{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:15:15Z","timestamp":1787015715554,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To understand the moral distress experienced by health\u2010care workers (HCWs) in the COVID paediatric intensive care unit (PICU). We also aimed to assess the psychological well\u2010being and the coping mechanisms used by HCWs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational cross\u2010sectional study was conducted from July to September 2021, involving all HCWs who worked in the COVID PICU. Moral distress using Moral Distress for Health\u2010care Professionals (MMD\u2010HPs) scale, psychological well\u2010being using Trauma Screening Questionnaire (TSQ) and coping strategies adopted by HCWs using Brief\u2010COPE (Coping Orientation to Problems Experienced) were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and eighty\u2010four HCW data were examined. The most common causes of moral distress among HCWs were compromised patient care caused by a lack of resources and caring for more patients than they could safely handle. Moral distress was the same regardless of the HCWs' job profile, marital status, number of children or age. The TSQ revealed psychological stress in 23.3% of HCWs with Post\u2010traumatic Stress Disorder, significantly higher in HCWs under the age of 30 and without children. Few HCWs turned to substance use, self\u2010blame or denial as coping mechanisms; instead, acceptance, self\u2010distraction and emotional support were the most frequently used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The most common reasons for moral and psychological distress perceived by participants were insufficient staff and organisational support. Younger HCWs and those without children experienced higher levels of psychological distress. HCWs' typical coping mechanisms are constructive, such as seeking help and support from others, reframing situations and meditation. Health\u2010care administrators must develop a framework to assist HCWs in dealing with such serious issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.16458","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T08:31:46Z","timestamp":1687336306000},"page":"1082-1088","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Psychosocial issues among paediatric health\u2010care workers posted in intensive care unit during\n                    <scp>COVID\u201019<\/scp>\n                    pandemic: A questionnaire\u2010based survey (\n                    <scp>Psy\u2010Co\u201019<\/scp>\n                    survey)"],"prefix":"10.1111","volume":"59","author":[{"given":"Surjeet","family":"Kumar","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6212-6889","authenticated-orcid":false,"given":"Arun","family":"Bansal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-7006","authenticated-orcid":false,"given":"Lalit","family":"Takia","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Prasad","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manpreet","family":"Saini","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Chetal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6713-9846","authenticated-orcid":false,"given":"Karthi","family":"Nallasamy","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh K","family":"Angurana","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhjot","family":"Malhi","sequence":"additional","affiliation":[{"name":"Pediatric Psychology Unit, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muralidharan","family":"Jayashree","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care, Department of Pediatrics Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.03.028"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000507639"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-020-00574-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102119"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3203"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005434"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-021-01670-6"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/indianjpsychiatry.indianjpsychiatry_464_21"},{"key":"e_1_2_6_10_1","unstructured":"Trauma Screening Questionnaire (TSQ) \u2010 PTSD: National Center for PTSD. 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