Moral Injury, Nurse Well-being, and Resilience Among Nurses Practicing During the COVID-19 Pandemic
Joyce J Fitzpatrick1, Grant Pignatiello, Minjin Kim
1Author Affiliations: Director, Marian K. Shaughnessy Nurse Leadership Academy, Elizabeth Brooks Ford Professor of Nursing, and Distinguished University Professor (Dr Fitzpatrick), Frances Payne Bolton School of Nursing, Case Western Reserve University; and Instructor (Dr Pignatiello), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland: Assistant Professor (Dr Kim), College of Nursing, University of Cincinnati, Cincinnati; Assistant Professor (Dr Jun) and Associate Professor (Dr O'Mathúna), College of Nursing, The Ohio State University, Columbus; PhD Student (Mr Duah), College of Nursing, University of Cincinnati, Cincinnati; DNP Student (Ms Taibl), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland; and Grayce Sills Endowed Professor in Psychiatric Mental Health Nursing, Director of DNP Nurse Executive Core, and Director of Implementation Science Core (Dr Tucker), Fuld EBP Institute, College of Nursing, The Ohio State University, Columbus.
Objective:
The aim of this study was to determine relationships between moral injury (MI), well-being, and resilience among staff nurses and nurse leaders practicing during the COVID-19 (coronavirus disease 2019) pandemic.
Background:
Attention to MI among health professionals, including nurses, increased in 2021, particularly related to the pandemic. Few studies examined MI, well-being, and resilience; even fewer provided implications for leadership/management.
Methods:
The sample included 676 RNs practicing in Ohio. The electronic survey included assessments of MI, well-being, and resilience distributed via the Ohio Nurses Association and the schools of nursing alumni Listservs.
Results:
There was a significant association between MI and negative well-being and negative association between MI and resilience. Differences were observed between staff nurses and leaders.
Conclusions:
This is the first study relating MI, resilience, and well-bring among nurses and nurse leaders during the pandemic. There is a need for additional research to further our understanding about nurses' health and well-being during the pandemic and beyond.
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