Moral Injury Resources

COVID-19 RESOURCES

Videos

• Moral Injury in Medical Workers During COVID-19 (Video)

Links

• VOA | ReST (Resilience Strength Time) – online, peer-facilitated support program for caregivers
• Moral Injury in Health Care Workers – VA National Center for PTSD
• Helpful Thinking During the Coronavirus (COVID-19) Outbreak – VA National Center for PTSD
• Tips for Providing Support to Others During the Coronavirus (COVID-19) Outbreak – VA National Center for PTSD
• Resources for Chaplains During COVID - Chaplaincy Innovation Lab
• Physician Burnout & Moral Injury: The Hidden Health Care Crisis – Infographic by The National Institute for Health Care Management (NIHCM) Foundation

Webinars

• Moral Resilience for Medical Workers During COVID-10 (accompanying information handout)
• Moral Resilience for Nurses During COVID-19
• Moral Resilience in Pastoral Care Workers During COVID-19
• Moral Resilience for Spiritual Leaders During COVID-19
• Moral Resilience for Social Care Workers During COVID-19
• Moral Resilience for Criminal Justice Workers During COVID-19

Books

• Wyatt, Evans R.; Walser, Robyn D.; Drescher, Kent D; and Farnsworth, Jacob K. (2020). The Moral Injury Workbook: Acceptance and Commitment Therapy Skills for Moving Beyond Shame, Anger, and Trauma to Reclaim Your Values. Oakland: New Harbinger Publications.

Articles

• Ross, India (Mar. 24, 2021). ‘I just feel broken’: doctors, mental health and the pandemic. Financial Times.
• Iskowitz, Marc (Feb. 23, 2021). ‘Don’t clap. Just don’t make me treat you.’ McCann study reveals comparative shift in doctors’ emotional state. Medical Marketing and Media.
• Jacobs, Andrew (Feb. 4, 2021). A Parallel Pandemic Hits Health Care Workers: Trauma and Exhaustion. The New York Times.
• Karlamangla, Soumya (Feb. 3, 2021). ‘I was just bawling in my PPE’: Surge fades, but anguish remains for healthcare workers. Los Angeles Times.
• Doheny, Kathleen (Feb. 1, 2021). Moral Injury: Pandemic’s Fallout for Health Care Workers. WebMD.
• Lesley, Marsha (2021). Psychoanalytic Perspectives on Moral Injury in Nurses on the Frontlines of the COVID-19 Pandemic. Journal of the American Psychiatric Nurses Association, 27(1), 72–76. DOI: 10.1177/1078390320960535.
• National Nurses United (Dec. 8, 2020). Nurses caring for Covid-19 patients are at high risk for moral injury due to betrayal by health care employers and public health and safety agencies. Press Release (link to white paper).
• Jeffrey, James (Jun. 23, 2020). Beyond the Battlefield: Moral Injury and the Pandemic. The Humanist.

