COVID-19 and Essential Workers: A Narrative Review of Health Outcomes and Moral Injury.

COVID-19 and Essential Workers: A Narrative Review of Health Outcomes and Moral Injury.
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DOI:
10.3390/ijerph18041446
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发表时间:
2021-02-04
影响因子:
--
通讯作者:
McDiarmid M
McDiarmid M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gaitens J;Condon M;Fernandes E;McDiarmid M

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COVID-19 大流行给已经面临挑战的基本工人的安全就业带来了许多额外的障碍。卫生部门未雇用的基本工作人员通常包括种族多元化的低薪工人,他们的工作需要与公众密切互动和/或与同事近距离接触,这使他们面临更大的感染风险。叙述性审查有助于对这些工人的健康结果数据以及与有限的工作场所保护和缺乏组织支持相关的疾病影响因素进行分析。调查结果表明,由于特定的工作相关因素,例如有限的个人防护装备(PPE)以及雇主作为安全和健康“责任承担者”未能保护工人,这些已经被边缘化的人群也可能面临更大的“精神伤害”风险。有证据表明,道德的、在某些情况下法律要求的安全保护不仅有利于工人个人,也有利于雇主的企业和更大的社区,因为他们可以保留获得有弹性的基本服务的机会。
The COVID-19 pandemic has introduced a number of added obstacles to safe employment for already-challenged essential workers. Essential workers not employed in the health sector generally include racially diverse, low-wage workers whose jobs require close interaction with the public and/or close proximity to their coworkers, placing them at increased risk of infection. A narrative review facilitated the analyses of health outcome data in these workers and contributing factors to illness related to limited workplace protections and a lack of organizational support. Findings suggest that this already marginalized population may also be at increased risk of “moral injury” due to specific work-related factors, such as limited personal protective equipment (PPE) and the failure of the employer, as the safety and health “duty holder,” to protect workers. Evidence suggests that ethical and, in some cases, legally required safety protections benefit not only the individual worker, but an employer’s enterprise and the larger community which can retain access to resilient, essential services.
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