{"doi":"10.1177/17449871251363485","title":"Consequences of moral distress among critical care nursing: an integrative review","abstract":"Background: Moral distress occurs when individuals are unable to act according to their ethical values and beliefs due to constraints. It is a prevalent issue in healthcare settings, particularly among nurses. Critical care nurses (CCNs) confront challenges such as high rates of patient mortality, intense stressors, and end-of-life discussions and decisions, which make them more prone to experience moral distress. Aim: To synthesise the existing literature pertaining to the consequences of moral distress among CCNs. Methods: An integrative review of empirical literature was performed across three online databases: PubMed, CINAHL and PsycINFO using search terms related to nurses, critical care, moral distress, and ethical dilemmas. A total of 366 papers were retrieved. After applying the eligibility criteria and assessing the quality of the included studies using the Johns Hopkins Nursing Evidence-Based Practice tool, nine papers were included in this review and synthesised using content analysis. Results: Reviewing the included papers revealed three main themes of moral distress consequences: impacts on nurses' well-being and job satisfaction, impact on patient care, and impact on turnover intention and burnout rate. Conclusions: All studies reported negative consequences of moral distress among CCNs, highlighting the need for further research and organisational efforts to support nurse well-being.","journal":"Journal of research in nursing","year":2025,"id":524914,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9657,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":511561,"name":"Elaine Miller","orcid":"0000-0002-9074-7452","position":1,"is_corresponding":false},{"id":1399053,"name":"Tharaa Ananzeh","orcid":"0009-0005-6341-5080","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T02:50:16.562292Z","pmid":"41311471","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}