Colorafi Karen, Sumner Sarah, Rangel Teresa, Powell Lexie, Vaitla Kavya, Leavitt Robert, Gaines Adam
Department of Anesthesia, Providence Sacred Heart Medical Center, Spokane, WA, USA.
School of Health Sciences, Gonzaga University, Spokane, WA, USA.
Qual Health Res. 2025 Jan;35(1):102-117. doi: 10.1177/10497323241263748. Epub 2024 Aug 7.
Healthcare workers (HCWs) experience occupational stressors that negatively impact emotional well-being and exacerbate turnover intentions. In the wake of the COVID-19 pandemic, the resultant acute care turnover rates have reached an all-time high. In addition, occupational stressors lead to psychological stress, including moral distress, defined as the dissonance between perceiving what the right course of action is and encountering an obstacle to acting accordingly. This qualitative descriptive study explored the perceptions of patient-facing HCWs in acute care hospital settings regarding the workplace stressors they encountered and the role of hospital-based chaplains in addressing emotional well-being and stress with 33 interviews. Findings suggest that HCW frequently experience work-related moral distress and seek relief by interacting with hospital chaplains. Chaplain care, common in American healthcare facilities for the spiritual care of patients, is an easily accessible resource to HCWs. Facilitating chaplain-HCW interactions may be an effective strategy for responding to moral distress and improving healthcare workers' well-being.
医护人员会经历一些职业压力源，这些压力源会对他们的情绪健康产生负面影响，并加剧离职意愿。在新冠疫情之后，由此导致的急症护理人员流动率达到了历史新高。此外，职业压力源会导致心理压力，包括道德困扰，道德困扰被定义为在认知正确的行动方针与相应行动遇到障碍之间的不一致。这项定性描述性研究通过33次访谈，探讨了急症护理医院环境中面向患者的医护人员对他们所遇到的工作场所压力源的看法，以及医院牧师在解决情绪健康和压力方面的作用。研究结果表明，医护人员经常经历与工作相关的道德困扰，并通过与医院牧师互动来寻求缓解。牧师关怀在美国医疗保健机构中很常见，用于对患者进行精神关怀，对医护人员来说是一种容易获得的资源。促进牧师与医护人员的互动可能是应对道德困扰和改善医护人员福祉的有效策略。
