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  1. Self-care strategies in response to nurses’ moral injury during COVID-19 pandemic.Fahmida Hossain & Ariel Clatty - 2021 - Nursing Ethics 28 (1):23-32.
    These are strange and unprecedented times in the wake of the COVID-19 pandemic. Most frontline healthcare professionals have never witnessed anything like this before. As a result, staff may experience numerous and continuous traumatic events, which in many instances, will negatively affect their psychological well-being. Particularly, nurses face extraordinary challenges in response to shifting protocols, triage, shortages of resources, and the astonishing numbers of patients who require care in expedited time constraints. As most healthcare workers are passionate nursing professionals, frustration (...)
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  • Compromised Conscience: A Scoping Review of Moral Injury Among Firefighters, Paramedics, and Police Officers.Liana M. Lentz, Lorraine Smith-MacDonald, David Malloy, R. Nicholas Carleton & Suzette Brémault-Phillips - 2021 - Frontiers in Psychology 12.
    BackgroundPublic Safety Personnel are routinely exposed to human suffering and need to make quick, morally challenging decisions. Such decisions can affect their psychological wellbeing. Participating in or observing an event or situation that conflicts with personal values can potentially lead to the development of moral injury. Common stressors associated with moral injury include betrayal, inability to prevent death or harm, and ethical dilemmas. Potentially psychologically traumatic event exposures and post-traumatic stress disorder can be comorbid with moral injury; however, moral injury (...)
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  • ‘Healthcare Heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic.Caitríona L. Cox - 2020 - Journal of Medical Ethics 46 (8):510-513.
    During the COVID-19 pandemic, the media have repeatedly praised healthcare workers for their ‘heroic’ work. Although this gratitude is undoubtedly appreciated by many, we must be cautious about overuse of the term ‘hero’ in such discussions. The challenges currently faced by healthcare workers are substantially greater than those encountered in their normal work, and it is understandable that the language of heroism has been evoked to praise them for their actions. Yet such language can have potentially negative consequences. Here, I (...)
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  • Moral Aspects of “Moral Injury”: Analyzing Conceptualizations on the Role of Morality in Military Trauma.Tine Molendijk, Eric-Hans Kramer & Désirée Verweij - 2018 - Journal of Military Ethics 17 (1):36-53.
    ABSTRACTIn clinical circles, the concept of “moral injury” has rapidly gained traction. Yet, from a moral philosophical point of view the concept is less clear than is suggested. That is, in current conceptualizations of moral injury, trauma’s moral dimension seems to be understood in a rather mechanistic and individualized manner. This article makes a start in developing an adequately founded conceptualization of the role of morality in deployment-related distress. It does so by reviewing and synthesizing insights from different disciplines into (...)
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  • Moral Injury: Contextualized Care.Keith G. Meador & Jason A. Nieuwsma - 2018 - Journal of Medical Humanities 39 (1):93-99.
    Amidst the return of military personnel from post-9/11 conflicts, a construct describing the readjustment challenges of some has received increasing attention: moral injury. This term has been variably defined with mental health professionals more recently conceiving of it as a transgression of moral beliefs and expectations that are witnessed, perpetrated, or allowed by the individual. To the extent that morality is a system of conceptualizing right and wrong, individuals’ moral systems are in large measure developmentally and socially derived and interpreted. (...)
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  • Combat Trauma and Moral Fragmentation: A Theological Account of Moral Injury.Warren Kinghorn - 2012 - Journal of the Society of Christian Ethics 32 (2):57-74.
    Moral injury, the experience of having acted incommensurably with one's most deeply held moral conceptions, is increasingly recognized by the mental health disciplines to be associated with postcombat traumatic stress. In this essay I argue that moral injury is an important and useful clinical construct but that the phenomenon of moral injury beckons beyond the structural constraints of contemporary psychology toward something like moral theology. This something, embodied in specific communal practices, can rescue moral injury from the medical model and (...)
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  • Moral distress in health care: when is it fitting?Lisa Tessman - 2020 - Medicine, Health Care and Philosophy 23 (2):165-177.
    Nurses and other medical practitioners often experience moral distress: they feel an anguished sense of responsibility for what they take to be their own moral failures, even when those failures were unavoidable. However, in such cases other people do not tend to think it is right to hold them responsible. This is an interesting mismatch of reactions. It might seem that the mismatch should be remedied by assuring the practitioner that they are not responsible, but I argue that this denies (...)
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  • Mapping Moral Injury: Comparing Discourses of Moral Harm.Joseph Wiinikka-Lydon - 2019 - Journal of Medicine and Philosophy 44 (2):175-191.
    Moral injury is a term whose popularity has grown in psychology and psychiatry, as well as philosophy, over the last several years. This presents challenges, because these fields use the term in different ways and draw their understanding from different sources, creating the potential for contradiction. This, however, is also an opportunity. Comparison between behavioral sciences and philosophy can help enrich understandings of harms considered not just psychological but moral. To this end, I provide an overview of the more influential (...)
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  • Challenging the Hegemony of the Symptom: Reclaiming Context in PTSD and Moral Injury.Warren Kinghorn - 2020 - Journal of Medicine and Philosophy 45 (6):644-662.
    Although post-traumatic stress disorder is now constituted by a set of characteristic symptoms, its roots lie in Post-Vietnam Syndrome, a label generated by a Vietnam-era advocacy movement that focused not on symptoms but on war’s traumatic context. When Post-Vietnam Syndrome was subsumed into the abstract, individualistic, symptom-centered language of DSM-III and rendered as PTSD, it not only lost this focus on context but also neglected the experiences of veterans who suffer from things done or witnessed, not primarily from what was (...)
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