Military moral injury: A concept analysis.

Jamieson, N; Maple, M; Ratnarajah, D; Usher, K

Military moral injury: A concept analysis.

Jamieson, N Maple, M Ratnarajah, D Usher, K

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: International journal of mental health nursing, 2020, 29, (6), pp. 1049-1066
Issue Date:: 2020-12

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Field	Value	Language
dc.contributor.author	Jamieson, N
dc.contributor.author	Maple, M
dc.contributor.author	Ratnarajah, D
dc.contributor.author	Usher, K https://orcid.org/0000-0002-9686-5003
dc.date.accessioned	2021-04-27T03:09:42Z
dc.date.available	2020-09-04
dc.date.available	2021-04-27T03:09:42Z
dc.date.issued	2020-12
dc.identifier.citation	International journal of mental health nursing, 2020, 29, (6), pp. 1049-1066
dc.identifier.issn	1445-8330
dc.identifier.issn	1447-0349
dc.identifier.uri	http://hdl.handle.net/10453/148415
dc.description.abstract	Moral injury is the current term describing the breaching or violation of one's moral code and has gained international research attention due to suicide linkages in military populations (Jamieson et al., Invisible wounds and suicide: Moral injury and veteran mental health. International Journal of Mental Health Nursing, 29, 105-109, 2020). Moral injury's core features are spiritual/existential conflict, shame, guilt and self-condemnation. To date, research focuses on the core features of moral injury and or the nature of events that exposed individuals to moral injury. Walker and Avant (Strategies for Theory Construction in Nursing, Prentice Hall New York, 2011) concept analysis model was used to examine the literature. The aim of this study is to enhance understanding of the defining attributes, antecedents, consequences and empirical referents of moral injury and systematically analyse the concept of moral injury in the context of military members. A literature search was undertaken using specific websites and journals, electronic databases, library catalogues and hand-searches. Concept analysis was used to explicate moral injury, focusing exclusively on use of the concept in the included literature, comparing the terms used over time and across disciplines, and measurement tools for the concept. This concept analysis provides a renewed definition of moral injury in relation to the experience of veterans - 'moral trauma' and defined as: 'the existential, psychological, emotional and or spiritual trauma arising from a conflict, violation or betrayal, either by omission or commission, of or within one's moral beliefs or code(s)'. The analysis will facilitate understanding and operationalization of the concept applied to teaching, learning, practice and research.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	International journal of mental health nursing
dc.relation.isbasedon	10.1111/inm.12792
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.title	Military moral injury: A concept analysis.
dc.type	Journal Article
utslib.citation.volume	29
utslib.location.activity	Australia
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-04-27T03:09:41Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	6

Abstract:

Moral injury is the current term describing the breaching or violation of one's moral code and has gained international research attention due to suicide linkages in military populations (Jamieson et al., Invisible wounds and suicide: Moral injury and veteran mental health. International Journal of Mental Health Nursing, 29, 105-109, 2020). Moral injury's core features are spiritual/existential conflict, shame, guilt and self-condemnation. To date, research focuses on the core features of moral injury and or the nature of events that exposed individuals to moral injury. Walker and Avant (Strategies for Theory Construction in Nursing, Prentice Hall New York, 2011) concept analysis model was used to examine the literature. The aim of this study is to enhance understanding of the defining attributes, antecedents, consequences and empirical referents of moral injury and systematically analyse the concept of moral injury in the context of military members. A literature search was undertaken using specific websites and journals, electronic databases, library catalogues and hand-searches. Concept analysis was used to explicate moral injury, focusing exclusively on use of the concept in the included literature, comparing the terms used over time and across disciplines, and measurement tools for the concept. This concept analysis provides a renewed definition of moral injury in relation to the experience of veterans - 'moral trauma' and defined as: 'the existential, psychological, emotional and or spiritual trauma arising from a conflict, violation or betrayal, either by omission or commission, of or within one's moral beliefs or code(s)'. The analysis will facilitate understanding and operationalization of the concept applied to teaching, learning, practice and research.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/148415