Moral Injury in Nurses New to Mental Health: An Exploratory New Zealand Study.

IF 1.7 4区医学 Q2 NURSING

Issues in Mental Health Nursing Pub Date : 2025-05-01 Epub Date: 2025-03-21 DOI:10.1080/01612840.2025.2475355

Lee Smith, Tony Heyward, Kerri Arcus, Mel Hargaden, Catherine Fuller, Tane Rangihuna

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Abstract

In 2023, a collaborative research project was designed to explore a purposive sample of new graduate mental health nurses' experiences of moral injury. The project aimed to examine the participants' experiences of moral injury, identify the types of moral injury experienced and to use findings to enhance the content on professional resiliency in a postgraduate nursing programme. A qualitative research design was employed, with two focus groups and an individual interview conducted. Due to limited understandings of the term moral injury, the research team initially decided the study had failed to meet the aims and objectives. Nevertheless, after detailed comments from a conscientious reviewer, we revisited our results and realised that the participants had discussed moral distress and injury in their workplaces. This article explores a sample of new to mental health practice nurses' experiences of moral injury, while also exploring the researchers' evolving understandings of the term over the course of the project. Ideally documenting our experiences may help others who are relatively new to studying moral injury in nursing cohorts, particularly those in mental health.

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新接触心理健康护士的道德伤害：一项新西兰探索性研究。

2023年，我们设计了一项合作研究项目，目的是探讨应届毕业生心理健康护士的道德伤害经历。该项目旨在检查参与者的道德伤害经历，确定所经历的道德伤害类型，并利用研究结果来增强研究生护理课程中专业弹性的内容。采用定性研究设计，进行了两个焦点小组和个人访谈。由于对“道德伤害”一词的理解有限，研究小组最初认为这项研究未能达到目的和目标。然而，经过一位认真的审稿人的详细评论，我们重新审视了我们的结果，意识到参与者讨论了他们工作场所的道德困扰和伤害。这篇文章探讨了一个新的精神卫生实践护士的道德伤害的经验样本，同时也探讨了研究人员在项目过程中对这个术语的不断发展的理解。理想情况下，记录我们的经历可能会帮助那些对护理群体中的道德伤害研究相对较新的人，特别是那些心理健康方面的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY

CiteScore

3.30

自引率

4.80%

发文量

111

期刊介绍： Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.