A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings

Kimberly Hadson; Krystyna de Jacq; Jasmine L. Travers; Yuandi Gao; Allison A. Norful

doi:10.1016/j.mnl.2024.05.002

A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings

Kimberly Hadson, Krystyna de Jacq, Jasmine L. Travers, Yuandi Gao, Allison A. Norful

School of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Moral distress and moral injury among health workers yield adverse physical, psychological, and labor force outcomes. Research is limited on how psychiatric health care assistants (PHAs) experience these issues. In this multimethod study, we conducted a quantitative survey and qualitative interviews to examine moral distress and injury among PHAs. Almost half screened positive for moral injury. Three qualitative themes emerged: 1) hierarchies prevent contributions to care; 2) trust as a factor in de-escalating patient violence; and 3) navigating psychosocial challenges. Further research is recommended to investigate how to best support and inform practice and policy changes for PHAs.

Original language	English
Pages (from-to)	428-433
Number of pages	6
Journal	Nurse Leader
Volume	22
Issue number	4
DOIs	https://doi.org/10.1016/j.mnl.2024.05.002
Publication status	Published - Aug 2024

Bibliographical note

Publisher Copyright:
© 2024 Elsevier Inc.

ASJC Scopus Subject Areas

Leadership and Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.mnl.2024.05.002

Cite this

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abstract = "Moral distress and moral injury among health workers yield adverse physical, psychological, and labor force outcomes. Research is limited on how psychiatric health care assistants (PHAs) experience these issues. In this multimethod study, we conducted a quantitative survey and qualitative interviews to examine moral distress and injury among PHAs. Almost half screened positive for moral injury. Three qualitative themes emerged: 1) hierarchies prevent contributions to care; 2) trust as a factor in de-escalating patient violence; and 3) navigating psychosocial challenges. Further research is recommended to investigate how to best support and inform practice and policy changes for PHAs.",

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AU - Gao, Yuandi

AU - Norful, Allison A.

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AB - Moral distress and moral injury among health workers yield adverse physical, psychological, and labor force outcomes. Research is limited on how psychiatric health care assistants (PHAs) experience these issues. In this multimethod study, we conducted a quantitative survey and qualitative interviews to examine moral distress and injury among PHAs. Almost half screened positive for moral injury. Three qualitative themes emerged: 1) hierarchies prevent contributions to care; 2) trust as a factor in de-escalating patient violence; and 3) navigating psychosocial challenges. Further research is recommended to investigate how to best support and inform practice and policy changes for PHAs.

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A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings

Abstract

Bibliographical note

ASJC Scopus Subject Areas

UN SDGs

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