From the Veterans Health Administration (VHA) Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC), Aurora, Colorado (B.B.D.B., J.M., M.N., N.B., M.P., L.A.B.); Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, University of Colorado, Aurora, Colorado (B.B.D., J.M., M.N., N.B., L.A.B.); Department of Psychiatry, Anschutz Medical Campus, University of Colorado, Aurora, Colorado (N.B., L.A.B.); and Department of Neurology, Anschutz Medical Campus, University of Colorado, Aurora, Colorado (L.A.B.).
J Occup Environ Med. 2023 Sep 1;65(9):745-750. doi: 10.1097/JOM.0000000000002891. Epub 2023 May 23.
The aim of the study is to increase understanding regarding healthcare provider experiences with psychological trauma, moral injury, and institutional betrayal, both over the lifetime and during the COVID-19 pandemic.
The study employed a cross-sectional design to understand traumatic experiences, moral injury, and institutional betrayal among medical and mental health providers. Participants were asked to identify an index trauma, and experiences were coded qualitatively using categories for traumatic events, moral injury, and institutional betrayal.
Results revealed that experiences of trauma, moral injury, and institutional betrayal were common in relation to the pandemic, as were prepandemic histories of traumatic exposures. Findings indicate that trauma exposure was a work hazard for healthcare providers during the pandemic, which could result in negative long-term mental health outcomes.
Future research is needed to explore potential long-term negative outcomes among healthcare providers.
本研究旨在增进对医疗保健提供者在心理创伤、道德伤害和机构背叛方面的经验的理解，包括其一生中的经历和在 COVID-19 大流行期间的经历。
该研究采用横断面设计来了解医疗和心理健康提供者的创伤经历、道德伤害和机构背叛。要求参与者确定一个创伤指标，并使用创伤事件、道德伤害和机构背叛的类别对经历进行定性编码。
结果表明，与大流行有关的创伤、道德伤害和机构背叛的经历很常见，与大流行前的创伤暴露史也有关。研究结果表明，在大流行期间，创伤暴露是医疗保健提供者的工作危害，可能导致长期心理健康不良后果。
需要开展未来研究，以探索医疗保健提供者可能存在的长期负面影响。
