{
  "abstract": "Moral injury among healthcare workers is well recognised in extreme conditions such as the COVID-19 pandemic1 2 or critical care settings,3 but its impact on research personnel has received far less attention.4 Exposure to moral injury is not part of standard training for research coordinators or investigators. This commentary reflects experiences from an ongoing clinical trial across multiple low- and middle-income countries (LMICs) in sub-Saharan Africa and offers 11 practical approaches by which to build ethical resilience and help mitigate moral injury.",
  "authors": [
    {
      "affiliations": [
        "Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA",
        "Harvard Medical School, Boston, Massachusetts, USA"
      ],
      "name": "Tiara F Calhoun"
    },
    {
      "affiliations": [
        "BREATHE Trial Team, Nakuru, Kenya"
      ],
      "name": "Celestine Onyango"
    },
    {
      "affiliations": [
        "BREATHE Trial Team, Nakuru, Kenya"
      ],
      "name": "Venesa Sonia"
    },
    {
      "affiliations": [
        "Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA",
        "Geriatric Research, Education, and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, Tennessee, USA"
      ],
      "name": "E Wesley Ely"
    },
    {
      "affiliations": [
        "Harvard Medical School, Boston, Massachusetts, USA",
        "Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"
      ],
      "name": "Elisabeth Riviello"
    }
  ],
  "title": "We watched him die without oxygen: reflections and responses on moral injury among research staff in LMIC hospitals",
  "uid": "8d160d9f-1bf1-5247-ab6b-36d48181abc3"
}