Mizanü l-Hak İslami İlimler Dergisi,
Journal Year:
2022,
Volume and Issue:
15, P. 519 - 554
Published: Dec. 21, 2022
Ahlaki
yaralanma
(AY)
belki
insanlık
tarihinin
başlangıcından
bu
yana
tecrübe
edilen
ancak
bilimsel
tarih
bakımından
çok
yakın
bir
zamanda
ortaya
çıkan
ve
üzerinde
yürütülen
araştırmaların
sayısının
sınırlı
olduğu
ağırlıkla
Batı
kaynaklı
çalışılan
olgudur.
Potansiyel
ahlaki
yaralayıcı
olaylara,
eylemlere
tecrübelere
(PAYO)
maruz
kalma
sonucunda
suçluluk,
utanç,
ihanet
gibi
semptomlarla
davranışsal,
duygusal,
psikolojik,
sosyal,
ahlaki,
varoluşsal,
manevi
dinî
boyutları
olan
yapısı
vardır.
Travma
sonrası
stres
bozukluğu
(TSSB)
ile
ortak
ayrıştıkları
noktaları
bulunmakla
birlikte
ondan
farklı
AY’nın
henüz
yerleşik
tanısı
yoktur.
yaygın
olarak
edilebildiği
alanlar
ilk
tespit
edildiği
askerî
kurumlardır.
Askerî
personelin
yanı
sıra
doktorlar
hemşireler
sağlık
çalışanları,
tıp
öğrencileri,
hâkimler,
savcılar
avukatlar
adli
personel,
itfaiye
çalışanları
acil
müdahale
görevlileri,
polisler,
mülteciler,
sığınmacılar,
gazeteciler
haberciler
arasında
da
AY
söz
konusu
olabilmektedir.
Bu
çalışmada
nitel
araştırma
yöntemlerinden
literatür
taraması
olgusu
hakkında
derinlemesine
bilgi
verilmesi
amaçlanmakta
bundan
sonra
konu
üzerine
yürütülecek
araştırmalar
için
birtakım
önerilerde
bulunulmaktadır.
Current Treatment Options in Psychiatry,
Journal Year:
2023,
Volume and Issue:
10(3), P. 199 - 216
Published: July 4, 2023
Abstract
Purpose
of
Review
Healthcare
workers
(HCWs)
may
be
exposed
to
potentially
morally
injurious
events
(PMIEs)
while
on
the
job
and
consequently
experience
acute,
functional
moral
distress
prolonged,
impairing
injury.
Recent
Findings
We
reviewed
185
articles
and/or
injury
among
HCWs.
This
included
91
empirical
studies
(approximately
50%
retained
articles),
68
editorials
(37%),
18
reviews
(10%),
8
protocol
papers
(4%).
Themes
were
explored
using
bibliometric
network
analysis
keyword
co-citation.
Empirical
found
evidence
PMIE
exposure
a
considerable
proportion
Greater
severity
was
associated
with
worse
mental
occupational
health
outcomes,
especially
women
(vs.
men),
younger
HCWs
older),
nurses
physicians),
those
who
worked
more
hours,
less
experience.
Programs
prevent
treat
lack
evidence.
Summary
Efforts
maintain
well-being
effectiveness
should
consider
potential
impact
To
that
end,
we
introduce
dimensional
contextual
model
in
healthcare
settings
discuss
recommendations
for
prevention
treatment.
European journal of psychotraumatology,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: Feb. 9, 2024
Healthcare
workers
(HCWs)
across
the
globe
have
reported
symptoms
of
Post-Traumatic
Stress
Disorder
(PTSD)
during
COVID-19
pandemic.
Moral
Injury
(MI)
has
been
associated
with
PTSD
in
military
populations,
but
is
not
well
studied
healthcare
contexts.
Distress
(MD),
a
related
concept,
may
enhance
understandings
MI
and
its
relation
to
among
HCWs.
This
study
examined
independent
combined
impact
MD
on
Canadian
HCWs
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.
Journal of Advanced Nursing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 26, 2025
ABSTRACT
Aim
To
provide
a
description
of
nurses'
experiences
related
to
moral
injury,
including
Potentially
Morally
Injurious
Events
and
factors
the
impact
those
events.
Design
Reflexive
thematic
analysis
nurse
interviews.
Method
Nurses
were
recruited
from
an
ongoing
study
within
large
academic
medical
centre.
who
enrolled
in
present
participated
semi‐structured
individual
interviews
using
interview
guide
based
on
Litz's
conceptualisation
injury.
Themes
identified
recorded
transcribed
Results
Interviews
conducted
with
12
nurses
May
June
2023
coded
for
themes
three
broad
categories:
(a)
Nursing
Values,
(b)
Experiences
(c)
Stressors
Supports.
Within
these
categories,
we
pinpointed
8
3
subthemes,
which
highlight
experience
potentially
morally
injurious
events
challenging
care,
strained
relationships
physicians,
treatment
inequity,
conflict
their
nursing
values.
We
team
organisational
factors,
senior
leadership
behaviours,
dynamics
access
resources
that
appear
intensify
or
lessen
Conclusion
contribute
occupational
stress
experienced
by
nurses,
particularly
when
systemic
demands
prevent
them
providing
value‐driven
ethically
necessary
healthcare.
