Moral Injury in Health Care: Identification and Repair in the COVID-19 Era

被引：34
|
作者：
Rosen, Amanda [1 ]
Cahill, Jonathan M. [2 ]
Dugdale, Lydia S. [2 ]
机构：
[1] Columbia Univ, New York Presbyterian Hosp, Div Gen Med, Dept Med,Irving Med Ctr, 622W168th St,PH9 113A, New York, NY USA
[2] Columbia Univ, Vagelos Coll Phys & Surg, Ctr Clin Med Eth, Dept Med, 622 168th St,PH 8E 105, New York, NY 10032 USA
来源：
JOURNAL OF GENERAL INTERNAL MEDICINE | 2022年 / 37卷 / 14期
基金：
美国医疗保健研究与质量局;
关键词：
DISTRESS; PHYSICIANS; BURNOUT;
D O I：
10.1007/s11606-022-07761-5
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Frontline health-care workers experienced moral injury long before COVID- 19, but the pandemic highlighted how pervasive and damaging this psychological harm can be. Moral injury occurs when individuals violate or witness violations of deeply held values and beliefs. We argue that a continuum exists between moral distress, moral injury, and burnout. Distinguishing these experiences highlights opportunities for intervention and moral repair, and may thwart progression to burnout. (C) The Author(s), under exclusive licence to Society of General Internal Medicine 2022
引用
收藏
页码：3739 / 3743
页数：5
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