ArticleThe American journal of bioethics : AJOB2024
Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure.
Article in The American journal of bioethics : AJOB, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Pooled it
- Mapping the conceptualisation, contributing factors and interventions of moral distress among healthcare providers in Africa: a scoping review.BMJ global health · 2026Article
- Associations Among Emotional Intelligence, Job Stress, and Clinical Decision-Making in Prehospital Emergency Staff: A Cross-Sectional Study.Health science reports · 2026Article
- Legislative Constraints and Moral Distress: Reframing Occupational Risks Through a Public Health Ethics Lens.Public health ethics · 2026Article
- A multi-systemic ethical dilemma model in hemodialysis patients: a qualitative study.BMC medical ethics · 2026Article
- Structural tensions between health policy and medical ethics: a qualitative study of physicians' experiences under Türkiye's health transformation programme.BMC medical ethics · 2026Article
- Critical care nurses' perspectives on moral distress: a qualitative study in a public sector tertiary care setting.BMC nursing · 2026Article
- How 'Cracks' in Canada's Public Services System Manifested as Moral (Di)Stress or Resilience for Emergency Management Personnel During COVID-19: A Critical Realist Study.International journal of environmental research and public health · 2026Article
- Reflecting on experiences of resident redeployment during the COVID-19 pandemic: Implications for leadership and theory beyond the crisis.Medical education · 2026Article
- The cognitive and ethical crossroads: a qualitative study of academic integrity, emotional landscapes, and generative AI integration in nursing education.BMC nursing · 2026Article
- Moral Injury in Gaza: The Impact on Healthcare Professionals.Health science reports · 2026Article
- Global Research Across Countries on Moral Distress and Moral Injury Among Health Care Professionals (2006-2025): A Bibliometric Study of Ethical and Health-Related Research Trends.Journal of religion and health · 2026Article
- Article
- Nurses' experiences of moral suffering: A qualitative interview study.Nursing ethics · 2026Article
- Network analysis of emotion regulation and moral injury symptoms among medical staff.Scientific reports · 2026Article
- Is access to euthanasia drugs and moral stress linked to suicide rates in veterinarians? A cross-sectional national survey and network analysis.Frontiers in psychiatry · 2026Article
- A qualitative study on emergency department nurses' experiences of coping with moral distress based on self-efficacy theory.Frontiers in public health · 2026Article
- Assessing organizational commitment among healthcare employees in the Asir Health Cluster, Saudi Arabia: a cross-sectional study.Frontiers in medicine · 2026Article
- Healthcare professionals' perceptions of ethical issues in palliative sedation: A moral case deliberation study in eight European countries.Palliative care and social practice · 2026Article
- Complicity in Moral Injury: A Study of Moral Phenomena in Healthcare Work Settings.Journal of healthcare leadership · 2026Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Stresses on healthcare systems and moral distress among clinicians are urgent, intertwined bioethical problems in contemporary healthcare. Yet conceptualizations of moral distress in bioethical inquiry often overlook a range of routine threats to professional integrity in healthcare work. Using examples from our research on frontline physicians working during the COVID-19 pandemic, this article clarifies conceptual distinctions between
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.