{"id":"https://openalex.org/W7166321440","doi":"https://doi.org/10.1186/s12913-026-14683-z","title":"Moral distress among physicians and nursing staff in surgical settings: a comparative study","display_name":"Moral distress among physicians and nursing staff in surgical settings: a comparative study","publication_year":2026,"publication_date":"2026-06-27","ids":{"openalex":"https://openalex.org/W7166321440","doi":"https://doi.org/10.1186/s12913-026-14683-z","pmid":"https://pubmed.ncbi.nlm.nih.gov/42365313"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-026-14683-z","doi":"https://doi.org/10.1186/s12913-026-14683-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-14683-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12913-026-14683-z","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075646671","display_name":"Jordana Lopes Carvalho","orcid":"https://orcid.org/0000-0002-0985-2766","observed_orcids":["https://orcid.org/0000-0002-0985-2766"]},"institutions":[{"id":"https://openalex.org/I33501960","display_name":"Universidade Federal de Santa Maria","ror":"https://ror.org/01b78mz79","country_code":"BR","type":"education","lineage":["https://openalex.org/I33501960"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jordana Lopes Carvalho","raw_affiliation_strings":["Federal University of Santa Maria, Santa Maria, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Santa Maria, Santa Maria, Brazil","institution_ids":["https://openalex.org/I33501960"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106500429","display_name":"Luis Felipe Dias Lopes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I33501960","display_name":"Universidade Federal de Santa Maria","ror":"https://ror.org/01b78mz79","country_code":"BR","type":"education","lineage":["https://openalex.org/I33501960"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Luis Felipe Dias Lopes","raw_affiliation_strings":["Federal University of Santa Maria, Santa Maria, Brazil. lflopes67@yahoo.com.br"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Santa Maria, Santa Maria, Brazil. lflopes67@yahoo.com.br","institution_ids":["https://openalex.org/I33501960"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041376127","display_name":"Fl\u00e1via Regina Souza Ramos","orcid":"https://orcid.org/0000-0002-0077-2292","observed_orcids":["https://orcid.org/0000-0002-0077-2292"]},"institutions":[{"id":"https://openalex.org/I33501960","display_name":"Universidade Federal de Santa Maria","ror":"https://ror.org/01b78mz79","country_code":"BR","type":"education","lineage":["https://openalex.org/I33501960"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Flavia Regina Souza Ramos","raw_affiliation_strings":["Federal University of Santa Maria, Santa Maria, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Santa Maria, Santa Maria, Brazil","institution_ids":["https://openalex.org/I33501960"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004696108","display_name":"Graziele de Lima Dalmolin","orcid":"https://orcid.org/0000-0003-0985-5788","observed_orcids":["https://orcid.org/0000-0003-0985-5788"]},"institutions":[{"id":"https://openalex.org/I33501960","display_name":"Universidade Federal de Santa Maria","ror":"https://ror.org/01b78mz79","country_code":"BR","type":"education","lineage":["https://openalex.org/I33501960"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Graziele de Lima Dalmolin","raw_affiliation_strings":["Federal University of Santa Maria, Santa Maria, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Santa Maria, Santa Maria, Brazil","institution_ids":["https://openalex.org/I33501960"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5106500429"],"corresponding_institution_ids":["https://openalex.org/I33501960"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.48262255,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11058","display_name":"Ethics in Business and Education","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/moral-distress","display_name":"moral distress","score":1.0},{"id":"https://openalex.org/keywords/physicians","display_name":"physicians","score":0.6740000247955322},{"id":"https://openalex.org/keywords/nurses","display_name":"nurses","score":0.9850000143051147},{"id":"https://openalex.org/keywords/surgical-setting","display_name":"surgical setting","score":0.8080000281333923},{"id":"https://openalex.org/keywords/interprofessional-differences","display_name":"interprofessional differences","score":0.6389999985694885},{"id":"https://openalex.org/keywords/professional-recognition","display_name":"professional recognition","score":0.777999997138977},{"id":"https://openalex.org/keywords/professional-identity","display_name":"professional identity","score":0.9990000128746033},{"id":"https://openalex.org/keywords/working-conditions","display_name":"working conditions","score":0.7620000243186951},{"id":"https://openalex.org/keywords/ethics-violations","display_name":"ethical violations","score":0.7450000047683716},{"id":"https://openalex.org/keywords/teamwork","display_name":"teamwork","score":0.7720000147819519},{"id":"https://openalex.org/keywords/psychological-safety","display_name":"psychological safety","score":0.7770000100135803},{"id":"https://openalex.org/keywords/occupational-health","display_name":"occupational health","score":0.47699999809265137}],"concepts":[{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.6251999735832214},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5934000015258789},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.5724999904632568},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5590999722480774},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5386999845504761},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.46070000529289246},{"id":"https://openalex.org/C2781256819","wikidata":"https://www.wikidata.org/wiki/Q16828835","display_name":"Antecedent (behavioral