ArticleIntensive & critical care nursing2023
Influence of spirituality on moral distress and resilience in critical care staff: A scoping review.
Article in Intensive & critical care nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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.
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.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- The mediating role of ICU nurses' moral disengagement between moral resilience and moral distress.BMC nursing · 2026Article
- Validity and Reliability of the Korean Version of the Rushton Moral Resilience Scale-16™ in Nurses.Healthcare (Basel, Switzerland) · 2026Article
- Fostering Spiritually Supportive Work Environments in Healthcare: Leadership Recommendations From a Narrative Review.Journal of nursing management · 2026Review
- Spiritual well-being, sleep quality as a buffer against burnout and in increasing professional fulfillment among healthcare professionals in the United Arab Emirates.Journal of education and health promotion · 2026Article
- Moral sensitivity and professional quality of life in EMS personnel: a cross-sectional multicenter study.BMC emergency medicine · 2025Article
- The serial mediating effects of moral resilience and moral courage on the relationship between moral injury and positive coping style in Chinese nursing interns.Frontiers in psychology · 2025Article
- Moral Distress, Moral Resilience, Moral Courage, and Moral Injury Among Nurses in the Philippines During the COVID-19 Pandemic: A Mediation Analysis.Journal of religion and health · 2023Article
- The relationship between the strength of religious faith and spirituality in relation to post-traumatic growth among nurses caring for COVID-19 patients in eastern Poland: a cross-sectional study.Frontiers in psychiatry · 2023Article
- Critical Care Providers' Moral Distress: Frequency, Burden, and Potential Resources.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Covid 19 pandemic has created a situation in which critical care staff experience moral distress. For reducing moral distress, resources such as spirituality can be used. The aim of this scoping review is to explore whether spirituality mitigates the moral distress of critical care staff and strengthens their resilience. The spiritual resources will be identified and the ability of the staff to use spiritual resources will be explored. METHODOLOGY: A scoping review of studies reporting on the association between spirituality, moral distress, and resilience. Qualitative and quantitative studies from 2020 that examined critical care staff are included. This scoping review used the five-step framework proposed by Arksey and O'Malley and was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework for scoping reviews. The literature searches were conducted in 12 databases.
results13 studies met inclusion criteria. Critical care staff declaring themselves as spiritual have a higher risk of moral distress and are often not able to use spiritual resources on their own. For effective use of spiritual resources to reduce moral distress, staff need to be skilled in the practice of spirituality with the aim to find inner peace, focus on the positive, and regain a sense of purpose in the work.
conclusionSpirituality does not automatically help the critical care staff to cope with moral distress and strengthen resilience. Institutions need to create conditions in which the critical care staff are supported to use their spiritual resources. IMPLICATION FOR CLINICAL PRACTICE: Institutions need to involve staff more in the design, implementation, and delivery of spiritual interventions to minimise moral distress. Further research is necessary to examine the impact of critical care staff's demographic characteristics on their spirituality, moral distress, and resilience.
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