“If I die, they do not care”: U.K. National Health Service staff experiences of betrayal-based moral injury during COVID-19.

This analysis concludes that self-identified "burnout" in NHS staff may include a significant moral component, and that failure to engage in moral repair following betrayal-based moral injury may relate to a long-term loss of trust or fractured relationship with the organization. In addition to traditional trauma-informed psychological support, leadership at all levels should be trained to be aware of betrayal-based moral injury and to engage in moral repair to reduce staff intent to leave and encourage mutual trust. (PsycInfo Database Record (c) 2022 APA, all rights reserved).