Moral injury: State of the Science

Journal of Traumatic Stress, Год журнала: 2025, Номер unknown

Опубликована: Янв. 5, 2025

In this paper, I provide a concise overview of the state scientific study moral injury (MI). argue that science is immature, characterized by lack paradigmatic theory and rigor in terms construct definition measurement. Because researchers, clinicians, media reify results empirical clinical outcome studies are chiefly exploratory fraught with internal validity problems, enthusiasm about MI continues to far outweigh actionable, practice-based knowledge. posit field needs have epistemic humility MI, focus on building model generate test hypotheses will ultimately create knowledge causes consequences employ evidence-based assessment intervention approaches mitigate treat problem. To facilitate research area, summarize social-functional behavior new based it. also make recommendations for future advance into normal science, which requires hypothesis-driven valid

Язык: Английский

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The impact of trauma and how to intervene: a narrative review of psychotraumatology over the past 15 years

European journal of psychotraumatology, Год журнала: 2025, Номер 16(1)

Опубликована: Фев. 6, 2025

To mark 15 years of the European Journal Psychotraumatology, editors reviewed past 15-year research on trauma exposure and its consequences, as well developments in (early) psychological, pharmacological complementary interventions. In all sections this paper, we provide perspectives sex/gender aspects, life course trends, cross-cultural/global systemic societal contexts. Globally, majority people experience stressful events that may be characterized traumatic. However, definitions what is traumatic are not necessarily straightforward or universal. Traumatic have a wide range transdiagnostic mental physical health limited to posttraumatic stress disorder (PTSD). Research genetic, molecular, neurobiological influences show promise for further understanding underlying risk resilience trauma-related consequences. Symptom presentation, prevalence, course, response experiences, differ depending individuals' age developmental phase, sex/gender, sociocultural environmental contexts, socio-political forces. Early interventions potential prevent acute reactions from escalating PTSD diagnosis whether delivered golden hours weeks after trauma. prevention still scarce compared treatment where several evidence-based complementary/ integrative exist, novel forms delivery become available. Here, focus how best address negative outcomes following trauma, serve individuals across spectrum, including very young old, include considerations ethnicity, culture diverse beyond Western, Educated, Industrialized, Rich, Democratic (WEIRD) countries. We conclude with providing directions future aimed at improving well-being impacted by around world. The EJPT webinar provides 90-minute summary paper can downloaded here [http://bit.ly/4jdtx6k].

Язык: Английский

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Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis

Archives of Public Health, Год журнала: 2025, Номер 83(1)

Опубликована: Фев. 14, 2025

The COVID-19 pandemic has placed significant emotional and ethical burdens on healthcare workers (HCWs), leading to the emergence of moral injury (MI). Understanding pooled mean factors associated with MI is crucial for developing interventions support systems HCWs. This meta-analysis aims examine extent among HCWs during identify potential contributing factors. A systematic literature search was conducted, relevant studies reporting in were included. Pooled means calculated using random-effects or fixed effect models. Subgroup analyses conducted based demographic variables, such as gender, profession, geographical region. Further, Sensitivity analysis run assess individual study effect. total 36 met inclusion criteria included meta-analysis. ranged from 3.06 (CI95%: 2.35–3.77) 119.17 103.04–135.30), instrument types. Further revealed that females (P = 0.21), younger 0.13), nurses 0.55), those countries 0.02) experienced higher levels MI. highlights substantial by (HCWs) pandemic, nurses, HCWs, being particularly affected. Although statistical significance not observed subgroup differences, trends suggest a heightened vulnerability specific groups. These findings underscore urgent need targeted policies high-risk demographics, emphasize importance standardized assessment tools future research.

Язык: Английский

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Turnover and Intention to Leave Among Belgian Healthcare Workers After COVID‐19: A Two‐Year Longitudinal Cohort Study

Journal of Advanced Nursing, Год журнала: 2025, Номер unknown

Опубликована: Март 26, 2025

To investigate the association between healthcare workers' demographic and work-environment variables during COVID-19 pandemic their turnover intentions or actual after two years. Two-step longitudinal cohort study. A nationwide study was conducted using a convenience sample of Belgian HCWs who participated in online surveys at time points: November 24th, 2021, to March 15th, 2022 (Period 1), 16th, 2023, December 12th, 2023 2). Out 2149 participants first survey, 700 responded second. During pandemic, 31.3% intended leave profession. In Period 2, 52.3% those reaffirmed intention had left (6.5%). Work autonomy, resilience, perceived patient harm predicted intention. Pandemic-related work pressure primary reason for leaving. Promoting autonomy resilience is crucial mitigating turnover. experience will have higher risk Knowing this, managers policymakers should develop strategies prepare future health crises. Enhancing among workers can improve retention job satisfaction, ultimately leading better care more stable workforce. Problem Addressed: The addresses high pandemic. due workload are significant predictors intentions. research impacts by providing insights into factors that satisfaction. This adhered STROBE guidelines reporting observational studies. No public contribution.

