ArticleBMC nursing2023
Impact of ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses: a cross-sectional study.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- "Touching Beyond the Body": A Qualitative Study of Spiritual Care Experiences among Hemodialysis Nurses in Türkiye.Journal of religion and health · 2026Article
- Moral distress in healthcare professionals working with motor neuron disease.Palliative & supportive care · 2026Article
- Moral resilience of oncology nurses and its influencing factors: a cross-sectional study.BMC nursing · 2026Article
- Critical care nurses' perspectives on moral distress: a qualitative study in a public sector tertiary care setting.BMC nursing · 2026Article
- The impact of clinical nursing work environment, moral sensitivity, and humanistic care ability on missed nursing care: A longitudinal study.International journal of nursing sciences · 2026Article
- Organizational Climate, Ethical Work Environment, and Turnover Intentions Among Healthcare Workers in a Romanian Chronic Care Hospital: A Multidimensional Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Hospital ethical climate and nurses' cyber ethics literacy: the mediating role of compassion competence.Frontiers in medicine · 2026Article
- Impact of Moral Distress, Person-Centred Care, and Nursing Professional Pride on Turnover Intention Among Intensive Care Unit Nurses in South Korea: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- [Influential factors of moral distress and job satisfaction on turnover intention of long-term care hospital nurses: A cross-sectional descriptive study].Journal of Korean gerontological nursing · 2025Article
- The level of moral sensitivity among nurses: a systematic review and meta-analysis.BMC nursing · 2025Article
- Moral distress, ethical climate, and compassion fatigue among oncology nurses: the mediating role of moral distress.BMC nursing · 2025Article
- The Relationships Between Ethical Sensitivity, Ethical Decision-Making Ability, and Ethical Conflict Among ICU Nurses: A Structural Equation Model.Journal of nursing management · 2025Article
- Relationship between hospital ethical climate, critical thinking disposition, and nursing task performance.BMC nursing · 2024Article
- Care of patients undergoing withdrawal of life-sustaining treatments: an ICU nurse perspective.BMC nursing · 2024Article
- Factors of Hospital Ethical Climate among Hospital Nurses in Korea: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Bibliometric analysis of nurses' moral distress research.Frontiers in psychiatry · 2024Review
- Effects of Communication Skills and Organisational Communication Satisfaction on Self-Efficacy for Handoffs among Nurses in South Korea.Healthcare (Basel, Switzerland) · 2023Article
- Perception of the ethical climate among healthcare professionals in an emergency room from southern Brazil.Revista CuidarteArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile several studies have been performed on turnover intention among nurses, limited studies have considered the ethical perspectives on turnover intention among haemodialysis nurses. The purpose of this study was to clarify the impact of ethical factors, namely ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses.
methodsThis cross-sectional research was conducted between July and August 2017. A total of 148 haemodialysis nurses were invited to participate in the study by convenience sampling from 11 general and university hospitals in South Korea. Data were analysed using SPSS for t-test, one-way analysis of variance, Pearson's correlation coefficients, and multiple regression analysis.
resultsIn the final regression model, the adjusted R-squared significantly explained 34.6% of the variance in turnover intention (F = 22.534, p < .001) when moral distress related to physician practice (β = 0.310, p = .001) and ethical climate related to the hospital climate (β = - 0.253, p = .003) and manager (β = - 0.191, p = .024) were included. Following the stepwise multiple regression process, all subdomains related to moral sensitivity were excluded due to no statistical significance in the final regression model.
conclusionTo reduce turnover intention among haemodialysis nurses, hospitals and managers should pay attention to haemodialysis nurses' moral distress originating from physicians' practice and improve their ethical climate. Additionally, it is required that the impact of moral sensitivity on turnover among nurses working in diverse care settings be examined further.
Indexed as
Identifiers
What OpenQuestion holds
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.