet d'une étude approfondie. Cette étude a examiné le niveau de détresse morale et les mécanismes d'adaptation utilisés par les radiographes au Ghana pendant la pandémie afin de fournir des informations précieuses pour soutenir les radiographes et mieux préparer le personnel à d'éventuelles pandémies futures.
Utilisant une conception transversale, une approche d'enquête a été employée pour recueillir des données entre juin 2023 et août 2023 auprès des radiographes travaillant au Ghana et cliniquement actifs. Des statistiques descriptives et inférentielles ont été générées à l'aide du Statistical Package for the Social Sciences (v.26) et de Microsoft Excel 2019.
Cent (100) radiographes ont participé à l'étude. Les résultats ont montré que la pandémie de COVID-19 a augmenté le risque de détresse morale chez les radiographes de 22 % (n = 22) à 43 % (n = 43), 33 % (n = 33) présentant des signes de préjudice moral. Cette escalade a eu une incidence sur la santé mentale de 12 % (n = 12) des répondants et a contribué aux décisions de changement de carrière de certains radiographes. Notamment, les personnes concernées n'ont pas cherché de soutien formel, mais se sont appuyées sur des stratégies d'adaptation personnelles et sur le soutien de leur famille. L'insuffisance des ressources (69 %, n = 69) est apparue comme la principale cause de détresse morale. L'étude souligne que le moyen le plus efficace d'atténuer la détresse morale chez les radiographes est la mise à disposition de ressources et d'un soutien supplémentaire du personnel (66 %, n = 66)).
Cette étude met en lumière l'état de la détresse et des blessures morales chez les radiographes pendant la pandémie de COVID-19, qui ont eu une incidence sur la santé mentale d'une minorité et ont contribué à des décisions de changement de carrière. Les résultats soulignent l'importance pour les établissements de santé de mettre en œuvre de manière proactive des systèmes tels que la fourniture de ressources, l'amélioration de la dotation en personnel et le soutien émotionnel, aujourd'hui et lors de futures pandémies similaires. Ces mesures sont essentielles pour remédier à la détresse morale et répondre aux besoins des radiographes en matière de santé mentale, afin de garantir la résilience du personnel de radiographie clinique.
Malocclusion is a major oral health problem, which is prevalent among all age groups. Malocclusion affects speech and mastication and causes pain. In psychosocial health, it may impact an ...individual's self-esteem due to self-perceived appearance and peer's opinions. This article aims to assess the effect of malocclusion on psychological and social health (i.e., quality of life, QoL) in children and young adults by reviewing the literature. Studies found to be relevant were identified in PubMed, Cochrane, and Google Scholar. Studies with data on malocclusion, factors influencing the treatment, and QoL associated with oral health in children and adolescents were considered for this review. After carefully scrutinizing the study objective, a total of ten full-text articles were selected and reviewed. Researcher's found that dental problems such as anterior tooth trauma or missing malocclusion affect the esthetics and psychological behavior of adolescents. Malocclusion can be socially and psychologically stigmatizing for young adults.
Background: Medical students are the most affected psychologicallyduring COVID-19 pandemic in India. Psychological impact (depression, anxiety and stress) were mild to severe in nature. Objectives: ...Objective of the current study is the assessmentof psychological impact of COVID-19pandemic on medical students of Madhya Pradesh, India. Patients and methods: A cross section web based online survey was used for data collection in different medical colleges of Madhya Pradesh. Socio-demographic, COVID-19 related questionnaires and DASS (Depression, anxiety and stress) scale wereused for determining the degree of depression, anxiety and stress among medical students. Data was analyzed statically using SPSS 22 and Chi-Square test. Results:A total of 717 medical students of different medical colleges of Madhya Pradesh participate in this survey. Psychological impact (depression, anxiety and stress score)was observed in 34 to 47 % ranging from mild to severe in nature.Depression and anxiety was found in 46.7% of patients and stress in 34.3%.Female participants have more psychological impact than male. Conclusions: COVID-19 pandemic significantly impact the mental health of the medical students.
•Depression, anxiety, and somatic symptoms in hospital workers were 30.2%, 20.7%, and 46.2%.•6.5% hospital workers reported suicidal or self-harm ideation.•Female, single, and low-level educational ...background were risk factors of psychological impact.•Epidemic-related attitudes and behaviors are associated with stress, support, and SSI.•County hospital workers suffered more psychological effects, stress, and SSI.
There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychological status of hospital workers and (2) provide references for psychological crisis intervention in the future.
An online survey was conducted to collect sociodemographic features, epidemic-related factors, results of PHQ-9, GAD-7, PHQ-15, suicidal and self-harm ideation (SSI), and the score of stress and support scales. Chi-square test, t-test, non-parametric, and logistic regression analysis were used to detect the risk factors to psychological effect and SSI.
8817 hospital workers participated in this online survey. The prevalence of depression, anxiety, somatic symptoms, and SSI were 30.2%, 20.7%, 46.2%, and 6.5%, respectively. Logistic regression analysis showed that female, single, Tujia minority, educational background of junior or below, designated or county hospital, need for psychological assistance before or during the epidemic, unconfident about defeating COVID-19, ignorance about the epidemic, willingness of attending parties, and poor self-rated health condition were independent factors associated with high-level depression, somatic symptom, and SSI among hospital workers (P<0.05).
This cross-sectional study cannot reveal the causality, and voluntary participation could be prone to selection bias. A modified epidemic-related stress and support scale without standardization was used. The number of hospital workers in each hospital was unavailable.
There were a high level of psychological impact and SSI among hospital workers, which needed to be addressed. County hospital workers were more severe and easier to be neglected. More studies on cognitive and behavioral subsequence after a public health disaster among hospital workers are needed.
