COVID-19 and Lifetime Experiences of Trauma, Moral Injury, and Institutional Betrayal Among Healthcare Providers.

IF 1.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational and Environmental Medicine Pub Date : 2023-09-01 Epub Date: 2023-05-23 DOI:10.1097/JOM.0000000000002891

Bryann B DeBeer, Joseph Mignogna, Morgan Nance, Nazanin Bahraini, Molly Penzenik, Lisa A Brenner

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Abstract

Objective: The aim of the study is to increase understanding regarding healthcare provider experiences with psychological trauma, moral injury, and institutional betrayal, both over the lifetime and during the COVID-19 pandemic.

Methods: The study employed a cross-sectional design to understand traumatic experiences, moral injury, and institutional betrayal among medical and mental health providers. Participants were asked to identify an index trauma, and experiences were coded qualitatively using categories for traumatic events, moral injury, and institutional betrayal.

Results: Results revealed that experiences of trauma, moral injury, and institutional betrayal were common in relation to the pandemic, as were prepandemic histories of traumatic exposures. Findings indicate that trauma exposure was a work hazard for healthcare providers during the pandemic, which could result in negative long-term mental health outcomes.

Conclusions: Future research is needed to explore potential long-term negative outcomes among healthcare providers.

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新冠肺炎与医疗保健提供者的终身创伤、道德伤害和机构背叛经历。

目的：本研究旨在加深对医疗保健提供者在一生中和新冠肺炎大流行期间遭受心理创伤、道德伤害和机构背叛的经历的了解。方法：本研究采用横断面设计来了解医疗和心理健康提供者的创伤经历、道德伤害和制度背叛。参与者被要求确定一个创伤指数，并使用创伤事件、道德伤害和制度背叛的类别对经历进行定性编码。结果：结果显示，创伤、道德伤害和机构背叛的经历在疫情中很常见，大流行病前的创伤暴露史也是如此。研究结果表明，在疫情期间，创伤暴露对医疗保健提供者来说是一种工作危害，可能会导致负面的长期心理健康结果。结论：未来的研究需要探索医疗保健提供者中潜在的长期负面结果。

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来源期刊

Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

9.40%

发文量

402

审稿时长

3-8 weeks

期刊介绍： Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.