医护人员的道德伤害:原因和干预措施
Bethany Croak1, Danielle Lamb2, Rupa Bhundia1
1Department of Psychological Medicine, King's College London, Weston Education Centre, Cutcombe Road, London, SE5 9RJ, United Kingdom.
British medical bulletin
|March 14, 2026
概括
道德伤害 (MI) 影响医疗保健工作者 (HCW) 由于具有道德挑战性的事件,特别是在COVID-19大流行期间. 解决MI需要组织变革,同行支持,并调查员工不足等系统性问题.
科学领域:
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康
- 医学伦理 医学伦理
背景情况:
- 道德伤害 (MI) 是从道德上超越事件的心理痛苦.
- 以前在军事人员中进行研究,MI现在在医疗保健工作者 (HCW) 中得到了认可,特别是在COVID-19大流行以来.
研究的目的:
- 以叙述的方式综合现有的关于医疗保健工作者道德伤害的文献.
- 探索与HCW中MI相关的原因,风险,后果和干预措施.
主要方法:
- 叙事文学综合 叙事文学综合.
- 对医疗保健机构中心脏病发作研究的综述.
主要成果:
- 由于担心感染和患者死亡,COVID-19大流行加剧了HCW的MI风险.
- 疫情后的经历,如限制性做法和歧视,也会导致心脏病发作,但人们对其了解较少.
- 关于与流行病相关的挑战增加心脏病发作风险存在共识.
结论:
- 在HCW中解决MI需要进行组织变革,培训和同行支持.
- 工作场所文化和领导力等系统因素对于缓解心脏病发作至关重要.
- 未来的研究应该优先考虑纵向研究,干预评估 (RCT) 和调查员工不足等系统性问题.
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