ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2018
The Standard Account of Moral Distress and Why We Should Keep It.
Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Moral distress and job satisfaction among oncology and hematology nurses in Saudi Arabia.BMC nursing · 2026Article
- Producing Mobility, Withholding Authority: Epistemic Drain and Nursing Sovereignty in Nepal.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Predictors of Moral Distress Among Nurses: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- The Outcomes of A Multifaceted Educational Intervention to Reduce Moral Distress Among Critical Care Nurses.Journal of clinical nursing · 2025Article
- Experiences of Moral Distress in Canadian Intensive Care Unit Professionals During and After the COVID-19 Pandemic: A Qualitative Exploratory Multiple Case Study in Ontario and Alberta, Canada.Journal of intensive care medicine · 2025Article
- Overestimating prevalence? Rethinking boundaries and confounders of moral distress.Journal of health psychology · 2025Review
- Impact of Authentic Leadership on Nurses' Ethically Oriented Practices and Patient-Oriented Outcomes: A Multilevel Analysis.Journal of nursing management · 2025Article
- Strategies to mitigate moral distress as reported by eldercare professionals.International journal of qualitative studies on health and well-being · 2024Article
- Characteristics of moral distress from nurses' perspectives: An integrative review.International journal of nursing sciences · 2024Review
- The effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic: a quasi-experimental study.BMC medical education · 2024Article
- Article
- Moral Distress and Nursing Education: Curricular and Pedagogical Strategies for a Complex Phenomenon.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Moral Distress in Radiation Oncology: Insights From Residents in Germany.Advances in radiation oncology · 2024Article
- Elderly Care Practitioners' Perceptions of Moral Distress in the Work Development Discussions.Healthcare (Basel, Switzerland) · 2023Article
- Moral distress - a threat to dementia care? A qualitative study of nursing staff members' experiences in long-term care facilities.BMC health services research · 2022Article
- Relationships between ethical decision-making and professional behavior in Iranian nursing students.Journal of medical ethics and history of medicine · 2022Article
- The ethical implications of verbal autopsy: responding to emotional and moral distress.BMC medical ethics · 2021Article
- Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care unit team.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
- Moral distress perspectives among interprofessional intensive care unit team members.Nursing ethics · 2020Article
- What is 'moral distress' in nursing? A feminist empirical bioethics study.Nursing ethics · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the last three decades, considerable theoretical and empirical research has been undertaken on the topic of moral distress among health professionals. Understood as a psychological and emotional response to the experience of moral wrongdoing, there is evidence to suggest that-if unaddressed-it contributes to staff demoralization, desensitization and burnout and, ultimately, to lower standards of patient safety and quality of care. However, more recently, the concept of moral distress has been subjected to important criticisms. Specifically, some authors argue that the standard account of moral distress elucidated by Jameton (AWHONN's Clin Issues Perinat Women's Health 4(4):542-551, 1984) does not refer to a discrete phenomenon and/or that it is not sufficiently broad and that this makes measuring its prevalence among health professionals, and other groups of workers, difficult if not impossible. In this paper, we defend the standard account of moral distress. We understand it as a concept that draws attention to the social, political and contextual determinants of moral agency and brings the emotional landscape of the moral realm to the fore. Given the increasing pressure on health professionals worldwide to meet efficiency, financial and corporate targets and reported adverse effects of these for the quality and safety of patient care, we believe that further empirical research that deploys the standard account moral distress is timely and important.
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Registered trials
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