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The Impact of Moral Courage and Ethical Climate on Moral Distress among Clinical Nurses

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2025, 28(2), pp.145~156
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Received : April 30, 2025
  • Accepted : June 16, 2025
  • Published : June 30, 2025

허여쁜 1 EUN YOUNG KIM 2

1동아대학교 간호대학,
2동아대학교

Accredited

ABSTRACT

This descriptive correlational study aimed to examine the impact of moral courage and ethical climate on moral distress among clinical nurses. Data were collected from August to September 2024, through an online survey distributed to nurses working at two tertiary hospitals and one general hospital in a city in South Korea. The results indicate that the mean moral courage, ethical climate and moral distress were 3.20 ± 0.58, 3.42 ± 0.52, and 78.22 ± 53.89, respectively. Multiple regression revealed that factors affecting moral distress among clinical nurses included years of clinical experience (β=.23, p=.014), moral courage (ß=.40, p<.001) and ethical climate (β=-.44, p<.001). These variables explained 22% of the variance in moral distress. These findings suggest that there is a need for institutional strategies to improve the ethical climate and to support nurses' moral courage in order to alleviate moral distress.

Citation status

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