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J Multidiscip Care. 2022;11(1): 37-44.
doi: 10.34172/jmdc.2022.07
  Abstract View: 34
  PDF Download: 41

Review Article

Moral Distress and the Factors Affecting It: A Review Study

Seyede Fatemeh Hoseini Damiri 1 ORCID logo, Fereshteh Araghian Mojarad 2 ORCID logo, Hedayat Jafari 3* ORCID logo

1 MSc Student in Emergency Nursing, School of Nursing and Midwifery, Nasibeh Sari, Mazandaran University of Medical Sciences, Sari, Iran
2 Assistant Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
3 Associate Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
*Corresponding Author: Corresponding Author: Hedayat Jafari, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran. Email: , Email: hjafari@mazums.ac.ir

Abstract

Background and aims: Moral distress is a significant ethical problem in nursing. The aim of this study was to review the studies into nurses’ moral distress and its contributing factors.

Methods: This was a narrative review. Data were collected through searching several online Persian and English databases, namely Magiran, SID, IranMedex, PubMed, Scopus, and Google Scholar. Search keywords were “moral distress”, “moral stress”, “ethics”, and “nurse”. Eligibility criteria were publication in English or Persian, publication between 2010 and 2020, relevance to moral distress, and accessible full-text. Review studies were not included.

Results: A total of 44 eligible articles were included. Nurses’ moral distress was at moderate level and its contributing factors were personal, psychological, and organizational factors as well as factors related to care quality.

Conclusion: Nurses’ moral distress is moderate. Personal, psychological, and organizational factors as well as factors related to care quality contribute to moral distress among nurses. Effective management of these factors can prevent damage to nurses and patients and improve the quality of nursing care.


Cite this article as: Hoseini Damiri SF, Araghian F, Jafari H. Moral distress and the factors affecting it: a review study. Journal of Multidisciplinary Care. 2022;11(1):37-44. doi: 10.34172/jmdc.2022.07.
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Submitted: 16 Mar 2021
Accepted: 15 Mar 2022
ePublished: 30 Mar 2022
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