Evidence map›Paper›PMID 41832925›Full record

ArticleJournal of religion and health2026

Global Research Across Countries on Moral Distress and Moral Injury Among Health Care Professionals (2006-2025): A Bibliometric Study of Ethical and Health-Related Research Trends.

Guixiang Yao, Xu Jia, Ying Liu, Mengjun Zhang, Zhihao Wang, Yanqiu Xing

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Article in Journal of religion and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Guixiang YaoDepartment of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China.ORCID http://orcid.org/0009-0006-5843-5762
Xu JiaDepartment of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China.ORCID http://orcid.org/0000-0001-5688-1124
Ying LiuState Key Laboratory for Innovation and Transformation of Luobing Theory, Key Laboratory of Cardiovascular Remodeling and Function Research of the MOE, the NHC, the CAMS and Shandong Province, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, 250012, China.ORCID http://orcid.org/0009-0000-6259-9440
Mengjun ZhangDepartment of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China.
Zhihao WangDepartment of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China.
Yanqiu XingDepartment of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, 250012, Shandong Province, China. xingyanqiu@sina.com.ORCID http://orcid.org/0000-0003-0441-8562

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Moral distress and moral injury have become important concepts for understanding the moral experiences of health care professionals in ethically challenging clinical contexts. In this study, a comprehensive bibliometric analysis of research focusing upon the combination of both moral distress and moral injury among health care professionals published between 2006 and 2025 was conducted via the Web of Science Core Collection. The aim was to examine publication trends, collaboration patterns, core journals, disciplinary distributions, and research hotspots in this field. Bibliometric analyses were performed via VOSviewer, CiteSpace, Pajek, and Scimago Graphica. A total of 1,180 publications were included in the analysis. The results revealed a steady increase in research output over time, with rapid growth following the COVID-19 pandemic. Research activity was concentrated in a limited number of countries and institutions, with the USA contributing the greatest number of publications and demonstrating a central position in international collaboration networks. Nursing, clinical medicine, psychology, and ethics were the main disciplinary foundations of this research field. Keyword and co-citation analyses indicated that moral distress has remained the dominant research focus, while moral injury has gained increasing attention in recent years, particularly in relation to high-intensity care settings and psychological outcomes. Overall, this bibliometric analysis provides an overview of the knowledge structure and evolving themes of research on moral distress and moral injury among health care professionals. Several limitations regarding this bibliometric study are acknowledged.

Indexed as

BibliometricsHealth PersonnelMoralsCOVID-19Ethical DilemmasHumansBibliometric analysisEthics in health careHealth care professionalsMoral distressMoral injuryResearch trends

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.