Язык: Английский

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Evaluating Professional Burnout and Psychological Distress Among Intensive Care Unit Healthcare Workers During the COVID-19 Pandemic: A Single-Center Cross-Sectional Study

Cureus, Год журнала: 2025, Номер unknown

Опубликована: Март 29, 2025

Язык: Английский

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Occupational burnout among healthcare workers in Central Asia during the COVID-19 pandemic

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Апрель 11, 2025

Язык: Английский

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The health and wellbeing of NHS staff in a community setting

British Journal of Healthcare Management, Год журнала: 2025, Номер 31(2), С. 1 - 8

Опубликована: Фев. 2, 2025

Background/Aims Research relating to the health and wellbeing of NHS staff since onset COVID-19 pandemic has generally focused on those working in acute settings. This study aimed assess levels burnout, secondary traumatic stress compassion satisfaction among for an community care organisation. Methods A retrospective, cross-sectional questionnaire was used (pleasure from delivering a caring role) one large service. Participants included physicians, nurses allied professionals. The Professional Quality Life scale collect data, with items scored 5-point Likert scale. Data were analysed using analysis variance (ANOVA), producing F scores each item. Significance set at P<0.05. Results Mean domain indicated moderate across sample. All produced ANOVA significant In burnout domains, highest related feeling worn out, overwhelmed deeply affected by trauma experienced patients whom respondents had helped for. domain, feelings pride one's work. Conclusions Healthcare leaders must prioritise time cope recover stressful experiences Building should also be area focus reduce risk stress, attrition care.

Язык: Английский

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Looking beyond the frontline: senior healthcare leaders’ personal, professional and psychological experiences of the COVID-19 pandemic in the UK

International Journal of Workplace Health Management, Год журнала: 2025, Номер unknown

Опубликована: Март 4, 2025

Purpose The ubiquitous impact of the COVID-19 pandemic on healthcare required agile and resilient leadership to navigate novel evolving clinical challenges as well changes in government regulatory directives. Despite pivotal role leaders, their experiences are not understood. current study explored senior leaders UK. Design/methodology/approach A cross-sectional survey was completed by 40 participants working director or executive positions physical mental settings within UK during pandemic. Findings High levels burnout (median = 9) secondary traumatic stress 7) were apparent, though moderate compassion satisfaction 12) maintained. Scores helplessness 40) moral injury 19) at lower end respective scales. Younger age, absence formal training professional registration risk factors for poorer psychological outcomes. Most (95.0%) reported that impacted wellbeing, experienced multifarious occupational challenges, several which associated with distress. Specific included experiencing a COVID-19-related death workplace greater unpreparedness organisational Practical implications impacts workers extend beyond frontline healthcare. Further investigation distress through framework is needed. Formal mentoring, implementation strategies increase preparedness large-scale crises may prove fruitful mitigating this overlooked population. Originality/value To authors knowledge, first paper explore support needs, going forward, leaders.

Язык: Английский

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Moral injury and mental health outcomes in nurses: A systematic review

Nursing Ethics, Год журнала: 2024, Номер unknown

Опубликована: Сен. 25, 2024

Introduction: Moral injury involves the adverse psychological, biological, spiritual, behavioural, and social consequences of actions that violate moral values. It can lead to anxiety, depression, burnout, post-traumatic stress disorder. Nurses, who often face ethical dilemmas, are particularly vulnerable. Despite its significance, relationship between mental health outcomes in nurses remains underexplored. Aim: This systematic review aimed describe associations among injury, quality life nurses. Methods: The was registered PROSPERO (CRD42023438731) conducted following PRISMA guidelines. A literature search performed December 2023 across PubMed, CINAHL, Scopus, Web Science. Peer-reviewed primary research involving nurses, published English or Italian, without time restrictions, considered eligible. risk bias evidence were assessed using Joanna Briggs Institute checklist GRADE approach. Results: Out 4730 articles identified, eight met inclusion criteria. analysis revealed significant positive along with a negative association life. Conclusion: These findings highlight need for healthcare systems implement strategies mitigate Future should prioritize longitudinal studies explore causal relationships develop targeted interventions. Additionally, standardizing concept measurements is crucial enhancing comparability understanding this phenomenon.

Язык: Английский

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What Is Moral Injury?

Psychotherapy and Psychosomatics, Год журнала: 2024, Номер 93(6), С. 367 - 371

Опубликована: Авг. 29, 2024

Язык: Английский

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