澳大利亚急性精神科住院服务机构长期新冠疫情期间精神科医生及实习医生的道德伤害
Psychiatrist and trainee moral injury during the organisational long COVID of Australian acute psychiatric inpatient services.
作者信息
Looi Jeffrey Cl, Maguire Paul A, Kisely Stephen R, Allison Stephen
机构信息
Academic Unit of Psychiatry and Addiction Medicine, 104822The Australian National University School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.
Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; School of Medicine, 1974The University of Queensland, Princess Alexandra Hospital, Woolloongabba, Brisbane, QLD, Australia; Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada.
出版信息
Australas Psychiatry. 2023 Apr;31(2):121-123. doi: 10.1177/10398562221142448. Epub 2022 Nov 23.
OBJECTIVE
This paper provides a commentary on the risk of moral injury amongst psychiatrists and trainees working in the acute psychiatric hospital sector, during the third winter of the COVID-19 pandemic.
CONCLUSIONS
Moral injuries arise from observing, causing or failing to prevent adverse outcomes that transgress core ethical and moral values. Potentially, morally injurious events (PMIEs) are more prevalent and potent while demand on acute hospitals is heightened with the emergence of highly infectious SARS-CoV-2-Omicron subvariants (BA.4 and BA.5). Acute hospital inpatient services were already facing extraordinary stresses in the context of increasingly depleted infrastructure and staffing related to the pandemic. These stresses have a high potential to be morally injurious. It is essential to immediately fund additional staff and resources and address workplace health and safety, to seek to arrest a spiral of moral injury and burnout amongst psychiatrists and trainees. We discuss recommended support strategies.
目的
本文对在新冠疫情大流行的第三个冬季，急症精神科医院部门工作的精神科医生和实习医生面临道德伤害的风险进行评论。
结论
道德伤害源于观察到、导致或未能预防违背核心伦理和道德价值观的不良后果。随着高传染性的新冠病毒奥密克戎亚型毒株（BA.4和BA.5）的出现，急症医院需求增加，潜在的道德伤害事件可能更为普遍且影响更大。在与疫情相关的基础设施日益匮乏和人员配备不足的背景下，急症医院住院服务已经面临巨大压力。这些压力极有可能造成道德伤害。立即为额外的工作人员和资源提供资金并解决工作场所的健康与安全问题至关重要，以试图阻止精神科医生和实习医生中道德伤害和职业倦怠的恶性循环。我们讨论了推荐的支持策略。
Zotero 插件