Health and Social Care Professionals’ Experience of Psychological Safety Within Their Occupational Setting: A Thematic Synthesis Review
Nursing Reports,
Год журнала:
2025,
Номер
15(4), С. 131 - 131
Опубликована: Апрель 14, 2025
Objective:
Psychological
safety
(PS)
is
essential
for
health
and
social
care
professionals
(HSCPs)
working
in
high-stress
environments.
While
much
of
the
existing
research
focuses
on
PS
within
teams,
less
known
about
HSCPs’
lived
experiences
across
diverse
settings.
This
scoping
review
aims
to
synthesise
qualitative
literature
PS,
identifying
key
barriers
enablers
its
development
workplaces.
Methods:
A
systematic
search
was
conducted
MEDLINE,
PsycINFO,
Embase,
CINAHL,
Scopus,
Web
Science,
Cochrane
Library,
covering
a
20-year
period
(2004–2024).
Eligible
studies
included
primary
exploring
PS.
Screening
data
extraction
were
managed
using
Rayyan.
An
inductive
thematic
synthesis
approach
applied
identify
patterns
data.
Results:
The
identified
several
main
(1)
feeling
safe
team
(2)
personal
factors,
which
encompassed
professional
skills,
experience,
support,
self-care.
Conversely,
identified:
normalisation
traumatic
incidents,
unsupportive
management
structures,
(3)
organisational
constraints,
(4)
lack
knowledge
training
Conclusions:
Understanding
critical
improving
workplace
culture,
resilience,
wellbeing
among
HSCPs.
These
findings
provide
foundation
future
interventions
aimed
at
strengthening
individual,
team,
levels
results
also
offer
valuable
insights
informing
policies
practice
ultimately
enhance
both
staff
patient
quality.
Язык: Английский
Triggers and factors associated with moral distress and moral injury in health and social care workers: A systematic review of qualitative studies
PLoS ONE,
Год журнала:
2024,
Номер
19(6), С. e0303013 - e0303013
Опубликована: Июнь 27, 2024
At
some
point
in
their
career,
many
healthcare
workers
will
experience
psychological
distress
associated
with
being
unable
to
take
morally
or
ethically
correct
action,
as
it
aligns
own
values;
a
phenomenon
known
moral
distress.
Similarly,
there
are
increasing
reports
of
experiencing
long-term
mental
and
pain,
alongside
internal
dissonance,
injury.
This
review
examined
the
triggers
factors
injury
Health
Social
Care
Workers
(HSCW)
employed
across
range
clinical
settings
aim
understanding
how
mitigate
effects
identify
potential
preventative
interventions.
Язык: Английский
The Costs of Caring: I-Poems as Illustrations of Moral Distress Among Professionals Working with Seriously Ill Homeless Individuals
American Journal of Qualitative Research,
Год журнала:
2025,
Номер
9(1), С. 124 - 143
Опубликована: Янв. 28, 2025
<i>Both
the
recorded
prevalence
of
moral
distress
among
health
and
social
service
professionals
(HSSPs)
as
well
needs
an
increasingly
older
homeless
population
warrants
further
examination
how
HSSPs
experience
navigate
when
working
with
patients
concurrently
facing
serious
illness
homelessness.
Through
I-poems
iterative
thematic
analysis
30
interviews,
this
study
identified:
(1)
expectations
versus
reality,
in
which
contrasted
advertised
duties
actual
tasks;
(2)
helplessness
care
constraints—felt
experiences
powerlessness
given
current
programming
funding;
(3)
disconnect
from
users,
prompted
bias
decisions
avoidant
behaviors
client
interaction;
(4)
reconciliation
through
community,
or
strategies
used
to
cope
resolve
distress.
Findings
emphasize
importance
continued
interventions
for
workforce
development,
adaptations
models
specialized
populations,
efforts
create
labor
equity
healthcare
services.</i>
Язык: Английский
Silent Wounds: Unmasking Emotional Abuse and Psychosocial Risks in Australian Organisations
Linda Shallcross,
Susan H. Bland
IntechOpen eBooks,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 10, 2025
This
chapter
discusses
the
urgent
imperative
to
address
psychosocial
risks
within
Australian
workplaces
by
unmasking
intricate
dynamics
of
emotional
abuse
and
psychological
violence.
With
detailed
case
studies
examination
over
200
workers’
compensation
claims
for
injury,
research
highlights
critical
hazards
impacting
workplace
culture,
including
mobbing,
bullying,
discriminatory
practices.
It
delineates
typical
experience
victims,
highlighting
phases
mobbing
that
lead
injury.
The
analysis
demonstrates
how
inadequate
leadership,
toxic
organisational
cultures
exacerbate
these
issues.
Emphasising
need
systemic
reform,
advocates
comprehensive
strategies
aimed
at
fostering
healthier
work
environments
prioritise
mental
well-being
procedural
fairness.
By
bringing
light
experiences
marginalised
groups,
especially
First
Nations
people
other
oppressed
communities,
calls
an
re-evaluation
practices
policies,
aiming
dismantle
systems
allow
such
detrimental
behaviours
persist.
Ultimately,
this
strives
inspire
a
profound
cultural
change
eliminate
improve
safety.
Язык: Английский
Developing a moral empowerment system for healthcare organizations to address moral distress: A case report
Healthcare Management Forum,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 13, 2025
This
article
describes
the
development
of
an
organization-wide
intervention
to
address
moral
distress
in
healthcare.
