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Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey
Purpose There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible ass...
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| Published in: | Journal of cancer research and clinical oncology 2023-08, Vol.149 (9), p.6211-6223 |
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| cited_by | cdi_FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903 |
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| cites | cdi_FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903 |
| container_end_page | 6223 |
| container_issue | 9 |
| container_start_page | 6211 |
| container_title | Journal of cancer research and clinical oncology |
| container_volume | 149 |
| creator | Sommerlatte, Sabine Lugnier, Celine Schoffer, Olaf Jahn, Patrick Kraeft, Anna-Lena Kourti, Eleni Michl, Patrick Reinacher-Schick, Anke Schmitt, Jochen Birkner, Thomas Schildmann, Jan Herpertz, Stephan |
| description | Purpose
There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible associations with moral distress among physicians and nurses working in oncology in Germany.
Methods
We conducted a cross-sectional online survey with physicians and nurses working in oncology in Germany between March and July 2021. Next to sociodemographic characteristics and working conditions, mental burden and moral distress were assessed using standardized instruments. Binary multivariate logistic regression using the enter method was performed in order to explore the relationship between mental burden and moral distress.
Results
121 physicians and 125 nurses were included in the study. Prevalence of clinically relevant depressive symptoms, anxiety, somatic symptoms, burnout symptoms and moral distress was 19.2, 14.5, 12.7, 46.0 and 34.7% in physicians and 41.4, 24.0, 46.8, 46.6 and 60.0% in nurses respectively. Mental burden was significantly associated with moral distress, being female/diverse, younger age |
| doi_str_mv | 10.1007/s00432-023-04580-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9878480</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2769996040</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903</originalsourceid><addsrcrecordid>eNp9UctuFDEQtBCILIEf4IAsceEy4Od4zAEJLSFECsoFuFoeT8_G0Y692DNL9lfytXh2l_A4cLCsLldXu7oQek7Ja0qIepMJEZxVhPGKCNmQ6vYBWtAZopzLh2hBqKKVZLQ-QU9yviGlloo9Rie8VoRopRfo7jOE0a5xO6UOArahw0NMBeh8HhPkjO0QwwrH4OI6rgqY96RjvcNhShky9gGfQxps2OFuSr50jNdQjk8d_mG3gGO_R5ZX3y4-VFTjTVGBwbu32GKXYs5VBjf6GMrsPKUt7J6iR71dZ3h2vE_R149nX5afqsur84vl-8vKCSXGCmhxqLWyDGjxy4V0vRKSCZCqd5LXnRaNZG3Lm56BYNC3LZCubRxlTmrCT9G7g-5magfoXFlIWYDZJD_YtDPRevP3S_DXZhW3RjeqEc0s8OookOL3CfJoBp8drNc2QJyyYarWWtdEzNSX_1Bv4pSK58JquK6FkowVFjuw9otJ0N9_hhIzR28O0ZsSvdlHb25L04s_bdy3_Mq6EPiBkDdzQJB-z_6P7E_WKryi</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2839647522</pqid></control><display><type>article</type><title>Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey</title><source>Springer Link</source><creator>Sommerlatte, Sabine ; Lugnier, Celine ; Schoffer, Olaf ; Jahn, Patrick ; Kraeft, Anna-Lena ; Kourti, Eleni ; Michl, Patrick ; Reinacher-Schick, Anke ; Schmitt, Jochen ; Birkner, Thomas ; Schildmann, Jan ; Herpertz, Stephan</creator><creatorcontrib>Sommerlatte, Sabine ; Lugnier, Celine ; Schoffer, Olaf ; Jahn, Patrick ; Kraeft, Anna-Lena ; Kourti, Eleni ; Michl, Patrick ; Reinacher-Schick, Anke ; Schmitt, Jochen ; Birkner, Thomas ; Schildmann, Jan ; Herpertz, Stephan</creatorcontrib><description>Purpose
There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible associations with moral distress among physicians and nurses working in oncology in Germany.
Methods
We conducted a cross-sectional online survey with physicians and nurses working in oncology in Germany between March and July 2021. Next to sociodemographic characteristics and working conditions, mental burden and moral distress were assessed using standardized instruments. Binary multivariate logistic regression using the enter method was performed in order to explore the relationship between mental burden and moral distress.
Results
121 physicians and 125 nurses were included in the study. Prevalence of clinically relevant depressive symptoms, anxiety, somatic symptoms, burnout symptoms and moral distress was 19.2, 14.5, 12.7, 46.0 and 34.7% in physicians and 41.4, 24.0, 46.8, 46.6 and 60.0% in nurses respectively. Mental burden was significantly associated with moral distress, being female/diverse, younger age < 40 and increase in workload. Nurses who felt sufficiently protected from COVID-19 reported significantly less moral distress.
