Potential Sources of Moral Injury for Healthcare Workers in Forensic and Psychiatric Settings: A Systematic Review and Meta-ethnography.
| Autor: | Webb EL; Centre for Developmental and Complex Trauma, St Andrew's Healthcare, Northampton, UK., Ireland JL; University of Central Lancashire, Preston, UK.; Ashworth Research Centre, Mersey Care NHS Foundation Trust, Liverpool, UK., Lewis M; University of Central Lancashire, Preston, UK.; Ashworth Research Centre, Mersey Care NHS Foundation Trust, Liverpool, UK., Morris D; Centre for Developmental and Complex Trauma, St Andrew's Healthcare, Northampton, UK.; University of Buckingham, UK. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Trauma, violence & abuse [Trauma Violence Abuse] 2024 Apr; Vol. 25 (2), pp. 918-934. Date of Electronic Publication: 2023 Apr 21. |
| DOI: | 10.1177/15248380231167390 |
| Abstrakt: | The current research examines potentially morally injurious events (PMIEs) faced by healthcare professionals working in forensic and psychiatric environments. A systematic literature review was conducted to identify peer-reviewed articles reporting on sources of moral injury or similar concepts (e.g., moral distress) for healthcare workers in such settings. Thirty articles were included and analyzed using a meta-ethnographic approach. Synthesis yielded three third-order factors, each reflecting a moral dichotomy: (a) "between profession and system," (b) "between relations with patients and relations with others," and (c) "between principles and practices." Findings illustrated the hierarchical relationships between dichotomies, with discordance between values of the healthcare profession and features of the healthcare system providing the conditions for PMIEs to occur. The review advances conceptual understandings of PMIEs in forensic and psychiatric settings, illustrating the multilayered dimensions within which morally injurious events are experienced. Theoretical and practical implications are offered that may support the early detection and prevention of moral injury in healthcare professionals. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|