ArticleJournal of religion and health2023
Moral Distress, Moral Resilience, Moral Courage, and Moral Injury Among Nurses in the Philippines During the COVID-19 Pandemic: A Mediation Analysis.
Article in Journal of religion and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 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
10 citing papers in PubMed, 24 citations in OpenAlex.
- Sacred Burnout: A Conceptual Analysis of Religious Coping Fatigue Among Healthcare Workers in the Philippines.Journal of religion and health · 2026Article
- Algorithmic Moral Burden: Pope Leo XIV, Conscience, and Professional Agency in AI-Supported Philippine Healthcare.Journal of religion and health · 2026Article
- Moral resilience of oncology nurses and its influencing factors: a cross-sectional study.BMC nursing · 2026Article
- Concept synthesis of ethical resilience in nurses.Nursing ethics · 2026Article
- Latent profile analysis of moral resilience among clinical nurses and its association with ethical behavior: a multi-hospital cross-sectional study in China.Frontiers in public health · 2026Article
- Moral injury, moral resilience, and organizational effectiveness among nurse leaders: a descriptive analysis during the COVID-19 pandemic.BMC nursing · 2025Article
- The positive effect of perceived social support and moral resilience between moral injury and health-related productivity loss among emergency nurses.Frontiers in public health · 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
- When Faith and Health Collide: Expressions of Faith Over the Dangers of COVID-19 by Selected Flagellants in the Philippines.Journal of religion and health · 2024Article
- Using Serenity Rooms and Similar Tools to Improve the Workplace during COVID-19: A Rapid Review.Nursing reports (Pavia, Italy) · 2024Review
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Investigations about moral resilience and moral courage as mediators between moral distress and moral injury remain underreported among nurses during the COVID-19 pandemic. Nurses (n = 412) from the Philippines were conveniently recruited via social media platforms and completed four self-report scales. The mediation model depicts that moral distress negatively impacts moral resilience and moral courage while positively affecting moral injury. Moral resilience and moral courage negatively impact moral injury, whereas moral resilience directly impacts moral courage. Finally, moral resilience and moral courage demonstrated a mediating effect between moral distress and moral injury. Findings indicate that healthcare organizations and nurse managers should nurture morally resilient and courageous therapeutic practices among frontline healthcare professionals to mitigate the negative effects of moral distress and moral injury.
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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.