Psychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri, IRCCS, 27040 Montescano, Italy.
Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri, 16167 Genova, Italy.
Int J Environ Res Public Health. 2022 Aug 5;19(15):9682. doi: 10.3390/ijerph19159682.
During the COVID-19 health emergency, healthcare professionals faced several ethical demanding job stressors, becoming at particular risk of moral distress. To date, only a few scales have been developed to evaluate moral distress among frontline professionals working in contact with COVID-19 patients. Moreover, although many healthcare professionals from various disciplines were converted to COVID-19 patient care, no study has yet analyzed whether the resulting change in duties might represent a risk factor for moral distress. Thus, this study aimed to investigate how and when the change in duties during the emergency would be related to healthcare professionals' psycho-physical malaise. To this aim, a first Italian adaptation of the Stress of Conscience Questionnaire (SCQ) was provided. In total, 272 Italian healthcare professionals participated in this cross-sectional study. Healthcare professionals who had to perform tasks outside their usual clinical duties were more likely to experience moral distress and then psycho-physical malaise. This was particularly likely for those who were extremely concerned about becoming infected with the virus. The results also indicated that the Italian adaptation of the SCQ had a one-factor solution composed of six items. This study provides the first Italian adaptation of SCQ and practical suggestions on how supporting professionals' well-being during emergencies.
在 COVID-19 卫生紧急情况下，医护人员面临着一些道德要求高的工作压力源，特别容易遭受道德困境的困扰。迄今为止，只有少数几个量表被开发出来，用于评估与 COVID-19 患者接触的一线专业人员的道德困境。此外，尽管许多来自不同学科的医护人员被转换为 COVID-19 患者的护理工作，但尚未有研究分析这种职责变化是否可能成为道德困境的一个风险因素。因此，本研究旨在调查紧急情况下职责变化与医护人员身心不适之间的关系。为此，我们提供了良心压力问卷（SCQ）的意大利语首次改编版。共有 272 名意大利医护人员参与了这项横断面研究。那些必须执行常规临床职责以外任务的医护人员更有可能经历道德困境，然后是身心不适。对于那些非常担心感染病毒的人来说，这种情况尤其可能发生。研究结果还表明，SCQ 的意大利语改编版具有由六个项目组成的单因素解决方案。本研究提供了 SCQ 的意大利语首次改编版，并就如何在紧急情况下支持专业人员的健康提供了实用建议。
