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Development of a Moral Resilience Collaborative Program During a Pandemic.

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Healthcare workers can build moral resilience to manage psychological stress. A pilot program demonstrated effectiveness, despite challenges in data collection, highlighting the need for such initiatives.

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Area of Science:

  • Healthcare Management
  • Occupational Health Psychology
  • Nursing Education

Background:

  • Elevated psychological stress in healthcare workers can lead to moral distress, negatively impacting patient care, job satisfaction, and staff retention.
  • Moral distress is a significant concern in healthcare, affecting both individual practitioners and organizational outcomes.
  • The need for effective strategies to support healthcare workers facing moral distress is critical.

Purpose of the Study:

  • To implement and evaluate a Moral Resilience Collaborative program for healthcare workers in a rehabilitation facility.
  • To equip healthcare workers with skills for self-management of moral distress and foster moral resilience.
  • To assess the impact of the program on moral distress and resilience levels.

Main Methods:

  • An academic partnership between a nursing school and a rehabilitation facility facilitated the program implementation.
  • Pre-implementation measurements of moral distress and resilience were conducted using the Measure of Moral Distress for Healthcare Professionals (MMD-HP) and Short Resiliency Survey (SRS).
  • Qualitative data were collected through debriefing sessions to evaluate program effectiveness, as quantitative post-implementation data collection was hindered by COVID-19 surges.

Main Results:

  • Qualitative data from debriefing sessions indicated the program was effective in addressing moral distress.
  • Pre-implementation data suggested healthcare staff experienced moral distress comparable to those in acute or critical care settings.
  • Challenges such as patient care demands, busy work environments, and external factors can impede participation in resilience programs.

Conclusions:

  • The Moral Resilience Collaborative program showed promise in enhancing moral resilience among healthcare workers.
  • Qualitative findings suggest the program's effectiveness, despite limitations in quantitative data collection.
  • Addressing barriers to participation is essential for the successful implementation and scalability of such resilience initiatives in healthcare settings.