{"id":"W3145272695","doi":"10.1101/2021.04.06.21254800","title":"Impacts of Morally Distressing Experiences on the Mental Health of Canadian Health Care Workers During the COVID-19 Pandemic","year":2021,"lang":"en","type":"preprint","venue":"medRxiv","topic":"Ethics in medical practice","field":"Health Professions","cited_by":9,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Ottawa; Veterans Affairs Canada; Royal Ottawa Mental Health Centre; University of Toronto; Toronto Metropolitan University; St Joseph's Health Care; Parkwood Institute; McMaster University; Lawson Health Research Institute; Western University","funders":"","keywords":"Moral injury; Burnout; Anxiety; Psychology; Distress; Pandemic; Organizational ethics; Mental health; Clinical psychology; Coronavirus disease 2019 (COVID-19); Social psychology; Psychiatry; Medicine; Political science; Public relations","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00265086,0.0002796401,0.0003541546,0.0008152091,0.007120936,0.002502977,0.0008177474,0.0005392843,0.002984672],"category_scores_gemma":[0.01028592,0.0002290199,0.0003653026,0.001125836,0.003601222,0.0005404086,0.002832908,0.001234417,0.0001021052],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0200405,"about_ca_system_score_gemma":0.03006652,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9114626,"about_ca_topic_score_gemma":0.9509721,"domain_scores_codex":[0.9971336,0.0008102278,0.00007617108,0.0001345724,0.0006746528,0.001170655],"domain_scores_gemma":[0.9936681,0.001107255,0.0016534,0.0001906734,0.001325316,0.002055293],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0002443801,0.0001796518,0.8409481,0.0002028846,0.0001013155,0.0005184005,0.125206,0.0002398619,0.0006286854,0.0005828157,0.003931151,0.02721673],"study_design_scores_gemma":[0.000008794668,0.00005928574,0.8455409,0.0001569029,0.00001702909,0.00007217961,0.1506648,0.0001299245,0.00007889789,0.0001616319,0.003076176,0.00003341518],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9957652,0.0002965056,0.00004215534,0.001235744,0.00002495155,0.00002170093,0.0001618357,0.00000233317,0.002449532],"genre_scores_gemma":[0.9992346,0.0002345492,0.00004477341,0.0001448487,0.000007824742,0.000008054132,0.00006088713,0.000001128218,0.0002633852],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.0885374,"threshold_uncertainty_score":0.1781176,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1698545674883179,"score_gpt":0.4993860307134962,"score_spread":0.3295314632251783,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}