Moral trauma, moral distress, moral injury, and moral injury disorder: definitions and assessments [PDF]
Frontiers in PsychologyWe propose new definitions for moral injury and moral distress, encompassing many prior definitions, but broadening moral injury to more general classes of victims, in addition to perpetrators and witnesses, and broadening moral distress to include ...
Tyler J. VanderWeele +18 more
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The role of measurement in moral injury care: latent profiles on the moral injury and distress scale [PDF]
Frontiers in PsychiatryIntroductionAlthough studies of moral injury proliferated over the past decade, few studies have examined common moral injury symptom presentations.MethodsData were analyzed from a population-based sample (N = 645) of combat veterans, healthcare workers,
Brandon J. Griffin +12 more
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Cross-disciplinary insights on moral injury conceptualization and care: a qualitative study of expert perspectives [PDF]
Frontiers in PsychiatryBackgroundThe term “moral injury” has been used to describe moral transgressions and their impact across populations. As a result of this broad application, interpretation of the construct and intervention strategies to address it have become ...
Falon T. Smith +8 more
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Moral injury in modern warfare: clinical reflections and implications for military psychiatry [PDF]
Frontiers in PsychiatryMoral injury has emerged as a significant dimension of psychological suffering among individuals exposed to ethically compromising situations in war. Unlike post-traumatic stress disorder (PTSD), which is primarily organized around fear-based responses ...
Dotan Braun
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Moral orienting systems: reconceptualizing moral injury as moral disorientation [PDF]
Frontiers in PsychiatryCurrent conceptualizations of moral injury are limited by a reactive, symptom-based focus that risks pathologizing what are often systemic failures. This paper proposes a shift from a “triage model” to a proactive framework of Moral Orienting Systems ...
Zachary Moon, L. Callid Keefe-Perry
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Moral injury and influencing factors among palliative care nurses : a cross-sectional study [PDF]
BMC Palliative CareBackground Moral injury has emerged as an important ethical and psychosocial concern in healthcare. Palliative care nurses frequently encounter ethically challenging situations and sustained emotional demands, yet evidence on the extent of moral injury ...
Yanan Xu +3 more
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Moral injury in clinical and academic medicine—it is time to act [PDF]
BJA OpenSummary: When doctors working within healthcare systems under pressure perpetrate, witness, or fail to prevent acts that contradict their own moral or ethical values and expectations, it can lead to moral distress or moral injury.
Britta S. von Ungern-Sternberg +2 more
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We are still in it: a conceptual model for moral injury and burnout in alternative response programs to guide intervention [PDF]
Frontiers in PsychiatryIntroductionAbout 20% of police calls involve a person experiencing a behavioral health crisis. To better address these community member’s needs and reduce risk of harm, jurisdictions are developing programs that shift calls for crises related to ...
Miranda Worthen +16 more
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A latent profile analysis of moral injury appraisals in refugees
European Journal of Psychotraumatology, 2019 Background: Refugees often exhibit reactions to traumatic events that may be conceptualized as moral injury (i.e. the impact of events that violate important moral values).
Joel Hoffman +3 more
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Chaplaincy, Spiritual Care and Moral Injury: Considerations Regarding Screening and Treatment
Frontiers in Psychiatry, 2018 Moral injury is a complex trauma related syndrome involving a correlation of biological, psychological, social, and spiritual symptoms that can have substantial impact upon health and well-being.
Lindsay B. Carey, Timothy J. Hodgson
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