{"id":4043,"date":"2026-09-27T09:19:16","date_gmt":"2026-09-26T23:19:16","guid":{"rendered":"https:\/\/invictusheastg.wpenginepowered.com\/resources\/moral-injury-at-work\/"},"modified":"2026-09-27T09:19:16","modified_gmt":"2026-09-26T23:19:16","slug":"moral-injury-at-work","status":"publish","type":"post","link":"https:\/\/invictushealth.com.au\/ur\/resources\/moral-injury-at-work\/","title":{"rendered":"Moral injury at work: what it is and how organisations can respond"},"content":{"rendered":"<p>[et_pb_section _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; module_class=&#8221;ih-post&#8221; custom_padding=&#8221;24px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;800px&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;  global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<style>.ih-post a{text-decoration:underline;text-underline-offset:2px}.ih-post a:hover{color:#D89B2A}.ih-post ul,.ih-post ol{padding-left:1.4em;margin-bottom:1.2em}.ih-post li{margin-bottom:.45em}.ih-post h2{margin-top:1.6em;padding-bottom:.35em}.ih-post h3{margin-top:1.2em;padding-bottom:.3em}.ih-post table{width:100%;border-collapse:collapse;margin:1em 0 1.6em;font-size:15px;background:#fff;border-radius:12px;overflow:hidden}.ih-post th{background:#1C386D;color:#fff;text-align:left;padding:10px 12px;font-weight:600}.ih-post td{padding:10px 12px;border-top:1px solid #E8EBF0;vertical-align:top}.ih-post blockquote{border-left:4px solid #D89B2A;background:#fff;padding:16px 20px;border-radius:0 12px 12px 0;margin:1.2em 0}.ih-keypoints ul{list-style:none!important;padding-left:0!important}.ih-keypoints li{list-style:none!important}.ih-keypoints li{position:relative;padding-left:30px}.ih-keypoints li:before{content:\"\";position:absolute;left:0;top:.55em;width:14px;height:14px;border-radius:50%;background:#D89B2A}.ih-post ol{list-style:decimal!important}.ih-refs ol{font-size:14px;line-height:1.6}.ih-refs li{word-break:break-word}.ih-related a{display:block;background:#fff;border:1px solid #E8EBF0;border-radius:12px;padding:14px 18px;margin-bottom:10px;text-decoration:none;font-weight:600}.ih-related a:hover{border-color:#D89B2A;color:#1C386D}.ih-cta p{color:#fff}@media(max-width:600px){.ih-post table{display:block;overflow-x:auto}}<\/style>\n<p>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#172C57&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.75em&#8221; header_2_font=&#8221;Montserrat|600|||||||&#8221; header_2_text_color=&#8221;#172C57&#8243; header_2_font_size=&#8221;26px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Montserrat|600|||||||&#8221; header_3_text_color=&#8221;#172C57&#8243; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.35em&#8221; link_text_color=&#8221;#1C386D&#8221; text_font_size=&#8221;19px&#8221; text_line_height=&#8221;1.7em&#8221; custom_margin=&#8221;0px||32px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Moral injury describes the lasting harm that can follow situations where people do, see or are part of something that goes against their deeply held values. It was first studied in military settings. It is now recognised in health care, emergency services, policing, social services and other workplaces.<\/p>\n<p>This article explains what moral injury is, how it differs from burnout and PTSD, and what leaders and organisations can do to reduce the risk.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#172C57&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.75em&#8221; header_2_font=&#8221;Montserrat|600|||||||&#8221; header_2_text_color=&#8221;#172C57&#8243; header_2_font_size=&#8221;26px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Montserrat|600|||||||&#8221; header_3_text_color=&#8221;#172C57&#8243; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.35em&#8221; link_text_color=&#8221;#1C386D&#8221; module_class=&#8221;ih-keypoints&#8221; header_2_font_size=&#8221;22px&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;28px|32px|20px|32px|false|false&#8221; custom_margin=&#8221;0px||16px||false|false&#8221; border_radii=&#8221;on|16px|16px|16px|16px&#8221; border_width_left=&#8221;4px&#8221; border_color_left=&#8221;#D89B2A&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"margin-top:0\">Key points<\/h2>\n<ul>\n<li>Moral injury is the psychological, social and spiritual impact of events that violate a person&#8217;s deeply held moral beliefs, including betrayal by others.