Who it’s for · Healthcare

Care Work Wears People Down Quietly

Hospitals, health services and nursing organisations run the workplace edition with the Moral Injury module switched on. It asks what the job asks of people, and what that costs them.

Why it fits

Burnout Rarely Shows Up on the Roster First

Quietly Cracking is a 22-item check for high-functioning burnout: people who keep turning up for every shift while running on empty. It sits beside the psychosocial hazards module, which asks teams and the people leading them different questions, so pressure on unit managers and senior clinicians stays visible in a hospital-wide result.

Reported through Australian WHS, ISO 45003, CSA Z1003 and the US Surgeon General framework.

Organisations that have run the evaluation (sometimes called a staff wellbeing or burnout survey) include the Royal Children’s Hospital, Cincinnati Children’s Hospital, the Yale School of Nursing, the Minnesota Nurses Association, Michigan Health, Bay County Medical Care Facility, Benzie-Leelanau District Health Department and Women’s Health Loddon Mallee.

What it measures

The Sections Health Services Use Most

Moral Injury

The harm of being part of, or unable to prevent, care that falls short of what you know it should be.

Quietly Cracking

Twenty-two items on the burnout pattern that hides behind people who never miss a shift.

Psychosocial Hazards

Asked of teams and leaders separately, and reported through four standards from one evaluation.

Culture of Care

Whether people feel the organisation looks after them the way it asks them to look after others.

Shift work

Ways to Answer That Fit a Long Shift

Answer as a short conversation, a card deck or a classic form, and stop and come back at your own pace. Offline Kiosk Mode runs on a tablet in a staff room or a remote clinic without a connection. Read-aloud covers seventeen languages.

Questions

Questions People Ask

Can we see results by ward or unit?

Yes. Results can be cut by the segmentation your contract enables, such as unit, role, location or tenure. Every cohort figure is suppressed below a minimum number of responses, so a small team can never be identified from a result.

What is moral injury, and why measure it separately?

Moral injury is the harm that comes from taking part in, or being unable to prevent, something that goes against your own values. It is common in healthcare and differs from burnout, so it needs its own questions. The module adds a Moral Injury section and dashboard.

Who sees an individual’s answers?

Reporting is by cohort, and every figure is suppressed below a minimum number of responses. Each person keeps their own results in a personal vault.

Does it report against psychosocial standards?

Yes. The same evaluation reports through Australian WHS, ISO 45003, CSA Z1003 and the US Surgeon General framework, without asking anyone twice.

See It for Your Health Service