Research Progress on Moral Injury of Foreign Medical Staff under the Background of COVID -19 Pandemic / 中国医学伦理学

This paper reviewed the research on moral injury among foreign medical staff in the background of the COVID -19 pandemic. It was found that foreign medical staff bore multiple moral pressures and impacts in the face of the epidemic, including the collision between medical practice and utilitarian policy, the inability to meet personal needs, the rapid transformation of medical mode, and a variety of comprehensive factors. Therefore, the moral injury of foreign medical staff is particularly prominent. In order to avoid and reduce the occurrence of moral injury, it is necessary to strengthen the cultivation of moral resilience, provide psychological and social support, and carry out personalized treatment for medical staff.

Analysis on Collective Moral Injury / 中国医学伦理学

The previous moral injury theory implied the premise of taking individual as the research object, while there were few studies on collective moral injury. Collective moral injury is defined as a series of consequences of violating widely accepted moral beliefs rather than simply adding up symptoms of injured individuals within a group. From the America "Floyd Case", this paper analyzed the functional elements and generating mechanism of collective moral injury, that was, the diversification of trauma sources events could appear alone or interweave, collective moral resilience showed the characteristics of social integrity and time accumulation, the interaction between collective trauma sources and collective moral resilience determined whether collective moral injury occurs. As the We-Media become popular, collective feature of moral injury is more evident, which presents two new features that the Internet platform becomes a hub for trauma events and the information Internet recorded consolidates collective moral resilience. To deal with collective moral injury, it was needed to respond to social concerns and guidance moral public opinion, respect the original endogenous order and inherit the traditional culture, satisfy reasonable moral needs and enlighten moral sense of people as well.

Nursing Ethics from the Perspective of Moral Injury / 中国医学伦理学

Due to the specialty of the profession, nursing staff often face more traumatic events in which their self-moral cognition is contrary to the reality, and gradually turn to moral injury on this basis. The level of nursing ethical literacy of nursing staff greatly affects their differences in moral cognition and the strength of moral resilience, thus determining the development and recovery of moral injury. The latest ethical code for nurses, the Expert Consensus on Nursing Ethics for the Prevention and Control of Major Infectious Diseases, has improved the rights and interests of nursing staff. The active practice of this code can help nursing staff effectively respond to the endogenous and exogenous injury sources brought about by the epidemic, eliminate negative moral cognition, improve the moral resilience of nursing staff, as well as has positive effects on the prevention of moral injury for nursing staff.