Distresse moral em profissionais da saúde durante a pandemia de COVID-19: uma revisão integrativa
DOI:
https://doi.org/10.33448/rsd-v11i14.36435Palavras-chave:
Distresse moral; Profissionais da saúde; COVID-19; Moral.Resumo
Introdução: a pandemia de COVID-19 trouxe vários conflitos morais para o contexto da atuação em saúde. A impossibilidade de agir da maneira que o profissional julga ser eticamente correta, devido a barreiras externas ou internas, pode causar o distresse moral. Esse fenômeno é prejudicial à moral do profissional e pode impactar na qualidade do cuidado prestado. Objetivo: analisar quais circunstâncias, durante a pandemia de COVID-19, causaram distresse moral nos profissionais da saúde. Método: essa revisão integrativa da literatura foi realizada com as bases de dados SCIELO e PubMed, utilizando os descritores “moral distress” e “COVID-19”. Artigos publicados entre 2019-2021, em português, espanhol ou inglês foram incluídos. Os critérios PRISMA foram seguidos. Resultados: A partir de uma busca inicial de 171 documentos, 102 foram completamente revistos e 29 foram incluídos nessa revisão. As situações que causaram distresse moral nos profissionais da saúde foram distribuídas nas seguintes categorias: pessoal; pacientes e familiares; equipe; e organização. Falta de recursos, tratamentos intermitentes, medo de contrair o vírus, restrições de visitas e ausência de diretrizes explícitas foram alguns dos eventos mencionados nos artigos. Conclusões: a pandemia de COVID-19 tem causado distresse moral nos profissionais. O fenômeno pode trazer sérias consequências para a saúde dos trabalhadores e o cuidado prestado por eles. Programas de educação e suporte, além de novos estudos, devem ser encorajados para minimizar o impacto dos próximos estágios da pandemia e em futuras ocasiões relacionadas a dilemas éticos.
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