ArticleNursing ethics
Predictors and consequences of moral distress in home-care nursing: A cross-sectional survey.
Article in Nursing ethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 23 citations in OpenAlex.
- Nurses' Transitions Into and Out of the Home Health Sector.Medical care research and review : MCRR · 2026Article
- Linguistic and psychometric validation of a German version of the measure of moral distress for healthcare professionals (MMD-HP GER): results of a study with intensive care nurses.BMC medical ethics · 2026Article
- Work-related factors and mental health among home care nurses identified by two-step cluster analysis.Scientific reports · 2026Article
- Ethical challenges among registered dietitians in oral nutritional supplement prescription.Nursing ethics · 2026Article
- Health status, health behavior and perceived stress of nursing staff in Germany: a scoping review.BMC nursing · 2026Article
- Understanding moral distress in home-care nursing: An interview study.Nursing ethics · 2024Article
- Strategies to mitigate moral distress as reported by eldercare professionals.International journal of qualitative studies on health and well-being · 2024Article
- Characteristics of moral distress from nurses' perspectives: An integrative review.International journal of nursing sciences · 2024Review
- The relationship between moral distress and clinical care quality among nurses: an analytical cross-sectional study.BMC nursing · 2024Article
- Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support.Journal of multidisciplinary healthcare · 2024Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses frequently face situations in their daily practice that are ethically difficult to handle and can lead to moral distress.
objectiveThis study aimed to explore the phenomenon of moral distress and describe its work-related predictors and individual consequences for home-care nurses in Germany. RESEARCH
designA cross-sectional design was employed. The moral distress scale and the COPSOQ III-questionnaire were used within the framework of an online survey conducted among home-care nurses in Germany. Frequency analyses, multiple linear and logistic regressions, and Rasch analyses were performed. PARTICIPANTS AND RESEARCH CONTEXT: The invitation to participate was sent to every German home-care service ( ETHICAL CONSIDERATIONS: The study was approved by the Data Protection Office and Ethics Committee of the German Federal Institute for Occupational Safety and Health.
resultsA total of 976 home-care nurses participated in this study. Job characteristics, such as high emotional demands, frequent work-life-conflicts, low influence at work, and low social support, were associated with higher disturbance caused by moral distress in home-care nurses. Organizational characteristics of home-care services, such as time margin with patients, predicted moral distress. High disturbance levels due to moral distress predicted higher burnout, worse state of health, and the intention to leave the job and the profession, but did not predict sickness absence.
conclusionsTo prevent home-care nurses from experiencing severe consequences of moral distress, adequate interventions should be developed. Home-care services ought to consider family friendly shifts, provide social support, such as opportunities for exchange within the team, and facilitate coping with emotional demands. Sufficient time for patient care must be scheduled and short-term takeover of unknown tours should be prevented. There is a need to develop and evaluate additional interventions aimed at reducing moral distress, specifically in the home-care nursing sector.
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