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COVID-19 期间的道德困境:职业治疗师的观点。

Moral Distress in the Time of COVID-19: Occupational Therapists' Perspectives.

机构信息

School of Occupational Therapy, University of Indianapolis, Indianapolis, IN, USA.

出版信息

Occup Ther Health Care. 2024 Jul;38(3):513-529. doi: 10.1080/07380577.2023.2181625. Epub 2023 Feb 20.

DOI:10.1080/07380577.2023.2181625
PMID:36803495
Abstract

The conditions of COVID-19 have caused moral distress in healthcare workers. Occupational therapists have had to adapt to these unknown times to best treat their clients. The purpose of this study was to explore the experience of moral distress in occupational therapists during the time of COVID-19. Eighteen occupational therapists were included who worked in a variety of settings. Investigators conducted semi-structured interviews to explore experience with moral distress (distress felt when confronting an ethical problem) during the time of COVID-19. The data were analyzed using a hermeneutical phenomenological approach to generate themes regarding the experience of moral distress. Investigators identified themes of occupational therapists' experiences during the COVID-19 pandemic. These themes included: , capturing participants' encounters with morally distressing issues; , exploring the impact of COVID-19 experiences on participants' well-being and quality of life; and addressing ways in which occupational therapists tried to mitigate moral distress throughout the pandemic. This study brings awareness to the experience of occupational therapists during the pandemic and explores implications for preparing occupational therapists for future occurrences of moral distress.

摘要

新冠疫情导致医护人员产生道德困境。作业治疗师必须适应这些未知的情况,以最好地治疗他们的客户。本研究的目的是探讨在新冠疫情期间作业治疗师的道德困境体验。共有 18 名在各种环境中工作的作业治疗师参与。研究人员进行了半结构化访谈,以探讨在新冠疫情期间遭遇道德困境(面对伦理问题时感到的困扰)的体验。使用解释学现象学方法对数据进行分析,以生成有关道德困境体验的主题。研究人员确定了新冠疫情期间作业治疗师体验的主题。这些主题包括:捕捉参与者在道德困境问题上的遭遇;探讨新冠疫情经历对参与者福祉和生活质量的影响;以及解决作业治疗师在整个疫情期间减轻道德困境的方法。本研究使人们意识到疫情期间作业治疗师的体验,并探讨了为作业治疗师做好准备以应对未来道德困境的意义。

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引用本文的文献

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Triggers and factors associated with moral distress and moral injury in health and social care workers: A systematic review of qualitative studies.医疗和社会保健工作者产生道德困境和道德伤害的触发因素和相关因素:定性研究的系统评价。
PLoS One. 2024 Jun 27;19(6):e0303013. doi: 10.1371/journal.pone.0303013. eCollection 2024.
2
From Crisis to Opportunity: A Qualitative Study on Rehabilitation Therapists' Experiences and Post-Pandemic Perspectives.从危机到机遇:关于康复治疗师疫情经历及疫情后观点的定性研究
Healthcare (Basel). 2024 May 20;12(10):1050. doi: 10.3390/healthcare12101050.