{"id":6563,"date":"2023-11-09T14:28:00","date_gmt":"2023-11-09T14:28:00","guid":{"rendered":"http:\/\/nccdh.local\/resource\/moral-distress\/"},"modified":"2025-11-06T17:15:22","modified_gmt":"2025-11-06T17:15:22","slug":"moral-distress","status":"publish","type":"resource","link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/moral-distress\/","title":{"rendered":"In\u00e9galit\u00e9s de sant\u00e9 et d\u00e9tresse morale du personnel infirmier en sant\u00e9 communautaire durant la pand\u00e9mie de COVID-19"},"content":{"rendered":"<p><em>This resource is also available in English.<\/em><\/p>\n<p>L&rsquo;article porte sur l&rsquo;enqu&ecirc;te effectu&eacute;e &agrave; des fins de recherche concernant la d&eacute;tresse morale ressentie par le personnel infirmier en sant&eacute; communautaire durant la pand&eacute;mie de COVID-19, plus particuli&egrave;rement en lien avec les in&eacute;galit&eacute;s de sant&eacute; v&eacute;cues par les populations locales. &Agrave; l&rsquo;aide d&rsquo;un sondage par associations, 245 infirmi&egrave;res et infirmiers travaillant dans la collectivit&eacute; lors de la pand&eacute;mie au Canada ont &eacute;t&eacute; interrog&eacute;s au sujet de la d&eacute;tresse morale qu&rsquo;ils peuvent avoir ressentie durant cette p&eacute;riode.<\/p>\n<p>Aux fins d&rsquo;enqu&ecirc;te, les chercheurs ont d&eacute;fini la d&eacute;tresse morale comme &eacute;tant l&rsquo;incapacit&eacute; pour le personnel infirmier en sant&eacute; communautaire d&rsquo;agir selon sa conscience morale. La d&eacute;tresse ressentie emp&ecirc;chait de faire la &laquo;&thinsp;bonne chose&thinsp;&raquo;, c&rsquo;est-&agrave;-dire prendre les mesures n&eacute;cessaires pour prot&eacute;ger la sant&eacute; des populations en situation de marginalisation.<\/p>\n<p>Les chercheurs ont constat&eacute; que la majorit&eacute; des personnes ayant particip&eacute; &agrave; l&rsquo;enqu&ecirc;te avaient v&eacute;cu de la d&eacute;tresse morale durant la pand&eacute;mie. De ce nombre, 75 % ont d&eacute;clar&eacute; que leur d&eacute;tresse avait un lien avec les in&eacute;galit&eacute;s de sant&eacute;.<\/p>\n<p>Les quatre principaux facteurs mis en &eacute;vidence sont les suivants :<\/p>\n<ul>\n<li>le manque de disponibilit&eacute; des ressources,<\/li>\n<li>le mode r&eacute;actif des mesures prises pour lutter contre la pand&eacute;mie,<\/li>\n<li>la surcharge de travail,<\/li>\n<li>les red&eacute;ploiements constants de derni&egrave;re minute.<\/li>\n<li>&nbsp;<\/li>\n<\/ul>\n<p>Les principales sources de d&eacute;tresse morale mentionn&eacute;es par les personnes lors du sondage ont &eacute;t&eacute; class&eacute;es en sept cat&eacute;gories, c&rsquo;est-&agrave;-dire :&nbsp;<\/p>\n<ul>\n<li>les besoins non combl&eacute;s,<\/li>\n<li>les effets n&eacute;gatifs des mesures de sant&eacute; publique,<\/li>\n<li>le pr&eacute;cepte de &laquo;&thinsp;ne pas faire de mal&thinsp;&raquo;,<\/li>\n<li>l&rsquo;id&eacute;e d&rsquo;une solution universelle,<\/li>\n<li>les personnes qui passent sans attendre leur tour et les priorit&eacute;s fix&eacute;es pour la vaccination,<\/li>\n<li>les &eacute;cueils observ&eacute;s quant &agrave; la qualit&eacute; des soins,<\/li>\n<li>les changements constants et l&rsquo;inconnu quant &agrave; la suite des choses.<\/li>\n<\/ul>\n<p>Les chercheurs ont &eacute;galement explor&eacute; certains facteurs aggravants, comme les contraintes du syst&egrave;me de sant&eacute; avant la pand&eacute;mie, le leadership, la gestion et les communications; l&rsquo;exposition &agrave; la col&egrave;re, au d&eacute;ni, aux critiques et &agrave; la d&eacute;tresse; la vie personnelle et familiale et la s&eacute;curit&eacute; au travail. Une meilleure compr&eacute;hension de ce qu&rsquo;a v&eacute;cu le personnel infirmier en sant&eacute; communautaire durant la pand&eacute;mie de COVID-19 peut am&eacute;liorer l&rsquo;efficacit&eacute; du plaidoyer pour la prise en compte de l&rsquo;&eacute;quit&eacute; dans les processus de planification, d&rsquo;intervention et de r&eacute;tablissement lors d&rsquo;une pand&eacute;mie.