Moral Injury Is Similar in Healthcare Workers and Veterans

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Moral Injury Is Similar in Healthcare Workers and Veterans
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Here's one unexpected way the pandemic has wreaked havoc on the mental health of doctors, nurses, and other health care professionals, writes WmHaseltine

Further research into how moral injury affects other professions and the general population, as well as how it can be measured in a clinical setting is sorely needed. The current definition of moral injury is limited to the experiencing of a violation of morals andin one’s profession. Yet many members of the public feel a deep sense of betrayal by the governments and public health authorities who failed to protect them from the worst effects of the virus.

For this study, veterans were asked about moral experiences in the context of their military service, and health care workers were asked about their experiences during Covid-19. The potential moral injury was assessed in two categories: other-induced and self-induced. The overall prevalence rates of potential moral injury were similar across samples, with veterans endorsing other-induced potential moral injury slightly less often than HCWs and self-induced PMI slightly more often.

The findings show that 46 percent of veterans and 51 percent of healthcare workers indicated being troubled by others’ immoral behavior, whereas 24 percent of veterans and 18 percent of healthcare workers indicated being troubled by violating their own morals and values. Both healthcare workers and veterans self-reported significantly higher levels ofHealth care workers cited a number of experiences that conflicted with their morals.

Doctors and nurses have felt a deep sense of betrayal and hypocrisy from the public during the pandemic. Public tributes such as the nightly cheering and clapping and other signals of hero-worship were juxtaposed with a refusal to wear masks, get vaccinated to relieve the burden on health systems, and take other key public health precautions.

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