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Military moral injury: A concept analysis
Nikki Jamieson1, Myfanwy Maple1, Dorothy Ratnarajah1
1School of Health, University of New England, Armidale, New South Wales, Australia.
Moral injury, a violation of one's moral code, causes spiritual conflict and self-condemnation. This study defines moral injury as existential trauma in military members, enhancing understanding for practice and research.
Area of Science:
- Nursing
- Psychology
- Military Mental Health
Background:
- Moral injury involves breaching one's moral code, linked to veteran suicide.
- Core features include spiritual conflict, shame, guilt, and self-condemnation.
- Existing research often focuses on features or triggering events.
Purpose of the Study:
- To enhance understanding of moral injury's attributes, antecedents, and consequences.
- To systematically analyze the concept of moral injury within military populations.
- To provide a renewed definition of moral injury for veterans.
Main Methods:
- Utilized Walker and Avant's concept analysis model.
- Conducted a comprehensive literature search across various sources.
- Applied concept analysis to explicate moral injury in existing literature.
Main Results:
- Identified defining attributes, antecedents, and consequences of moral injury.
- Compared the use of the term across disciplines and over time.
- Developed a renewed definition: 'moral trauma' as existential, psychological, emotional, or spiritual trauma from violating moral codes.
Conclusions:
- The study provides a refined definition of moral injury, termed 'moral trauma,' specifically for veterans.
- This enhanced understanding facilitates operationalization in education, practice, and research.
- The findings support improved interventions and support for military members experiencing moral injury.
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