<\/li>\n<li>It is not a formal mental health diagnosis, but it is a risk factor for PTSD, depression, anxiety and suicidal thoughts.<\/li>\n<li>Common signs include guilt, shame, anger, loss of trust and loss of meaning.<\/li>\n<li>Organisations can reduce risk by acknowledging moral stressors, supporting fair decision making and giving teams space to talk.<\/li>\n<li>People affected can recover, especially with support from colleagues, leaders and mental health professionals.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#172C57&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.75em&#8221; header_2_font=&#8221;Montserrat|600|||||||&#8221; header_2_text_color=&#8221;#172C57&#8243; header_2_font_size=&#8221;26px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Montserrat|600|||||||&#8221; header_3_text_color=&#8221;#172C57&#8243; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.35em&#8221; link_text_color=&#8221;#1C386D&#8221;  global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>What is moral injury?<\/h2>\n<p>A widely cited definition comes from a 2009 paper by Brett Litz and colleagues, <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0272735809000920\">Moral injury and moral repair in war veterans<\/a>. They described potentially morally injurious events as &#8220;perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations&#8221;.<\/p>\n<p>Phoenix Australia, the national centre for posttraumatic mental health, defines moral injury as &#8220;the psychological, social and spiritual impact of events involving betrayal or transgression of one&#8217;s own deeply held moral beliefs and values occurring in high stakes situations&#8221;. This definition appears in its <a href=\"https:\/\/www.phoenixaustralia.org\/wp-content\/uploads\/2022\/08\/Moral-Stress-Healthcare-Workers-COVID-19-Guide-to-Moral-Injury.pdf\">guide to moral injury for health care workers<\/a>.<\/p>\n<p>Put simply, moral injury can arise when:<\/p>\n<ul>\n<li>you do something, or fail to do something, that goes against your values<\/li>\n<li>you witness others doing something you believe is seriously wrong<\/li>\n<li>you feel betrayed by people in authority, such as leaders or the organisation<\/li>\n<\/ul>\n<h2>Moral stress, moral distress and moral injury<\/h2>\n<p>Phoenix Australia describes a continuum. Moral stressors are common in many jobs. Most cause short term frustration. Some cause moral distress, a more lasting unease. At the far end, rare and severe events can lead to moral injury, which has an enduring effect on how people see themselves and the world.<\/p>\n<p>Examples of moral stressors at work might include:<\/p>\n<ul>\n<li>a health worker unable to give the care they know a patient needs, because of staffing, beds or equipment<\/li>\n<li>a child protection or disability worker who must follow a policy they believe will cause harm<\/li>\n<li>a police officer or emergency worker who could not prevent a death<\/li>\n<li>a manager directed to carry out decisions they see as unfair or dishonest<\/li>\n<li>an employee who raised a serious concern and was ignored, blamed or punished<\/li>\n<\/ul>\n<p>Not everyone exposed to these situations develops moral injury. Personal history, support, the severity of the event and how the organisation responds all make a difference.<\/p>\n<h2>Signs of moral injury<\/h2>\n<p>The Phoenix Australia guide describes effects across several areas of life:<\/p>\n<ul>\n<li><strong>Emotions:<\/strong> guilt, shame, anger, sadness, anxiety and disgust<\/li>\n<li><strong>How people see themselves:<\/strong> harsh self-criticism, feeling damaged or unworthy<\/li>\n<li><strong>Relationships:<\/strong> loss of trust in others, including the organisation, avoidance and reduced empathy<\/li>\n<li><strong>Meaning and purpose:<\/strong> questioning beliefs, feeling that work no longer makes sense<\/li>\n<li><strong>Behaviour:<\/strong> withdrawing from others, drinking or using other substances more, or other self-destructive behaviour<\/li>\n<\/ul>\n<p>Moral injury is not a diagnosis in the DSM-5 (the main diagnostic manual for mental health conditions). However, Phoenix Australia notes that it is a risk factor for PTSD, depression, anxiety, insomnia and suicidal thoughts.