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Moral distress and moral courage among Iraqi nurses during the Covid-19 pandemic

A cross-sectional study

Bibliographic Data

ID19549184
AuthorsLayth Hussein Hashim Hthelee (Tarbiat Modares University), Afsaneh Sadooghiasl (0000-0002-4756-2428, Tarbiat Modares University), Sima Mohammadkhan Kermanshahi
Year2023
Volume16
Pages19-19
Publication date2023-12-31
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics and History of Medicine (JOURNAL)
Journal identifiersISSN: 2008-0387 • E-ISSN: 2008-0387
PublisherKnowledge E DMCC (PUBLISHER)
DOI10.18502/jmehm.v16i19.14618
PMID38433815
OpenAlexW4390510695
LanguageEN
Citations received1
References cited4

In the years following its outbreak in 2019, COVID-19 changed the health-care system structures, the context of professional activity, and nurses’ moral performance. The present study aimed to examine the moral distress and moral courage of Iraqi nurses during the COVID-19 pandemic. This cross-sectional and correlational study was conducted in 2021 on 168 nurses selected by convenience sampling methods. Data were collected by self-reported instruments including a demographic questionnaire, the Professional Moral Courage (PMC), and the Moral Distress Scale (MDS). Data were analysed using descriptive statistics, the Spearman, Mann-Whitney and Kruskal-Wallis tests, and SPSS version 22. Most nurses showed a moderate level of moral distress (98.80%) and a high level of moral courage (99.40%).The dimension of multiple values had the highest mean (12.45 ± 1.47) and endurance of threats had the lowest mean (9.15 ± 1.79). There was a statistically significant correlation between moral distress and moral courage (P = 0.007, r = - 0.2), and moral distress and the dimensions of endurance of threat (P

Courage · Cross-sectional study · Distress · Moral courage · Moral disengagement · Moral injury · Pathology · Political science · Clinical Psychology · Disaster Response and Management · Ethics in medical practice · Law · Medicine · Psychology · Psychology of Moral and Emotional Judgment · Social Psychology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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