“It's soul destroying to be honest”: A qualitative study of morally uninhabitable working environments and the responsibilization of healthcare professionals working in concurrent disorders
Rattachement africain : ca. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Healthcare professionals' wellbeing is crucial for healthcare system functioning and population health. Prolonged moral distress may result in burnout, undermining healthcare professionals' wellbeing, negatively impacting quality of patient care, and resulting in considerable healthcare system costs. We conducted 36 interviews with healthcare professionals working with patients with concurrent mental and substance use disorders in British Columbia, Canada, exploring their perceptions of the institutional constraints which shaped their experiences and caring practices. We conducted a reflexive thematic analysis of the interviews guided by the theoretical concept of responsibilization. While most participants found their work rewarding, many encountered institutional constraints which limited their ability to provide the standard of care to which they felt morally and ethically obligated. Prolonged exposure to such morally uninhabitable working environments resulted in participants' moral distress and burnout. Central to participants' narratives was the role of responsibilization in both contributing to and exacerbating moral distress and burnout. On top of their caring duties, participants perceived a need to over-function to offset institutional constraints within healthcare, and address their and their colleagues' moral distress and burnout without adequate institutional support. Findings demonstrate how individual-centered interventions are inadequate without proper institutional support, and have the potential to re-enact rather than rectify moral distress and burnout. Structural interventions are paramount to redress these occupational harms and protect healthcare professionals’ wellbeing. • Responsibilization drives moral distress and burnout in healthcare professionals • They must overcompensate to address institutional constraints • The act of overcompensating undermines their ability to provide care • This contributes to their experiences of moral distress and burnout • They must also address their moral distress and burnout due to limited supports
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- “It's soul destroying to be honest”: A qualitative study of morally uninhabitable working environments and the responsibilization of healthcare professionals working in concurrent disorders
- Date Crossref
- 01/11/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Simon Fraser University pays non établi dans la noticeUniversité ou école supérieure
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University of British Columbia pays non établi dans la noticeUniversité ou école supérieure
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British Columbia Centre on Substance Use pays non établi dans la noticeOrganisation à but non lucratif
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Dalhousie University pays non établi dans la noticeUniversité ou école supérieure
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School of Population and Public Health Centre for Health Services and Policy Research pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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School of Nursing pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Medicine Department of Family Medicine pays non établi dans la noticeUniversité ou école supérieure
Simon Fraser University, University of British Columbia et British Columbia Centre on Substance Use, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.