ArticleHealthcare (Basel, Switzerland)2021
Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Moral Distress Scores of Nurses Working in Intensive Care Units for Adults Using Corley's Scale: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- Iranian Nurses' Experiences of Moral Distress in Paediatric Wards: A Qualitative Study.Nursing open · 2026Article
- Moral distress in healthcare professionals working with motor neuron disease.Palliative & supportive care · 2026Article
- Exploring the Views and Experiences of Moral Distress Among Newly Graduated Registered Nurses in Saudi Arabia: A Sequential Explanatory Mixed-Methods Study Protocol.Nursing reports (Pavia, Italy) · 2026Article
- Moral distress among nurses: an umbrella review of its prevalence, severity, causes, and consequences.BMC nursing · 2026Article
- Critical care nurses' perspectives on moral distress: a qualitative study in a public sector tertiary care setting.BMC nursing · 2026Article
- Moral Distress and Its Institutional Factors among Nurses in the Inpatient Department at a University Teaching Hospital in Kigali, Rwanda.Rwanda journal of medicine and health sciences · 2026Article
- Article
- The Outcomes of A Multifaceted Educational Intervention to Reduce Moral Distress Among Critical Care Nurses.Journal of clinical nursing · 2025Article
- Moral distress among maternity and neonatal healthcare workers during the COVID-19 pandemic in Sweden: Results from the COPE staff longitudinal cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Physiotherapists' moral distress: Mixed-method study reveals new insights.Nursing ethics · 2024Article
- [Theoretical foundations of clinical ethics consultation in psychiatry].Der Nervenarzt · 2024Article
- Moral distress and protective work environment for healthcare workers during public health emergencies.BMC medical ethics · 2024Article
- Article
- Moral distress thermometer: Swedish translation, cultural adaptation and validation.Nursing ethics · 2024Article
- Moral caring competency and moral distress among Ghanaian nurses in adult care settings: A descriptive-correlational study.Belitung nursing journal · 2024Article
- How Do Nursing Students Perceive Moral Distress? An Interpretative Phenomenological Study.Nursing reports (Pavia, Italy) · 2023Article
- Moral Distress and Burnout in Neonatal Intensive Care Unit Healthcare Providers: A Cross-Sectional Study in Italy.International journal of environmental research and public health · 2022Article
- Working under pressure: How virtual reality and psychoeducation shape stress and moral distress responses in nurses.Digital healthArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level of moral distress among healthcare professional working in community or hospital settings and compare it by demographic and workplace characteristics. This is a cross-sectional study. All the professionals working in the hospitals or community settings involved received personal e-mail invitations to participate in the study. The Moral Distress Thermometer was used to measure moral distress among healthcare professionals. Before data collection, ethical approval was obtained from each setting where the participants were enrolled. The sample of this study is made up of 397 healthcare professionals: 53.65% of the sample works in hospital setting while 46.35% of the sample works in community setting. Moral distress was present in all professional groups. Findings have shown that nurses experienced level of moral distress higher than other healthcare professionals (mean: 4.91). There was a significant differences between moral distress among different professional categories (H(6) = 14.407;
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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.