School of Historical and Philosophical Inquiry, University of Queensland, Brisbane, Australia.
Palliative Care Unit, Department of Public Health, School of Psychology and Public Health, La Trobe University (Melbourne Campus), Bundoora, Melbourne, 3086, Australia.
J Relig Health. 2021 Oct;60(5):3061-3089. doi: 10.1007/s10943-021-01417-0. Epub 2021 Sep 22.
Military personnel deployed to war zones or assigned to other morally challenging military duties are likely to be exposed to potentially morally injurious events (PMIE) that may inflict a moral injury (MI). This qualitative study formed 'Phase 1' of a larger study into PMIEs experienced by Australian veterans and the potential pastoral/spiritual care role of chaplains. Two seminars were conducted that involved 10 veterans being interviewed and audio recorded about their deployment experiences to evaluate whether there was any evidence among Australian veterans of a PMIE. Narrative data analysis indicated that all participants had been exposed to, or were involved in, a PMIE of one kind or another. Seven key themes were identified from the analyzed qualitative data: (i) immoral acts, (ii) death and injury, (iii) betrayal, (iv) ethical dilemmas, (v) disproportionate violence, (vi) retribution and (vii) religious/spiritual issues. Given this preliminary PMIE evidence identified, there is a need for further research, as well as the development of a suitable moral injury assessment scale appropriate for Australian veterans. Furthermore, given the ethical, moral, and spiritual issues involved, the implementation of a rehabilitation program suitable for Australian veterans which can be provided by chaplains is also suggested-namely 'Pastoral Narrative Disclosure.' It is argued that moral injury needs to be recognized, not just as an issue affecting individual personnel and their families, but is also a community health, organizational and government responsibility.
部署到战区或被分配到其他道德挑战任务的军事人员可能会接触到潜在的道德伤害事件（PMIE），这可能会造成道德伤害（MI）。这项定性研究是对澳大利亚退伍军人经历的 PMIE 以及牧师的潜在牧民/精神关怀角色的更大研究的“第一阶段”。进行了两次研讨会，涉及对 10 名退伍军人进行采访和录音，以评估澳大利亚退伍军人是否有 PMIE 的证据。叙事数据分析表明，所有参与者都曾接触过或参与过某种形式的 PMIE。从分析的定性数据中确定了七个关键主题：（i）不道德行为，（ii）死亡和伤害，（iii）背叛，（iv）道德困境，（v）不成比例的暴力，（vi）报复和（vii）宗教/精神问题。鉴于初步确定的 PMIE 证据，需要进一步研究，以及开发适合澳大利亚退伍军人的适当道德伤害评估量表。此外，鉴于涉及的道德、道德和精神问题，建议实施适合澳大利亚退伍军人的康复计划，该计划可以由牧师提供，即“牧民叙事披露”。有人认为，需要认识到道德伤害不仅是影响个人人员及其家属的问题，也是社区健康、组织和政府的责任。