<\/p>\n<p>If you or someone you work with is in danger, call 000. For 24-hour crisis support call Lifeline on 13 11 14.<\/p>\n<h2>How moral injury differs from burnout and PTSD<\/h2>\n<table>\n<thead>\n<tr>\n<th><\/th>\n<th>Core experience<\/th>\n<th>Common feelings<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Burnout<\/td>\n<td>Long term work stress that has not been managed well<\/td>\n<td>Exhaustion, cynicism, reduced effectiveness<\/td>\n<\/tr>\n<tr>\n<td>PTSD<\/td>\n<td>Exposure to a traumatic event involving threat or danger<\/td>\n<td>Fear, intrusive memories, feeling on edge, avoidance<\/td>\n<\/tr>\n<tr>\n<td>Moral injury<\/td>\n<td>Events that violate deeply held values, or betrayal by trusted people<\/td>\n<td>Guilt, shame, anger, loss of trust and meaning<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>These can overlap. Phoenix Australia&#8217;s guide suggests some of what is called burnout in health care may be better understood as moral distress or injury. That is, the problem may be the gap between knowing what is right and being unable to do it, rather than a lack of personal resilience.<\/p>\n<p>Research supports the idea that moral injury is distinct. An international project involving Phoenix Australia developed the <a href=\"https:\/\/www.phoenixaustralia.org\/research-projects\/moral-injury-outcome-scale-project\/\">Moral Injury Outcome Scale<\/a>, which measures two main dimensions: shame-related outcomes and trust violation outcomes.<\/p>\n<h2>How organisations can respond<\/h2>\n<p>Moral injury is not only an individual problem. The way work is organised, and how leaders behave, can raise or lower the risk. Moral stressors often overlap with psychosocial hazards that employers must manage, such as exposure to traumatic events, low job control, poor support and poor organisational justice.<\/p>\n<h3>At the organisational level<\/h3>\n<p>Drawing on Phoenix Australia&#8217;s guidance, organisations can:<\/p>\n<ul>\n<li>openly acknowledge that some roles involve moral stressors<\/li>\n<li>develop clear, fair policies for ethically difficult decisions, such as how scarce resources are allocated<\/li>\n<li>where possible, move the hardest ethical decisions away from individual frontline workers<\/li>\n<li>rotate staff between higher and lower stress roles<\/li>\n<li>make psychological and peer support easy to access, without stigma<\/li>\n<li>make sure people who raise concerns are heard and protected<\/li>\n<\/ul>\n<h3>At the team level<\/h3>\n<ul>\n<li>make time to discuss ethical challenges openly, not only clinical or technical ones<\/li>\n<li>help staff make sense of difficult decisions and the constraints they faced<\/li>\n<li>check in regularly and offer support early<\/li>\n<li>acknowledge moral dilemmas honestly, and recognise good work<\/li>\n<li>model healthy coping and taking breaks<\/li>\n<\/ul>\n<h3>After a difficult event<\/h3>\n<ul>\n<li>Check in with the people involved soon after, and again in the following weeks. Moral injury can build over time.<\/li>\n<li>Offer practical support first, such as time off the floor, a quieter shift or help with paperwork.<\/li>\n<li>Give people accurate information about what happened and why decisions were made.<\/li>\n<li>Avoid forcing anyone to retell the event in detail in a group setting. Let people choose how and when they talk.<\/li>\n<li>Look at what the organisation can learn and change, so the same moral bind is less likely to happen again.<\/li>\n<\/ul>\n<p>Leaders also have a role in preventing betrayal. Being honest about constraints, explaining decisions and following through on promises all help protect trust.<\/p>\n<h2>Supporting someone who may be affected<\/h2>\n<p>If a colleague seems weighed down by guilt, shame or anger after a difficult event, listen without judging and avoid rushing to reassure them that they did nothing wrong. Encourage them to speak with their GP, a psychologist or their employee assistance program. Evidence-based trauma treatments can be adapted when moral injury is part of the picture. If they mention thoughts of suicide or self-harm, ask about it directly and help them connect with crisis support. Asking about suicide does not put the idea in someone&#8217;s head. Our guide on <a href=\"\/resources\/supporting-a-colleague-mental-health\/\">supporting a colleague with a mental health concern<\/a> has practical tips.