A
multidisciplinary
team,
including
researchers
and
organizational
partners,
used
mapping
theoretical
domains
framework
create
empowerment
system
for
encompasses
a
suite
strategies
designed
integration
into
organizations’
operations
empower
healthcare
professionals
individually
collectively
events.
includes
ethics
education
program
professionals,
interprofessional
teams,
leaders;
consultations;
reflective
debriefings;
mentoring.
An
implementation
evaluation
plan
is
also
presented,
highlighting
staged
approach
that
reflects
context.
Ultimately,
described
here
offers
leaders
practical
systematic
method
design,
implement,
evaluate
interventions,
tailoring
them
their
specific
environments.
Язык: Английский
Navigating Workforce Challenges in Long-Term Care: A Co-Design Approach to Solutions
International Journal of Environmental Research and Public Health,
Год журнала:
2025,
Номер
22(4), С. 520 - 520
Опубликована: Март 28, 2025
(1)
Background:
The
enduring
impact
of
COVID-19
on
the
long-term
care
(LTC)
sector
remains
uncertain,
necessitating
targeted
efforts
to
address
current
and
emerging
challenges.
This
study
aims
identify
key
stressors
faced
by
healthcare
workers
(HCWs)
in
LTC
co-develop
innovative,
actionable
strategies
that
mitigate
these
stressors,
foster
resilience,
promote
workforce
retention.
(2)
Methods:
utilized
a
qualitative
co-design
methodology
within
mixed-methods,
multi-phase
framework
conducted
between
July
2023
October
2024.
article
focuses
Phase
1,
which
involved
11
semi-structured
focus
groups
steering
group
discussions
with
24
HCWs,
including
personal
support
(PSWs),
nurses,
administrators
across
Ontario
explore
workplace-related
distress
shared
understanding
challenges
sector.
Data
were
audio-recorded,
transcribed
verbatim,
analyzed
using
thematic
analysis
derive
themes
insights.
(3)
Results:
Key
from
sessions
included
need
for
(i)
effective
workload
management
tools,
(ii)
prioritization
psychological
safety
mental
health
services,
(iii)
reducing
regulatory
bureaucratic
burdens,
(iv)
strengthening
practices,
(v)
fostering
recognition
positive
image.
Co-design
HCWs
leaders
facilitated
identification
priority
issues
high-level
solutions,
addressing
issues,
implementing
programs,
enhancing
work–life
integration,
improving
training,
promoting
settings.
(4)
Conclusions:
deepens
our
workplace
factors
contributing
HCWs’
distress.
Leveraging
approach
offers
valuable
insights
into
lived
experiences
leaders.
findings
provide
guidance
policymakers
create
effective,
tailored
interventions
actively
engage
mitigating
recurrent
Язык: Английский
ASSESSMENT OF PROFESSIONAL LIFE QUALITY AND RESILIENCE OF MEDICAL STAFF WORKING AT MILITARY TREATMENT AND REHABILITATION FACILITIES IN THE CONDITIONS OF WAR IN UKRAINE
Eastern Ukrainian Medical Journal,
Год журнала:
2024,
Номер
12(3), С. 492 - 504
Опубликована: Янв. 1, 2024
Introduction.
With
the
beginning
of
full-scale
Russian
aggression,
situation
with
mental
health
in
Ukraine
has
significantly
worsened.
Medical
workers
who
work
combatants
during
their
treatment
and
rehabilitation
are
affected
by
secondary
traumatic
stress
also
face
a
high
level
professional
stress,
which
can
lead
to
decrease
efficiency
deterioration
health.
Regular
monitoring
life
quality
timely
implementation
measures
aimed
at
increasing
resilience
is
extremely
important
for
successful
activity
medical
personnel
provide
assistance
combatants.
Objective.
The
objective
this
study
was
assess
military
facilities.
Materials
Methods.
54
aged
from
21
70
(average
age
–
39.1
±
12.5)
years
participated
study,
among
whom
70.4%
were
women
29.6%
men.
respondents'
experience
ranged
1.5
53
averaged
18.0
13.3
years.
majority
respondents
(44.4%)
representatives
multidisciplinary
hospitals.
Among
survey
participants,
27.8%
doctors,
16.6%
nurses,
55.6%
other
(nursing
assistants,
specialists).
An
online
participants
conducted
using
Google
Forms.
A
questionnaire
developed
consisting
several
sections:
first
section
an
independently
that
included
biographical
data
participants;
second
devoted
ProQOL-Health
method;
third
establishing
according
Connor-Davidson
scale.
Statistical
analysis
results
performed
Excel
program.
Descriptive
statistics
correlation
methods
used.
Results.
facilities
predominantly
have
average
resilience,
both
all
altogether
separate
groups
men,
women,
different
specialties,
tendency
lower
scores
women.
All
had
on
scales
“Perceived
Support,”
“Professional
Burnout,”
“Secondary
Traumatic
Stress,”
“Moral
Distress.”
In
group
perceived
support
tended
decrease,
while
burnout,
moral
distress
increase.
difference
found
regard
“Compassion
Satisfaction”
professions.
Physicians
compassion
satisfaction;
nurses
healthcare
medium
satisfaction,
having
lowest
others.
Conclusions.
assessment
shows
most
vulnerable
category
higher
distress,
satisfaction
support.
Persons
more
prone
Язык: Английский