Examination of Potentially Morally Injurious Events and Moral Injury in Medical Professionals DOI

Fallon Keegan

Published: Dec. 1, 2023

The current study examined the nature and extent of endorsement PMIEs, severity MI symptoms related to a PMIE, relations between PMIEs symptoms. We hypothesized that (1) perpetrated by others would be endorsed greater than oneself; (2) medical professionals who PMIE report significantly on all compared did not endorse PMIE; (3) experiencing (perpetrated oneself and/or others) predict higher levels symptom severity, specifically most strongly predicted oneself. Hypotheses were using t-tests, Pearson's r correlations, multiple multivariate regression analyses. First, found those themselves; second, exposure was associated with 10 14 outcomes. Third, more symptomatology others, indicating while are common, This highlights widespread harmful impact among professionals.

Language: Английский

‘It hurts your heart’: frontline healthcare worker experiences of moral injury during the COVID-19 pandemic DOI Creative Commons
Siobhan Hegarty, Danielle Lamb, Sharon A. M. Stevelink

et al.

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)

Published: Oct. 18, 2022

Background: Moral injury is defined as the strong emotional and cognitive reactions following events which clash with someone's moral code, values or expectations. During COVID-19 pandemic, increased exposure to Potentially Morally Injurious Events (PMIEs) has placed healthcare workers (HCWs) at risk of injury. Yet little known about lived experience cumulative PMIE how NHS staff respond this.Objective: We sought rectify this knowledge gap by qualitatively exploring experiences perspectives clinical frontline who responded COVID-19.Methods: recruited a diverse sample 30 HCWs from CHECK study cohort, for single time point qualitative interviews. All participants endorsed least one item on 9-item Injury Scale (MIES) [Nash et al., 2013. Psychometric evaluation scale. Military Medicine, 178(6), 646–652] six month follow up. Interviews followed semi-structured guide were analysed using reflexive thematic analysis.Results: described being routinely exposed ethical conflicts, created exacerbations pre-existing systemic issues including inadequate staffing resourcing. found that experienced range mental health symptoms primarily related perceptions institutional betrayal well feeling unable fulfil their duty care towards patients.Conclusion: These results suggest multi-facetted organisational strategy warranted prepare exposure, promote opportunities resolution associated prevent disengagement.HIGHLIGHTS Clinical have been an accumulation potentially morally injurious throughout betrayed both government leaders provide patients.HCWs significant adverse impact health, anxiety depression sleep disturbance.Most interviewed believed change within was necessary excess distress.

Language: Английский

Citations

50
Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis DOI Creative Commons
Mojtaba Jafari,

Asra Nassehi,

Seyed Javad Jafari

et al.

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: Feb. 14, 2025

The COVID-19 pandemic has placed significant emotional and ethical burdens on healthcare workers (HCWs), leading to the emergence of moral injury (MI). Understanding pooled mean factors associated with MI is crucial for developing interventions support systems HCWs. This meta-analysis aims examine extent among HCWs during identify potential contributing factors. A systematic literature search was conducted, relevant studies reporting in were included. Pooled means calculated using random-effects or fixed effect models. Subgroup analyses conducted based demographic variables, such as gender, profession, geographical region. Further, Sensitivity analysis run assess individual study effect. total 36 met inclusion criteria included meta-analysis. ranged from 3.06 (CI95%: 2.35–3.77) 119.17 103.04–135.30), instrument types. Further revealed that females (P = 0.21), younger 0.13), nurses 0.55), those countries 0.02) experienced higher levels MI. highlights substantial by (HCWs) pandemic, nurses, HCWs, being particularly affected. Although statistical significance not observed subgroup differences, trends suggest a heightened vulnerability specific groups. These findings underscore urgent need targeted policies high-risk demographics, emphasize importance standardized assessment tools future research.

Language: Английский

Citations

0
The Impact of Faith-Based Pastoral Care in Decreasingly Religious Contexts: The Australian Chaplaincy Advantage in Critical Environments DOI Creative Commons
Mark D. Layson, Lindsay B. Carey, Megan Best

et al.

