The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience
BackgroundReducing nurse job burnout is vital for quality care and turnover reduction, particularly in emergency departments. Given that moral distress is a crucial predictor of job burnout, this study seeks to identify factors that can alter this relationship and its underlying mechanisms. The find...
| मुख्य लेखकों: | , , , , , |
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| स्वरूप: | लेख |
| भाषा: | English |
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Frontiers Media S.A.
2025-03-01
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| श्रृंखला: | Frontiers in Public Health |
| विषय: | |
| ऑनलाइन पहुंच: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1562209/full |
| _version_ | 1826550327092969472 |
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| author | Shirong Wu Yuqing Sun Zhipeng Zhong Huanmei Li Banghan Ding Qiuying Deng |
| author_facet | Shirong Wu Yuqing Sun Zhipeng Zhong Huanmei Li Banghan Ding Qiuying Deng |
| author_sort | Shirong Wu |
| collection | DOAJ |
| description | BackgroundReducing nurse job burnout is vital for quality care and turnover reduction, particularly in emergency departments. Given that moral distress is a crucial predictor of job burnout, this study seeks to identify factors that can alter this relationship and its underlying mechanisms. The finding is essential for enhancing job satisfaction among emergency nurses and improving patient safety and healthcare quality.MethodsThis study employed a cross-sectional design and was conducted in May 2024 among nurses in the emergency departments of five tertiary hospitals in Southern China. The survey instruments included the General Demographic Questionnaire, Moral Distress Scale-R (MDS-R), Hospital Ethical Climate Survey (HECS), Rushton Moral Resilience Scale (RMRS), and Maslach Burnout Inventory Human Services Survey (MBI-HSS). Descriptive analysis and Pearson correlation analysis were performed using SPSS 27.0. The structural equation model was constructed with AMOS 28.0 software, and Bootstrap testing was conducted.ResultsThe results showed that moral distress directly affected job burnout (β = 0.265, 95%CI [0.114, 0.391]). Hospital ethical climate and moral resilience both played mediating roles in the relationship between moral distress and job burnout (β = 0.161, 95%CI [0.091, 0.243]) (β = 0.216, 95%CI [0.123, 0.337]). Hospital ethical climate and moral resilience play chain mediating roles between moral distress and job burnout (β = 0.090, 95%CI [0.047, 0.161]).ConclusionThe hospital ethical climate and moral resilience play chain mediating roles between moral distress and job burnout. It is recommended that managers pay comprehensive attention to emergency nurses' moral distress. By improving the hospital ethical climate and enhancing nurses' moral resilience, the level of job burnout can be reduced. |
| first_indexed | 2025-03-14T06:35:34Z |
| format | Article |
| id | doaj.art-2d55d0efba1e40cf9da1fbbcadf0976d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2025-03-14T06:35:34Z |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-2d55d0efba1e40cf9da1fbbcadf0976d2025-03-05T07:08:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15622091562209The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilienceShirong Wu0Yuqing Sun1Zhipeng Zhong2Huanmei Li3Banghan Ding4Qiuying Deng5The Second Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaBackgroundReducing nurse job burnout is vital for quality care and turnover reduction, particularly in emergency departments. Given that moral distress is a crucial predictor of job burnout, this study seeks to identify factors that can alter this relationship and its underlying mechanisms. The finding is essential for enhancing job satisfaction among emergency nurses and improving patient safety and healthcare quality.MethodsThis study employed a cross-sectional design and was conducted in May 2024 among nurses in the emergency departments of five tertiary hospitals in Southern China. The survey instruments included the General Demographic Questionnaire, Moral Distress Scale-R (MDS-R), Hospital Ethical Climate Survey (HECS), Rushton Moral Resilience Scale (RMRS), and Maslach Burnout Inventory Human Services Survey (MBI-HSS). Descriptive analysis and Pearson correlation analysis were performed using SPSS 27.0. The structural equation model was constructed with AMOS 28.0 software, and Bootstrap testing was conducted.ResultsThe results showed that moral distress directly affected job burnout (β = 0.265, 95%CI [0.114, 0.391]). Hospital ethical climate and moral resilience both played mediating roles in the relationship between moral distress and job burnout (β = 0.161, 95%CI [0.091, 0.243]) (β = 0.216, 95%CI [0.123, 0.337]). Hospital ethical climate and moral resilience play chain mediating roles between moral distress and job burnout (β = 0.090, 95%CI [0.047, 0.161]).ConclusionThe hospital ethical climate and moral resilience play chain mediating roles between moral distress and job burnout. It is recommended that managers pay comprehensive attention to emergency nurses' moral distress. By improving the hospital ethical climate and enhancing nurses' moral resilience, the level of job burnout can be reduced.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1562209/fullemergency nurseshospital ethical climatejob burnoutmoral distressmoral resilience |
| spellingShingle | Shirong Wu Yuqing Sun Zhipeng Zhong Huanmei Li Banghan Ding Qiuying Deng The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience Frontiers in Public Health emergency nurses hospital ethical climate job burnout moral distress moral resilience |
| title | The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience |
| title_full | The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience |
| title_fullStr | The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience |
| title_full_unstemmed | The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience |
| title_short | The effect of moral distress on emergency nurses' job burnout: the mediating roles of hospital ethical climate and moral resilience |
| title_sort | effect of moral distress on emergency nurses job burnout the mediating roles of hospital ethical climate and moral resilience |
| topic | emergency nurses hospital ethical climate job burnout moral distress moral resilience |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1562209/full |
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