TY  - JOUR
PY  - 2023//
TI  - Potential sources of moral injury for healthcare workers in forensic and psychiatric settings: a systematic review and meta-ethnography
JO  - Trauma, violence, and abuse
A1  - Webb, Elanor Lucy
A1  - Ireland, Jane L.
A1  - Lewis, Michael
A1  - Morris, Deborah
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - The current research examines potentially morally injurious events (PMIEs) faced by healthcare professionals working in forensic and psychiatric environments. A systematic literature review was conducted to identify peer-reviewed articles reporting on sources of moral injury or similar concepts (e.g., moral distress) for healthcare workers in such settings. Thirty articles were included and analyzed using a meta-ethnographic approach. Synthesis yielded three third-order factors, each reflecting a moral dichotomy: (a) "between profession and system," (b) "between relations with patients and relations with others," and (c) "between principles and practices." Findings illustrated the hierarchical relationships between dichotomies, with discordance between values of the healthcare profession and features of the healthcare system providing the conditions for PMIEs to occur. The review advances conceptual understandings of PMIEs in forensic and psychiatric settings, illustrating the multilayered dimensions within which morally injurious events are experienced. Theoretical and practical implications are offered that may support the early detection and prevention of moral injury in healthcare professionals.<p />  <p>Language: en</p>
LA  - en
SN  - 1524-8380
UR  - http://dx.doi.org/10.1177/15248380231167390
ID  - ref1
ER  -