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4.2.B Addressing and responding to moral injury in the workplace - A systems based organisational framework

Tracks
Concurrent Session B
Friday, May 22, 2026
1:15 PM - 1:40 PM
Chancellor 2

Overview

Presenter: Dr Nikki Jamieson


Details

Chairs: Assoc Prof Lindsay Carey & Dr Victoria Thomas


Speaker

Agenda Item Image
Dr Nikki Jamieson
Founder
Moral Injury Australia

Addressing and responding to moral injury in the workplace - A systems based organisational framework

Abstract Document

Moral injury is increasingly recognised as a significant occupational hazard particularly for those working in high-risk environments such as health, emergency services, military, and justice. While much of the literature to date has focused on the individual impacts of moral injury and clinical responses, there has been limited exploration of how workplaces can adopt a proactive, systems-level approach to support mitigation and prevention.

This presentation introduces a newly developed organisational framework for moral injury risk mitigation, supporting prevention, grounded in contemporary research, suicidological insights, and lived experience perspectives. The framework provides a structured, evidence-based approach to embedding moral injury awareness and protective practices across organisational systems—including leadership, policy, culture, peer support, and training. Drawing on parallels with workplace health and safety models, it reframes moral injury from being solely an individual/clinical issue to a shared organisational responsibility and reflects the bio-psycho-social-spiritual dimensions of moral injury.

The presentation will demonstrate how the framework can be operationalised to identify risks, strengthen protective factors, and build organisational resilience. The session will highlight practical strategies for leaders and organisations to mitigate risk of moral injury, including early intervention pathways, workforce education, and creating positive cultures of ethical support.

By shifting the focus from treatment to mitigation/prevention, this organisational approach aims to reduce the long-term personal, cultural, and operational costs of moral injury, while fostering healthier, safer, and more sustainable workplaces.

Biography

Dr Nikki Jamieson is an author, academic, and a globally recognised leader in moral injury research and prevention. Her work spans clinical practice, organisational consulting, training and education, and lived experience expertise and advocacy, with a particular focus on high-risk occupations including first responders, military, and healthcare. She has developed one of the first evidence-informed organisational frameworks for mitigating the risk of moral injury to support prevention, integrating contemporary research, systems thinking, and suicidological expertise. Dr Jamieson’s work has and continues to inform national policy, training programs, and best-practice organisational responses across Australia.
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