This presentation addresses a critical risk in the evolving understanding of moral injury (MI) that as the field advances, MI may become overly individualised and pathologised, obscuring both its organisational origins and its spiritual and existential dimensions. While MI is increasingly recognised as affecting psychological, biological, social, behavioural, and spiritual domains, current approaches often focus on the individual, with insufficient attention to the workplace environments, leadership practices, and cultures that can contribute to moral harm.

The case will be made that moral injury should be understood not only as an individual clinical concern, but also as an organisational psychosocial hazard that requires proactive mitigation. Drawing on workplace health and safety (WHS) principles, it will outline how moral hazards can be identified and addressed through organisational design, leadership support, and systemic interventions.

At the same time, the formalisation of MI within diagnostic and regulatory frameworks presents a further risk, which is that spiritual and existential dimensions may be diminished or excluded. Therefore, the importance of retaining these dimensions as central to understanding and responding to moral injury. Finally, attention will be given to how meaning, values, and moral coherence can be supported within organisational settings, and how leadership and workplace practices can incorporate these considerations. By integrating organisational and spiritual perspectives, this presentation offers a holistic framework for understanding and mitigating moral injury, with practical implications for leaders, clinicians, and organisations.