Qualitative Exploration Of Doctors' Moral Injury

Moral injury was first seen in the study of military samples.Soldiers' evaluations of what they did during the war affected their own health.Soldiers will cause their own moral world to be severely impacted because they believe they have violated universal social values and moral values,and they begin to question their own values and become distrustful of themselves.Later,Litz,Shay,Haight and others gradually studied and improved moral injury,and gradually defined moral injury as: Moral injury refers to lasting psychological,spiritual and social harm caused by one's own or others' actions in a high stakes situation that transgress deeply held moral beliefs and expectations.As a new concept of moral injury,there are few domestic researches in this area,and few people study and discuss it from the psychological level.In view of the limitations of previous studies,this study refers to Dombo et al.'s point of view,focuses the focus of moral injury on social workers,and selects a representative occupation of doctors as the research object of this study.Qualitative research is used to explore the status and causes of doctors' moral injury.The theory sampling is used to select and study,and under the principle of ensuring the sampling intensity,the sample with higher information density and higher intensity is extracted,eleven doctors from different departments were selected as samples eventually,and through in-depth interviews to collect data.The collected data are transcribed,coded and theoretically constructed using the grounded theory.The validity of the study was tested by external validity(participants and non-participants).The following theories are obtained: 1.There is a moral injury in the group of doctors;2.The moral injury of doctors is mainly caused by three reasons:(1)the thoughts that does not meet someone's own requirements and expectations,(2)The incidents that patients cross the moral border,(3)Restrictive rules and regulations;3.The main harm of doctors' moral injury comes from both psychological and social aspects and it has the professional characteristic of the doctor: psychological damage aspect: the doctor will empathize with the patient's experience and will be hurt by the patient's moral behavior;Social harm aspect: It also includes economic losses.