Experiencing Moral Distress Within the Intimate Partner Violence & Sexual Assault Workforce.
Experiencing Moral Distress Within the Intimate Partner Violence & Sexual Assault Workforce.
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DOI：
10.1007/s10896-023-00567-x
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发表时间：
2023-04-27
影响因子：
3.8
通讯作者：
Wood, Leila
中科院分区：
文献类型：
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作者：
Voth Schrag, Rachel J;Fantus, Sophia;Leat, Sarah;Childress, Saltanat;Wood, Leila
道德困扰（MD）是指当机构政策和/或实践与个人的职业价值观和道德发生冲突时出现的心理不平衡。 MD 在医疗保健和辅助医疗环境中经常受到质疑，并被认为是加强组织氛围和患者护理的关键障碍。然而，很少有工作调查亲密伴侣暴力（IPV）和性暴力（SV）从业人员中MD的经历。本研究通过对 2020 年夏季和秋季 COVID-19 大流行应对措施展开期间与服务提供商进行的 33 次定性访谈进行二次分析，调查了 IPV 和 SV 服务提供商样本中的 MD。定性内容分析揭示了 IPV 和 SV 服务提供商经历的多个重叠的 MD 向量，这些向量与机构资源限制、提供商超出其能力和/或能力、在服务机构内转移职责、给员工造成负担有关；和沟通障碍。参与者确定了这些经历对个人、组织和客户层面的影响。该研究揭示了将 MD 作为 IPV/SV 领域内的框架进行进一步调查的必要性，以及类似服务环境中的潜在经验教训，这些经验教训可以支持 IPV 和 SV 机构解决 MD 员工的体验问题。
Moral distress (MD) refers to the psychological disequilibrium that emerges when institutional policies and/or practices conflict with an individual’s professional values and ethics. MD has been interrogated frequently in health care and ancillary medical settings, and has been identified as a critical barrier to enhanced organizational climate and patient care. However, little work has investigated experiences of MD among members of the intimate partner violence (IPV) and sexual violence (SV) workforce. This study investigates MD in a sample of IPV and SV service providers via secondary analysis of 33 qualitative interviews conducted with service providers in the summer and fall of 2020 as the COVID-19 pandemic response was unfolding. Qualitative content analysis revealed multiple overlapping vectors of MD experienced by IPV and SV service providers related to institutional resource constraints, providers working beyond their capacity and/or competency, shifting responsibilities within service agencies creating burdens among staff; and breakdowns in communication. Impacts of these experiences at individual, organizational, and client levels were identified by participants. The study uncovers the need for further investigation of MD as a framework within the IPV/SV field, as well as potential lessons from similar service settings which could support IPV and SV agencies in addressing staff experiences of MD.