Document Type

Presentation

Publication Date

11-3-2022

Keywords

california; plcmmc; covid-19; nurse; moral injury

Abstract

Background

Moral Injury (MI) was defined by Jonathan Shay in 1994 as committing acts that betray one’s moral compass in high-stakes situations, while under the authority of another, that severely affect one’s well-being. MI was measured solely in the military prior to the COVID pandemic.

Aims

1.Explore the relationship between moral injury (MI) and perceived work performance in hospital nurses following the pandemic surges. 2. Determine relationships between MI and select participant demographics and between work performance and select demographics.

Sample

A convenience sample of 191 nurses from seven Southern California Hospitals participated in the study from March to June 2022. The mean years of experience of participants was 15, 84% worked full-time, 53% were Caucasian, and 97% cared for COVID-19 patients.

Design

Cross-sectional multi-site survey.

Variables and Instruments

The DV was MI. The IVs were work performance and nurse demographics. The Moral Injury Symptom Scale was revised for use with Health Professionals (MISS-HP) and used in this study. Perceived work performance was measured using the Nurse Performance Index (NPI).

Data Analysis

Descriptive analysis was used to calculate scale scores and demographics. Correlational and linear regression analysis were used to examine relationships between dependent and independent variables and specifically to determine if MISS-HP scores were a predictor of NPI scores.

Findings

Increased levels of moral injury were a significant predictor of decreased levels of perceived work performance. Younger and less experienced nurses had greater levels of moral injury. Levels of MI due to the traumatic situations that nurses experienced during the pandemic negatively affected self-reported work performance. Nurses reported at times having to modify their standards to get their work done.

Implications

Nurse well-being programs and improved working conditions for nurses are needful to avoid compromising quality nursing care and patient safety. In-hospital care programs for nurses that include sacred spaces like Tea for the Soul, serenity lounges, and provision for consistent break times with adequate staffing, are imperative in optimizing nurse performance and thus optimizing patient care outcomes as well as organizational outcomes.

Clinical Institute

Mental Health

Specialty/Research Institute

Nursing

Specialty/Research Institute

Infectious Diseases

Specialty/Research Institute

Behavioral Health

Comments

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