4. With the expectation of higher speed when there was no daytime limit, Montanaâs seat belt usage was well above the national average on its highways without a primary law, lane and road courtesy increased, speeds remained relatively stable and fatal accidents dropped to a modern low.
Moral injury. Moral injury refers to an injury to an individual's moral conscience resulting from an act of perceived moral transgression which produces profound emotional shame. The concept of moral injury emphasizes the psychological, cultural, and spiritual aspects of trauma.
Causes of moral distress can broadly be categorized into 8 categories: quality of care, amount of care provided, inconsistent care plans, end-of-life decision making, poor communication, interactions/conflict between ICU staff and family, recommendations for patient care ignored by other staff, and lack of support or resources.