Moral Resilience Is Distinct From General Resilience When Predicting Burnout Among Interprofessional Health Care
Katie E Nelson1,2, Ginger C Hanson1, Sarah S Giordano3
1Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Summary
Moral resilience uniquely predicts healthcare worker burnout beyond general resilience. Understanding this distinction is key to supporting staff and improving patient outcomes.
Area of Science:
- Healthcare worker well-being
- Psychological resilience
- Occupational burnout
Background:
- Burnout, a form of moral suffering, is increasing among healthcare workers.
- General resilience measures do not capture the moral distress associated with burnout.
- Moral resilience may offer a unique perspective on healthcare worker burnout.
Purpose of the Study:
- To determine if moral resilience uniquely relates to burnout in interprofessional healthcare workers.
- To differentiate the predictive power of moral resilience versus general resilience on burnout dimensions.
Main Methods:
- Secondary analysis of cross-sectional survey data from 702 interprofessional healthcare workers.
- Utilized the Rushton Moral Resilience Scale (RMRS) and Connor-Davidson Resilience Scale (CD-RISC-10).
- Employed hierarchical multiple regression to assess burnout (Maslach Burnout Inventory-Human Services Survey) prediction.
Main Results:
- Moral resilience explained 5%, 6%, and 4% of variance in personal accomplishment, depersonalization, and emotional exhaustion, respectively.
- These effects were observed after controlling for general resilience and covariates.
- Demonstrated a unique contribution of moral resilience to predicting burnout dimensions.
Conclusions:
- Conceptual differences between general and moral resilience are distinct and uniquely related to burnout.
- Incorporating moral resilience assessment can improve interventions for healthcare worker moral suffering.
- Understanding moral resilience is vital for supporting staff, reducing burnout, and enhancing patient outcomes.
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