Williamson Victoria, Murphy Dominic, Greenberg Neil
King's Centre for Military Health Research, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Research Department, Combat Stress, Leatherhead, UK.
Vet Rec. 2023 Jan;192(2):e2181. doi: 10.1002/vetr.2181. Epub 2022 Sep 6.
Exposure to potentially morally injurious events (PMIE) has been found to be associated with negative mental health outcomes. Veterinary professionals (VPs) often experience challenging workplace events, but whether they experience PMIEs and the impact of exposure on their wellbeing is poorly understood. The objective of the study was to explore UK VPs experiences of PMIEs, the impact of PMIEs on VPs' wellbeing and beliefs about factors that influence VPs' exposure to PMIEs.
Ten VPs were recruited. Semi-structured interviews were carried out, and data were analysed using thematic analysis.
VPs were found to experience PMIEs, including transgressive acts of commission or omission (e.g., being involved in or witnessing convenience euthanasia) or betrayal by trusted colleagues (e.g., bullying). Experiences of PMIEs evoked considerable psychological distress, including guilt, shame and loss of confidence in one's abilities. Several risk factors for experiencing psychological distress following a PMIE were described.
This study provides some of the first evidence that VPs may be vulnerable to moral injury and illustrates the impact that PMIEs may have on VPs' wellbeing.
Future studies are needed to design and evaluate effective pathways for the prevention of and intervention for VPs who experience moral injury.
已发现接触潜在的道德伤害性事件(PMIE)与负面心理健康结果相关。兽医专业人员(VP)经常经历具有挑战性的工作场所事件,但他们是否经历PMIE以及接触此类事件对其幸福感的影响却知之甚少。本研究的目的是探讨英国兽医专业人员对PMIE的经历、PMIE对兽医专业人员幸福感的影响以及对影响兽医专业人员接触PMIE的因素的看法。
招募了10名兽医专业人员。进行了半结构化访谈,并使用主题分析法对数据进行了分析。
发现兽医专业人员经历了PMIE,包括侵犯性的作为或不作为行为(例如,参与或目睹安乐死)或被信任的同事背叛(例如,欺凌)。PMIE的经历引发了相当大的心理困扰,包括内疚、羞耻和对自身能力的信心丧失。描述了经历PMIE后出现心理困扰的几个风险因素。
本研究提供了一些初步证据,表明兽医专业人员可能容易受到道德伤害,并说明了PMIE可能对兽医专业人员幸福感产生的影响。
未来需要开展研究,以设计和评估针对经历道德伤害的兽医专业人员的有效预防和干预途径。