ArticleNursing ethics2022
Coping with moral distress on acute psychiatric wards: A qualitative study.
Article in Nursing ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Moral distress among acute mental health nurses: A systematic review.Nursing ethics · 2024Pooled it
- Pooled it
- Concept synthesis of ethical resilience in nurses.Nursing ethics · 2026Article
- Article
- Mental Health Nurses' Enforcement of Involuntary Care in Inpatient Settings: A Meta-Ethnography.International journal of mental health nursing · 2025Review
- Nurses' adherence to ethical principles - A qualitative study.Nursing ethics · 2025Article
- Exploring Registered Nurses' Experiences of Workplace Adversity: A Descriptive Qualitative Study.Nursing open · 2025Article
- Moral distress among inpatient child and adolescent psychiatry staff: a mixed-methods study of experiences and associated factors.Child and adolescent psychiatry and mental health · 2025Article
- The Role of Leadership in Supporting and Mitigating Moral Distress in Nursing: A Scoping Review.Journal of nursing management · 2025Article
- The relationship between moral distress and clinical care quality among nurses: an analytical cross-sectional study.BMC nursing · 2024Article
- "Just pee in the diaper" - a constructivist grounded theory study of moral distress enabling neglect in nursing homes.BMC geriatrics · 2024Article
- Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study.Journal of nursing management · 2024Article
- The experiences of intensive care nurses coping with ethical conflict: a qualitative descriptive study.BMC nursing · 2023Article
- [Changes in the routine work and moral distress in psychiatric care during the COVID-19 pandemic : A survey among physicians active in inpatient care in Germany].Der Nervenarzt · 2023Article
- An educational program of reducing moral distress (PRMD) in nurses; designing and evaluating.BMC medical education · 2023Article
- Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP).BMC medical ethics · 2023Article
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Authors and funding
4 authors.
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Abstract
backgroundNurses working within acute psychiatric settings often face multifaceted moral dilemmas and incompatible demands.
methodsQualitative individual and focus group interviews were conducted. ETHICAL CONSIDERATIONS: Approval was received from the Norwegian Social Science Data Services. Ethical Research Guidelines were followed. PARTICIPANTS AND RESEARCH CONTEXT: Thirty nurses working within acute psychiatric wards in two mental health hospitals.
resultsVarious coping strategies were used: mentally sorting through their ethical dilemmas or bringing them to the leadership, not 'bringing problems home' after work or loyally doing as told and trying to make oneself immune. Colleagues and work climate were important for choice of coping strategies. DISCUSSION: Nurses' coping strategies may influence both their clinical practice and their private life. Not facing their moral distress seemed to come at a high price.
conclusionsIt seems essential for nurses working in acute psychiatric settings to come to terms with distressing events and identify and address the moral issues they face. As moral distress to a great extent is an organisational problem experienced at a personal level, it is important that a work climate is developed that is open for ethical discussions and nourishes adaptive coping strategies and moral resilience.
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