在惩戒医疗保健中的道德伤害
Stephanie Gangemi1, Camille Dysart1
1Department of Social Work, College of Public Service, University of Colorado Colorado Springs, Colorado Springs, Colorado, USA.
概括
惩戒医疗保健专业人员面临道德伤害,这是一个重要的职业危险. 这项研究探讨了其流行,影响和治疗这些基本工人的途径.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 医学伦理 医学伦理
背景情况:
- 惩戒医疗保健专业人员 (CHP) 经历了高燃烧率,代理创伤和PTSD,因为他们的工作要求很高.
- 以前在军事背景下研究的道德伤害,越来越多地被认为与医疗保健机构有关,包括惩戒设施.
研究的目的:
- 检查CHP中道德伤害的流行和性质.
- 探讨在监狱环境中提供医疗保健所固有的道德困境和伦理挑战.
- 确定与道德伤害相关的主题,其影响,以及CHP的潜在干预措施.
主要方法:
- 使用解释性现象学分析 (IPA) 的定性研究.
- 进行了25次半结构面试,采访了多样化的热电站样本.
- 采用严格的主题分析,以IPA原则为指导.
主要成果:
- 确定了五个主要主题:道德伤害作为职业危险,道德伤害类型 (偶然与累积),机构背叛的影响,道德伤害,PTSD和倦怠之间的相互作用,以及道德修复策略.
- 强调了电力发电厂的道德伤害对心理造成的重大损失.
- 提供了对惩戒医疗保健所面临的独特伦理挑战的见解.
结论:
- 道德伤害是惩戒医疗保健专业人员普遍和重要的问题.
- 了解道德伤害的多面性质对于开发有效的支持和干预至关重要.
- 这些发现对改善惩戒医疗保健机构的实践,政策和未来研究有影响.
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