Organizational Impact on Healthcare Workers' Moral Injury During COVID-19: A Mixed-Methods Analysis.
J Nurs Adm
; 52(1): 57-66, 2022 Jan 01.
Article
in English
| MEDLINE | ID: covidwho-1575154
ABSTRACT
OBJECTIVE:
The aim of this study was to explore relationships between organizational factors and moral injury among healthcare workers and the impact of perceptions of their leaders and organizations during COVID-19.BACKGROUND:
COVID-19 placed healthcare workers at risk for moral injury, which often involves feeling betrayed by people with authority and can impact workplace culture.METHODS:
Secondary data from a Web-based survey of mid-Atlantic healthcare workers were analyzed using mixed methods. Data were synthesized using the Reina Trust & Betrayal Model.RESULTS:
Fifty-five percent (n = 328/595) of respondents wrote comments. Forty-one percent (n = 134/328) of commenters had moral injury scores of 36 or higher. Three themes emerged organizational infrastructure, support from leaders, and palliative care involvement. Respondents outlined organizational remedies, which were organized into 5 domains.CONCLUSIONS:
Findings suggest healthcare workers feel trust was breached by their organizations' leaders during COVID-19. Further study is needed to understand intersections between organizational factors and moral injury to enhance trust within healthcare organizations.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Burnout, Professional
/
Mental Health
/
Health Personnel
/
Workplace
/
COVID-19
/
Morals
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Humans
Language:
English
Journal:
J Nurs Adm
Year:
2022
Document Type:
Article
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