ArticleBMC nursing2026
The effect of moral distress experienced by intensive care nurses on end-of-life care attitudes and care behaviours: a single-centre cross-sectional and correlational study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to evaluate the effect of moral distress experienced by intensive care nurses on their attitudes toward end-of-life care and their care behaviors.
methodsThis cross-sectional and correlational study was conducted with 121 nurses working in intensive care units (ICUs). Data collection tools included the ICU Nurse Information Form, the Moral Distress Scale-Revised (MDS-R), the Caring Behaviors Inventory-24 (CBI-24), and the Nurses’Attitudes and Behaviors of Intensive Care Nurses Toward End-of-Life Care (EoLC) Scale.
resultsThe moral distress mean score of ICU nurses was 76.61 ± 22.72, attitudes and behaviors toward EoLC mean score 51.56 ± 10.39, and CBI-24 mean score was 122.72 ± 16.39.The correlation coefficients between the Distress subscale of the MDS-R and the mean scores of EoLC Attitudes were found to be positive and significant. (r = 0.200; p < 0.05; p = 0.028). The correlation coefficients between the CBI-24 and the EoLC Attitudes (r = 0.253, p < 0.01, p = 0.005) and Behaviors (r = 0.186, p < 0.05, p = 0.041) subscale were found to be positive and significant. Moral distress did not directly affect attitudes and behaviors toward EoLC, and care behaviour (p < 0.05).
conclusionIn this study, ICU nurses were found to experience moderate levels of moral distress, have good perceptions of caring behaviors, and exhibit moderate levels of attitudes and behaviors toward end-of-life care. However, moral distress was found to have no significant effect on their attitudes toward end-of-life care or on their caring behaviors. CLINICAL TRIAL NUMBER: Not applicable.
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