{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:14:16Z","timestamp":1788254056733,"version":"build-2803163510"},"reference-count":21,"publisher":"RCNi","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"DOI":"10.7748\/en.2026.e2256","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T07:10:08Z","timestamp":1773213008000},"page":"15-21","source":"Crossref","is-referenced-by-count":0,"title":["Beyond burnout: moral injury and emotional resilience among emergency clinicians"],"prefix":"10.7748","volume":"34","author":[{"given":"Karl","family":"Cook","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4499","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"issue":"9","key":"key20260821110126_R1","first-page":"400","article-title":"Reframing clinician distress: moral injury not burnout","volume":"36","year":"2019","journal-title":"Federal Practitioner"},{"issue":"4","key":"key20260821110126_R2","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1086\/JCE200920406","article-title":"Moral distress, moral residue, and the crescendo effect","volume":"20","year":"2009","journal-title":"Journal of Clinical Ethics"},{"key":"key20260821110126_R3","article-title":"Psychological peer support for staff: implementing the Trauma Risk Management model in a hospital setting","year":"2021","journal-title":"Nursing Management"},{"key":"key20260821110126_R4","first-page":"m1211","article-title":"Managing mental health challenges faced by healthcare workers during covid-19 pandemic","volume":"368","year":"2020","journal-title":"British Medical Journal"},{"key":"key20260821110126_R5","unstructured":"Holden J\n (2023) The NHS Long Term Workforce Plan Explained. www.kingsfund.org.uk\/insight-and-analysis\/long-reads\/nhs-long-term-workforce-plan-explained (Last accessed: 24 February 2026.)"},{"key":"key20260821110126_R6","doi-asserted-by":"crossref","first-page":"101090","DOI":"10.1016\/j.eclinm.2021.101090","article-title":"Eliminating burnout and moral injury: bolder steps required","volume":"39","year":"2021","journal-title":"EClinicalMedicine"},{"key":"key20260821110126_R7","article-title":"A realist informed mixedmethods evaluation of Schwartz Center Rounds\u00ae in England","year":"2018","journal-title":"Health Services and Delivery Research"},{"issue":"2","key":"key20260821110126_R8","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1002\/wps.20311","article-title":"Understanding the burnout experience: recent research and its implications for psychiatry","volume":"15","year":"2016","journal-title":"World Psychiatry"},{"issue":"2","key":"key20260821110126_R9","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1136\/jme.2006.018580","article-title":"Teaching ethics in the clinic: the theory and practice of moral case deliberation","volume":"34","year":"2008","journal-title":"Journal of Medical Ethics"},{"key":"key20260821110126_R10","unstructured":"NHS England (2021) Our NHS People Promise. www.england.nhs.uk\/our-nhs-people\/online-version\/lfaop\/our-nhs-people-promise\/ (Last accessed: 24 February 2026.)"},{"key":"key20260821110126_R11","unstructured":"NHS England (2023) NHS Long Term Workforce Plan. www.england.nhs.uk\/wp-content\/uploads\/2023\/06\/nhs-long-term-workforce-plan-v1.2.pdf (Last accessed: 24 February 2026.)"},{"issue":"9","key":"key20260821110126_R12","doi-asserted-by":"crossref","first-page":"e064029","DOI":"10.1136\/bmjopen-2022-064029","article-title":"Systematic scoping review on moral distress among physicians","volume":"12","year":"2022","journal-title":"BMJ Open"},{"key":"key20260821110126_R13","unstructured":"Royal College of Emergency Medicine (2024) The Management of Emergency Department Crowding. rcem.ac.uk\/wp-content\/uploads\/2024\/01\/RCEM_Crowding_Guidance_Jan_2024_final.pdf (Last accessed: 24 February 2026.)"},{"key":"key20260821110126_R14","volume-title":"Moral Resilience: Transforming Moral Suffering in Healthcare","year":"2018"},{"issue":"1","key":"key20260821110126_R15","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.4037\/ajcc2021359","article-title":"Mindful ethical practice and resilience academy: equipping nurses to address ethical challenges","volume":"30","year":"2021","journal-title":"American Journal of Critical Care"},{"key":"key20260821110126_R16","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1136\/leader-2019-000141","article-title":"What benefits do healthcare organisations receive from leadership and management development programmes? A systematic review of the evidence","volume":"4","year":"2020","journal-title":"BMJ Leader"},{"issue":"6","key":"key20260821110126_R17","doi-asserted-by":"crossref","first-page":"e207961","DOI":"10.1001\/jamanetworkopen.2020.7961","article-title":"Association of burnout, professional fulfilment, and self-care practices of physician leaders with their independently rated leadership effectiveness","volume":"3","year":"2020","journal-title":"JAMA Network Open"},{"issue":"2","key":"key20260821110126_R18","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1037\/a0036090","article-title":"Moral injury","volume":"31","year":"2014","journal-title":"Psychoanalytic Psychology"},{"issue":"10","key":"key20260821110126_R19","doi-asserted-by":"crossref","first-page":"e024254","DOI":"10.1136\/bmjopen-2018-024254","article-title":"Can Schwartz Center Rounds support healthcare staff with emotional challenges at work, and how do they compare with other interventions aimed at providing similar support? A systematic review and scoping reviews","volume":"8","year":"2018","journal-title":"BMJ Open"},{"key":"key20260821110126_R20","unstructured":"West M, Bailey S, Williams E\n (2020) The Courage of Compassion: Supporting Nurses and Midwives to Deliver High-Quality Care. www.kingsfund.org.uk\/insight-and-analysis\/reports\/courage-compassion-supporting-nurses-midwives (Last accessed: 24 February 2026.)"},{"issue":"5","key":"key20260821110126_R21","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1080\/09638237.2023.2182414","article-title":"Moral injury and psychological wellbeing in UK healthcare staff","volume":"32","year":"2023","journal-title":"Journal of Mental Health"}],"container-title":["Emergency Nurse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.rcni.com\/doi\/pdf\/10.7748\/en.2026.e2256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:20:22Z","timestamp":1788250822000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.rcni.com\/doi\/10.7748\/en.2026.e2256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":21,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,3,11]]},"published-print":{"date-parts":[[2026,9,1]]}},"alternative-id":["10.7748\/en.2026.e2256"],"URL":"https:\/\/doi.org\/10.7748\/en.2026.e2256","relation":{},"ISSN":["1354-5752","2047-8984"],"issn-type":[{"value":"1354-5752","type":"print"},{"value":"2047-8984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]}}}