SynthesisInternational journal of environmental research and public health2023
The Association of Moral Injury and Healthcare Clinicians' Wellbeing: A Systematic Review.
Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- NHS healthcare worker experiences of moral injury: a follow-up qualitative study in England using reflexive thematic analysis.BMJ open · 2026Article
- From equity to solidarity: how care and relationality transform the debate on justice in genomics.Journal of community genetics · 2026Article
- The Marginalization of Spiritual Dimensions in Nursing Moral Injury Research: A Bibliometric Analysis, 2018-2025.Journal of religion and health · 2026Article
- Moral injury severity profiles and their pathways to negative emotions in medical staff: the differential mediating role of emotion regulation.BMC psychology · 2026Article
- Exploring moral distress in research students in a paediatric humanitarian research setting: a qualitative study from the Mavrovouni closed controlled access center, Lesvos, Greece.BMC medical ethics · 2026Article
- Fostering Spiritually Supportive Work Environments in Healthcare: Leadership Recommendations From a Narrative Review.Journal of nursing management · 2026Review
- In harm's way: moral injury and the erosion of trust for emergency responders in the United Kingdom.European journal of psychotraumatology · 2025Article
- Exploration of Nurses' Experiences Related to Moral Injury: A Reflexive Thematic Analysis of Nurse Interviews.Journal of advanced nursing · 2025Article
- Moral sensitivity and professional quality of life in EMS personnel: a cross-sectional multicenter study.BMC emergency medicine · 2025Article
- A multi-institutional multi-methods analysis of jeopardy systems in academic hospital medicine.Journal of hospital medicine · 2025Article
- Realist evaluation of factors affecting the retention of the mental health workforce: building a realist programme theory.BMJ open · 2025Article
- Supervision, Moral Distress and Moral Injury Within Palliative Care-A Qualitative Study.International journal of environmental research and public health · 2025Article
- Understanding moral injury and its predictors among Chinese physicians.BMC health services research · 2025Article
- Performance-Based Reimbursement, Illegitimate Tasks, Moral Distress, and Quality Care in Primary Care: A Mediation Model of Longitudinal Data.Annals of family medicine · 2025Article
- Moral transgressions, psychological well-being, and family conflict in the context of the COVID-19 pandemic: The role of self-forgiveness.BMC psychology · 2025Article
- Barriers and facilitators to implementation of interventions to mitigate moral injury among nurses.Frontiers in health services · 2025Article
- The positive effect of perceived social support and moral resilience between moral injury and health-related productivity loss among emergency nurses.Frontiers in public health · 2025Article
- Article
- System-based strategies for mitigating burnout in radiology.Emergency radiology · 2024Article
- General practitioner and nurse experiences of type 2 diabetes management and prescribing in primary care: a qualitative review following the introduction of funded SGLT2i/GLP1RA medications in Aotearoa New Zealand.Primary health care research & development · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Research focused on elucidating moral injury amongst healthcare workers (HCWs) is essential due to the deep connection with morality and individuals' overall wellbeing. Examining moral injury provides an avenue through which researchers can connect individual experiences with systemic level causes (i.e., structural power imbalances between clinicians and health systems) to better study workplace wellbeing. The omnipresence of the COVID-19 pandemic has amplified the need to study moral injury. This paper describes a systematic review conducted using PRISMA-P guidelines to answer the question, "what is the association between moral injury and professional wellbeing and mental health amongst healthcare workers." Twelve databases were searched to identify specified studies. This study's criteria included: (1) articles published through December 2022; (2) qualitative and quantitative empirical studies; (3) articles written in English; (4) articles including moral injury; and (5) articles including at minimum one other measure of professional or personal wellbeing. The initial search produced 248 articles, and 18 articles were ultimately included in the final review. To confirm that no articles were left out of this study, the first author of each included article was contacted to inquire about any additional works that met the inclusion criteria of this study. The elements of the 18 included articles described in this review are discussed. The results indicate that moral injury is associated with both professional wellbeing factors and mental health outcomes. Further theoretical development, including (professional- and identity-based) exploratory research on moral injury, and evidenced-based interventions for moral injury are needed.
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