Regina F. Doherty, OT, OTD, OTR, FAOTA, FNAP, is Professor and Chair, Department of Occupational Therapy, and Dean of Interprofessional Education and Practice, MGH Institute of Health Professions, Boston, MA;
Olivia Rotelle, OTR/L, OTD, is Occupational Therapist, Shirley Ryan AbilityLab, Chicago, IL.
Am J Occup Ther. 2024 Mar 1;78(2). doi: 10.5014/ajot.2024.050566.
Health professionals across all care delivery settings, including occupational therapy practitioners, are experiencing high levels of moral distress. The mental, emotional, and physical consequences of unresolved moral distress are resulting in burnout, decreased quality of care, and poor patient outcomes. Moral resilience is a teachable and learnable skill that can nullify some of the adverse consequences of moral distress. To ensure quality care outcomes and improve the well-being of individual occupational therapy practitioners and the profession, it is essential that occupational therapy practitioners be provided with the education, training, resources, and strategies needed to address moral distress, foster moral resilience, and cultivate the skills necessary to cope with ethical tensions. In this column, we call the profession to action to address the phenomenon of moral distress as it relates to occupational therapy practitioner well-being. We also discuss resources and strategies for addressing ethical tensions and building moral resilience in occupational therapy practice.
医疗保健专业人员,包括职业治疗师,都面临着严重的道德困境。未解决的道德困境会给他们带来精神、情感和身体上的影响,导致职业倦怠、护理质量下降和患者预后不良。道德韧性是一种可教授和可学习的技能,可以减轻道德困境的一些不利后果。为了确保护理质量的结果,并改善个体职业治疗师和整个职业的福祉,必须为职业治疗师提供解决道德困境、培养道德韧性以及培养应对伦理紧张所需的教育、培训、资源和策略。在这篇专栏文章中,我们呼吁该专业行动起来,解决与职业治疗师福祉相关的道德困境现象。我们还讨论了在职业治疗实践中应对伦理紧张和建立道德韧性的资源和策略。