Did You Know?
MISS-HP score ≥36 indicates clinically significant moral injury—affects 10-30% of healthcare professionals
Why This Assessment Matters
The Moral Injury Symptom Scale - Healthcare Professionals is a 10-item screening tool adapted from the military MISS-M for healthcare settings. It measures 10 dimensions of moral injury: betrayal, guilt, shame, moral concerns, religious struggle, loss of faith, loss of meaning, difficulty forgiving, loss of trust, and self-condemnation. Developed by Mantri et al. (2020) at Duke University during the COVID-19 pandemic.
✨ Key Benefits
- Healthcare-specific — Adapted for physicians, nurses, and healthcare professionals
- 10-item efficiency — 10-point visual analog scales per item, takes 5-10 minutes
- Validated cutoff — Score ≥36 = 84% sensitivity, 93% specificity for significant distress
- Convergent validity — Strong correlation with burnout (r=0.57) but distinct construct
- Free to use — Available from Mantri et al. Journal of Religion and Health 2020
⚖️ Moral injury is not burnout—it's the deep soul wound from betrayal, ethical compromise, or witnessing harm. COVID-19 tripled moral injury prevalence in frontline workers. Chinese physicians show 31.6% prevalence of clinically significant moral injury. Unaddressed moral injury leads to PTSD, depression, and suicide risk. Measure it before it destroys your sense of purpose.