Toward a Dimensional Contextual Model of Moral Injury: A Scoping Review on Healthcare Workers

被引：0
作者：
Griffin B.J. [1 ,2 ,3 ]
Weber M.C. [1 ,2 ]
Hinkson K.D. [1 ,2 ]
Jendro A.M. [1 ]
Pyne J.M. [1 ,2 ]
Smith A.J. [3 ,4 ]
Usset T. [5 ,6 ]
Cucciare M.A. [1 ,2 ]
Norman S.B. [7 ,8 ]
Khan A. [9 ,10 ]
Purcell N. [9 ,10 ]
Maguen S. [9 ,10 ]
机构：
[1] Center for Mental Health Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Dr., 116P/NLR, North Little Rock, 72114, AR
[2] Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR
[3] Lyda Hill Institute for Human Resilience, University of Colorado-Colorado Springs, Colorado Springs, CO
[4] Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Hanover, NH
[5] Department of Mental Health, VA Maine Healthcare System, Augusta, ME
[6] Minnesota Evidence-Based Practice Center, University of Minnesota, Minneapolis, MN
[7] Executive Division, National Center for PTSD, San Diego, CA
[8] University of California-San Diego School of Medicine, San Diego, CA
[9] San Francisco Veterans Affairs Health Care System, San Francisco, CA
[10] University of California-San Francisco, San Francisco, CA
来源：
Current Treatment Options in Psychiatry | 2023年 / 10卷 / 3期
关键词：
COVID-19; Healthcare workers; Moral distress; Moral injury; Occupational stress;
D O I：
10.1007/s40501-023-00296-4
中图分类号：
学科分类号：
摘要：
Purpose of Review: Healthcare workers (HCWs) may be exposed to potentially morally injurious events (PMIEs) while on the job and consequently experience acute, functional moral distress to prolonged, impairing moral injury. Recent Findings: We reviewed 185 articles on moral distress and/or injury among HCWs. This included 91 empirical studies (approximately 50% of the retained articles), 68 editorials (37%), 18 reviews (10%), and 8 protocol papers (4%). Themes were explored using bibliometric network analysis of keyword co-citation. Empirical studies found evidence of PMIE exposure among a considerable proportion of HCWs. Greater moral distress severity was associated with worse mental and occupational health outcomes, especially among women (vs. men), younger HCWs (vs. older), nurses (vs. physicians), those who worked more hours, and HCWs with less experience. Programs to prevent and treat moral injury among HCWs lack empirical evidence. Summary: Efforts to maintain the well-being and effectiveness of HCWs should consider the potential impact of moral injury. To that end, we introduce a dimensional contextual model of moral injury in healthcare settings and discuss recommendations for prevention and treatment. © 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
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页码：199 / 216
页数：17
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