ArticleInternational journal of nursing studies advances2026
The moderating effects of racial climate and racial microaggressions on moral distress & intent to leave in nursing: A cross-sectional study.
Article in International journal of nursing studies advances, 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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7 authors.
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Abstract
Aim: This study examines the association between racial climate and racial microaggressions on nurses' moral distress and intent to leave the organization. Background: Approximately one-fifth of registered nurses in the United States plan to leave the workforce by 2027, with work-related stress identified as one leading reason. Limited research has explored racial climate and racial microaggressions impact on nurses' moral distress and intent to leave. Design: A multisite cross-sectional observational study measured racial climate, racial microaggressions, moral distress, and intent to leave using validated instruments. Methods: Sample included 525 nurses employed at a large Mid-Atlantic academic health system who completed online surveys. Data were analyzed using linear mixed-effects modeling. Results: Black nurses reported 17.07-point higher Racial Climate Scale scores than White nurses (95% CI: 12.86, 21.29; Conclusions: Racial climate and microaggressions significantly impact moral distress and intent to leave, especially among non-White nurses.
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