<\/p>\n<h2>How Invictus Health can help<\/h2>\n<ul>\n<li>Our <a href=\"\/organisations\/\">workplace programs<\/a> include a workshop on understanding and managing moral injury, as well as resilience workshops and leadership training.<\/li>\n<li><a href=\"\/services\/mental-health-first-aid-course\/\">Mental Health First Aid<\/a> training helps staff and leaders respond when a colleague is struggling.<\/li>\n<li>Individuals can access <a href=\"\/services\/counselling\/\">counselling and psychology<\/a> in person at Preston or by telehealth across Australia.<\/li>\n<\/ul>\n<p>This article is general information and not a substitute for professional advice about your situation.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; module_class=&#8221;ih-post&#8221; custom_padding=&#8221;0px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;800px&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;  global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Frequently asked questions&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;0d2e527a-4607-4ae2-8846-c79e0fe77b57&#8243; title_text_align=&#8221;left&#8221; title_font_size=&#8221;30px&#8221; title_font_size_phone=&#8221;26px&#8221; custom_margin=&#8221;||24px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][et_pb_toggle title=&#8221;What is an example of moral injury at work?&#8221; open_toggle_text_color=&#8221;#0b162b&#8221; icon_color=&#8221;#0b162b&#8221; open_icon_color=&#8221;#0b162b&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;3c819e1c-a1df-44e0-b295-91df504cac97&#8243; title_text_color=&#8221;#0b162b&#8221; body_text_color=&#8221;#0b162b&#8221; body_font_size=&#8221;16px&#8221; custom_margin=&#8221;||16px||false|false&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{%22gcid-b0086ec0-695e-4e66-9415-2f92abceb706%22:%91%22background_color%22%93,%22gcid-primary-color%22:%91%22icon_color%22,%22title_text_color%22,%22open_toggle_text_color%22%93}&#8221;]<\/p>\n<p>For example, a nurse might be unable to give a dying patient the care they need because the ward is short staffed, and later feel intense guilt and anger at the system. Or an employee might report serious misconduct and then be sidelined by leaders. Not everyone in these situations develops moral injury, but these are the kinds of events that can lead to it.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Is moral injury a mental illness?&#8221; open_toggle_text_color=&#8221;#0b162b&#8221; icon_color=&#8221;#0b162b&#8221; open_icon_color=&#8221;#0b162b&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;3c819e1c-a1df-44e0-b295-91df504cac97&#8243; title_text_color=&#8221;#0b162b&#8221; body_text_color=&#8221;#0b162b&#8221; body_font_size=&#8221;16px&#8221; custom_margin=&#8221;||16px||false|false&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{%22gcid-b0086ec0-695e-4e66-9415-2f92abceb706%22:%91%22background_color%22%93,%22gcid-primary-color%22:%91%22icon_color%22,%22title_text_color%22,%22open_toggle_text_color%22%93}&#8221;]<\/p>\n<p>No. Moral injury is not a formal diagnosis in the DSM-5. It describes the lasting psychological, social and spiritual impact of events that violate deeply held values. It can occur alongside conditions such as PTSD and depression and increases the risk of them, so it is worth taking seriously and seeking professional support when it affects daily life.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;What is the difference between moral distress and moral injury?&#8221; open_toggle_text_color=&#8221;#0b162b&#8221; icon_color=&#8221;#0b162b&#8221; open_icon_color=&#8221;#0b162b&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;3c819e1c-a1df-44e0-b295-91df504cac97&#8243; title_text_color=&#8221;#0b162b&#8221; body_text_color=&#8221;#0b162b&#8221; body_font_size=&#8221;16px&#8221; custom_margin=&#8221;||16px||false|false&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{%22gcid-b0086ec0-695e-4e66-9415-2f92abceb706%22:%91%22background_color%22%93,%22gcid-primary-color%22:%91%22icon_color%22,%22title_text_color%22,%22open_toggle_text_color%22%93}&#8221;]<\/p>\n<p>Phoenix Australia describes them on a continuum. Moral distress is a more common response to moral stressors and involves ongoing unease or frustration. Moral injury sits at the severe end. It follows high stakes events and has an enduring effect on a person&#8217;s sense of self, their trust in others and their view of the world.