Moral Injury: How It Affects Us and Tools to Combat It

Introduction Moral injury comprises feelings of guilt, despair, shame, and/or helplessness from having one's morals transgressed. Those underrepresented in health care are more likely to experience moral injury arising from micro- and macroaggressions. This workshop was designed for interprofes...

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Main Authors: Connor Arquette, Valerie Peicher, Antonette Ajayi, Dora Alvarez, Alice Mao, Tram Nguyen, Anthony Sawyer, Connie Martin Sears, Eugene J. Carragee, Baraka Floyd, Bernadett Mahanay, Rebecca Blankenburg
Format: Article
Language:English
Published: Association of American Medical Colleges 2023-11-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11357
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author Connor Arquette
Valerie Peicher
Antonette Ajayi
Dora Alvarez
Alice Mao
Tram Nguyen
Anthony Sawyer
Connie Martin Sears
Eugene J. Carragee
Baraka Floyd
Bernadett Mahanay
Rebecca Blankenburg
author_facet Connor Arquette
Valerie Peicher
Antonette Ajayi
Dora Alvarez
Alice Mao
Tram Nguyen
Anthony Sawyer
Connie Martin Sears
Eugene J. Carragee
Baraka Floyd
Bernadett Mahanay
Rebecca Blankenburg
author_sort Connor Arquette
collection DOAJ
description Introduction Moral injury comprises feelings of guilt, despair, shame, and/or helplessness from having one's morals transgressed. Those underrepresented in health care are more likely to experience moral injury arising from micro- and macroaggressions. This workshop was designed for interprofessional health care providers ranging from students to program leadership to raise awareness about moral injury and provide tools to combat it. Methods This 75-minute interactive workshop explored moral injury through a health care lens. It included components of lecture, case-based learning, small-group discussion, and individual reflection. Participants completed anonymous postworkshop evaluations, providing data on satisfaction and intention to change practice. We used descriptive statistics to analyze the quantitative data and applied content analysis to the qualitative data. Results The workshop was presented at two local academic conferences. Data were collected from 34 out of 60 participants, for a response rate of 57%. Ninety-seven percent of participants felt the workshop helped them define and identify moral injury and was a valuable use of their time, as well as indicating they would apply the information learned in their daily life. One hundred percent would recommend the workshop to a friend or colleague. Almost half felt they could implement strategies to address moral injury after participating in the workshop. Discussion This workshop proved to be a valuable tool to define and discuss moral injury. The materials can be adapted to a broad audience.
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spelling doaj.art-5cffb6c5d12142bfba34e9508d52a4432023-11-03T04:00:06ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-11-011910.15766/mep_2374-8265.11357Moral Injury: How It Affects Us and Tools to Combat ItConnor Arquette0Valerie Peicher1Antonette Ajayi2Dora Alvarez3Alice Mao4Tram Nguyen5Anthony Sawyer6Connie Martin Sears7Eugene J. Carragee8Baraka Floyd9Bernadett Mahanay10Rebecca Blankenburg11Fourth-Year Resident, Department of Plastic Surgery, Stanford University School of MedicinePostdoctoral Fellow, Department of Pediatrics, Stanford University School of MedicineFellow, Department of Pediatrics, Stanford University School of MedicineThird-Year Resident, Department of Pediatrics, Stanford University School of MedicineFellow, Department of Medicine, Stanford University School of MedicineFellow, Department of Medicine, Stanford University School of MedicineFourth-Year Resident, Department of Anesthesia, Stanford University School of MedicineFourth-Year Resident, Department of Ophthalmology, Stanford University School of MedicineProfessor, Department of Orthopedic Surgery, Stanford University School of MedicineAssistant Professor, Department of Pediatrics, Stanford University School of MedicineFellowship Programs Manager, Department of Anesthesia, Stanford University School of MedicineProfessor, Department of Pediatrics, Stanford University School of MedicineIntroduction Moral injury comprises feelings of guilt, despair, shame, and/or helplessness from having one's morals transgressed. Those underrepresented in health care are more likely to experience moral injury arising from micro- and macroaggressions. This workshop was designed for interprofessional health care providers ranging from students to program leadership to raise awareness about moral injury and provide tools to combat it. Methods This 75-minute interactive workshop explored moral injury through a health care lens. It included components of lecture, case-based learning, small-group discussion, and individual reflection. Participants completed anonymous postworkshop evaluations, providing data on satisfaction and intention to change practice. We used descriptive statistics to analyze the quantitative data and applied content analysis to the qualitative data. Results The workshop was presented at two local academic conferences. Data were collected from 34 out of 60 participants, for a response rate of 57%. Ninety-seven percent of participants felt the workshop helped them define and identify moral injury and was a valuable use of their time, as well as indicating they would apply the information learned in their daily life. One hundred percent would recommend the workshop to a friend or colleague. Almost half felt they could implement strategies to address moral injury after participating in the workshop. Discussion This workshop proved to be a valuable tool to define and discuss moral injury. The materials can be adapted to a broad audience.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11357BurnoutMoral InjuryCase-Based LearningFlipped ClassroomDiversityEquity
spellingShingle Connor Arquette
Valerie Peicher
Antonette Ajayi
Dora Alvarez
Alice Mao
Tram Nguyen
Anthony Sawyer
Connie Martin Sears
Eugene J. Carragee
Baraka Floyd
Bernadett Mahanay
Rebecca Blankenburg
Moral Injury: How It Affects Us and Tools to Combat It
MedEdPORTAL
Burnout
Moral Injury
Case-Based Learning
Flipped Classroom
Diversity
Equity
title Moral Injury: How It Affects Us and Tools to Combat It
title_full Moral Injury: How It Affects Us and Tools to Combat It
title_fullStr Moral Injury: How It Affects Us and Tools to Combat It
title_full_unstemmed Moral Injury: How It Affects Us and Tools to Combat It
title_short Moral Injury: How It Affects Us and Tools to Combat It
title_sort moral injury how it affects us and tools to combat it
topic Burnout
Moral Injury
Case-Based Learning
Flipped Classroom
Diversity
Equity
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11357
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