一个专家驱动的共识框架,用于研究潜在的道德损害事件及其影响:来自e-Delphi研究的发现
Stephanie A Houle1,2,3, Michelle Birch2, Dominic Murphy4,5
1Veterans Affairs Canada, Charlottetown, PE, Canada.
European journal of psychotraumatology
|February 2, 2026
概括
本研究通过专家共识澄清了潜在的道德损害事件 (PMIEs) 及其影响. 调查结果为理解道德伤害 (MI) 提供了一个框架,并指导未来的研究.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 军事和退伍军人卫生保健
背景情况:
- 道德伤害 (MI) 是由于暴露于潜在的道德伤害事件 (PMIE) 的深刻心理,精神和行为影响造成的.
- 尽管人们越来越认可,但围绕PME的定义明确性在军事和民用环境中仍然有限.
研究的目的:
- 为了在PME的定义特征及其相关影响方面达成专家共识.
- 为未来研究中小企业和道德伤害制定共识框架.
主要方法:
- 采用了e-Delphi方法与一个跨学科的道德伤害专家小组.
- 利用叙事回应,利克特尺度陈述,卡片排序和排名练习来收集专家意见.
主要成果:
- 在8个主题的55%的陈述中达成共识,包括暴露,违法行为,后果,创伤比较,道德代理,背叛,主观性和高风险.
- 对暴露和违法行为观察到的最高共识;对后果和创伤比较的中度共识.
- 关于道德选择权,背叛,高风险和主观性的共识较低,表明正在进行的辩论领域.
结论:
- 本研究提供了PME及其影响的明确定义,并组织成一个共识框架.
- 强调需要对拟议的功能进行实证测试,与创伤框架整合,以及文化包容性的方法.
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