Culturally-sensitive moral distress experiences of intensive care nurses: A scoping review


NURSING ETHICS, vol.29, no.6, pp.1476-1490, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 29 Issue: 6
  • Publication Date: 2022
  • Doi Number: 10.1177/09697330221105638
  • Journal Name: NURSING ETHICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, Abstracts in Social Gerontology, CINAHL, EBSCO Legal Collection, EBSCO Legal Source, EMBASE, MEDLINE, Philosopher's Index, Psycinfo, Public Affairs Index, DIALNET
  • Page Numbers: pp.1476-1490
  • Keywords: culture, cultural sensitivity, intensive care nurses, moral distress, nursing, scoping review, OF-LIFE CARE, UNIT, END, PHYSICIANS, FUTILITY
  • Hacettepe University Affiliated: Yes


Background Moral distress is a phenomenon that all nurses experience at different levels and contexts. The level of moral distress can be affected by individual values and the local culture. The sources of the values shape the level of moral distress experienced and the nurses' decisions. Aim The present scoping review was conducted to examine the situations that cause moral distress in ICU nurses in different countries. Results A scoping review methodology was adopted for the study, in line with the approach of Arksey, and O'Malley Literature was searched within PubMed/Medline, Scopus, Web of Science, and PsycINFO indexed keywords such as "moral distress", "Critical Care Nurse", and "Moral Distress Scale-Revised". Of the 617 identified citations, 12 articles matched the inclusion criteria. Conclusion The moral distress experienced in countries and regions with similar cultures and geographies was parallel. The situations that cause the most moral distress are futile-care to prolong death, unnecessary tests and treatments, and working with incompetent healthcare personnel.