Evidence map›Paper›PMID 42533962›Full record

ArticleJournal of military, veteran and family health2023

Identifying potentially morally injurious events from the Veteran perspective: A qualitative descriptive study.

Heather A King, Kathleen R Perry, Stephanie Ferguson, Bret L Hicken, George L Jackson, Chanee Lynch, Sandra L Woolson, Jennifer H Wortmann, Jason A Nieuwsma, Kimber J Parry

Abstract read
In one paragraph

Article in Journal of military, veteran and family health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Heather A KingCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, United States.
Kathleen R PerryVagelos College of Physicians & Surgeons, Columbia University, New York, New York, United States.
Stephanie FergusonHematology-Oncology Research, Durham VA Health Care System, Durham, North Carolina, United States.
Bret L HickenVeterans Rural Health Resource Center-Salt Lake City, U.S. Department of Veterans Affairs, Salt Lake City, Utah, United States.
George L JacksonCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, United States.
Chanee LynchCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, United States.
Sandra L WoolsonCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, United States.
Jennifer H WortmannDepartment of Veterans Affairs, Durham, North Carolina, United States.
Jason A NieuwsmaSchool of Medicine, Duke University, Durham, North Carolina, United States.
Kimber J ParryVeterans Rural Health Resource Center-Salt Lake City, U.S. Department of Veterans Affairs, Salt Lake City, Utah, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Current conceptualizations of potentially morally injurious events (PMIEs) emphasize war atrocities. However, additional research on the breadth of PMIEs could inform provision of patient-centred care for those experiencing moral injury. This study sought to gain a more in-depth understanding of Veterans' experiences surrounding PMIEs. Methods: Semi-structured, in-depth individual interviews were conducted with 32 Veterans who agreed or strongly agreed that they witnessed, did not stop (despite believing they could have), did things they felt were morally wrong during their time in a war zone, or any combination of these. Participants were asked what is important to know about such events and probed to describe the events in whatever level of detail they felt comfortable. Applied thematic analysis was used to code and analyze the data, including structural and content coding. Coding discrepancies were resolved by mutual consensus. Results: In addition to war atrocities, analyses revealed types of events that may be overlooked as potentially morally injurious but that were salient to Veterans: 1) fraud, waste, and abuse, 2) animal cruelty, 3) bullying and reputation smearing, 4) infidelity, 5) racism and sexism, 6) morally abhorrent practices, and 7) events outside the military. Veterans also reported and described multiple events at once or over time given multiple deployments and time in service rather than identifying a single specific PMIE. Discussion: The field would benefit from an operationalization of PMIEs not only grounded in empirical data and meaningful to clinicians but that also accounts for the perspectives of the Veterans who experienced PMIEs.

Indexed as

militarymoral injurymoralitypatient-centred carePMIEspotentially morally injurious eventsqualitativequalitative research methodsVeterans

Identifiers

PMID42533962
PMCPMC13293132

What OpenQuestion holds

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Registered trials

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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.