ArticleChild and adolescent psychiatry and mental health2025
Moral distress among inpatient child and adolescent psychiatry staff: a mixed-methods study of experiences and associated factors.
Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Experiences of restrictive practices in child and adolescent mental health inpatient care: an integrative review.Child and adolescent psychiatry and mental health · 2026Review
- Beyond Principles: A Reflective-Cognitive Framework for Ethical Decision-Making in Anorexia Nervosa.Healthcare (Basel, Switzerland) · 2026Review
- Putting patients first: how risk awareness drives action among healthcare professionals in Slovakia.Frontiers in psychology · 2026Article
- "Get Well Enough to Make the Right Decision for Themselves"-Experiences and Perspectives of Clinicians Working with People with Serious Mental Illness and Their Substitute Decision Makers.Behavioral sciences (Basel, Switzerland) · 2025Article
- Perceived determinants of the use of coercion in inpatient child and adolescent psychiatry: a qualitative interview study with staff.BMC psychiatry · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundMoral distress among healthcare staff is associated with emotional strain and workforce attrition but remains insufficiently explored in child and adolescent psychiatry (CAP). We investigated the experiences and factors contributing to moral distress among staff in inpatient CAP.
methodsWe conducted a 2023 nationwide mixed-methods survey with 106 staff members from CAP inpatient units in Sweden. Quantitative data on moral distress were collected using the Stress of Conscience Questionnaire, while open-ended questions provided qualitative data on perceptions of moral distress and the impact of working with coercive measures. Findings were integrated using triangulation.
resultsStaff reported high levels of moral distress, with physicians experiencing the highest. Triangulation revealed converging findings with younger and less experienced staff experiencing more moral distress. Aligning with the qualitative theme "Providing care one does not believe in", moral distress was also strongly associated with quantitative data of a demanding work environment, low social support, and intention to resign from job. The theme "Ethical dilemmas about coercive measures" indicated how coercive measure use could contribute to moral distress, while a more positive attitude to coercive measures was associated with lower moral distress.
conclusionsMoral distress among CAP inpatient staff in Sweden was pronounced, particularly among younger, less experienced professionals, and physicians. Addressing moral distress appears critical in supporting staff well-being, promoting workforce retention, and maintaining high-quality patient care.
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