Exposure to moral stressors and associated outcomes in healthcare workers: prevalence, correlates, and impact on job attrition

Autor: Anthony Nazarov, Callista A. Forchuk, Stephanie A. Houle, Kevin T. Hansen, Rachel A. Plouffe, Jenny J. W. Liu, Kylie S. Dempster, Tri Le, Ilyana Kocha, Fardous Hosseiny, Ann Heesters, J. Don Richardson
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: European Journal of Psychotraumatology, Vol 15, Iss 1 (2024)
Druh dokumentu: article
ISSN: 20008066
2000-8066
DOI: 10.1080/20008066.2024.2306102
Popis: ABSTRACTIntroduction: Healthcare workers (HCWs) often experience morally challenging situations in their workplaces that may contribute to job turnover and compromised well-being. This study aimed to characterize the nature and frequency of moral stressors experienced by HCWs during the COVID-19 pandemic, examine their influence on psychosocial-spiritual factors, and capture the impact of such factors and related moral stressors on HCWs’ self-reported job attrition intentions.Methods: A sample of 1204 Canadian HCWs were included in the analysis through a web-based survey platform whereby work-related factors (e.g. years spent working as HCW, providing care to COVID-19 patients), moral distress (captured by MMD-HP), moral injury (captured by MIOS), mental health symptomatology, and job turnover due to moral distress were assessed.Results: Moral stressors with the highest reported frequency and distress ratings included patient care requirements that exceeded the capacity HCWs felt safe/comfortable managing, reported lack of resource availability, and belief that administration was not addressing issues that compromised patient care. Participants who considered leaving their jobs (44%; N = 517) demonstrated greater moral distress and injury scores. Logistic regression highlighted burnout (AOR = 1.59; p
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