ArticleBioMed research international2017
Exploration of the Association between Nurses' Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services.
Article in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Moral distress among acute mental health nurses: A systematic review.Nursing ethics · 2024Pooled it
- Registered Nurses' and nursing students' perspectives on moral distress and its effects: A mixed-methods systematic review and thematic synthesis.Nursing open · 2023Pooled it
- Estimation of moral distress among nurses: A systematic review and meta-analysis.Nursing ethics · 2023Pooled it
- Moral distress, self-compassion, and professional quality of life among ICU nurses: a cross-sectional study in Northern Iran.BMC nursing · 2026Article
- Psychosocial Impact of COVID-19 on Intensive Care Unit Personnel: A Repeated Cross-Sectional Survey Assessment Before, During, and After the First Peak.Healthcare (Basel, Switzerland) · 2026Article
- Secondary Traumatic Stress and Coping Experiences in Psychiatric Nurses Caring for Trauma Victims: A Phenomenological Study.Journal of psychiatric and mental health nursing · 2025Article
- The level of moral sensitivity among nurses: a systematic review and meta-analysis.BMC nursing · 2025Article
- Moral Distress and Emotional Exhaustion in Healthcare Professionals: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Barriers to the implementation of psychosocial interventions on acute mental health wards: an ethnographic observational study.Frontiers in psychiatry · 2025Article
- Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers.Advances in medical education and practice · 2024Article
- Moral Distress and Related Factors among Nurses Working in the Emergency Departments: A Cross-sectional Study.Bulletin of emergency and trauma · 2024Article
- Correlation between professional quality of life and alarm fatigue symptoms among intensive care unit nurses.Health science reports · 2023Article
- Moral distress during COVID-19: The importance of perceived organizational support for hospital nurses.Journal of health psychology · 2023Article
- Coping with Secondary Traumatic Stress.International journal of environmental research and public health · 2022Article
- From distress to detachment: exploring how providing care for stigmatized patients influences the moral development of medical trainees.Advances in health sciences education : theory and practice · 2022Article
- Work-Related Traumatic Stress Response in Nurses Employed in COVID-19 Settings.International journal of environmental research and public health · 2022Article
- Enhancing the well-being of front-line healthcare professionals in high pressure clinical environments: A mixed-methods evaluative research project.International journal of nursing studies · 2022Article
- Compassion satisfaction and compassion fatigue in haematology cancer nurses: A cross-sectional survey.Nursing open · 2022Article
- Mental health nurses' experience of challenging workplace situations: A qualitative descriptive study.International journal of mental health nursing · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. This cross-sectional survey conducted in 206 mental health nurses (MHNs) was employed across public sector community and hospital settings in Cyprus. The analysis revealed that MD (measured by the modified Moral Distress Scale) was positively associated with both STSS (measured by the Secondary Traumatic Stress Scale) and mental distress symptoms (assessed by the General Health Questionnaire-28). The association of MD with STSS symptoms was partially mediated by mental distress symptoms. This association remained largely unchanged after adjusting for gender, age, education, rank, and intention to quit the job. Our findings provide preliminary evidence on the association between MD and STSS symptomatology in MHNs. Situations that may lead health professionals to be in moral distress seem to be mainly related to the work environment; thus interventions related to organizational empowerment of MHNs need to be developed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.