Moral Injury: Understanding the causes, processes, and consequences in the UK Ambulance Service

精神伤害：了解英国救护车服务的原因、过程和后果

• 批准号: 2700476
• 金额: --
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2700476
• 关键词: Moral; Injury; Understanding; causes; processes

Moral injury (MI) is psychological distress that arises from "perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations"1. MIs have been associated with stressful occupational events including loss of life to vulnerable people, and a lack of social support following exposure to an event2. MI is distinct from, albeit related to, PTSD, where PTSD is a clinical condition experienced by those who have been harmed by others, whereas MI is the psychological reaction to being involved in the perpetration of moral and traumatic transgressions linked to shame1. MIs have almost exclusively been studied in US military samples, where they have been linked to PTSD, depression, and suicidality3.Through partnership with North West Ambulance Service (NWAS), the PhD candidate will develop a theoretical framework of MI. The student will build on the conceptual framework of military MI developed by Litz1. Although this framework outlines potential causes and consequences of MI, it does not explain the psychological process of MI and how it manifests over time due to the limited, and largely quantitative, research conducted within the military domain. We have added colour codes to the framework to help structure understanding of MI. The student will use this framework as an initial guide to develop their research, whilst seeking to adapt and extend these conceptual ideas by drawing on rich qualitative data to produce a more robust theoretical framework of MI, beyond the military domain.

精神伤害(MI)是由于“实施、未能预防、目睹或了解违反根深蒂固的道德信念和期望的行为”而产生的心理痛苦1。精神伤害与有压力的职业事件有关，包括易受伤害的人失去生命，以及在暴露于事件后缺乏社会支持。精神障碍与创伤后应激障碍不同，尽管与创伤后应激障碍有关，创伤后应激障碍是那些受到他人伤害的人经历的一种临床疾病，而精神障碍是参与与羞耻有关的道德和创伤性违法行为的心理反应1。MI几乎只在美国军队样本中进行研究，在这些样本中，它们与创伤后应激障碍、抑郁和自杀有关。3通过与西北救护车服务(Nwas)的合作，这位博士生将开发MI的理论框架。学生将构建由Litz1开发的军事MI的概念框架。尽管这一框架概述了心肌梗死的潜在原因和后果，但由于在军事领域进行的研究有限，而且主要是定量的，它没有解释心肌梗死的心理过程及其随着时间的推移如何表现出来。我们在框架中添加了颜色代码，以帮助构建对MI的理解。学生将使用这个框架作为发展他们研究的初始指南，同时寻求通过利用丰富的定性数据来适应和扩展这些概念概念，以产生超出军事领域的更强大的MI理论框架。