Psychosocial issues among paediatric health-care workers posted in intensive care unit during COVID-19 pandemic: A questionnaire-based survey (Psy-Co-19 survey)

• Published in: Journal of paediatrics and child health Vol. 59; no. 9; pp. 1082 - 1088
• Main Authors: Kumar, Surjeet, Bansal, Arun, Takia, Lalit, Prasad, Shankar, Saini, Manpreet, Chetal, Pooja, Nallasamy, Karthi, Angurana, Suresh K, Malhi, Prabhjot, Jayashree, Muralidharan
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Ltd 01.09.2023
• Subjects: Coping; Intensive care; Pediatrics; Questionnaires; COVID-19; Psy-Co-19 survey; moral distress; paediatric intensive care unit; coping mechanisms; psychological distress
• ISSN: 1034-4810; 1440-1754
• DOI: 10.1111/jpc.16458

To understand the moral distress experienced by health-care workers (HCWs) in the COVID paediatric intensive care unit (PICU). We also aimed to assess the psychological well-being and the coping mechanisms used by HCWs. A prospective observational cross-sectional study was conducted from July to September 2021, involving all HCWs who worked in the COVID PICU. Moral distress using Moral Distress for Health-care Professionals (MMD-HPs) scale, psychological well-being using Trauma Screening Questionnaire (TSQ) and coping strategies adopted by HCWs using Brief-COPE (Coping Orientation to Problems Experienced) were measured. One hundred and eighty-four HCW data were examined. The most common causes of moral distress among HCWs were compromised patient care caused by a lack of resources and caring for more patients than they could safely handle. Moral distress was the same regardless of the HCWs' job profile, marital status, number of children or age. The TSQ revealed psychological stress in 23.3% of HCWs with Post-traumatic Stress Disorder, significantly higher in HCWs under the age of 30 and without children. Few HCWs turned to substance use, self-blame or denial as coping mechanisms; instead, acceptance, self-distraction and emotional support were the most frequently used. The most common reasons for moral and psychological distress perceived by participants were insufficient staff and organisational support. Younger HCWs and those without children experienced higher levels of psychological distress. HCWs' typical coping mechanisms are constructive, such as seeking help and support from others, reframing situations and meditation. Health-care administrators must develop a framework to assist HCWs in dealing with such serious issues.