Abstract
OBJECTIVE: The aimof this studywas 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 ofmid-Atlantic healthcareworkers 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.
Original language | English (US) |
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Pages (from-to) | 57-66 |
Number of pages | 10 |
Journal | Journal of Nursing Administration |
Volume | 52 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2022 |
ASJC Scopus subject areas
- Leadership and Management