The impact of moral injury on healthcare workers’ career calling: exploring authentic self-expression, ethical leadership, and self-compassion

BMC Medical Ethics, Journal Year: 2025, Volume and Issue: 26(1)

Published: Jan. 31, 2025

Moral injury is a significant issue for healthcare workers, often stemming from exposure to ethical dilemmas and distressing events. This study aims explore the relationship between moral workers' career calling, using job demands-resources model as theoretical framework. The goal understand how affects sense of purpose vocation identify factors that may mitigate this impact. A cross-sectional survey was conducted with sample 506 Chinese workers. used self-report questionnaires assess injury, authentic self-expression, self-compassion, leadership, calling. Path analysis test proposed mediating moderating relationships within model. has negative effect on mediated by self-expression - inability openly discuss distress weakens purpose. Self-compassion leadership buffer against impact research contributes understanding calling in practical implications safeguarding professionals' well-being commitment their vocation.

Language: Английский

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Using Mindfulness to Manage Moral Injury in Veterans: Feasibility and Satisfaction of a Pilot Randomized Controlled Trial

Journal of Clinical Psychology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

ABSTRACT Objective The present study assessed program feasibility and satisfaction among recent‐era veterans who participated in Mindfulness to Manage Moral Injury (MMMI), a live facilitated web‐based 7‐week mindfulness‐based targeting moral injury veterans. Method In total, 56 post‐9/11 were recruited with 28 randomized the MMMI condition Education Support (ES) condition. Most participants identified as being White (71.4%), male (66.1%), had reported mean age of 41.50 years (Median = 39.50, SD 9.26). Results Among participants, 82.1% attended at least one treatment session 44.6% completed all seven sessions. There no significant differences average number sessions between ( M 4.79, 2.70) ES 4.68, 2.84) conditions, t (54) 0.145, p 0.87. Regarding randomization, there statistically on almost demographic (i.e., military, gender, ethnicity) characteristics baseline scores outcomes across thus ensuring randomization was adequately met. Of consented, 41 (73.21%) most components follow‐up surveys, 1 weekly survey, session). satisfaction, individuals higher (Cohen's d 0.66). Conclusions Preliminary findings suggest is feasible acceptable may be able reach not seek traditional Veterans Affairs Medical Center care or prefer program. Given its promise for veterans, warrants additional large‐scale clinical‐trial testing.

Language: Английский

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Proposing the Integrated Pathway Model of Moral Injury (IPM-MI): A Moderated Mediation Analysis of Moral Injury Among Secure Mental Healthcare Staff

Issues in Mental Health Nursing, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 16

Published: March 11, 2025

Moral injury is a prevalent issue for secure mental healthcare staff, though understanding of the underlying mechanisms limited. This multi-study paper explores several developmental, cognitive and emotional pathways to moral associated wellbeing outcomes. Frontline support staff from services were recruited two cross-sectional studies (n = 527 n 325, respectively), completed questionnaires. In first study, findings indicated serial mediating effect childhood trauma symptoms, early maladaptive schemas, metacognitions in pathway between exposure potentially morally injurious events symptoms. Moderating effects social organisational also apparent. Findings study supported psychological, somatic functional outcomes, which mediated by negative schema, with limited expressive suppression. alexithymia on noted. The results developmental-cognitive model account development adverse well-being outcomes staff. Drawing wider literature, Integrated Pathway Model Injury (IPM-MI) proposed discussed, offering novel theoretical that may inform potential prevention intervention strategies.

Language: Английский

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Opioid overdose, suicide mortality, and premature death among veterans with alcohol or opioid use disorders: The impact of military sexual trauma

Addictive Behaviors, Journal Year: 2025, Volume and Issue: unknown, P. 108330 - 108330

Published: March 1, 2025

Language: Английский

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Psychological resilience and valued living as mediators in the relation between moral injury and attitudes toward future among Turkish adults

BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)

Published: April 3, 2025

Moral injury exacerbates poor outcomes, such as negative attitudes toward the future; however, potential underlying mechanisms of this association remain unknown. This present study aimed to disentangle pathways linking moral confidence future through serial mediation effect psychological resilience and valued living in a Turkish population. The data analyzed were collected from representative samples adult aged 18-65 years Gaziantep Province, Turkey. A total 681 participants (77.7% female, mean age = 25.05) included study. Structural equation modeling (SEM) was used analyze relationships among variables. Indirect effects on found. direct presence mediators not significant (b 0.014, p > 0.05). Thus, we concluded that there fully by relationship between -0.077, 95% bootstrap CI: -0.115 -0.048). main constraint its cross-sectional design, which restricted capacity for causal inference. These findings highlight role future. Therefore, mental health professionals or clinicians incorporating intervention programs at enhancing promoting could be beneficial, especially individuals who have experienced injuries. Employing multifaceted therapeutic approach may advantageous addressing these concerns.

