在精神病院工作的医护助理的道德压力和道德伤害的多方法探索

IF 1.3 Q3 NURSING

Nurse Leader Pub Date : 2024-08-01 DOI:10.1016/j.mnl.2024.05.002

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引用次数: 0

摘要

医务工作者的精神痛苦和精神伤害会对身体、心理和劳动力产生不利影响。有关精神科医护助理（PHA）如何经历这些问题的研究十分有限。在这项采用多种方法进行的研究中，我们通过定量调查和定性访谈来研究精神科医护助理的道德困扰和道德伤害。近一半的人被筛查出存在精神伤害。我们发现了三个定性主题：1）等级制度阻碍了对护理的贡献；2）信任是缓解病人暴力的一个因素；3）应对社会心理挑战。建议开展进一步研究，探讨如何为 PHAs 的实践和政策变革提供最佳支持和信息。

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

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.

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来源期刊

Nurse Leader NURSING-

CiteScore

2.10

自引率

7.10%

发文量

129

审稿时长

20 days

期刊介绍： Nurse Leader provides the vision, skills, and tools needed by nurses currently in, or aspiring to, leadership positions. The bimonthly journal provides nurses with practical information in an easy-to-read format - offering the knowledge they need to succeed. It pulls together insights from a broad spectrum of successful management and leadership perspectives and tailors the information to the specific needs of nurses. Columns include The Coaching Forum and Lessons Learned.