Alonso-Prieto Esther, Swanson Viva, Mueller-Prevost Vanessa, Sutter Diane, Fee Jessica, Petropanagos Angel, Clark Drew B A, Banner-Lukaris Davina, Virani Alice, Ebadi-Cook Vash, Blanding Amy, Thomson Kirsten
Northern Health Authority, Prince George, British Columbia, Canada.
University of Northern British Columbia, Prince George, British Columbia, Canada.
Healthc Manage Forum. 2025 Jul;38(4):395-403. doi: 10.1177/08404704251322352. Epub 2025 Mar 13.
This article describes the development of an organization-wide intervention to address moral distress in healthcare. A multidisciplinary team, including researchers and organizational partners, used intervention mapping and the theoretical domains framework to create the moral empowerment system for healthcare. This system encompasses a suite of strategies designed for integration into organizations' operations to empower healthcare professionals individually and collectively to address moral events. This suite includes an ethics education program for healthcare professionals, interprofessional teams, and leaders; moral empowerment consultations; reflective debriefings; and mentoring. An implementation and evaluation plan is also presented, highlighting a staged approach that reflects the organizational context. Ultimately, the approach described here offers health leaders a practical and systematic method to design, implement, and evaluate moral distress interventions, tailoring them to their specific environments.
本文描述了一项旨在解决医疗保健领域道德困扰的全组织范围干预措施的开展情况。一个包括研究人员和组织合作伙伴在内的多学科团队，运用干预映射和理论领域框架创建了医疗保健道德赋权系统。该系统包含一系列策略，旨在融入组织运营，以单独和集体地赋予医疗保健专业人员应对道德事件的能力。这套策略包括针对医疗保健专业人员、跨专业团队和领导者的伦理教育项目；道德赋权咨询；反思汇报；以及指导。还介绍了一项实施和评估计划，突出了一种反映组织背景的分阶段方法。最终，这里描述的方法为卫生领导者提供了一种实用且系统的方法，用于设计、实施和评估道德困扰干预措施，并使其适应特定环境。
