METHODS: A cross-sectional study utilizing a 3-part survey, which collected sociodemographic information, Hurricane Dorian and COVID-19 experiences, as well as responses to a validated modified Moral Distress Scale (MDS).
RESULTS: Participants with 2 negatively impactful experiences from COVID-19 had statistically significantly increased MD compared to participants with only 1 negatively impactful experience (40.4 vs. 23.6, P = 0.014). Losing a loved one due to COVID-19 was associated with significantly decreased MD (B = - 0.42, 95% CI -19.70 to -0.88, P = 0.03). Losing a loved one due to Hurricane Dorian had a non-statistically significant trend towards higher MD scores (B = 0.34, 95% CI -1.23 to 28.75, P = 0.07).
CONCLUSIONS: The emergency medical staff at the RMH reported having mild - moderate MD. This is one of the first studies to look at the impact of concurrent disasters on MD in emergency medical providers in the Bahamas.
方法:采用3部分调查的横断面研究,收集社会人口统计信息,多里安飓风和COVID-19经历,以及对经过验证的修改的道德困扰量表(MDS)的响应。
结果:与仅有1次负面影响经验的参与者相比,有2次负面影响经验的参与者在统计学上显着增加MD(40.4vs.23.6,P=0.014)。因COVID-19失去亲人与MD明显降低相关(B=-0.42,95%CI-19.70至-0.88,P=0.03)。由于多里安飓风而失去亲人的MD得分趋势无统计学意义(B=0.34,95%CI-1.23至28.75,P=0.07)。
结论:RMH的急诊医务人员报告患有轻度-中度MD。这是第一批研究同时发生的灾难对巴哈马紧急医疗提供者的MD的影响的研究之一。