School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Public Health Wales, Cardiff, UK.
Nurs Open. 2023 Sep;10(9):6014-6032. doi: 10.1002/nop2.1913. Epub 2023 Jul 17.
To examine Registered Nurses (RNs') and nursing students' perspectives on factors contributing to moral distress and the effects on their health, well-being and professional and career intentions.
Joanna Briggs Institute mixed-methods systematic review and thematic synthesis. Registered in Prospero (Redacted).
Five databases were searched on 5 May 2021 for studies published in English since January 2010. Methodological quality assessment was conducted in parallel with data extraction.
Searches yielded 2343 hits. Seventy-seven articles were included. Most were correlational design and used convenience sampling. Studies were mainly from North America and Asia and situated in intensive and critical care settings. There were common, consistent sources of moral distress across continents, specialities and settings. Factors related to perceived inability or failure to enact moral agency and responsibility in moral events at individual, team and structural levels generated distress. Moral distress had a negative effect on RNs health and psychological well-being.
No patient or public contribution to this systematic review.
调查注册护士（RN）和护理学生对导致道德困境的因素的看法，以及这些因素对他们的健康、福祉以及专业和职业意向的影响。
Joanna Briggs 研究所混合方法系统评价和主题综合。在 Prospéro（已编辑）中注册。
于 2021 年 5 月 5 日在五个数据库中搜索自 2010 年 1 月以来以英文发表的研究。在提取数据的同时进行方法学质量评估。
搜索共产生 2343 个结果。有 77 篇文章被纳入。大多数研究采用相关性设计，并使用便利抽样。这些研究主要来自北美和亚洲，且位于强化和重症监护环境中。不同大洲、不同专业和不同环境中存在着共同的、一致的道德困境来源。在个人、团队和结构层面的道德事件中，认为自己无法或未能履行道德代理和责任的因素会导致困境。道德困境对注册护士的健康和心理健康产生负面影响。
本系统评价没有患者或公众参与。
