ArticlePsychological trauma : theory, research, practice and policy2024
A mixed methods study of moral distress among frontline nurses during the COVID-19 pandemic.
Article in Psychological trauma : theory, research, practice and policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Guilt, Not Shame, Mediates the Longitudinal Relationship Between Moral Distress and Suicidal Ideation Among Frontline Nurses During COVID-19.Journal of clinical psychology · 2026Article
- Low Interest Among Young People in Becoming Nurses in Greece: Contributing Factors According to Academic Staff.Nursing reports (Pavia, Italy) · 2026Article
- Experiences of Moral Distress in Canadian Intensive Care Unit Professionals During and After the COVID-19 Pandemic: A Qualitative Exploratory Multiple Case Study in Ontario and Alberta, Canada.Journal of intensive care medicine · 2025Article
- Exposure to distressing situations among registered nurses during the COVID-19 pandemic: a cross-sectional study.BMC nursing · 2025Article
- COVID-19 Impact on Veterans Health Administration Nurses: A Retrospective Survey.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study.BMC nursing · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe study's purpose was to develop an understanding of factors affecting moral distress among nurses during the COVID-19 pandemic.
methodCalifornia-licensed, registered nurses who cared for COVID-19 patients for at least 3 months were recruited for an explanatory concurrent mixed methods study. Data are derived from the first of two surveys administered 3 months apart, including open-ended questions.
resultsVariables with significant bivariate correlations were included as simultaneous predictors in a linear regression model predicting moral distress. The overall model was significant, explaining a substantial portion of the variance in moral distress, but results showed only organizational support and institutional betrayal uniquely predicted moral distress. Three qualitative themes were identified:
conclusionsFindings provide insights into how nurses' experiences affected their feelings about work. Participants indicated feeling disregarded by management and institutional structures, indicating potential means of slowing the rates at which nurses plan to leave bedside practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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