Limiting
supportive
environments
following
stressors
requires
organisational‐level
changes
healthcare
alleviate
stress.
Impact
This
research
highlights
need
organisations
implement
interventions
aimed
both
at
reducing
creating
system
team‐level
supports
unavoidable
These
results
pinpoint
specific
areas
prevention,
intervention
support.
Patient
Public
Contribution
No
Contribution.
Intensive and Critical Care Nursing,
Journal Year:
2023,
Volume and Issue:
76, P. 103376 - 103376
Published: Jan. 25, 2023
To
investigate
the
construct
validity
and
psychometric
properties
of
Swedish
version
Moral
Distress
Scale-Revised
to
describe
moral
distress
in
an
intensive
care
context.The
Italian
was
translated
semantically
adjusted
context.
A
web
survey
with
14
items,
as
well
three
additional
eight
background
questions
answered
by
critical
nurses
(N
=
71)
working
units
during
second
year
coronavirus
disease
pandemic.
Inferential
descriptive
statistics
were
used
four-factor
model
examine
nurses'
distress.The
result
shows
a
factor
four
components
differing
from
previous
model.
Critical
demonstrated
significant
differences
regarding
priorities
compared
before
pandemic,
type
household;
experience
whether
they
had
supervised
students
pandemic.The
component
structure
might
have
originated
specific
situation
perceived
The
health
organisations'
role
preventing
healing
effects
is
important
for
managers
understand.Moral
common
it
necessary
use
valid
instrument
when
measuring
it.
psychometrical
investigation
Scale-Revised,
adapted
need
further
semantic
cultural
adaptation.
Perceived
household
type,
supervising
pandemic
related
be
aware
conditions
that
may
trigger
such
response.
Journal of Nursing Management,
Journal Year:
2022,
Volume and Issue:
30(7), P. 2335 - 2345
Published: Oct. 1, 2022
Aim
We
aim
to
investigate
the
interplay
between
moral
distress
and
injury
among
nurses
working
in
palliative
oncology
wards
assess
its
impact
on
nursing
leadership.
Background
The
past
2
years
have
been
particularly
challenging
for
leaders
Croatia.
coronavirus
disease
pandemic
subsequent
earthquakes
country
significantly
impacted
work
of
nurses.
Moral
has
well-known
professionals,
but
recent
studies
warn
about
cofounding
it
with
their
possible
intercorrelation,
deserving
more
attention
from
an
empirical
perspective.
Methods
conducted
quantitative
cross-sectional
research
11
Croatian
health
care
facilities
162
nurses,
using
a
questionnaire
paper/pencil
method
over
6
months
(1
January
2021
1
July
2021).
consisted
three
parts:
sociodemographic
data,
Measure
professionals
symptoms
scale
professionals.
protocol
was
approved
by
Ethics
committee
Catholic
University
Croatia
under
no.
1-21-04.
Results
findings
our
study
demonstrated
that
current
average
levels
might
be
characterized
as
low,
are
severe.
results
bring
interesting
novel
insights,
such
strong
correlation
injury,
also
terms
nurses'
decision
leave
or
consider
leaving
position.
who
experience
higher
severe
while
score
left,
considered
positions.
Conclusions
This
highlighted
need
pay
emerging
phenomenon
unaddressed
overshadowed
distress,
importance
addressing
them
timely
adequately
within
organizations
leadership
management.
Implications
Nursing
Management
These
provide
significant
insight
may
assist
managers
act
respond
time
develop
various
prevention
mitigation
measures
help
resolve
situations
leading
injury.
Stress and Health,
Journal Year:
2024,
Volume and Issue:
40(5)
Published: May 10, 2024
Abstract
Despite
theory
suggesting
that
self‐forgiveness
facilitates
recovery
from
moral
injury,
no
measure
of
has
been
validated
with
individuals
exposed
to
potentially
morally
injurious
events
(PMIEs).
Military
veterans,
healthcare
workers,
and
first
responders
who
reported
PMIE
exposure
(
n
=
924)
completed
the
Self‐Forgiveness
Dual‐Process
Scale,
which
assesses
two
dimensions
process.
The
dimension,
value
affirmation,
refers
appraising
personal
responsibility
being
willing
make
amends
for
one's
involvement
in
a
PMIE.
second
esteem
restoration,
accepting
oneself
as
valuable
capable
growth
despite
failures
imperfections.
Exploratory
Confirmatory
Factor
Analyses
replicated
original
scale's
two‐factor
structure
10
items
modified
apply
diverse
contexts
PMIEs
occur.
Next,
we
found
factor
structure,
item
loadings,
intercepts
were
fully
or
partially
invariant
across
professions,
genders,
races,
ages,
religious
affiliations
series
Multi‐Group
Analyses.
Finally,
diverging
patterns
associations
between
affirmation
restoration
distress,
posttraumatic
stress,
depression,
insomnia,
functional
impairment,
provide
evidence
convergent
discriminant
validity
subscales.
dual
process
scale
is
be
Researchers
clinicians
can
use
examine
how
(or
difficulties
forgiving
oneself)
relates
injury.
