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<p>Moral injury (MI) and post-traumatic growth (PTG) are critical psychological outcomes for healthcare workers who are frequently exposed to ethically challenging and traumatic situations. Thriving from work (TFW), characterized by vitality and learning at work, is proposed as a key contextual resource linking these constructs. The current cross-sectional study examined the mediating role of TFW in the relationship between MI and PTG among 4685 Chinese healthcare workers with an overall response rate of 36%. Measures included the Moral Injury Symptoms Scale-Health Professional (MISS-HP), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Thriving from Work Questionnaire (TFWQ). Correlation and mediation analyses revealed that TFW fully mediated the MI-PTG relationship, accounting for 91.67% of the total effect. MI negatively affected PTG by impairing TFW, while greater TFW reduced MI’s adverse effects on PTG. These findings help to explain how healthcare professionals adapt to trauma in healthcare settings and suggest practical pathways to help safeguard healthcare workers’ mental health through organizational and individual interventions targeting TFW.</p>

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Mediating Effect of Thriving from Work in the Relationship Between Moral Injury and Post-Traumatic Growth Among Healthcare Workers in China

  • 期刊论文

  • 发表日期：

    2026年4月16日

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  • Qiuju Li,
  • Zhupei Li,
  • Guangyuan Li,
  • Jun Liu,
  • Harold G. Koenig,
  • Zhizhong Wang

摘要

Moral injury (MI) and post-traumatic growth (PTG) are critical psychological outcomes for healthcare workers who are frequently exposed to ethically challenging and traumatic situations. Thriving from work (TFW), characterized by vitality and learning at work, is proposed as a key contextual resource linking these constructs. The current cross-sectional study examined the mediating role of TFW in the relationship between MI and PTG among 4685 Chinese healthcare workers with an overall response rate of 36%. Measures included the Moral Injury Symptoms Scale-Health Professional (MISS-HP), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Thriving from Work Questionnaire (TFWQ). Correlation and mediation analyses revealed that TFW fully mediated the MI-PTG relationship, accounting for 91.67% of the total effect. MI negatively affected PTG by impairing TFW, while greater TFW reduced MI’s adverse effects on PTG. These findings help to explain how healthcare professionals adapt to trauma in healthcare settings and suggest practical pathways to help safeguard healthcare workers’ mental health through organizational and individual interventions targeting TFW.