Moral Distress, Mattering, and Secondary Traumatic Stress in Provider Burnout: A Call for Moral Community.

AACN Advanced Critical Care
Elizabeth EpsteinMary Faith Marshall

Abstract

Burnout incurs significant costs to health care organizations and professionals. Mattering, moral distress, and secondary traumatic stress are personal experiences linked to burnout and are byproducts of the organizations in which we work. This article conceptualizes health care organizations as moral communities-groups of people united by a common moral purpose to promote the well-being of others. We argue that health care organizations have a fundamental obligation to mitigate and prevent the costs of caring (eg, moral distress, secondary traumatic stress) and to foster a sense of mattering. Well-functioning moral communities have strong support systems, inclusivity, fairness, open communication, and collaboration and are able to protect their members. In this article, we address mattering, moral distress, and secondary traumatic stress as they relate to burnout. We conclude that leaders of moral communities are responsible for implementing systemic changes that foster mattering among its members and attend to the problems that cause moral distress and burnout.

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Citations

Feb 21, 2021·Journal of Advanced Nursing·Lynn MustoPatricia Paddy Rodney
May 30, 2021·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Dawn Worsham Bourne, Elizabeth Epstein
Jun 5, 2021·Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship·Cheryl Green
Jul 17, 2021·Clinical Journal of Oncology Nursing·Colleen McCrackenKatie Klink
Aug 14, 2021·International Journal of Nursing Studies·Sadie DeschenesDiane Kunyk
Aug 17, 2021·Dimensions of Critical Care Nursing : DCCN·Angela D SandbergTina M Mason
Nov 21, 2021·International Journal of Mental Health Nursing·Sophie Isobel, Margaret Thomas
Dec 11, 2021·British Journal of Nursing : BJN·Claire KaneDavid Hewson
Dec 30, 2021·Journal of Nursing Management·Nahed AlquwezEjercito Mangawa Balay-Odao

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