Evidence map›Paper›PMID 34678091›Full record

ArticleJournal of palliative medicine2022

Moral Injury and Moral Resilience in Health Care Workers during COVID-19 Pandemic.

Cynda H Rushton, Tessy A Thomas, Inga M Antonsdottir, Katie E Nelson, Danielle Boyce, Anna Vioral, Deborah Swavely, Cathaleen D Ley, Ginger C Hanson

Open access · hybridAbstract read
In one paragraph

Article in Journal of palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
31.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
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  7. Review
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  10. Evaluating Nurse Conscientious Objection: Application of a Novel Framework.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026
    Article
  11. Article
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  15. Article
  16. Review
  17. Article
  18. Moral Injury and COVID-Related Stress Among Post-9/11 Veterans: Examining Longitudinal Associations.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Cynda H RushtonJohns Hopkins University School of Nursing, Berman Institute of Bioethics, Baltimore, Maryland, USA.
Tessy A ThomasDepartment of Pediatrics, Janet Weis Children's Hospital-Geisinger Medical Center, Danville, Pennsylvania, USA.
Inga M AntonsdottirJohns Hopkins University School of Nursing, Berman Institute of Bioethics, Baltimore, Maryland, USA.
Katie E NelsonJohns Hopkins University School of Nursing, Berman Institute of Bioethics, Baltimore, Maryland, USA.ORCID 0000-0002-0264-7292
Danielle BoyceJohns Hopkins University School of Nursing, Berman Institute of Bioethics, Baltimore, Maryland, USA.
Anna VioralDepartment of Nursing, Allegheny Health Network Cancer Institute, Pittsburgh, Pennsylvania, USA.
Deborah SwavelyDepartment of Nursing, Tower Health-Reading Hospital, West Reading, Pennsylvania, USA.
Cathaleen D LeyDepartment of Nursing, Luminis Health-Anne Arundel Medical Center, Annapolis, Maryland, USA.
Ginger C HansonJohns Hopkins University School of Nursing, Berman Institute of Bioethics, Baltimore, Maryland, USA.
Johns Hopkins Berman Institute of Bioethics · USAllegheny Health Network · USAnne Arundel Medical Center · USGeisinger Medical Center · USReading Hospital · US

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
NCATS NIH HHS UL1 TR003098
6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

Indexed as

COVID-19Stress Disorders, Post-TraumaticHealth PersonnelHumansMoralsPandemicsSARS-CoV-2COVID-19health care workermoral injurymoral resiliencespiritualitysurvey

Identifiers

PMID34678091
PMCPMC9081047
OpenAlexW3207712885

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.