ArticleBJPsych open2021
Spirituality, moral injury and mental health among Chinese health professionals.
Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Indicators associated with job morale of physicians in low- and middle-income countries during the COVID- 19 pandemic: a systematic review and meta-analysis.BMC health services research · 2025Pooled it
- The Association of Moral Injury and Healthcare Clinicians' Wellbeing: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Moral injury and influencing factors among palliative care nurses : a cross-sectional study.BMC palliative care · 2026Article
- Moral Injury Among Medical Personnel and First Responders Across Different Healthcare and Emergency Response Settings: A Narrative Review.International journal of environmental research and public health · 2025Review
- Spiritual Health and Psychological Distress Among Hong Kong Community Lay Leaders.Behavioral sciences (Basel, Switzerland) · 2024Article
- The Effects of the Spiritual Well-Being Levels of Surgical Nurses on Care Satisfaction in Liver Transplant Recipients After Transplantation: The Case of a Turkish Sample.Journal of religion and health · 2024Article
- Coping, Supports and Moral Injury: Spiritual Well-Being and Organizational Support Are Associated with Reduced Moral Injury in Canadian Healthcare Providers during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Influence of spirituality on moral distress and resilience in critical care staff: A scoping review.Intensive & critical care nursing · 2023Article
- Critical Care Providers' Moral Distress: Frequency, Burden, and Potential Resources.International journal of environmental research and public health · 2022Article
- Differences in Attitudes toward Mental Health among Boys from Religious and Non-religious Families Experiencing Religious and Secular Education.Psychology in Russia : state of the art · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundMoral injury has been found to be prevalent among healthcare professionals during the COVID-19 public health crisis.
aimsThe present study examines the relationship between spirituality, moral injury, and mental health among physicians and nurses in mainland China during the COVID-19 pandemic.
methodAn online cross-sectional study was conducted involving 3006 physicians and nurses in mainland China, where the COVID-19 pandemic has caused high rates of hospital admission and death. The Moral Injury Symptoms Scale-Health Professional was administered, along with measures of mental health and spirituality. Hierarchical linear regression modelling was used to examine the mediating and moderating role of moral injury in the relationship between spirituality and mental health.
resultsSpirituality was positively correlated with moral injury (β = 2.41,
conclusionsAlthough they were the findings of a cross-sectional study, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom spirituality was somewhat important. Future longitudinal studies are needed to determine the causal nature of these relationships.
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