Health Moral Impasse and Emotional Resilience Enhancement Measures During Covid 19 Pandemic

ABSTRACT

Aim: This systematic review aims at presenting the moral impasse factors on health professionals in times of crisis such as pandemic covid-19 but also in the wider framework of the last decade and seeking enhancement methods of mental resilience. Methodology: The sources searched were based primarily on literature Pubmed database. Keywords such as "moral impasse", "mental resilience", "moral distress" and "covid-19" were used. The articles found, without timing, were 102 and here 13 were used. Inclusion criteria were the statistical representation, conclusions were presented additionally coupled with Covid-19 era and moral impasse and the creation of emotional resilience in healthcare sector according to the most recent studies. Results: Factors that contribute to healthcare workers' moral burnout are categorized into three classes internal factors, external and clinical conditions. The emergence of SARS-CoV-2 revealed new factors for instance the availability and management of limited resources, the lack of protection for themselves and their loved ones, the time and critical cases management, the end of life care, the communication skills between colleagues, the infections' prevention and the imposition of new health protocols, which, added to already existing areas though. Analysis of factors and address them leads to the need for mental resilience enhancement of healthcare providers, which can be carried out at individual, interpersonal, but mainly in administrative-organizational level. Conclusion: The essential and foremost interventions pertain to the perception of ethical problems by the health administration at the time, the provision of understanding and solidarity to the clinical caregivers and their inclusion in the decision-making process but also the common response of the ethical issues that arise in the health sector both in times of crisis and in more general terms.