Conclusion
To improve pandemic resilience, there is a need to ensure safe working environment including psychosocial support. Further evidence on risk and protective factors for moral distress is needed to be able to develop and implement strategies to protect healthcare workers within and beyond the pandemic.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-023-04580-x</identifier><identifier>PMID: 36700979</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer Research ; COVID-19 ; Cross-sectional studies ; Health care ; Hematology ; Internal Medicine ; Medical personnel ; Medicine ; Medicine & Public Health ; Nurses ; Oncology ; Pandemics ; Surveys</subject><ispartof>Journal of cancer research and clinical oncology, 2023-08, Vol.149 (9), p.6211-6223</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903</citedby><cites>FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903</cites><orcidid>0000-0001-6239-4349</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36700979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sommerlatte, Sabine</creatorcontrib><creatorcontrib>Lugnier, Celine</creatorcontrib><creatorcontrib>Schoffer, Olaf</creatorcontrib><creatorcontrib>Jahn, Patrick</creatorcontrib><creatorcontrib>Kraeft, Anna-Lena</creatorcontrib><creatorcontrib>Kourti, Eleni</creatorcontrib><creatorcontrib>Michl, Patrick</creatorcontrib><creatorcontrib>Reinacher-Schick, Anke</creatorcontrib><creatorcontrib>Schmitt, Jochen</creatorcontrib><creatorcontrib>Birkner, Thomas</creatorcontrib><creatorcontrib>Schildmann, Jan</creatorcontrib><creatorcontrib>Herpertz, Stephan</creatorcontrib><title>Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Purpose
There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible associations with moral distress among physicians and nurses working in oncology in Germany.
Methods
We conducted a cross-sectional online survey with physicians and nurses working in oncology in Germany between March and July 2021. Next to sociodemographic characteristics and working conditions, mental burden and moral distress were assessed using standardized instruments. Binary multivariate logistic regression using the enter method was performed in order to explore the relationship between mental burden and moral distress.
Results
121 physicians and 125 nurses were included in the study. Prevalence of clinically relevant depressive symptoms, anxiety, somatic symptoms, burnout symptoms and moral distress was 19.2, 14.5, 12.7, 46.0 and 34.7% in physicians and 41.4, 24.0, 46.8, 46.6 and 60.0% in nurses respectively. Mental burden was significantly associated with moral distress, being female/diverse, younger age < 40 and increase in workload. Nurses who felt sufficiently protected from COVID-19 reported significantly less moral distress.
Conclusion
To improve pandemic resilience, there is a need to ensure safe working environment including psychosocial support. Further evidence on risk and protective factors for moral distress is needed to be able to develop and implement strategies to protect healthcare workers within and beyond the pandemic.</description><subject>Cancer Research</subject><subject>COVID-19</subject><subject>Cross-sectional studies</subject><subject>Health care</subject><subject>Hematology</subject><subject>Internal Medicine</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nurses</subject><subject>Oncology</subject><subject>Pandemics</subject><subject>Surveys</subject><issn>0171-5216</issn><issn>1432-1335</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9UctuFDEQtBCILIEf4IAsceEy4Od4zAEJLSFECsoFuFoeT8_G0Y692DNL9lfytXh2l_A4cLCsLldXu7oQek7Ja0qIepMJEZxVhPGKCNmQ6vYBWtAZopzLh2hBqKKVZLQ-QU9yviGlloo9Rie8VoRopRfo7jOE0a5xO6UOArahw0NMBeh8HhPkjO0QwwrH4OI6rgqY96RjvcNhShky9gGfQxps2OFuSr50jNdQjk8d_mG3gGO_R5ZX3y4-VFTjTVGBwbu32GKXYs5VBjf6GMrsPKUt7J6iR71dZ3h2vE_R149nX5afqsur84vl-8vKCSXGCmhxqLWyDGjxy4V0vRKSCZCqd5LXnRaNZG3Lm56BYNC3LZCubRxlTmrCT9G7g-5magfoXFlIWYDZJD_YtDPRevP3S_DXZhW3RjeqEc0s8OookOL3CfJoBp8drNc2QJyyYarWWtdEzNSX_1Bv4pSK58JquK6FkowVFjuw9otJ0N9_hhIzR28O0ZsSvdlHb25L04s_bdy3_Mq6EPiBkDdzQJB-z_6P7E_WKryi</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Sommerlatte, Sabine</creator><creator>Lugnier, Celine</creator><creator>Schoffer, Olaf</creator><creator>Jahn, Patrick</creator><creator>Kraeft, Anna-Lena</creator><creator>Kourti, Eleni</creator><creator>Michl, Patrick</creator><creator>Reinacher-Schick, Anke</creator><creator>Schmitt, Jochen</creator><creator>Birkner, Thomas</creator><creator>Schildmann, Jan</creator><creator>Herpertz, Stephan</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6239-4349</orcidid></search><sort><creationdate>20230801</creationdate><title>Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey</title><author>Sommerlatte, Sabine ; Lugnier, Celine ; Schoffer, Olaf ; Jahn, Patrick ; Kraeft, Anna-Lena ; Kourti, Eleni ; Michl, Patrick ; Reinacher-Schick, Anke ; Schmitt, Jochen ; Birkner, Thomas ; Schildmann, Jan ; Herpertz, Stephan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-e1521997a2e1171345cf74524e57fc536d94852bb38f2e42efbbe0db8c12c5903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cancer Research</topic><topic>COVID-19</topic><topic>Cross-sectional studies</topic><topic>Health care</topic><topic>Hematology</topic><topic>Internal Medicine</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nurses</topic><topic>Oncology</topic><topic>Pandemics</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sommerlatte, Sabine</creatorcontrib><creatorcontrib>Lugnier, Celine</creatorcontrib><creatorcontrib>Schoffer, Olaf</creatorcontrib><creatorcontrib>Jahn, Patrick</creatorcontrib><creatorcontrib>Kraeft, Anna-Lena</creatorcontrib><creatorcontrib>Kourti, Eleni</creatorcontrib><creatorcontrib>Michl, Patrick</creatorcontrib><creatorcontrib>Reinacher-Schick, Anke</creatorcontrib><creatorcontrib>Schmitt, Jochen</creatorcontrib><creatorcontrib>Birkner, Thomas</creatorcontrib><creatorcontrib>Schildmann, Jan</creatorcontrib><creatorcontrib>Herpertz, Stephan</creatorcontrib><collection>Springer Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cancer research and clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sommerlatte, Sabine</au><au>Lugnier, Celine</au><au>Schoffer, Olaf</au><au>Jahn, Patrick</au><au>Kraeft, Anna-Lena</au><au>Kourti, Eleni</au><au>Michl, Patrick</au><au>Reinacher-Schick, Anke</au><au>Schmitt, Jochen</au><au>Birkner, Thomas</au><au>Schildmann, Jan</au><au>Herpertz, Stephan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey</atitle><jtitle>Journal of cancer research and clinical oncology</jtitle><stitle>J Cancer Res Clin Oncol</stitle><addtitle>J Cancer Res Clin Oncol</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>149</volume><issue>9</issue><spage>6211</spage><epage>6223</epage><pages>6211-6223</pages><issn>0171-5216</issn><eissn>1432-1335</eissn><abstract>Purpose
There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible associations with moral distress among physicians and nurses working in oncology in Germany.
Methods
We conducted a cross-sectional online survey with physicians and nurses working in oncology in Germany between March and July 2021. Next to sociodemographic characteristics and working conditions, mental burden and moral distress were assessed using standardized instruments. Binary multivariate logistic regression using the enter method was performed in order to explore the relationship between mental burden and moral distress.
Results
121 physicians and 125 nurses were included in the study. Prevalence of clinically relevant depressive symptoms, anxiety, somatic symptoms, burnout symptoms and moral distress was 19.2, 14.5, 12.7, 46.0 and 34.7% in physicians and 41.4, 24.0, 46.8, 46.6 and 60.0% in nurses respectively. Mental burden was significantly associated with moral distress, being female/diverse, younger age < 40 and increase in workload. Nurses who felt sufficiently protected from COVID-19 reported significantly less moral distress.
Conclusion
To improve pandemic resilience, there is a need to ensure safe working environment including psychosocial support. Further evidence on risk and protective factors for moral distress is needed to be able to develop and implement strategies to protect healthcare workers within and beyond the pandemic.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36700979</pmid><doi>10.1007/s00432-023-04580-x</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-6239-4349</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 0171-5216 1432-1335 |
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| subjects | Cancer Research COVID-19 Cross-sectional studies Health care Hematology Internal Medicine Medical personnel Medicine Medicine & Public Health Nurses Oncology Pandemics Surveys |
| title | Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey |
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