ArticleFrontiers in health services2022
Moral Injury Among Frontline Long-Term Care Staff and Management During the COVID-19 Pandemic.
Article in Frontiers in health services, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Routinized violence: examining long-term residential care workers' perspectives on involuntary treatment.The Gerontologist · 2026Article
- Complicity in Moral Injury: A Study of Moral Phenomena in Healthcare Work Settings.Journal of healthcare leadership · 2026Article
- Challenges Facing Canadian Long-Term Care Homes and Retirement Homes During the COVID-19 Pandemic.Canadian geriatrics journal : CGJ · 2025Article
- "If we survive this, we'll make it through anything" - Exploration of the COVID-19 pandemic from the perspective of nursing home staff in Hesse, Germany.BMC nursing · 2025Article
- Deployed in Disaster: Perspectives of Personnel Deployed in Ontario Long-Term Care During the Pandemic.International nursing review · 2025Article
- Barriers and facilitators to implementation of interventions to mitigate moral injury among nurses.Frontiers in health services · 2025Article
- Behind the Frontlines: Insights for Supporting Mental Health and Staff Retention in the Long-Term Care Workforce.Healthcare (Basel, Switzerland) · 2024Article
- A pilot study on improvements in attention function in major depressive disorder after 12 weeks of escitalopram monotherapy or combined treatment with agomelatine.Frontiers in psychiatry · 2023Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A growing body of research highlights the experiences of moral injury among healthcare professionals during the COVID-19 pandemic. Moral injury (i.e., participating in or witnessing acts that violate one's central moral values), is associated with a host of psychological sequelae and corresponding negative psychosocial impacts. There is a lack of research examining the experiences of moral injury among those working in long-term care settings during the COVID-19 pandemic. Given the drastic impact that the COVID-19 pandemic has had on long-term care facilities in Canada, it is important to understand the experiences of moral injury among those working in long-term care settings to inform the development of effective prevention and intervention strategies. Objectives & Method: The objectives of this study were to understand the experiences and impact of moral injury among Canadian frontline long-term care workers (staff and management) during the COVID-19 pandemic. Participants ( Findings: The core category of our qualitative grounded theory model of moral injury in long-term care exemplified four shared types of morally injurious experiences, paired with cognitive, affective, and physiological symptom domains. Seven associated main themes emerged, contributing to the experiences and impact of moral injury in long-term care: 1) Beliefs about older adults and long-term care; 2) Interpretation of morally injurious experiences; 3) Management of morally injurious experiences; 4) Long-term care pandemic impacts; 5) Personal pandemic impacts; 6) Structural impacts in long-term care; and 7) Mental health needs and supports. Clinical assessments demonstrated anxiety disorders ( Conclusions: This is the first Canadian study to examine the experiences and impact of moral injury in long-term care during the COVID-19 pandemic using qualitative and clinical diagnostic methodologies. Implications and insights for screening and intervention are offered.
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