Journal Articles

• Vittone, Sarah and Sotomayor, Claudia R. (2021). Moral Distress Entangled: Patients and Providers in the COVID-19 Era. HEC Forum. DOI: 10.1007/s10730-021-09450-y.
• Akram, Faisal (2021). Moral Injury and the COVID-19 Pandemic: A Philosophical Viewpoint. Ethics, Medicine and Public Health, pre proof March 24, 2021. DOI: 10.1016/j.jemep.2021.100661.
• Rushton, Cynda Hylton; Turner, Kathleen; Brock, Rita Nakashima; Braxton, Joanne M. (2021). Invisible Moral Wounds of the COVID-19 Pandemic: Are We Experiencing Moral Injury? AACN Advanced Critical Care, 32 (1), 119-125. DOI: 10.4037/aacnacc2021686.
• Mollica, Richard F.; Fernando, Denali B.; and Augusterfer, Eugene F. (2021). Beyond Burnout: Responding to the COVID-19 Pandemic Challenges to Self-care. Current Psychiatry Reports, 23 (2). DOI: 10.1007/s11920-021-01230-2.
• Resnick, Kimberly S. and Fins, Joseph J. (2021). Professionalism and Resilience After COVID-19. Academic Psychiatry. DOI:10.1007/s40596-021-01416-z.
• Patterson, Jo E.; Edwards, Todd M.; Griffith, James L.; and Wright, Sarah (2021). Moral distress of medical family therapists and their physician colleagues during the transition to COVID-19. Journal of Marital and Family Therapy, advance online publication. DOI: 10.1111/jmft.12504.
• Greiner, Rachel M.B. (2021). The Cost of Safety During a Pandemic. HEC Forum, published online March 6, 2021. DOI: 10.1007/s10730-020-09438-0.
• Hennein, Rachel; Mew, Emma J.; and Lowe, Sarah R. (2021). Socio-ecological predictors of mental health outcomes among healthcare workers during the COVID-19 pandemic in the United States. PLOS ONE, 16(2). DOI: 10.1371/journal.pone.0246602.
• Bindu, Menon; Narayan, Sunil K.; and Bhade, Sushruth (2021). COVID-19, Moral Injury and the Bhagvad Gita. Journal of Religion and Health, online ahead of print. DOI: 10.1007/s10943-021-01210-z
• Franklin, Paula and Gkiouleka, Anna (2021). A Scoping Review of Psychosocial Risks to Health Workers During the Covid-19 Pandemic. International Journal of Environmental Research and Public Health, 18(5), 2453. DOO: 10.3390/ ijerph18052453.
• Gaitens, Joanna; Condon, Marian; Fernandes, Eseosa; and McDiarmid, Melissa (2021). COVID-19 and Essential Workers: A Narrative Review of Health Outcomes and Moral Injury. International Journal of Environmental Research and Public Health, 18(4), 1446. DOI: 10.3390/ijerph18041446.
• Hines, Stella E.; Chin, Katherine H.; Glick, Danielle R.; and Wickwire, Emerson M. (2021). Trends in Moral Injury, Distress, and Resilience Factors among Healthcare Workers at the Beginning of the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18(2), 488. DOI: 10.3390/ijerph18020488.
• Cairns, Kimberley (2021). Mental health and moral injury among nurses: practical self-compassionate care to alleviate the psychological impact of COVID-19. Journal of Aesthetic Nursing 10(1), 24-27. DOI: 10.12968/joan.2021.10.1.24.
• Mantri, Sneha; Lawson, Jennifer M.; Wang, ZhiZhong; and Koenig, Harold G. (2020). Identifying Moral Injury in Healthcare Professionals: The Moral Injury Symptom Scale-HP. Journal of Religion and Health, 59(5), 2323-2340. DOI: 10.1007/s10943-020-01065-w.
• Maguen, Shira; Price, Matt A. (2020). Moral injury in the wake of coronavirus: Attending to the psychological impact of the pandemic. Psychological Trauma, 12(S1), 131-132. DOI: 10.1037/tra0000780.
• Greene, Talya; Bloomfield, Michael A.P.; Billings, Jo (2020). Psychological trauma and moral injury in religious leaders during COVID-19. Psychological Trauma, 12(S1), 143-145. DOI: 10.1037/tra0000641.
• Haller, Moira; Norman, Sonya B.; Davis, Brittany, C.; Capone, Christy; Browne, Kendall; Allard, Carolyn B. (2020) A model for treating COVID-19-related guilt, shame, and moral injury. Psychological Trauma, 12(S1), 174-176. DOI: 10.1037/tra0000742.
• Borges, Lauren M.; Barnes, Sean M.; Farnsworth, Jacob K.; Drescher, Kent D.; Walser, Robyn D. (2020). A contextual behavioral approach for responding to moral dilemmas in the age of COVID-19. Journal of Contextual Behavioral Science, 17, 95-101. DOI: 10.1016/j.jcbs.2020.06.006.
• Cockell, Nell (2020). COVID-19 and Grief : A Chaplain’s Reflection on the Experience of Supporting Bereaved Parents and Widows in Lockdown. Health and Social Care Chaplaincy, 8(2), 251-264. DOI: 10.1558/hscc.41757.
• Morley, Georgina; Denise Sese, Denise; Rajendram, Prabalini; and Horsburgh, Cristie C. (2020). Addressing Caregiver Moral Distress During the COVID-19 Pandemic. Cleveland Clinic Journal of Medicine, published online ahead of print, 2020 Jun 9. DOI: 10.3949/ccjm.87a.ccc047.
• Borges, Laruen M.; Barnes, Sean M.; Farnsworth, Jacob K.; Bahraini, Nazanin H.; and Brenner, Lisa A. (2020). A Commentary on Moral Injury Among Health Care Providers During the COVID-19 Pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S138–S140. https://doi.org/10.1037/tra0000698.
• Williamson, Victoria; Murphy, Dominic; and Greenberg, Neil (2020). COVID-19 and experiences of moral injury in front-line key workers. Occupational Medicine, 70(5), 317-319. DOI: 10.1093/occmed/kqaa052.
• Dean, Wendy; Jacobs, Breanne; and Manfredi, Rita A. (2020). Moral Injury: The Invisible Epidemic in COVID Health Care Workers. Annals of Emergency Medicine, 76(4), 385–386. DOI: 10.1016/j.annemergmed.2020.05.023.
• Williams, Roger D.; Brundage, Jessica A.; and Williams, Erin B. (2020). Moral Injury in Times of COVID-19. Journal of Health Service Psychology, 1-5. Advance online publication. DOI: 10.1007/s42843-020-00011-4.
• Walton, Matthew; Murray, Esther; and Christian, Michael D. (2020). Mental health care for medical and affiliated healthcare workers during the COVID-19 pandemic. European Health Journal. Acute Cardiovascular Care, 9(3), 241-247. DOI: 10.1177/2048872620922795.