A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings

被引：0
|
作者：
Hadson, Kimberly [1 ,2 ]
de Jacq, Krystyna [3 ]
Travers, Jasmine L. [1 ]
Gao, Yuandi [4 ]
Norful, Allison A. [5 ]
机构：
[1] NYU, Rory Meyers Coll Nursing, New York, NY 10010 USA
[2] NewYork Presbyterian Hosp, New York, NY 10038 USA
[3] State Univ New York Polytech Inst, Utica, NY USA
[4] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
[5] Columbia Univ, Sch Nursing, New York, NY USA
来源：
NURSE LEADER | 2024年 / 22卷 / 04期
关键词：
COMPASSION; NURSES;
D O I：
10.1016/j.mnl.2024.05.002
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Moral distress and moral injury among health workers yield adverse physical, psychological, and labor force outcomes. Research is limited on how psychiatric health care assistants (PHAs) experience these issues. In this multimethod study, we conducted a quantitative survey and qualitative interviews to examine moral distress and injury among PHAs. Almost half screened positive for moral injury. Three qualitative themes emerged: 1) hierarchies prevent contributions to care; 2) trust as a factor in de-escalating patient violence; and 3) navigating psychosocial challenges. Further research is recommended to investigate how to best support and inform practice and policy changes for PHAs.
引用
收藏
页码：428 / 433
页数：6
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