works with Sarasota Police. Her next class with the chaplains at the Sarasota Police Dept's building is about moral injury. It also applies to situations that police encounter where someone is suffering injury but also shows signs of moral injury.
There are some heart and soul things that therapy and/or group counseling aren't equipped to help with.
from the Wikipedia entry:
... Those who have seen and experienced death, mayhem, destruction, and violence and have had their worldviews shattered – the sanctity of life, safety, love, health, peace, etc. – can also suffer moral injury.[2]
The exposure to violence during war times puts the military and veteran population at a higher risk of developing moral injury. According to statistics collected in 2003, 32 percent of American service members deployed to Iraq and to Afghanistan were responsible for the death of an enemy, 60 percent had witnessed both women and children who were either ill or wounded to whom they were unable to provide aid, and 20 percent reported being responsible for the death of a non-combatant.
Moral injury also exists for doctors and nurses in healthcare environments.
Situations in which moral distress is experienced may be caused by:
Hierarchical imbalances, such as a nurse being unable to challenge a decision made by a senior physician[33]
Legal requirements, such as a necessary treatment being banned[33]
Resource limitations, such as needing to triage patients while knowing that some will die as a result[33]
Moral injury can occur among physicians and other care providers which affect their mental health and well-being. The concept of moral injury in healthcare is the expansion of the discussion around compassion fatigue and burnout.[34]
Physicians in the United States were caught in situations that prevented them from doing what they perceive is the right course of action, i.e. taking care of the patient well. Instead, they were caught in double and triple and quadruple binds between their obligations of electronic health records, their own student loans, the requirements for patient load through the hospital and number of procedures performed.[34] Often, physicians are trained to the gold standard but due to institutional double-binds, cannot actually execute that best-in-class treatment.
Nurses, particularly those who work in intensive-care settings, are highly likely to experience moral injury or burnout.[35][36] The injury stems from the proximity to secondary trauma and the inability provide the optimal level of care.[37]
Moral injury has been studied in medical students working within the National Health Service (NHS).[38] NHS doctors come to psychological harm as a result of not being able to give patients the care that they need in an under-resourced NHS.[39]....
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