Science

I was agreeing with you for the entirety of your comment (as someone with friends in healthcare), until you said

"What they call burnout, really is moral injury"

And then I was aggressively agreeing with you. I do not hear this aspect spoken about nearly enough. I was in hospital during COVID for non COVID reasons and I remember one terrible night where there was only one nurse on the ward, when two were needed to dispense medications like morphine. I was fortunate that I wasn't needing medication like that, but many on the ward did. The entire night, sick and injured people were crying from pain as the solitary nurse sounded increasingly desperate as she explained to them that she needed to wait until she had backup and that she had been promised (and that, failing that, help should definitely arrive with the morning shift).

Prior to that night, my opinion of that nurse was that she was the kind of unpleasant that made me wonder "why has this person gone into healthcare when they seem to hate people so much?". After that harrowing night, I realised the depth of the agony that her job involved and the inhumanity not just for the patients who were unable to receive medication, but for staff like her too. This was during COVID, so it's unsurprising that the hospital was struggling for staff, but services were struggling long before COVID too.

I often think about her, and what she represents; I wonder how she was when she first started the job, and if perhaps her brusque manner evolved as the moral injury wore her down and hardened her exterior.