Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States of America.
PLoS One. 2024 Sep 10;19(9):e0310132. doi: 10.1371/journal.pone.0310132. eCollection 2024.
While there is growing literature on experiences of healthcare workers and those providing unpaid care during COVID-19, little research considers the relationships between paid and unpaid care burdens and contributions. We administered a moral distress survey to healthcare workers in Canada, in 2022, collecting data on both paid and unpaid care. There were no significant differences in the proportion of participants providing unpaid care by gender, with both genders equally affected by certain responsibilities such as reduced contact with family/loved ones. However, men were significantly more distressed about specific unpaid care responsibilities. Unpaid care was not significantly associated with differences in intention to leave work. At work, women were significantly more concerned about patients unable to see family, while men were distressed by others mistreating COVID patients. This study enhances understanding of paid and unpaid care relationships, particularly during crises, and proposes an innovative method for assessing unpaid care burdens.
虽然关于 COVID-19 期间医护人员和提供无偿护理人员的体验有越来越多的文献，但很少有研究考虑有偿和无偿护理负担和贡献之间的关系。我们在 2022 年向加拿大的医护人员发放了一份道德困境调查，收集了有偿和无偿护理的数据。按性别划分，提供无偿护理的参与者比例没有显著差异，两性都受到某些责任的同等影响，例如与家人/亲人的接触减少。然而，男性对特定的无偿护理责任更为苦恼。无偿护理与离职意愿的差异没有显著关联。在工作中，女性更关心患者无法见到家人，而男性则对他人虐待 COVID 患者感到苦恼。这项研究增进了对有偿和无偿护理关系的理解，特别是在危机期间，并提出了一种评估无偿护理负担的创新方法。
