The Journal of nursing administration · 2026
Quantifying Moral Distress Among Healthcare Leadership.
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Booth Adam T, Robinson Kathryn L, Walker Mandi D
Аннотация
OBJECTIVE: To quantitatively compare moral distress (MD) across leadership job titles, settings, demographic characteristics, work responsibilities, and its impact on intent to leave.
BACKGROUND: MD is broadly explored among direct care providers, but there is a dearth of research comparing MD among multiple levels of healthcare leadership.
METHODS: This secondary quantitative analysis presents phase one findings of a mixed-methods explanatory sequential study measuring leadership's MD in a multisite healthcare system, using the 27-item Measure of Moral Distress for Healthcare Professionals.
RESULTS: Findings revealed differences in MD among leadership by job title (P < 0.001), department (P < 0.001), and history of leaving a position (P < 0.001). The top morally distressing item across healthcare leadership included lack of resources, equipment, and bed capacity.
CONCLUSIONS: MD was highest among charge nurses/clinical supervisors. Findings highlight the need for a leader-specific MD scale to quantify the unique causes of MD in leaders.
BACKGROUND: MD is broadly explored among direct care providers, but there is a dearth of research comparing MD among multiple levels of healthcare leadership.
METHODS: This secondary quantitative analysis presents phase one findings of a mixed-methods explanatory sequential study measuring leadership's MD in a multisite healthcare system, using the 27-item Measure of Moral Distress for Healthcare Professionals.
RESULTS: Findings revealed differences in MD among leadership by job title (P < 0.001), department (P < 0.001), and history of leaving a position (P < 0.001). The top morally distressing item across healthcare leadership included lack of resources, equipment, and bed capacity.
CONCLUSIONS: MD was highest among charge nurses/clinical supervisors. Findings highlight the need for a leader-specific MD scale to quantify the unique causes of MD in leaders.