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理解并应对德克萨斯州医疗保健牧师的道德伤害事件:对健康与幸福的见解

Understanding and Addressing Morally Injurious Events of Healthcare Chaplains in Texas: Insights for Health and Well-Being.

作者信息

Fantus Sophia, Cole Rebecca, Usset Timothy J, Hawkins Lataya

机构信息

School of Social Work, The University of Texas at Arlington, 501 W. Mitchell Street, Box 19129, Arlington, TX, 76010, USA.

School of Social Work, The University of Texas at Rio Grande Valley, Edinburg, TX, USA.

出版信息

J Relig Health. 2025 Apr;64(2):1047-1067. doi: 10.1007/s10943-024-02228-9. Epub 2024 Dec 30.

Abstract

Healthcare chaplains may be at heightened risk of encountering potentially morally injurious events. The purpose of the current study was to explore potentially morally injurious events for healthcare chaplains and to identify strategies to enhance health and well-being. Semi-structured interviews were conducted with healthcare chaplains (n = 26) across Texas. Participants were recruited across social media, professional listservs, and word of mouth. Textual data were coded and analyzed in conjunction with directed content analysis. Findings suggest that healthcare chaplains encounter morally injurious events that are rooted in acts of omission and commission, witnessing moral transgressions, and betrayal in the workplace. Interventions include dialog with colleagues and supervisors, collaborative and transparent communication, education, and empowerment and advocacy. The study's findings have implications for interdisciplinary care teams, hospital leadership, and professional associations.

摘要

医疗保健牧师可能面临更高的风险,遭遇潜在的道德伤害事件。本研究的目的是探索医疗保健牧师可能遭遇的道德伤害事件,并确定促进健康和幸福的策略。对德克萨斯州各地的医疗保健牧师(n = 26)进行了半结构化访谈。通过社交媒体、专业邮件列表和口碑招募了参与者。文本数据结合定向内容分析进行编码和分析。研究结果表明,医疗保健牧师会遭遇源于不作为和作为行为、目睹道德违规行为以及工作场所背叛的道德伤害事件。干预措施包括与同事和上级对话、协作和透明沟通、教育以及赋权和倡导。该研究结果对跨学科护理团队、医院领导和专业协会具有启示意义。

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