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Which workers are most at risk of moral injury?&#8221; open_toggle_text_color=&#8221;#0b162b&#8221; icon_color=&#8221;#0b162b&#8221; open_icon_color=&#8221;#0b162b&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;3c819e1c-a1df-44e0-b295-91df504cac97&#8243; title_text_color=&#8221;#0b162b&#8221; body_text_color=&#8221;#0b162b&#8221; body_font_size=&#8221;16px&#8221; custom_margin=&#8221;||16px||false|false&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{%22gcid-b0086ec0-695e-4e66-9415-2f92abceb706%22:%91%22background_color%22%93,%22gcid-primary-color%22:%91%22icon_color%22,%22title_text_color%22,%22open_toggle_text_color%22%93}&#8221;]<\/p>\n<p>Research has focused on military personnel, health care workers, police and emergency services, because these roles often involve high stakes decisions. People in child protection, aged care, disability, corrections, social services and other roles with limited resources and difficult choices can also be exposed. Risk depends on the work and on how well the organisation supports staff.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Can people recover from moral injury?&#8221; open_toggle_text_color=&#8221;#0b162b&#8221; icon_color=&#8221;#0b162b&#8221; open_icon_color=&#8221;#0b162b&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;3c819e1c-a1df-44e0-b295-91df504cac97&#8243; title_text_color=&#8221;#0b162b&#8221; body_text_color=&#8221;#0b162b&#8221; body_font_size=&#8221;16px&#8221; custom_margin=&#8221;||16px||false|false&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{%22gcid-b0086ec0-695e-4e66-9415-2f92abceb706%22:%91%22background_color%22%93,%22gcid-primary-color%22:%91%22icon_color%22,%22title_text_color%22,%22open_toggle_text_color%22%93}&#8221;]<\/p>\n<p>Yes. Many people recover, especially with support from colleagues, leaders, family and, where needed, mental health professionals. Treatment may involve evidence-based trauma therapies adapted to address guilt, shame and loss of trust, along with steps toward repair and meaning. A psychologist can help work out what support fits the person.<\/p>\n<p>[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;800px&#8221; background_color=&#8221;gcid-primary-color&#8221; custom_padding=&#8221;44px|40px|44px|40px|true|true&#8221; border_radii=&#8221;on|16px|16px|16px|16px&#8221; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22background_color%22%93}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Workshops on moral injury&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h2&#8243; title_font=&#8221;Montserrat|600|||||||&#8221; title_text_color=&#8221;#FFFFFF&#8221; title_font_size=&#8221;28px&#8221; title_line_height=&#8221;1.3em&#8221; title_text_align=&#8221;center&#8221; custom_margin=&#8221;||12px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_font_size=&#8221;17px&#8221; text_orientation=&#8221;center&#8221; module_class=&#8221;ih-cta&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Ask us about our workshop on understanding and managing moral injury for your leaders and teams.<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;\/organisations\/&#8221; button_text=&#8221;Explore workplace programs&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;0029f5c3-2d88-4291-9b82-fcc9a95d1c64&#8243; button_border_width=&#8221;0px&#8221; custom_padding=&#8221;10px|28px|10px|28px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; module_class=&#8221;ih-post&#8221; custom_padding=&#8221;0px||56px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;800px&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;  global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#172C57&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.75em&#8221; header_2_font=&#8221;Montserrat|600|||||||&#8221; header_2_text_color=&#8221;#172C57&#8243; header_2_font_size=&#8221;26px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Montserrat|600|||||||&#8221; header_3_text_color=&#8221;#172C57&#8243; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.35em&#8221; link_text_color=&#8221;#1C386D&#8221; module_class=&#8221;ih-refs&#8221; custom_margin=&#8221;||28px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 style=\"margin-top:0\">References<\/h3>\n<ol>\n<li>Litz BT, Stein N, Delaney E, Lebowitz L, Nash WP, Silva C, Maguen S. Moral injury and moral repair in war veterans: a preliminary model and intervention strategy. Clinical Psychology Review. 