<\/p>\n<p>&nbsp;<\/p>\n<h3>Servez-vous de cet outil pour :<\/h3>\n<ul>\n<li>mieux comprendre l&rsquo;exp&eacute;rience v&eacute;cue par le personnel infirmier en sant&eacute; publique;<\/li>\n<li>plaider pour la prise en compte de l&rsquo;&eacute;quit&eacute; dans les processus de planification, d&rsquo;intervention et de r&eacute;tablissement lors d&rsquo;une pand&eacute;mie.<br \/>\n\t&nbsp;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Ressources connexes :<\/h3>\n<p><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/lessons-in-pandemic-planning-response-and-recovery-a-summary-of-equity-in-action-stories\" style=\"color:blue; text-decoration:underline\">Le&ccedil;ons apprises au sujet des processus de planification, d&rsquo;intervention et de r&eacute;tablissement lors d&rsquo;une pand&eacute;mie&nbsp;: Un sommaire des r&eacute;cits de &laquo;&nbsp;L&rsquo;&eacute;quit&eacute; en sant&eacute;&nbsp;&raquo;<\/a><\/p>\n<p><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/community-health-workers-and-covid-19\" style=\"color:blue; text-decoration:underline\">Community health workers and COVID-19 &ndash; Addressing social determinants of health in times of crisis and beyond<\/a> (en anglais, avec r&eacute;sum&eacute; en fran&ccedil;ais)<\/p>\n<p><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/theory-in-action-public-health-and-community-power-building-for-health-equity\" style=\"color:blue; text-decoration:underline\">Theory in action: Public health and community power building for health equity<\/a><em> <\/em>(en anglais, avec r&eacute;sum&eacute; en fran&ccedil;ais)<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3>R&eacute;f&eacute;rence bibliographique :<\/h3>\n<p><span style=\"background-color:white\"><span style=\"color:black\">Baxter, C., Schofield, R., Betker, C., Currie, G., Filion, F., Gauley, P., Tao, M. et Taylor, M.A. (2022). In&eacute;galit&eacute;s de sant&eacute; et d&eacute;tresse morale du personnel infirmier en sant&eacute; communautaire durant la pand&eacute;mie de COVID-19 (traduit par M. Picard). <em>Witness: The Canadian Journal of Critical Nursing Discourse<\/em>,&nbsp;<em>4<\/em>(2), 42-55.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quelle incidence les in\u00e9galit\u00e9s de sant\u00e9 v\u00e9cues par les populations locales durant la pand\u00e9mie de COVID-19 ont-elles eue sur le personnel infirmier en sant\u00e9 communautaire? L\u2019article porte sur l\u2019enqu\u00eate effectu\u00e9e \u00e0 des fins de recherche concernant la d\u00e9tresse morale ressentie par le personnel infirmier en sant\u00e9 communautaire, plus particuli\u00e8rement en lien avec les in\u00e9galit\u00e9s de sant\u00e9.<\/p>\n","protected":false},"featured_media":9943,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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Vossen","author_link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/author\/"},"uagb_comment_info":0,"uagb_excerpt":"Quelle incidence les in\u00e9galit\u00e9s de sant\u00e9 v\u00e9cues par les populations locales durant la pand\u00e9mie de COVID-19 ont-elles eue sur le personnel infirmier en sant\u00e9 communautaire? L\u2019article porte sur l\u2019enqu\u00eate effectu\u00e9e \u00e0 des fins de recherche concernant la d\u00e9tresse morale ressentie par le personnel infirmier en sant\u00e9 communautaire, plus particuli\u00e8rement en lien avec les in\u00e9galit\u00e9s de\u2026","_links":{"self":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/types\/resource"}],"version-history":[{"count":1,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6563\/revisions"}],"predecessor-version":[{"id":7218,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6563\/revisions\/7218"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/media\/9943"}],"wp:attachment":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/media?parent=6563"}],"wp:term":[{"taxonomy":"keyword","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/keyword?post=6563"},{"taxonomy":"nccdh-series","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/nccdh-series?post=6563"},{"taxonomy":"producer","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/producer?post=6563"},{"taxonomy":"resource-type","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource-type?post=6563"},{"taxonomy":"role","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/role?post=6563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}