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兽医专业人员在接触潜在道德伤害事件后,对道德伤害症状和创伤后成长的探索性研究。

An exploratory examination of the symptoms of moral injury and posttraumatic growth in veterinary professionals following exposure to potentially morally injurious events.

机构信息

School of Psychological Sciences, University of Tasmania, Hobart, TAS, Australia.

School of Psychological Sciences, University of Tasmania, Hobart, TAS, Australia.

出版信息

Res Vet Sci. 2024 Nov;180:105415. doi: 10.1016/j.rvsc.2024.105415. Epub 2024 Sep 11.

DOI:10.1016/j.rvsc.2024.105415
PMID:39276580
Abstract

Through their occupational role, veterinary professionals are regularly exposed to potentially morally injurious events (PMIEs). These events can elicit negative (pathogenic) psychological outcomes of moral distress. However, PMIEs can also result in positive (salutogenic) outcomes of posttraumatic growth. Both outcomes are characterised by specific symptomology that is suggestive of a pathogenic or salutogenic trajectory. This study employed data from 194 veterinary professionals from Australia and New Zealand and sought to examine symptoms experienced by professionals following exposure to PMIEs. Respondents reported more symptoms of moral distress than posttraumatic growth following PMIE exposure. Negative symptoms included both affective and work-related factors including consideration of leaving the profession, while positive factors included increased confidence, personal growth, and staff cohesion. Potential factors contributing to the disparity in salutogenic and pathogenic outcomes are discussed. An integrated approach comprising both individual- and organisation-level factors is recommended to facilitate more salutogenic outcomes for veterinary professionals following PMIE exposure.

摘要

兽医专业人员通过其职业角色经常接触到可能具有道德伤害的事件(PMIEs)。这些事件会引起道德困境的负面(致病)心理后果。然而,PMIEs 也可能导致创伤后成长的积极(健康促进)结果。这两种结果都具有特定的症状,表明存在致病或健康促进的轨迹。本研究使用了来自澳大利亚和新西兰的 194 名兽医专业人员的数据,旨在检查兽医专业人员在接触 PMIEs 后所经历的症状。与 PMIE 暴露后创伤后成长相比,受访者报告的道德困境症状更多。负面症状包括情感和与工作相关的因素,包括考虑离开该行业,而积极因素包括增加信心、个人成长和员工凝聚力。讨论了导致健康促进和致病结果差异的潜在因素。建议采取包括个人和组织层面因素在内的综合方法,以促进兽医专业人员在接触 PMIE 后产生更多的健康促进结果。

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