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Review
. 2021 Apr;159(4):1484-1492.
doi: 10.1016/j.chest.2020.11.012. Epub 2020 Nov 18.

How Can I Survive This?: Coping During Coronavirus Disease 2019 Pandemic

Daniel Garros  1 , Wendy Austin  2 , Peter Dodek  3
Affiliations
Review

How Can I Survive This?: Coping During Coronavirus Disease 2019 Pandemic

Daniel Garros et al. Chest. 2021 Apr.

Abstract

Worldwide, health-care professionals are experiencing unprecedented stress related to the coronavirus disease 2019 pandemic. Responding to a new virus for which there is no effective treatment yet and no vaccine is beyond challenging. Moral distress, which is experienced when clinicians are unable to act in the way that they believe they should, is often experienced when they are dealing with end-of-life care issues and insufficient resources. Both factors have been widespread during this pandemic, particularly when patients are dying alone and there is a lack of personal protection equipment that plagues many overburdened health-care systems. We explore here, guided by evidence, the concept and features of moral distress and individual resilience. Mitigation strategies involve individual and institutional responsibilities; the importance of solidarity, peer support, psychological first aid, and gratitude are highlighted.

Keywords: COVID-19; moral distress; pandemic; psychological distress.

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References

    1. Italy says number of doctors killed by coronavirus passes 100. [FRANCE 24 withAFP]. 2020. https://www.france24.com/en/20200409-italy-says-number-of-doctors-killed...
    1. Ramachandran P., Swamy L., Kaul V., Agrawal A., Narasimhan M. Powerless in the ICU: perspectives from ICUs in the face of coronavirus disease 2019. Chest. 2020;158(3):881–883. - PMC - PubMed
    1. Nacoti M., Ciocca A., Giupponi A., et al. At the epicenter of the Covid-19 pandemic and humanitarian crises in Italy: changing perspectives on preparation and mitigation. NEJM Catalyst. 2020;1(2)
    1. Cunningham C.O., Diaz C., Slawek D.E. COVID-19: the worst days of our careers. Ann Intern Med. 2020;172(11):764–765. - PMC - PubMed
    1. Shanafelt T., Ripp J., Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133–2134. - PubMed