Mediating Effect of Thriving from Work in the Relationship Between Moral Injury and Post-Traumatic Growth Among Healthcare Workers in China.

Qiuju Li, Zhupei Li, Guangyuan Li, Jun Liu, Harold G Koenig, Zhizhong Wang

Abstract read

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Article in Journal of religion and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Qiuju Li *Department of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, 560001, People's Republic of China.ORCID http://orcid.org/0009-0001-6767-1074

Zhupei Li *Department of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, 560001, People's Republic of China.ORCID http://orcid.org/0009-0001-2496-2672

Guangyuan LiDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, 560001, People's Republic of China.ORCID http://orcid.org/0009-0007-7473-0777

Jun LiuDepartment of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi, 56006, People's Republic of China.ORCID http://orcid.org/0000-0003-2198-2579

Harold G KoenigDepartments of Psychiatry and Medicine, Duke University Medical Center, Durham, NC, 27710, USA.ORCID http://orcid.org/0000-0003-2573-6121

Zhizhong WangDepartment of Health Sociology, School of Humanity and Management at Guangdong Medical University, Dongguan, 560001, People's Republic of China. wzhzh_lion@126.com.ORCID http://orcid.org/0000-0002-0612-3218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Moral injury (MI) and post-traumatic growth (PTG) are critical psychological outcomes for healthcare workers who are frequently exposed to ethically challenging and traumatic situations. Thriving from work (TFW), characterized by vitality and learning at work, is proposed as a key contextual resource linking these constructs. The current cross-sectional study examined the mediating role of TFW in the relationship between MI and PTG among 4685 Chinese healthcare workers with an overall response rate of 36%. Measures included the Moral Injury Symptoms Scale-Health Professional (MISS-HP), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Thriving from Work Questionnaire (TFWQ). Correlation and mediation analyses revealed that TFW fully mediated the MI-PTG relationship, accounting for 91.67% of the total effect. MI negatively affected PTG by impairing TFW, while greater TFW reduced MI's adverse effects on PTG. These findings help to explain how healthcare professionals adapt to trauma in healthcare settings and suggest practical pathways to help safeguard healthcare workers' mental health through organizational and individual interventions targeting TFW.

Indexed as

Healthcare workersMoral injuryPost-traumatic growthThriving from work

Identifiers

PMID41989653

DOI10.1016/j.cpr.2006.01.008

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.