Veronica Falcone, Anja Catic, Florian Heinzl, Philipp Steinbauer, Michael Wagner, Fanny Mikula, Tim Dorittke, Bernhard Roessler, Alex Farr
Impact of a virtual reality-based simulation training for shoulder dystocia on human and technical skills among caregivers: a randomized-controlled trial
Scientific reports
moral injury mi multifaceted multidimensional phenomenon occupational mi studied mainly among military personnel first responders linked mental health problems mi encompasses negative moral emotions shame guilt anger leading distress impairment social occupational functioning covid19 pandemic predisposed healthcare providers moral dilemmas potentially morally injurious events pmies mi aimed assess prevalence predictors mi healthcare providers covid19 pandemic pakistan crosssectional study conducted julyoctober 2021 among physicianclinician staff working teaching hospitals lahore moral injury symptoms scalehealth professionals misshp used collect data spss 26 used data analysis applying wilcoxon mannwhitney u kruskalwallis tests nonnormally distributed data 005 predictors mi ascertained binary logistic regression analysis four hundred twenty physicians responded questionnaires median iqr mi scores 372847 guilt moral concerns shame higherscoring mi dimensions 408 n 171 suffered clinically significant distress impaired functioning 143 n 60 severe distress gender department history psychiatric illness predicted higher levels distress 19 times higher females males 25 times higher history psychiatric illness working front lines predict mi findings highlight substantial burden mi sample covid19 implications healthcare providers wellbeing healthcare quality service delivery calls concerted efforts stakeholders better prepare future disasters effective humanresource policies pretrauma exposure softskills training effective teamwork communication strategies selfstewardship resilience modules mental health support healthcare providers dimensional construct mi may vary across cultures hence recommend crosscultural research mi healthcare providers particularly context public health disasters