A multi-center cross-sectional study on the status quo and influencing factors of moral distress of pediatric nurses
10.3760/cma.j.cn211501-20240828-02354
- VernacularTitle:儿科护士道德困境现状及其影响因素的多中心横断面研究
- Author:
Kongjia QIAN
1
;
Xian YE
;
Junqing CHEN
;
Cuiping ZHANG
;
Yi WANG
;
Yangxiu CHEN
;
Dan WANG
;
Hongzhen XU
Author Information
1. 浙江大学医学院附属儿童医院护理部 国家儿童健康与疾病临床医学研究中心，杭州 310051
- Publication Type:Journal Article
- Keywords:
Moral distress;
Pediatric;
Turnover intention;
Mental health
- From:
Chinese Journal of Practical Nursing
2025;41(14):1049-1055
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the level of moral distress among pediatric nurses in China and explore its influencing factors, providing a reference for future interventions.Methods:A cross-sectional survey was conducted using a convenience sampling method from May 2022 to March 2023. Pediatric nurses meeting the inclusion and exclusion criteria were selected from children′s specialized hospitals, general hospitals, and maternal and child health hospitals across 16 provinces in China. Moral distress was assessed using the Chinese version of the Moral Distress Scale-Revised (MDS-R). Data analysis included descriptive statistics, non-parametric analysis, and multiple linear regression.Results:A total of 509 pediatric nurses participated in the survey, including 10 males and 499 females. Among them, 45 were aged ≤25 years, 268 were aged 26-35 years, 172 were aged 36-45 years, and 24 were aged >45 years.The median moral distress score was 58.00 (26.00, 77.50). Factors independently associated with higher levels of moral distress included having a master′s degree ( t = 2.33), working in a ward with more than 40 beds ( t = 3.38), working in a ward without parental accompaniment ( t = 2.60), being passively assigned to the nursing profession ( t = 2.63), and considering resignation but not leaving the job ( t = 3.85) (all P<0.05). Conclusions:Pediatric nurses in China experience a moderate level of moral distress. Further research is needed to understand its underlying causes and to develop preventive and intervention strategies.
