ArticleBMC nursing2026
The mediating role of ICU nurses' moral disengagement between moral resilience and moral distress.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Professional Values, Moral Resilience and Professional Competence in Critical Care Nursing: A Mediation Analysis.Nursing in critical care · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMoral distress is recognized as an important psychological risk factor in nursing practice, potentially negatively impacting nurses’ mental health and ethical nursing decision-making. However, little is known about ICU nurses’ moral resilience and the underlying mechanisms of moral distress.
objectiveTo explore the mediating effect of ICU nurses’ moral disengagement between moral resilience and moral distress, and to provide a basis for nursing managers to take targeted measures to reduce the level of ICU nurses’ moral distress, to promote the quality of nursing services and to improve nurses’ ethical decision-making ability.
methodsA convenience sampling method was used to select 334 adult ICU nurses from several hospitals in Henan and Hubei Provinces, China, using a general information questionnaire, a moral resilience scale, a moral disengagement scale, and a moral distress scale. Structural equation modeling was used to test the mediating effect of moral disengagement between moral resilience and moral distress.
results305 questionnaires were finally included. Moral resilience scores were 43.40 ± 6.64 Moral shirking scores were 91.40 ± 34.37 Moral distress scores were 119.44 ± 65.87 Moral resilience was negatively correlated with moral shirking and moral distress, respectively (p < 0.05), and moral shirking and moral distress were positively correlated (p < 0.05). Moral disengagement mediated the relationship between moral resilience and moral distress, with the mediating effect accounting for 45.39% of the total effect.
conclusionNursing managers should pay attention to the role of ICU nurses’ moral resilience and reduce the reliance on moral disengagement mechanisms, thereby reducing moral distress and facilitating nurses’ ethical decision-making. CLINICAL TRIAL NUMBER: Not applicable.
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