2009;29(8):695-706. <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0272735809000920\" target=\"_blank\" rel=\"noopener\">sciencedirect.com\/science\/article\/pii\/S0272735809000920<\/a><\/li>\n<li>Phoenix Australia and Canadian Centre of Excellence for PTSD. Moral stress amongst healthcare workers during COVID-19: a guide to moral injury. Phoenix Australia; 2020. <a href=\"https:\/\/www.phoenixaustralia.org\/wp-content\/uploads\/2022\/08\/Moral-Stress-Healthcare-Workers-COVID-19-Guide-to-Moral-Injury.pdf\" target=\"_blank\" rel=\"noopener\">phoenixaustralia.org\/wp-content\/uploads\/2022\/08\/Moral-Str&#8230;<\/a><\/li>\n<li>Phoenix Australia. Moral injury guide for healthcare workers. Phoenix Australia. <a href=\"https:\/\/www.phoenixaustralia.org\/news\/moral-injury-guide-for-healthcare-workers\/\" target=\"_blank\" rel=\"noopener\">phoenixaustralia.org\/news\/moral-injury-guide-for-healthca&#8230;<\/a><\/li>\n<li>Phoenix Australia. Moral Injury Outcome Scale project. Phoenix Australia. <a href=\"https:\/\/www.phoenixaustralia.org\/research-projects\/moral-injury-outcome-scale-project\/\" target=\"_blank\" rel=\"noopener\">phoenixaustralia.org\/research-projects\/moral-injury-outco&#8230;<\/a><\/li>\n<li>Safe Work Australia. Model Code of Practice: Managing psychosocial hazards at work. Safe Work Australia; 2022. <a href=\"https:\/\/www.safeworkaustralia.gov.au\/doc\/model-code-practice-managing-psychosocial-hazards-work\" target=\"_blank\" rel=\"noopener\">safeworkaustralia.gov.au\/doc\/model-code-practice-managing&#8230;<\/a><\/li>\n<li>Beyond Blue. How to talk to someone about their mental health. Beyond Blue. <a href=\"https:\/\/www.beyondblue.org.au\/get-support\/support-someone\/how-to-talk-to-someone-about-their-mental-health\" target=\"_blank\" rel=\"noopener\">beyondblue.org.au\/get-support\/support-someone\/how-to-talk&#8230;<\/a><\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#172C57&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.75em&#8221; header_2_font=&#8221;Montserrat|600|||||||&#8221; header_2_text_color=&#8221;#172C57&#8243; header_2_font_size=&#8221;26px&#8221; header_2_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Montserrat|600|||||||&#8221; header_3_text_color=&#8221;#172C57&#8243; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.35em&#8221; link_text_color=&#8221;#1C386D&#8221; module_class=&#8221;ih-related&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Related articles<\/h3>\n<p><a href=\"\/resources\/trauma-and-ptsd-treatment-options\/\">Trauma and PTSD: common reactions and treatment options<\/a><a href=\"\/resources\/signs-of-burnout\/\">Signs of burnout and when to get help<\/a><a href=\"\/resources\/building-resilience-at-work\/\">Building resilience at work: skills backed by evidence<\/a>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": &#91;{\"@type\": \"Question\", \"name\": \"What is an example of moral injury at work?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"For example, a nurse might be unable to give a dying patient the care they need because the ward is short staffed, and later feel intense guilt and anger at the system. Or an employee might report serious misconduct and then be sidelined by leaders. Not everyone in these situations develops moral injury, but these are the kinds of events that can lead to it.\"}}, {\"@type\": \"Question\", \"name\": \"Is moral injury a mental illness?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. Moral injury is not a formal diagnosis in the DSM-5. It describes the lasting psychological, social and spiritual impact of events that violate deeply held values. It can occur alongside conditions such as PTSD and depression and increases the risk of them, so it is worth taking seriously and seeking professional support when it affects daily life.\"}}, {\"@type\": \"Question\", \"name\": \"What is the difference between moral distress and moral injury?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Phoenix Australia describes them on a continuum. 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