Moral injury can arise from betrayals – intentional or not – rooted in organizational decisions that prevent health workers from providing optimal patient care. And operational breakdown, i.e., a lack of physical and mental health safety, excessive work demands, and inefficiencies, can lead to burnout.

Dr. Patricia “Polly” Pittman, Director of the Fitzhugh Mullan Institute for Health Workforce Equity, illustrates the relationship between worker distress and leadership, and why the culture of an organization matters. Dr. Frankie Fachilla rejoins us to explain how to strengthen the relationships between those on the ‘frontlines’ and those in the C-suite. And Dr. Amy Locke, Chief Wellness Officer, Director of the Osher Center for Integrative Health at the University of Utah joins us to talk about the importance of measurement and accountability in driving organizational change.

The Workplace Change Collaborative is supported by the Health Resources and Services Administration. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS or the U.S. Government.

To learn more about moral injury, burnout, and what to do about both, access our interactive framework and additional resources at wpchange.org.