ArticleScientific reports2024
Burnout and turnover risks for healthcare workers in the United States: downstream effects from moral injury exposure.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- How Graduate Programs Develop and Sustain Practicum Sites for Behavioral Health Trainees: A Mixed Methods Study.The journal of behavioral health services & research · 2026Article
- Actions Reported by Physicians With Large Improvements in Burnout and Professional Fulfillment.JAMA network open · 2026Article
- Healing from the Heart: A Burnout Prevention and Resilience Curriculum Innovation for Health Professionals in Underserved Areas.Healthcare (Basel, Switzerland) · 2026Article
- Associations of Health Care System Deficiency-Related Patient Deterioration With Burnout, Depressive Symptoms, and Sleep Problems Among Emergency Medical Service Providers: Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- The Marginalization of Spiritual Dimensions in Nursing Moral Injury Research: A Bibliometric Analysis, 2018-2025.Journal of religion and health · 2026Article
- Structural tensions between health policy and medical ethics: a qualitative study of physicians' experiences under Türkiye's health transformation programme.BMC medical ethics · 2026Article
- Physician Intent to Reduce Hours and Intent to Leave Organizations.JAMA network open · 2026Article
- Factors associated with the chronicization of psychological responses and intention to stay among nurses 18 months after the 2024 Noto Peninsula earthquake: a cross-sectional study.BMC public health · 2026Article
- Moral Distress and Occupational Burnout in US Physicians.JAMA network open · 2026Article
- The current state of acute care surgery workforce and practice models: A joint statement by the American Association for the Surgery of Trauma, the American College of Surgeons Committee on Trauma, the Eastern Association for the Surgery of Trauma, and the Western Trauma Association.The journal of trauma and acute care surgery · 2026Article
- Which Is More Influential in University Teachers: Work Interfering with Family or Family Interfering with Work? A Network Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- Validity and Reliability of the Korean Version of the Rushton Moral Resilience Scale-16™ in Nurses.Healthcare (Basel, Switzerland) · 2026Article
- Stress in hospital nurses: association between coping strategies and sociodemographic and occupational variables.Revista brasileira de enfermagem · 2026Article
- From Burnout to Resilience: Addressing Moral Injury in Nursing Through Organizational Innovation in the Post-Pandemic Era.Healthcare (Basel, Switzerland) · 2025Review
- Burnout and Moral Injury in Healthcare Workers: An Observational Study in a Romanian Chronic Care Hospital.Healthcare (Basel, Switzerland) · 2025Article
- Burnout and stress: new insights and interventions.Scientific reports · 2025Article
- Building Social Support and Moral Healing on Nursing Units: Design and Implementation of a Culture Change Intervention.Behavioral sciences (Basel, Switzerland) · 2024Article
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Moral injury has emerged as a construct of interest in healthcare workers' (HCW) occupational stress and health. We conducted one of the first multidisciplinary, longitudinal studies evaluating the relationship between exposure to potentially morally injurious events (PMIEs), burnout, and turnover intentions. HCWs (N = 473) completed surveys in May of 2020 (T1) and again in May of 2021 (T2). Generalized Linear Models (robust Poisson regression) were used to test relative risk of turnover intentions, and burnout at T2 associated with PMIE exposure, controlling for T1 covariates. At T1, 17.67% reported they had participated in a PMIE, 41.44% reported they witnessed a PMIE and 76.61% reported feeling betrayed by healthcare or a public health organization. In models including all T1 PMIE exposures and covariates, T2 turnover intentions were increased for those who witnessed a PMIE at T1 (Relative Risk [RR] = 1.66, 95% Confidence Interval [CI] 1.17-2.34) but not those that participated or felt betrayed. T2 burnout was increased for those who participated in PMIE at T1 (RR = 1.38, 95%CI 1.03-1.85) but not those that witnessed or felt betrayed. PMIE exposure is highly prevalent among HCWs, with specific PMIEs associated with turnover intentions and burnout. Organizational interventions to reduce and facilitate recovery from moral injury should account for differences in the type of PMIE exposures that occur in healthcare work environments.
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