With A Kiss: Betrayal

Bunkers, Sandra Schmidt

doi:10.1177/0894318417741092

Cited by 8 publications

(9 citation statements)

References 16 publications

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“…4 Betrayal trauma theory posits that harmful acts perpetrated by a known or trusted person exacerbates the negative sequelae because the person harmed feels so violated and betrayed. 11 Institution is defined in the dictionary as “an established organization or corporation (such as a bank or university) especially of a public character,” a “significant practice, relationship, or organization in a society or culture,” and “something or someone firmly associated with a place or thing.” 12 In nursing, the institution could include individuals (e.g. managers, co-workers), entities (e.g.…”

Section: Definitions and Use Of The Conceptmentioning

confidence: 99%

“…Consistent with betrayal trauma theory, which posits that harm induced by a person who is known or trusted by the victim is compounded by the violation of that trust, institutional betrayal among nurses would intensify the physical or psychological damage from a stressful event. 11,17 Betrayal likely intensifies the stress of providing care with increased negative effects on well-being such as sadness, depression, anger, and burnout. 7 Coping with the stress is disrupted, which could impact the professional commitment.…”

Section: Attributes Of the Phenomenonmentioning

confidence: 99%

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Institutional betrayal in nursing: A concept analysis

Brewer

2021

Nurs Ethics

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Background: Ethical relationships are important among many participants in healthcare, including the ethical relationship between nurse and employer. One aspect of organizational behavior that can impact ethical culture and moral well-being is institutional betrayal. Research aim: The purpose of this concept analysis is to develop a conceptual understanding of institutional betrayal in nursing by defining the concept and differentiating it from other forms of betrayal. Design: This analysis uses the method developed by Walker and Avant. Research context: Studies were reviewed using health literature databases with no date restrictions. Ethical considerations: Analysis was conducted using established guidelines for ethical research. Findings: Although institutional betrayal is a concept applied in the literature, there was a paucity of studies exploring the concept within nursing. Examples of the concept in the literature include violation of trust between organization (i.e. employer) and nurse, such as provision of inadequate workplace protections, ineffective or hostile management, and gaslighting of those who experience negative events. Examples of institutional betrayal have become more visible during the COVID-19 pandemic. Discussion: A conceptual definition of institutional betrayal is a deep violation of trust or confidence or violation of moral standards committed by an institution toward a nurse. This definition incorporates experiences and issues suggested by the literature. Outcomes are likely negative, including impacts on nurse psychological and workplace well-being. This concept likely fits within a framework of ethical workplaces and has conceptual relationships with moral distress and moral resilience. Further studies can help qualitatively explore and empirically measure this concept. Conclusion: In the pursuit of improving the ethical culture of healthcare workplaces, this concept can provide meaningful insight into organizational behavior and its consequences. Naming and describing the concept can promote conceptual clarity and equip researchers, nurses, and leaders to identify and mitigate the issue.

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Section: Definitions and Use Of The Conceptmentioning

confidence: 99%

Section: Attributes Of the Phenomenonmentioning

confidence: 99%

Institutional betrayal in nursing: A concept analysis

Brewer

2021

Nurs Ethics

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“…To respond to moral injury issues that involve betrayal, a restorative process may be necessary if possible. Betrayal is considered a fundamental “assault on human dignity and brings with it powerful disappointment and discouragement” (57). The issue of betrayal, be it by others or self-betrayal, requires a restoration to allow the person to have their grievance heard either by those directly involved in the incident (e.g., perpetrator/chain of command) or a senior defense member representing the defense institution/service.…”

Section: Pastoral Narrative Disclosurementioning

confidence: 99%

Chaplaincy, Spiritual Care and Moral Injury: Considerations Regarding Screening and Treatment

Carey

Hodgson

2018

Front. Psychiatry

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Moral injury is a complex trauma related syndrome involving a correlation of biological, psychological, social, and spiritual symptoms that can have substantial impact upon health and well-being. This paper argues for a holistic bio-psycho-social-spiritual approach to moral injury, by including chaplaincy in the screening and treatment of moral injury among actively serving military members and retired veterans. As part of the moral injury treatment process, and in alignment with the World Health Organization's Spiritual Intervention Codings, a new technique is proposed, “Pastoral Narrative Disclosure” (PND), as a guide for chaplains and others trained in spiritual care to assist those suffering from moral injury.

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“…The stress and strain are particularly acute when one appraises negative life events as the result of punishment for misdeeds or a function of God abandoning them. Abandonment issues are also associated with a sense of betrayal, a feeling that often arises in the course of warfare (Bunkers, 2018; Currier, McCormick, & Drescher, 2015; Shay, 2014; Wortmann et al, 2017). Closely held beliefs and values can be questioned, including beliefs in a benevolent God or the very existence of a higher power (Worthington & Langberg, 2012).…”

Section: Spiritual Beliefs and Moral Woundsmentioning

confidence: 99%

Moral Wounds and Moral Repair: The Dilemmas of Spirituality and Culturally Sensitive Practice

Sullivan

Starnino

2018

Families in Society: The Journal of Contemporary Social Service

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As our understanding of trauma is expanding, greater consideration is being given to factors such as moral injury and spirituality. Moral injury appears to be especially pertinent in the case of war-related trauma, as one may not only be the victim of, or witness to, troubling events but also be the perpetrator of acts that run counter to personal values. For some, moral beliefs and values and key elements of the assumptive world are intertwined with spiritual and religious matters. This article discusses moral injury and repair in the context of spiritually and culturally sensitive practice. Strategies for addressing issues such as moral anguish, loss of meaning, identity disturbance, guilt and shame, forgiveness, and spiritual struggle are discussed.

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With A Kiss: Betrayal

Cited by 8 publications

References 16 publications

Institutional betrayal in nursing: A concept analysis

Institutional betrayal in nursing: A concept analysis

Chaplaincy, Spiritual Care and Moral Injury: Considerations Regarding Screening and Treatment

Moral Wounds and Moral Repair: The Dilemmas of Spirituality and Culturally Sensitive Practice

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