医疗保健中的道德伤害：COVID-19 时代的识别与修复。
Moral Injury in Health Care: Identification and Repair in the COVID-19 Era.
机构信息
Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center/New York-Presbyterian Hospital, 622 W 168th St, PH9-113A, New York, NY, 10032, USA.
Center for Clinical Medical Ethics, Department of Medicine, Columbia University Vagelos College of Physicians & Surgeons, 622 W 168th St, PH 8E-105, New York, NY, 10032, USA.
出版信息
J Gen Intern Med. 2022 Nov;37(14):3739-3743. doi: 10.1007/s11606-022-07761-5. Epub 2022 Aug 15.
Frontline health-care workers experienced moral injury long before COVID-19, but the pandemic highlighted how pervasive and damaging this psychological harm can be. Moral injury occurs when individuals violate or witness violations of deeply held values and beliefs. We argue that a continuum exists between moral distress, moral injury, and burnout. Distinguishing these experiences highlights opportunities for intervention and moral repair, and may thwart progression to burnout.
前线医护人员早在 COVID-19 之前就经历了道德伤害，但这场大流行凸显了这种心理伤害的普遍性和破坏性。道德伤害发生在个人违反或目睹深深持有的价值观和信仰的行为时。我们认为，道德困扰、道德伤害和职业倦怠之间存在一个连续体。区分这些经历突出了干预和道德修复的机会，并可能阻止向职业倦怠的发展。
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