Journal of Religion and Health, Journal Year: 2023, Volume and Issue: 62(3), P. 1491 - 1512

Published: March 28, 2023

This article considers the contribution of faith-based chaplains who provide holistic pastoral and spiritual care within critical environments such as military, first responders, hospitals. The can sometimes be taken for granted or not properly understood, particularly in some Western countries which are currently experiencing a decline religiosity. Following on from previous paper regarding chaplaincy utilization (Layson et al. 2022), this presents an alternative argument to secularist-humanist perspective by noting five ways faith based model provides best practice service builds capability advantage organizations that engage services. section discusses organizational care; second role chaplains-much is largely unknown poorly appreciated; third unique religious those none; fourth explores how leverage positive impact additional low-cost resources other their staff; lastly, operational world stage considered, light culturally linguistically diverse populations whom religiosity increasingly important.

Language: Английский

Citations

7
Restore and Rebuild (R&R) – a feasibility pilot study of a co-designed intervention for moral injury-related mental health difficulties DOI Creative Commons
Victoria Williamson, Dominic Murphy, Amanda Bonson

et al.

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(2)

Published: Sept. 21, 2023

Moral injury can significantly negatively impact mental health, but currently no validated treatment for moral injury-related health difficulties exists in a UK context. This study aimed to examine whether the Restore and Rebuild (R&R) was feasible deliver, acceptable well tolerated by military veterans with related difficulties. The R&R delivered 20 patients who reported distress exposure morally injurious event(s) during service. is 20-session psychotherapy key themes of processing event, self compassion, connecting others core values. Treatment online, weekly, one-to-one single therapist. Qualitative interviews therapist were conducted explore acceptability analysed using thematic analysis. Following treatment, experienced significant reduction symptoms post-traumatic stress disorder, depression, alcohol misuse distress. found be improved their perceived wellbeing. These results provide preliminary evidence that struggling ill benefit from treatment.

Language: Английский

Citations

3
Restore and Rebuild (R&R): a protocol for a phase 2, randomised control trial to compare R&R as a treatment for moral injury-related mental health difficulties in UK military veterans to treatment as usual DOI Creative Commons
Victoria Williamson, Dominic Murphy, Amanda Bonson

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(5), P. e082562 - e082562

Published: May 1, 2024

Background Exposure to potentially morally injurious events is increasingly recognised as a concern across range of occupational groups, including UK military veterans. Moral injury-related mental health difficulties can be challenging for clinicians treat and there currently no validated treatment available We developed Restore Rebuild (R&R) veterans struggling with moral difficulties. This trial aims examine whether it feasible conduct pilot randomised controlled (RCT) R&R compared treatment-as-usual (TAU) control group. Methods will use feasibility single-blind, single-site RCT design. The target population recruit N=46 veteran patients who randomly allocated (n=23) or TAU (n=23). Patients receive the 20-session one-to-one treatment, delivered online. Veterans TAU, are manualised treatments problems available, (online) typically provided enter service collect outcome measures injury, post-traumatic stress disorder (PTSD), alcohol misuse, common disorders trauma memory at pretreatment baseline (before randomisation), end 12 weeks 24 post-treatment. primary proportion screen positive PTSD distress Ethics dissemination establish feasible, well-tolerated beneficial If so, results widely disseminated may improve access effective care those struggle following injury reduce associated negative consequences veterans, their families wider society. Trial registration number ISRCTN99573523 .

Language: Английский

Citations

0
Examination of Potentially Morally Injurious Events and Moral Injury in Medical Professionals DOI

Fallon Keegan

Published: Dec. 1, 2023

The current study examined the nature and extent of endorsement PMIEs, severity MI symptoms related to a PMIE, relations between PMIEs symptoms. We hypothesized that (1) perpetrated by others would be endorsed greater than oneself; (2) medical professionals who PMIE report significantly on all compared did not endorse PMIE; (3) experiencing (perpetrated oneself and/or others) predict higher levels symptom severity, specifically most strongly predicted oneself. Hypotheses were using t-tests, Pearson's r correlations, multiple multivariate regression analyses. First, found those themselves; second, exposure was associated with 10 14 outcomes. Third, more symptomatology others, indicating while are common, This highlights widespread harmful impact among professionals.

Language: Английский

Citations

0