In a short time, the COVID-19 pandemic has exerted a huge impact on many aspects of people's lives with a number of consequences, an increase in the risks of psychological diseases being one of them. ...The aim of this experimental study, based on an eighteen-month follow-up survey, is to assess the psychological effects of the COVID-19 pandemic, in particular, changes in stress, anxiety and depression levels, and the risks of developing Post-Traumatic Stress Disorder (PTSD).
A follow-up survey was performed on a sample of 184 Italian individuals to collect relevant information about the psychological impact of COVID-19. Predictors of the components of the psychological impact were calculated based on the ANCOVA model.
The analysis of the online questionnaires led to the conclusion that a high percentage of the participants suffer from levels of stress, anxiety and depression higher than normal as well as an increased risk of PTSD. The severity of such disorders significantly depends on gender, the loss of family members or acquaintances due to the pandemic, the amount of time spent searching for COVID-19 related information, the type of information sources and, in part, on the level of education and income. The time factor had a more severe effect on the low-income population.
COVID-19 has entailed a very strong psychological impact on the Italian population also depending on the coping strategies adopted, the level of mindful awareness, socio-demographic variables, people's habits and the way individuals use the available means of communication and information.
This study aims to explore the positive psychological effects of culinary experiences during the COVID-19 lockdown days. Qualitative research methods adopted to provide a deeper understanding. Data ...was collected through a structured online survey from 30 participants in Turkey. This occurred between April 10th and June 3rd, 2020 when the strict confinement measures were applied. Content analysis was deductively applied according to the Stebbins's Theory of Casual vs. Serious Leisure which classifies the well-being according to characteristics of leisure experiences. The results revealed that at the first stage people went into the kitchen with the motivation of pure happiness and relaxation indicating hedonic well-being. However, people who intended to spend time with culinary activities with the expectations of pure happiness left the kitchen with eudaimonic outcomes by gaining special skills and knowledge, self-actualization and self-enrichment. When these outcomes are evaluated based on the Stebbins's theoretical framework, culinary activities have both casual and serious leisure experience characteristics in terms of psychological well-being. It is understood that culinary activities have versatile leisure characteristics. Thanks to the culinary activities, people do not only obtain pure happiness and relaxation but can draw wider inferences about their life by realizing their own potential during the psychologically challenging COVID-19 lockdown days.
COVID-19 outbreak and the unprecedent measures imposed by the government, including quarantine and social distancing, cause psychological distress in children and adolescents.
we review literature ...about mental health effects of COVID-19 pandemic by using the keywords "COVID-19", "coronavirus", "pandemic", "mental health", "psych*", "adolescent" and "child".
early evidence show high prevalence of anxiety and depressive symptoms in children and adolescents, due to the pandemic itself, to social isolation and to parents' stress. High grade students, females and low-income families are at higher risk to develop psychiatric symptoms. Psychological distress can be reduced by maintaining contact with peers through social networks and by accurate updates provided by the government through the mass media. Online resources such as information about mental health education and preventive measure, video-counselling, telemedicine and telepsychiatry services, can be useful to reduce the psychosocial effects of the novel coronavirus.
there is urgent need to plan new strategies for early psychological interventions in order to reduce the impact of COVID-19 pandemic on children and adolescents mental health status.
Background and aims:
The outbreak of COVID-19 led to a significant psychological impact on individuals, particularly those belonging to vulnerable groups. This study aimed to synthesize literature on ...the psychological impact of COVID-19 among children and adolescents.
Methods:
Electronic search engines were used to identify studies till March 2021 that reported symptoms of psychological origin in children and adolescents. Information was extracted using a predefined template, and qualitative analysis was conducted using STROBE.
Results:
One hundred and two relevant papers were identified. Most of the studies were conducted online or telephonically. The study designs were primarily single group cross-sectional, though a few prospective/retrospective designs were also identified. Studies assessing emotional distress showed variable levels of anxiety and depressive symptoms in the study population, with greater severity of anxiety symptoms among females and older adolescents. Reduced physical activity; delayed sleep time; increased sleep duration, screen time, internet use, and sedentary habits, poor quality of life were other notable findings, often correlating with anxiety/depression. Efforts to address bias, discussion on generalizability of their results, and sample size calculation were not reported in most studies.
Conclusion:
Psychological impact on children/adolescents is significant, either due to the fear of the illness or social isolation related to COVID-19. One may focus on improving sleep habits and physical activity and regulating internet use for maintaining psychological well-being.
The psychological impact of outbreaks on individuals includes an intense and wide range of psychiatric morbidities. People are likely to experience feelings as; worry about being infected or getting ...sick, increased self-blame, and helplessness. This study aimed to assess the impact of COVID-19 on mental health and social support among Egyptian adults during the period of the pandemic. This is a cross-sectional observational study using an anonymous online questionnaire. The survey was conducted through a link shared on social networking sites. It was conducted from 2 May 2020 to 9 May 2020. The general populations of the Egyptian adults were included by using convenience and snowball sampling technique (510 adults). Impact Event scale mean 34.3 ± 15. About 211 (41.4%) suffered a severe impact. There was an increase in stress from work in 174 (34.1%), financial stress in 284 (55.7%), and stress from home in 320 (62.7%). Half of them felt horrified and helpless in 275 (53.9%), and 265 (52%) respectively, while 338 (66.3%) felt apprehensive. only 24.2% reported increased support from friends, while increased support from family members in 207 (40.6%). 46.5% shared their feelings with family members, while 176 (34.5%) shared with others. Caring for family members’ feelings increased in 330 (64.7%). Age and rural residency were negative predictors for the impact of event score, while female gender or presence of chronic condition was a positive predictor for the impact of event score. Covid-19 pandemic has a great psychological impact on adult Egyptians and affected social support.
PDF
