ABSTRACT

Secure mental healthcare staff provide care in the context of exposure to violence and restrictive practices. Yet, despite recognition of the moral dilemmas afforded by these events, they are yet to be explored within a moral injury framework. The current study sought to explore the potentially morally injurious effects of violence and restrictive practices through an intersectional lens. A cross-sectional survey was completed by 222 secure mental healthcare professionals. Associations between exposure to violence, restrictive practices and moral injury were significant in white female participants only. When entered into a hierarchical regression, exposure to violence significantly predicted moral injury score for this group, and nullified the effects of restrictive practices. The findings position restrictive practices and exposure to violence as potential sources of moral injury for white female healthcare professionals. The implementation of strategies to reduce exposure to such events and their impacts in this occupational group are important priorities.

摘要

安全的精神保健人员在暴露于暴力和限制性做法的情况下提供护理。然而，尽管认识到这些事件所带来的道德困境，但仍有待在道德伤害框架内对其进行探索。当前的研究试图通过交叉镜头探索暴力和限制性做法在道德上的潜在伤害影响。222 名安全心理保健专业人员完成了一项横断面调查。接触暴力、限制性做法和道德伤害之间的关联仅在白人女性参与者中显着。当进入等级回归时，暴露于暴力显着预测了该群体的道德伤害得分，并抵消了限制性做法的影响。调查结果将限制性做法和接触暴力列为白人女性医疗保健专业人员道德伤害的潜在来源。实施战略以减少接触此类事件及其对这一职业群体的影响是重要的优先事项。