心理健康专业人员的道德伤害及其相关背景,贡献者和后果:范围审查
Qian Hui Chew1, Tih-Shih Lee2, Kang Sim3,4,5
1Research Division, Institute of Mental Health, Singapore, Singapore.
Postgraduate medicine
|September 30, 2023
概括
精神卫生保健工作者的道德伤害源于个人,实践和组织因素,导致负面后果. 干预措施应促进支持性环境,以减轻道德困境并增强道德行动.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 医疗保健道德 医疗保健道德
背景情况:
- 医疗保健专业人员越来越担心道德伤害.
- 精神卫生保健机构面临着独特的挑战,导致道德伤害.
- 了解促成因素和后果对于干预至关重要.
研究的目的:
- 检查导致精神健康工作者精神伤害的因素.
- 调查这个人口中道德伤害的后果.
- 综合现有关于精神健康护理中的道德伤害的研究.
主要方法:
- 从数据库创建到2023年5月的研究的系统审查.
- 搜索了多个数据库,使用与道德伤害和心理健康相关的关键词.
- 包括35项专注于精神卫生专业人员和道德伤害的研究.
主要成果:
- 在个人,实践和组织层面确定道德伤害的贡献者.
- 对个人,医疗保健团队和医疗保健系统观察到负面影响.
- 大多数研究 (74.3%) 都是在西方国家进行的.
结论:
- 干预措施应承认对道德选择权的多方面的影响.
- 建议在支持的气候中建立安全的道德社区.
- 道德适居性框架可以指导干预策略.
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