ArticleBJA open2026
Not all invisible wounds cause moral injury.
Article in BJA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Moral injury, and stakes-dependent invisibility commonly arise from system issues and can lead to profound emotional distress, including feelings of shame and betrayal, but both are often disregarded by institutions. Stakes-dependent invisibility highlights the lack of power, the lack of perceived recognition of one's contribution, and the lack of a voice, resulting in the failure to meet the individual's needs. The mechanism of harm behind moral injury, however, is distinctively different: moral injury goes much deeper, focusing on the internal psychological and ethical damage caused by powerlessness or by actions taken or experienced, which are in direct conflict with the person's own moral compass, violating their own conscience.
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Registered trials
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.