Systemic violence as an occupational hazard: Moral injury and nursing practice

Ibrahim Aqtam, Nihad Bsharat, Mustafa Shouli, Hamdallah H. Khaled, Ehab Tumeh, Issam Iyrot, Saqer Al-Koroum, Ibrahim Khraiwesh, Ibn Sina College for Health Professions, Department of Nursing, Nablus University for Vocational and Technical Education, Department of Social Sciences, Nablus University for Vocational and Technical Education

Nursing Ethics: An International Journal for Health Care Professionals

Published online on July 08, 2026

Abstract

Nursing Ethics, Ahead of Print.
This paper examines how sustained armed conflict operates as a primary occupational hazard that produces moral injury among nurses. It moves beyond burnout and moral distress frameworks to propose a justice-centered approach to nurse well-being in ...