ArticleHealthcare (Basel, Switzerland)2025
Burnout and Moral Injury in Healthcare Workers: An Observational Study in a Romanian Chronic Care Hospital.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Occupational Moral Injury and Professional Quality of Life Among a Group of Greek Nurses: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- The Effects of Occupational Stress and Stress Management on the Performance of Frontline Healthcare Service Workers.Healthcare (Basel, Switzerland) · 2026Article
- Moral injury and influencing factors among palliative care nurses : a cross-sectional study.BMC palliative care · 2026Article
- Assessing Primary Care Physicians' Readiness for AI-Based Adaptive Learning: Perceptions, Barriers, and Learning Needs in Northern Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Psychological and Physiological Assessment of Distress Among Public Healthcare Workers During Pandemic Control Efforts.Healthcare (Basel, Switzerland) · 2026Article
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8 authors.
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Abstract
BACKGROUND/
objectivesHealthcare workers in chronic care hospitals are vulnerable to psychosocial risks such as burnout and moral injury due to prolonged patient exposure and limited institutional support. This study assessed the prevalence of burnout and moral injury among staff at the Chronic Diseases Hospital of Sebiș, Romania, and examined their associations with perceived stress and managerial support.
methodsA cross-sectional study was conducted between October 2022 and October 2024, including 62 healthcare workers (physicians, nurses, and auxiliary staff). Participants completed a sociodemographic survey, the Maslach Burnout Inventory (MBI), the Moral Injury Symptom Scale-Health Professional (MISS-HP), and additional items on perceived stress and institutional support. Statistical analysis included descriptive statistics, group comparisons, correlation matrices, and logistic regression.
resultsHigh emotional exhaustion (MBI-EE ≥ 27) was reported by 45.2% of participants, with the highest rates among nurses (50%) and auxiliary staff (45.5%). Mean moral injury scores were moderate (mean = 5.3), with elevated levels observed in nurses and auxiliary staff. Pearson correlation analysis revealed no strong linear associations between burnout dimensions and moral injury. Logistic regression did not identify emotional exhaustion, perceived stress, or support as significant predictors of high moral injury.
conclusionsBurnout and moral injury are prevalent but appear to be partially dissociated in this Romanian chronic care setting. Moral injury may arise from contextual ethical pressures beyond general occupational strain. Interventions should focus on ethical climate, institutional responsiveness, and peer-based moral support to enhance staff resilience.
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