ArticleBMC nursing2025
Moral distress, ethical climate, and compassion fatigue among oncology nurses: the mediating role of moral distress.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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
7 citing papers in PubMed.
- Consequences of compassion fatigue in palliative care nurses: the experience of meaninglessness and emptiness in life.BMC palliative care · 2026Article
- Ethical climate in the primary health care workplace: a mixed-method study.Revista latino-americana de enfermagem · 2026Article
- Network Analysis of Burnout and Safety Competence Among Oncology Nurses: A Secondary Study to Identify Bridge Targets for Precision Interventions.Journal of nursing management · 2026Article
- Perception of a caring ethical climate as a factor facilitating the stress and exhaustion of employees with dark triad traits of personality: a moderated mediation model.Frontiers in psychology · 2026Article
- Hospital ethical climate and nurses' cyber ethics literacy: the mediating role of compassion competence.Frontiers in medicine · 2026Article
- Article
- The mediating effect of moral distress on the relationship between work environment and depression among critical care nurses.BMC nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOncology nurses have a vital role in providing care for individuals with cancer. Ethical dilemmas arise for oncology nurses caring for these patients. Nurses experience moral distress when work conflicts with personal beliefs, leading to inappropriate responses or uncertainty about ethics. The ethical climate might influence nurses' response to moral distress. Moral distress in nurses can lead to work-related stressors like compassion fatigue. RESEARCH
objectivesThis study examined the relationship between moral distress, ethical climate, and compassion fatigue in oncology nursing. Moreover, the role of moral distress as a mediator in the link between ethical climate and compassion fatigue was examined.
methodA descriptive correlational design was recruited. One hundred twenty-two participants were recruited using the convenience sampling method. The study data were collected using a demographic information form, Corley's Moral Distress Questionnaire, Revised Victor and Cullen's Ethical Climate Questionnaire, and the Professional Quality of Life questionnaire. The Ethics Research Center of Shahid Beheshti University of Medical Sciences approved the study.
findingsThe overall moral distress, compassion fatigue, and ethical climate mean scores were 125.54 ± 37.50, 31.50 ± 9.23, and 49.03 ± 7.49, respectively. The analysis showed that among the dimensions of ethical climate (including egoism, benevolence and principled climate), egoism directly (p=0.03) and indirectly (p<0.001) and benevolence indirectly (p<0.001) (through moral distress) were significantly related to compassion fatigue. The principled ethical climate did not show any direct or indirect impact (p=0.72 and p=0.64, respectively).
conclusionsOur findings showed moderate moral distress and low compassion fatigue among oncology nurses. In the examined oncology wards, the prevailing ethical climate was benevolent. Moral distress acts as a mediator between egoistic and benevolence ethical climate and compassion fatigue.
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.