Evidence map›Paper›PMID 39825296›Full record

ArticleBMC palliative care2025

Moral distress, attitude toward death, and palliative care core competencies among ICU nurses: a cross-sectional study.

Mengyun Peng, Qin Guan, Xiaoling Zhu

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In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mengyun PengSchool of Nursing, Suzhou Medical College, Soochow University, Suzhou, 215006, China.
Qin GuanFaculty of Nursing, Dali University, Dali, 671007, China.
Xiaoling ZhuDepartment of Nursing, First Affiliated Hospital of Dali University, No.32, Carlsberg Avenue, Dali City, 671007, Yunnan Province, China. 2008zhuzhuxiaoling@163.com.

Funding

Research Foundation for the Doctoral Program of Dali University DFY20220302
6 · The paper itself

Abstract

backgroundPalliative care is becoming more widely acknowledged as a crucial part of intensive care for all patients with life-threatening illnesses. Intensive care unit (ICU) nurses regard as a lead role to facilitate this integration, which require nurses to possess professional and comprehensive core competencies. However, there is little knowledge about the palliative care core competencies among ICU nurses.

aimsTo explore the association of moral distress, attitude toward death, and palliative care core competencies of ICU nurses, and explore the mediating role of attitude toward death.

methodsThis is a quantitative, cross-sectional study. Random cluster sampling method was used. 342 ICU nurses were selected from 5 hospitals across 4 provinces in China. Participants were evaluated using the Moral Distress Scale-revised (MDS-R), the Attitude toward Death Profile-Revised (DAP-R), and the Palliative Care Nurses' Core Competencies Scale (PCNCC). This study followed the STROBE statement.

resultsThe level of palliative care core competencies among ICU nurses is moderate. Moral distress and negative attitude toward death are negatively associated while positive attitude toward death is positively associated with core competencies in palliative care among ICU nurses. Attitude toward death partially mediates the relationship between moral distress and core competencies.

conclusionLink between moral distress, attitude toward death, and palliative care core competencies among ICU nurses was found in this study.

Indexed as

Attitude to DeathClinical CompetenceNursesPalliative CareStress, PsychologicalAdultAttitude of Health PersonnelChinaCross-Sectional StudiesEthical DilemmasFemaleHumansIntensive Care UnitsMaleMiddle AgedMoralsAttitude toward deathIntensive care unitMoral distressNursesPalliative care core competencies

Identifiers

PMID39825296
PMCPMC11740462

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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.