The sighs of the ventilator for the latest patient with COVID-19 remind me how scarce resources are. I see the ones who waited too long and the ones who arrived too late because they live in an underserved community and didn’t have access to testing or treatment. When I close my eyes at night, I recall a patient, full of catheters and tubes and attached to machines, who breathlessly whispers words I cannot decipher as his life recedes. Again, I watch the monitor document the last moments of life as he lay there alone. I hear the pained conversations informing family members that they cannot visit because the risk of spreading the virus is too great; exceptions are made only if we are able to predict when death is near—but now it is often and unpredictably near. And I wonder, “Was I a good nurse today? What kind of person...
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Spring 2021
Ethics in Critical Care|
March 15 2021
Invisible Moral Wounds of the COVID-19 Pandemic: Are We Experiencing Moral Injury?
Cynda Hylton Rushton, PhD, RN, FAAN;
Cynda Hylton Rushton, PhD, RN, FAAN
Department Editor
Cynda Hylton Rushton is Anne and George L. Bunting Professor of Clinical Ethics, School of Nursing and Berman Institute of Bioethics, Johns Hopkins University, 525 N Wolfe St, Box 420, Baltimore, MD 21205 ([email protected]).
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Kathleen Turner, RN, CHPN, CCRN-CMC;
Kathleen Turner, RN, CHPN, CCRN-CMC
Kathleen Turner is Clinical Nurse III, Medical-Surgical Intensive Care Unit, University of California San Francisco Medical Center, San Francisco, California.
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Rita Nakashima Brock, PhD, RELM, MA;
Rita Nakashima Brock, PhD, RELM, MA
Rita Nakashima Brock is Senior Vice President and Director, Shay Moral Injury Center, Volunteers of America, Alexandria, Virginia.
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Joanne M. Braxton, PhD, MDiv
Joanne M. Braxton, PhD, MDiv
Joanne M. Braxton is Frances L. and Edwin L. Cummings Professor of the Humanities, Emeritus, William & Mary, Williamsburg, Virginia; President and CEO, The Braxton Institute for Sustainability, Resiliency and Joy, Williamsburg; and Adjunct Professor, Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk, Virginia.
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AACN Adv Crit Care (2021) 32 (1): 119–125.
Citation
Cynda Hylton Rushton, Kathleen Turner, Rita Nakashima Brock, Joanne M. Braxton; Invisible Moral Wounds of the COVID-19 Pandemic: Are We Experiencing Moral Injury?. AACN Adv Crit Care 15 March 2021; 32 (1): 119–125. doi: https://doi.org/10.4037/aacnacc2021686
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