Moral suffering in health professionals: portrait of the work environment in times of COVID-19

Rev Bras Enferm. 2021 Mar 5;74Suppl 1(Suppl 1):e20200653. doi: 10.1590/0034-7167-2020-0653. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To analyze potential triggers of moral suffering experiences of health professionals, reported in the media, during the COVID-19 pandemic and to propose a theoretical construct of analysis.

Methods: Study with qualitative approach whose data source were 50 reports published online, collected passively and actively, submitted to Content Analysis with the help of ATLAS.ti software.

Results: The potential moral problems that trigger moral suffering are related to the threat to moral integrity, infrastructure/logistics and teamwork problems, and emotional aspects, revealing their articulation with damage to the foundations of a healthy work environment, which generated the proposal of a construct.

Final considerations: The articulation between the experiences of moral suffering and the commitment of the fundamentals of a healthy work environment has brought important contributions to the adoption of strategies to protect and stimulate moral deliberation by professionals in favor of practice and society.

MeSH terms

  • Adult
  • Brazil / epidemiology
  • COVID-19 / epidemiology
  • COVID-19 / psychology*
  • COVID-19 / therapy*
  • Female
  • Health Personnel / psychology*
  • Health Personnel / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Morals*
  • Pandemics
  • Qualitative Research
  • SARS-CoV-2
  • Stress, Psychological*
  • Workplace / psychology*
  • Workplace / statistics & numerical data