Integrative Mental Health, Veterans Affairs Healthcare System, Durham, NC, USA.
VA Mid-Atlantic MIRECC, Durham Veterans Affairs Healthcare System, Durham, NC, USA.
J Health Care Chaplain. 2022;28(sup1):S9-S24. doi: 10.1080/08854726.2021.2004847. Epub 2021 Nov 26.
The psychospiritual nature of moral injury invites consideration regarding how chaplains understand the construct and provide care. To identify how chaplains in the VA Healthcare System conceptualize moral injury, we conducted an anonymous online survey ( = 361; 45% response rate). Chaplains responded to a battery of items and provided free-text definitions of moral injury that generally aligned with key elements in the existing literature, though with different emphases. Over 90% of chaplain respondents indicated that they encounter moral injury in their chaplaincy care, and a similar proportion agreed that chaplains and mental health professionals should collaborate in providing care for moral injury. Over one-third of chaplain respondents reported offering or planning to offer a moral injury group. Separately, nearly one-quarter indicated present or planned collaboration with mental health to provide groups that in some manner address moral injury. Previous training in evidence-based and collaborative care approaches appears to contribute to the likelihood of providing integrated psychosocial-spiritual care. Results and future directions are discussed, including a description of moral injury that may be helpful to understand present areas of emphasis in VA chaplains' care for moral injury.
道德伤害的心理-精神性质使得人们开始思考牧师应该如何理解这一概念并提供相应的关怀。为了确定退伍军人事务部医疗保健系统中的牧师如何理解道德伤害，我们进行了一项匿名在线调查（ = 361；回应率为 45%）。牧师们对一整套项目做出回应，并提供了道德伤害的自由文本定义，这些定义通常与现有文献中的关键要素一致，但重点不同。超过 90%的牧师回应者表示，他们在牧师关怀中遇到了道德伤害，而且相当比例的人同意牧师和心理健康专业人员应该合作提供道德伤害护理。超过三分之一的牧师回应者报告提供或计划提供道德伤害团体。此外，近四分之一的人表示目前或计划与心理健康部门合作，提供某种程度上解决道德伤害问题的团体。在循证和协作护理方法方面的先前培训似乎有助于提供综合的心理-社会-精神关怀。结果和未来方向进行了讨论，包括对道德伤害的描述，这可能有助于了解退伍军人事务部牧师目前在道德伤害关怀方面的重点领域。