Language: Английский

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Emotion Dysregulation, Mindfulness, Self-Compassion, and Values Engagement in US Post-9/11 Veterans

Mindfulness, Journal Year: 2025, Volume and Issue: unknown

Published: April 23, 2025

Language: Английский

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Different Ways to Drown Out the Pain: A Meta-Analysis of the Association Between Nonsuicidal Self-Injury and Alcohol Use

Archives of Suicide Research, Journal Year: 2020, Volume and Issue: 26(2), P. 348 - 369

Published: Aug. 11, 2020

Objective There is a significant overlap in the motivations for nonsuicidal self-injury (NSSI) and alcohol use. Moreover, several theories would predict that more frequent use likely associated with NSSI engagement. Still, size direction of this association has not been well documented literature.Method To address gap, goal article was to conduct meta-analysis relation between NSSI.Results Across 57 samples 141,669 participants, we found there positive use, odds ratio = 1.78, 95% confidence interval [1.53, 2.07], k 64, m 52. Moderator analyses effect stronger younger severe problems.Conclusions These results help establish link Implications future directions research intervention are discussed.HighlightsThere reasons think linked.No reviews or meta-analyses have conducted.We small linking greater

Language: Английский

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Self‐Compassion and Self‐Forgiveness in Alcohol Risk, Treatment and Recovery: A Systematic Review

Clinical Psychology & Psychotherapy, Journal Year: 2024, Volume and Issue: 31(3)

Published: May 1, 2024

ABSTRACT Introduction Self‐compassion and self‐forgiveness are two self‐focused, positive coping approaches that may reduce risk of problem drinking and/or aid in treatment/recovery from alcohol use disorder. The present systematic review aimed to evaluate support for the unique complementary roles self‐compassion outcomes. Methods A literature search yielded 18 studies examining self‐compassion, 1 study both constructs Results Findings suggest greater relate lower likelihood drinking. Self‐forgiveness was considerably more researched outcomes than self‐compassion; self‐forgiveness‐based interventions appear able improve drinking‐adjacent outcomes, increase across various treatments. Finally, research suggests associations with could be driven by numerous factors, including coping‐motivated drinking, depression, psychache, social perceptions, mental health status psychiatric distress. Conclusions protective against harmful Nevertheless, many questions remain about role and, particularly, treatment recovery Future should examine whether targeted adjunctive therapeutic supports designed or can disorder symptoms facilitate success.

Language: Английский

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Companions in the Abyss: A Feasibility and Acceptability Study of an Online Therapy Group for Healthcare Providers Working During the COVID-19 Pandemic

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 12

Published: Jan. 14, 2022

In the context of global pandemic SARS-CoV-2 coronavirus (COVID-19), healthcare providers (HCPs) have experienced difficult moral and ethical dilemmas. Research is highlighting importance injury (MI)-a trauma syndrome related to transgressing personal morals values-in understanding psychological harm occupational impairment by HCPs. To date, MI treatments largely been developed for military personnel veterans rely on in-person one-on-one psychotherapy.

Language: Английский

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Self-Compassion and Veteran's Health: A Scoping Review

Journal of Veterans Studies, Journal Year: 2021, Volume and Issue: 7(1), P. 86 - 86

Published: April 8, 2021

There is evidence to suggest that self-compassion related positive health and wellbeing outcomes, therefore, this paper explores concept within the military veteran population. The aim of review was identify research explore evidence-based as a protective factor, from negative amongst veterans. Preferred Reporting Items for Systematic Reviews Meta-Analyses extension Scoping guided undertaking reporting review. Databases (CINAHL, EBSCO, MEDLINE, PsycInfo, SocINDEX, Web Science), manual searches grey literature, websites, reference lists retrieved articles, were explored peer-reviewed English language studies published 2000 2019. Searches included any study measured or involved education/training. A narrative synthesis utilized. 89 articles; 17 met inclusion criteria. All conducted in US veterans, with three also including partners. heterogeneity between studies' designs, methodologies, characteristics. Of these studies, 11 examined associated factors, eight improvements well-being six reported feasibility acceptability strategies. Self-compassion seems be particularly beneficial veterans who have experienced trauma, suffering Post-Traumatic Stress Disorder, trauma-related guilt, depression (or at risk suicide), those been combat deployed. Limited found Schizophrenia alcohol misuse. appears role outcomes mental physical particular psychopathology symptoms.

Language: Английский

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