Burnout and turnover risks for healthcare workers in the United States: downstream effects from moral injury exposure.

Autor: Usset TJ; School of Public Health, University of Minnesota, Minneapolis, MN, USA. usse0006@umn.edu.; VA Maine Healthcare System, Augusta, ME, USA. usse0006@umn.edu., Baker LD; VA Salt Lake City Healthcare System, Salt Lake City, UT, USA., Griffin BJ; Center for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA.; Department of Psychiatry, Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Lyda Hill Institute for Human Resilience, University of Colorado-Colorado Springs, Colorado Springs, CO, USA., Harris JI; VA Maine Healthcare System, Augusta, ME, USA.; Department of Psychology, University of Maine, Orono, ME, USA., Shearer RD; School of Public Health, University of Minnesota, Minneapolis, MN, USA., Munson J; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.; The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH, USA., Godzik C; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Torrey WC; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA., Bardach SH; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH, USA., Mulley AG Jr; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH, USA., Locke A; Spencer Fox Eccles School of Medicine at University of Utah Health, Salt Lake City, UT, USA., Wright HM; Spencer Fox Eccles School of Medicine at University of Utah Health, Salt Lake City, UT, USA., Call M; Spencer Fox Eccles School of Medicine at University of Utah Health, Salt Lake City, UT, USA., Sexton B; Department of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, NC, USA.; Duke Center for the Advancement of Well-Being Science, Duke University Health System, Durham, NC, USA., Shanafelt T; Department of Medicine, Stanford University, Palo Alto, CA, USA., Smith AJ; Lyda Hill Institute for Human Resilience, University of Colorado-Colorado Springs, Colorado Springs, CO, USA. andrew.j.smith-2@dartmouth.edu.; Geisel School of Medicine at Dartmouth, Hanover, NH, USA. andrew.j.smith-2@dartmouth.edu.; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. andrew.j.smith-2@dartmouth.edu.; Spencer Fox Eccles School of Medicine at University of Utah Health, Salt Lake City, UT, USA. andrew.j.smith-2@dartmouth.edu.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Oct 22; Vol. 14 (1), pp. 24915. Date of Electronic Publication: 2024 Oct 22.
DOI: 10.1038/s41598-024-74086-0
Abstrakt: Moral injury has emerged as a construct of interest in healthcare workers' (HCW) occupational stress and health. We conducted one of the first multidisciplinary, longitudinal studies evaluating the relationship between exposure to potentially morally injurious events (PMIEs), burnout, and turnover intentions. HCWs (N = 473) completed surveys in May of 2020 (T1) and again in May of 2021 (T2). Generalized Linear Models (robust Poisson regression) were used to test relative risk of turnover intentions, and burnout at T2 associated with PMIE exposure, controlling for T1 covariates. At T1, 17.67% reported they had participated in a PMIE, 41.44% reported they witnessed a PMIE and 76.61% reported feeling betrayed by healthcare or a public health organization. In models including all T1 PMIE exposures and covariates, T2 turnover intentions were increased for those who witnessed a PMIE at T1 (Relative Risk [RR] = 1.66, 95% Confidence Interval [CI] 1.17-2.34) but not those that participated or felt betrayed. T2 burnout was increased for those who participated in PMIE at T1 (RR = 1.38, 95%CI 1.03-1.85) but not those that witnessed or felt betrayed. PMIE exposure is highly prevalent among HCWs, with specific PMIEs associated with turnover intentions and burnout. Organizational interventions to reduce and facilitate recovery from moral injury should account for differences in the type of PMIE exposures that occur in healthcare work environments.
(© 2024. The Author(s).)
Databáze: MEDLINE
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