“…Spanish nursing students also described moral injury stemming from failure to help COVID-19 patients during the pandemic (Roca et al, 2021). In a sample of adults who reported engaging in intimate partner violence, moral distress was associated with higher levels of PTS, depression, and anxiety (Taverna & Marshall, 2023). Similarly, a study with undergraduate students found positive associations between PMIEs and mental health outcomes (Chaplo et al, 2019).…”