ArticleBMC nursing2023
The relationship between moral distress, ethical climate, and attitudes towards care of a dying neonate among NICU nurses.
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 10 papers.
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Who cites it
10 citing papers in PubMed.
- Nurses' stressful experiences in providing palliative and end-of-life care for children: A meta-synthesis.Palliative & supportive care · 2026Review
- Ethical challenges and moral conflicts in periviability prenatal counseling: a scoping review of healthcare professionals' perspectives.BMC medical ethics · 2026Article
- Article
- Ethical Decision-Making and Clinical Ethics Support in Italian Neonatal Intensive Care Units: Results from a National Survey.Healthcare (Basel, Switzerland) · 2026Article
- The mediation effects of moral resilience on the relationship between hospital ethical climate and work engagement among nurses: a cross-sectional study.BMC nursing · 2025Article
- Effects of diaphragmatic breathing training on alarm fatigue and patient safety culture among ICU nurses: a quasi-experimental study.Scientific reports · 2025Article
- Nurturing compassion in neonatal end-of-life care: a qualitative exploration of palliative care nurses' roles and experiences.BMC nursing · 2025Article
- Perception of the ethical climate among hospital employees in a public healthcare system: a cross-sectional survey at the University Hospital of Split, Croatia.BMC medical ethics · 2025Article
- The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience.Frontiers in public health · 2025Article
- Nurses' beliefs in the care of newborns at the end of life in the neonatal intensive care unit.Revista da Escola de Enfermagem da U S P · 2024Article
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3 authors.
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Abstract
backgroundNurses working in neonatal intensive care units play a crucial role in providing care to critically ill or premature neonates. However, is not without its challenges, particularly when it comes to making difficult ethical decisions about end-of-life care. In some cases, neonates do not survive despite the best efforts of medical professionals. The present study aimed to investigate the relationship between moral distress, ethical climate, and attitudes towards end-of-life care among nurses working in neonatal intensive care units.
methodsThis is a descriptive-analytical cross-sectional study (May 21, 2021).The research population included 126 nurses working in neonatal intensive care units in Kerman province (Kerman, Jiroft, Bam, and Rafsanjan). Data collection tools included four questionnaires: demographic information, the Frommelt Attitudes towards Care of the Dying (FATCOD), the Hospital Ethical Climate Survey, and the Moral Distress Scale. SPSS22 was used to analyze the data.
resultsThe results revealed that the mean frequency and intensity of moral distress were 44.42 ± 17.67 and 49.45 ± 17.11, respectively. The mean ethical climate was 92.21 ± 17.52 and the FATCOD was 89.75 ± 9.08, indicating NICU nurses' positive perceptions of ethical climate and their favorable attitudes towards EOL care, respectively. The results showed a direct and significant relationship between ethical climate and the FATCOD (P = 0.003, r = 0.26). DISCUSSION: We suggest policymakers and managers design strategies for better ethical climate in hospitals and reduction of moral distress among nurses.
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