Original ArticlesMoral Injury in Veterans Application of the Roy Adaptation Model to Improve CopingCox, Michael DNP, MHA, RN; Skjolsvik, Vonda DNP, RN, CHSE; Rathfon, Becki MS, CCMHC; Buckner, Ellen PhD, RN, CNE, AE-CAuthor Information Health Science Department, Grayson College, Denison, Texas (Drs Cox, Skjolsvik, and Rathfon) and Moffett and Sanders School of Nursing, Samford University, Birmingham, Alabama (Dr Buckner). Correspondence: Michael Cox, DNP, MHA, RN, Health Science Department, Grayson College, 6101 Grayson Drive (Hwy 691), Denison, TX 75020 ([email protected]). The authors thank the veterans and stakeholders for sharing their expertise and experience in each focus group discussion. Their struggles and sacrifices fostered the development of this study. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.advancesinnursingscience.com). Advances in Nursing Science: July/September 2021 - Volume 44 - Issue 3 - p 224-237 doi: 10.1097/ANS.0000000000000348 Buy SDC CE Test Metrics Abstract The objective of this article is to provide validation, application, and understanding of the concept of moral injury and build provider awareness to reduce veteran self-harm. Two focus groups were conducted: one to identify characteristics of moral injury and the other to refine the concepts and generate clinical approaches that address maladaptive coping strategies. The focus group sessions verified moral injury's existence, and focus group consensus centered on loss of role identity and shattering of the veteran's core integrity. The veteran's inability to self-reflect is identified as a significant contributor to the maladaptive thought process, creating internal triggers based on violations of deeply held beliefs. A Supplemental Digital Content video abstract is available at http://links.lww.com/ANS/A33. © 2021 Wolters Kluwer Health, Inc. All rights reserved.