ArticleFrontiers in public health2025
The relationship between moral distress and occupational burnout among ICU nurses: social support and psychological resilience as mediating variables.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Occupational Moral Injury and Professional Quality of Life Among a Group of Greek Nurses: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Predictors of Moral Distress Among Nurses: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Unveiling the psychological network of work alienation among nursing interns: A resource conservation perspective and network analysis.PloS one · 2026Article
- The effect of moral distress on emergency nurses' burnout: mediating role of moral resilience and moderating role of moral courage.Frontiers in public health · 2026Article
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Authors and funding
7 authors.
Funding
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Abstract
Background: ICU nurses are prone to occupational burnout due to high workloads and emotional exhaustion. Moral distress exacerbates this issue, though the precise mechanisms remain unclear. Objective: This study aims to examine the mediating role of social support and psychological resilience in the relationship between moral distress and occupational burnout among ICU nurses. Methods: A cross-sectional survey was conducted from October to November 2024 among 233 ICU nurses from intensive care units in multiple tertiary hospitals in China. The survey instruments included a general demographic questionnaire, MD-APPS, PSSS, CD-RISC, and MBI. Descriptive analysis and Pearson correlation analysis were performed using SPSS 27.0. Structural equation modeling was conducted using R 4.4.3 software. Results: Moral distress was negatively correlated with social support ( Conclusion: Social support and psychological resilience play both independent and chain-mediated roles in the relationship between moral distress and occupational burnout among ICU nurses. Healthcare managers should prioritize addressing moral distress and establishing comprehensive support systems to enhance social support and psychological resilience, thereby reducing occupational burnout.
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