Katie E Nelson1, Ginger C Hanson, Danielle Boyce, Cathaleen D Ley, Deborah Swavely, Michelle Reina, Cynda Hylton Rushton. 1. Author Affiliations: PhD Candidate (Ms Nelson), Assistant Professor (Dr Hanson), Research Data Analyst (Ms Boyce), and Professor (Dr Rushton), Johns Hopkins University School of Nursing, Baltimore, Maryland; Director of Nursing Quality and Research (Dr Ley), Luminis Health, Anne Arundel Medical Center, Annapolis, Maryland; Senior Director of Clinical Inquiry and Research (Dr Swavely), Tower Health, Reading Hospital, West Reading, Pennsylvania; and Chief Trust Building Officer (Dr Reina), Reina Trust Building, Stowe, Vermont.
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.
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.
Authors: Wang Zhizhong; Harold G Koenig; Tong Yan; Wen Jing; Sui Mu; Liu Hongyu; Liu Guangtian Journal: BMC Psychiatry Date: 2020-11-25 Impact factor: 3.630
Authors: Long H Nguyen; David A Drew; Mark S Graham; Amit D Joshi; Chuan-Guo Guo; Wenjie Ma; Raaj S Mehta; Erica T Warner; Daniel R Sikavi; Chun-Han Lo; Sohee Kwon; Mingyang Song; Lorelei A Mucci; Meir J Stampfer; Walter C Willett; A Heather Eliassen; Jaime E Hart; Jorge E Chavarro; Janet W Rich-Edwards; Richard Davies; Joan Capdevila; Karla A Lee; Mary Ni Lochlainn; Thomas Varsavsky; Carole H Sudre; M Jorge Cardoso; Jonathan Wolf; Tim D Spector; Sebastien Ourselin; Claire J Steves; Andrew T Chan Journal: Lancet Public Health Date: 2020-07-31