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A Scoping Review of the Components of Moral Resilience: Its Role in Addressing Moral Injury or Moral Distress for High-Risk Occupation Workers

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Abstract

Purpose of review

High-risk occupation workers (HROWs) are often exposed to potentially morally injurious events (PMIEs) which can contribute to moral distress (MD) or moral injury (MI). Moral resilience (MR) has been proposed as a protective or moderating factor to protect HROWs from harm caused by PMIE exposures. The current review was designed to (1) update the definition of MR to a broader context of HROWs, (2) identify components of MR for HROWs, and (3) determine demographic variables that may impact MR development.

Recent findings

The existing research on MR primarily focuses on healthcare workers; research on other high-risk occupations is sparse.

Summary

An updated definition of MR was constructed and proposed for HROWs. A review of the existing literature identified six themes related to MR in HROWs (i.e., self-care, self-regulation, moral compass, moral courage, communication, and social support at work), alongside three key demographic variables (i.e., experience, religion/spirituality, gender/sex). Further research is needed on the strategies used by demographically diverse HROWs to develop MR and protect from or moderate PMIEs, MD, and MI.

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Funding

This work was supported by the Supporting Psychological Health in First Responders Grant from the Government of Alberta (grant number: 21SPHIFR30-2).

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Authors and Affiliations

  1. Western University, Health and Rehabilitation Science, 1201 Western Road, London, Ontario, N6G 1H1, Canada

    Temitope Osifeso PT, PhD(c), Merna Seliman PhD(c) & Gojjam Limenih PhD

  2. King’s University College, London, Ontario, Canada

    Sierra J. Crocker BA, Liana Lentz PhD & David Malloy PhD

  3. St. Stephen’s College, University of Alberta, Edmonton, Alberta, Canada

    Lorraine Smith-MacDonald PhD

  4. Departments of Kinesiology & Physical Education and Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada

    Renée S. MacPhee PhD

  5. Faculty of Science, Thompson Rivers University, Kamloops, British Columbia, Canada

    Gregory S. Anderson PhD

  6. College of Health Sciences, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada

    Suzette Brémault-Phillips PhD

  7. Department of Psychology, University of Regina, Regina, Saskatchewan, Canada

    R. Nicholas Carleton PhD

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  1. Temitope Osifeso PT, PhD(c)
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The authors Temitope Osifeso, Sierra J. Crocker, Liana Lentz, David Malloy, R. Nicholas Carleton, Suzette Brémault-Phillips, and Lorraine Smith-MacDonald contributed to the study creation and design. The literature search, exclusion criteria, search strategy and study selection, were conducted by Temitope Osifeso, Sierra J. Crocker, and Liana Lentz. Data extraction and synthesis were conducted by Temitope Osifeso and Sierra J. Crocker. Conceptualization of the framework was done by Temitope Osifeso. The first and main draft of the manuscript was written by Temitope Osifeso and Sierra J. Crocker, and all authors provided feedback on the manuscript. All authors read and approved the final manuscript.

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Correspondence to Temitope Osifeso PT, PhD(c).

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Temitope Osifeso declares that she has no conflict of interest. Sierra J. Crocker declares that she has no conflict of interest. Liana Lentz declares that she has no conflict of interest. Lorraine Smith-MacDonald declares that she has no conflict of interest. Merna Seliman declares that she has no conflict of interest. Gojjam Limenih declares that she has no conflict of interest. Renée S. MacPhee declares that she has no conflict of interest. Gregory S. Anderson declares that he has no conflict of interest. Suzette Brémault-Phillips declares that she has no conflict of interest. David Malloy declares that he has no conflict of interest. R. Nicholas Carleton declares that he has no conflict of interest.

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Sierra J. Crocker is a co-first author.

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Osifeso, T., Crocker, S.J., Lentz, L. et al. A Scoping Review of the Components of Moral Resilience: Its Role in Addressing Moral Injury or Moral Distress for High-Risk Occupation Workers. Curr Treat Options Psych 10, 463–491 (2023). https://doi.org/10.1007/s40501-023-00310-9

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