ArticleJournal of nursing management2021
Leadership, professional quality of life and moral distress during COVID-19: A mixed-methods approach.
Article in Journal of nursing management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Severity and associated factors of moral injury in healthcare workers during the coronavirus pandemic: a comprehensive meta-analysis.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations.Human resources for health · 2024Pooled it
- Moral distress, self-compassion, and professional quality of life among ICU nurses: a cross-sectional study in Northern Iran.BMC nursing · 2026Article
- Moral sensitivity and professional quality of life in EMS personnel: a cross-sectional multicenter study.BMC emergency medicine · 2025Article
- Newly graduated nurses' experiences of moral distress during transition process: a convergent mixed methods study.BMC nursing · 2025Article
- Moral distress and protective work environment for healthcare workers during public health emergencies.BMC medical ethics · 2024Article
- Nurses' perceptions of the performance of nurse managers and senior hospital management during the COVID-19 pandemic.BMC nursing · 2024Article
- Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study.BMC nursing · 2024Article
- Quality of life at work for health professionals during the COVID-19 pandemic.Revista brasileira de enfermagem · 2024Article
- The relationship between moral distress, burnout, and considering leaving a hospital job during the COVID-19 pandemic: a longitudinal survey.BMC nursing · 2023Article
- From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?BMC nursing · 2023Article
- The mediating roles of workplace support and ethical work environment in associations between leadership and moral distress: a longitudinal study of Canadian health care workers during the COVID-19 pandemic.Frontiers in psychology · 2023Article
- The effects of positive leadership on quality of work and life of family doctors: The moderated role of culture.Frontiers in psychology · 2023Article
- A cross sectional study of nurses' perceptions of nurse leaders' internal crisis communication during the COVID-19 pandemic.Journal of nursing management · 2022Article
- Lived Experience of Nurses in COVID-19 Units - A Phenomenological Study from Eastern India.Journal of caring sciences · 2022Article
- The experience of moral distress by chief nurse officers during the COVID-19 pandemic: A descriptive phenomenological study.Journal of nursing management · 2022Article
- Moral and exhausting distress working in the frontline of COVID-19: a Swedish survey during the first wave in four healthcare settings.BMJ open · 2022Article
- Alarm fatigue and moral distress in ICU nurses in COVID-19 pandemic.BMC nursing · 2022Article
- [COVID-19 protective measures in nursing homes: Between autonomy and care - Results of an interview study].Ethik in der Medizin : Organ der Akademie fur Ethik in der Medizin · 2022Article
- Leadership, professional quality of life and moral distress during COVID-19: A mixed-methods approach.Journal of nursing management · 2021Article
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Authors and funding
4 authors.
Funding
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Abstract
aimTo understand the impact of professional stressors on nurses' and other health care providers' professional quality of life and moral distress as they cared for patients during the COVID-19 pandemic.
backgroundHealth care providers caring for patients during the COVID-19 pandemic are at increased risk of decreased professional quality of life and increased moral distress.
methodsA convergent mixed-methods design and snowball sampling was used to collect survey data (n = 171) and semi-structured interviews (n = 23) among health care providers working in the inpatient setting.
resultsPerceived lack of support from executive leadership, access to personal protective equipment and constantly changing guidelines led to decreased professional quality of life and increased moral distress among health care providers.
conclusionFindings from this study indicate that shared governance, disaster management training and enhanced communication may assist executive leadership to reduce the likelihood of decreased professional quality of life and increased moral distress in front line health care providers. IMPLICATIONS FOR NURSING MANAGEMENT: Following the principles of shared governance may assist executive leadership to promote and acknowledge the significance of the role of health care providers at the bedside. Additionally, disaster management training and open communication are crucial to ensure that health care providers are adequately informed and supported at the bedside.
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