Evidence map›Paper›PMID 41277031›Full record

ArticleNursing ethics2026

Nurses' experiences of moral suffering: A qualitative interview study.

Anna-Henrikje Seidlein, Michael Schilder, Radia Miskine, Alica Schöner, Tobias Mai

Abstract read
In one paragraph

Article in Nursing ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Anna-Henrikje SeidleinInstitute of Ethics and History of Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-7690-567X
Michael SchilderEvangelische Hochschule Darmstadt, University of Applied Sciences, Darmstadt, Germany.
Radia MiskineEvangelische Hochschule Darmstadt, University of Applied Sciences, Darmstadt, Germany.
Alica SchönerGoethe University Frankfurt, University Hospital, Nursing Department, Nursing Research, Frankfurt am Main, Germany.
Tobias MaiGoethe University Frankfurt, University Hospital, Nursing Department, Nursing Research, Frankfurt am Main, Germany.ORCID 0000-0003-3233-1763

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundMoral suffering is a growing concern in healthcare, especially in the nursing profession. It encompasses various forms, such as moral distress and moral injury, both of which impact nurses' professional integrity and mental and physical health. Despite extensive research, there is still no consensus on their definitions, distinctions, or causes, which impedes effective interventions. However, given their overlapping characteristics and consequences, joint consideration could offer critical insights to refine existing concepts.AimTo explore how nurses in clinical practice perceive moral suffering and analyze the essence of their experience of moral suffering.Research designData were collected through qualitative, semi-structured online interviews. The interview transcripts were analyzed using qualitative content analysis.Participants and research contextA total of 47 registered nurses from different clinical settings in German hospitals participated in the study.Ethical considerationsThe study protocol was approved by the Institutional Review Board at University Medicine Greifswald. All participants provided written informed consent.FindingsThe essence of moral suffering was determined in five main categories with corresponding subcategories: A trigger situation (1) in which a person in a specific moral disposition is present (2), whereupon they assess the situation as morally meaningful (3) and, accordingly, moral suffering is experienced in its three specific dimensions: (4) the

Indexed as

MoralsNursesStress, PsychologicalAdultAttitude of Health PersonnelEthics, NursingFemaleGermanyHumansInterviews as TopicMaleMiddle AgedQualitative Researchethical climatemoral distressmoral injurymoral integritymoral resiliencemoral suffering

Identifiers

PMID41277031
PMCPMC13009232

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