psychology)","level":2,"score":0.43050000071525574},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3869999945163727},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.35040000081062317},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3425000011920929},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31049999594688416},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.30390000343322754},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.29339998960494995},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.29179999232292175},{"id":"https://openalex.org/C2778355321","wikidata":"https://www.wikidata.org/wiki/Q17079427","display_name":"Identity (music)","level":2,"score":0.2849999964237213},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2827000021934509},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.2619999945163727},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.2572999894618988}],"mesh":[{"descriptor_ui":"D000092922","descriptor_name":"Working Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000092922","descriptor_name":"Working Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000092922","descriptor_name":"Working Conditions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000098463","descriptor_name":"Ethical Dilemmas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000098463","descriptor_name":"Ethical Dilemmas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000098463","descriptor_name":"Ethical Dilemmas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001938","descriptor_name":"Brazil","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001938","descriptor_name":"Brazil","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001938","descriptor_name":"Brazil","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008505","descriptor_name":"Medical Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008505","descriptor_name":"Medical Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008505","descriptor_name":"Medical Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12913-026-14683-z","doi":"https://doi.org/10.1186/s12913-026-14683-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-14683-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmid:42365313","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42365313","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:bf9778dc785445e3b195cd3a0d657285","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/bf9778dc785445e3b195cd3a0d657285","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 26, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13576094","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13576094/pdf/12913_2026_Article_14683.pdf","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12913-026-14683-z","doi":"https://doi.org/10.1186/s12913-026-14683-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-14683-z","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-2","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482},{"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8","score":0.48510000109672546}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":47,"referenced_works":["https://openalex.org/W1904068628","https://openalex.org/W1990819238","https://openalex.org/W2005092827","https://openalex.org/W2105846236","https://openalex.org/W2167344400","https://openalex.org/W2342472925","https://openalex.org/W2935780589","https://openalex.org/W2972436891","https://openalex.org/W2996496008","https://openalex.org/W3011962404","https://openalex.org/W3012437776","https://openalex.org/W3048823717","https://openalex.org/W3049459180","https://openalex.org/W3133872087","https://openalex.org/W3178507068","https://openalex.org/W3198905025","https://openalex.org/W4235678817","https://openalex.org/W4285129293","https://openalex.org/W4318753722","https://openalex.org/W4386430864","https://openalex.org/W4391574492","https://openalex.org/W4393126044","https://openalex.org/W4396592567","https://openalex.org/W4401050889","https://openalex.org/W4401556250","https://openalex.org/W4402263157","https://openalex.org/W4402308124","https://openalex.org/W4403021692","https://openalex.org/W4404443071","https://openalex.org/W4404508605","https://openalex.org/W4406877287","https://openalex.org/W4407760240","https://openalex.org/W4408585595","https://openalex.org/W4409362239","https://openalex.org/W4409649462","https://openalex.org/W4409669632","https://openalex.org/W4410319533","https://openalex.org/W4410946039","https://openalex.org/W4410957014","https://openalex.org/W4411077314","https://openalex.org/W4411494532","https://openalex.org/W4411906018","https://openalex.org/W4411977202","https://openalex.org/W4412112979","https://openalex.org/W4413365716","https://openalex.org/W4414483379","https://openalex.org/W4417138305"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Moral":[1,91,223],"distress":[2,39,57,102,155,224,267],"is":[3,33,233],"a":[4,68,180],"relevant":[5],"occupational":[6],"health":[7],"issue":[8],"in":[9,13,64,72,100,139,152,212,230,290],"hospital":[10,71],"settings,":[11],"particularly":[12,157],"high-complexity":[14],"environments":[15,289],"such":[16],"as":[17,179,239,241],"surgical":[18,65,231,291],"units,":[19],"where":[20],"organizational":[21,237,262],"constraints,":[22],"ethical":[23,198,243,282],"dilemmas,":[24],"and":[25,60,84,109,137,147,159,165,167,175,194,197,227,254,286],"interprofessional":[26],"dynamics":[27],"shape":[28],"professionals'":[29],"experiences.":[30],"Comparative":[31,113,200,245],"evidence":[32],"needed":[34],"to":[35,134,264,280],"understand":[36],"how":[37],"moral":[38,56,101,154,184,266],"manifests":[40],"across":[41,208,268],"professional":[42,132,252,269],"groups":[43],"working":[44,63,191],"within":[45],"the":[46,89,213,248,258],"same":[47],"clinical":[48],"context.":[49],"METHODS:":[50],"This":[51],"cross-sectional":[52],"comparative":[53],"study":[54],"examined":[55],"among":[58,225],"physicians":[59,83,146,226],"nursing":[61,86,148,228],"staff":[62,149,229],"settings":[66,232],"at":[67],"public":[69],"university":[70],"southern":[73],"Brazil.":[74],"Data":[75],"were":[76,104,116,150],"collected":[77],"from":[78],"245":[79],"healthcare":[80,277],"professionals":[81],"(167":[82],"78":[85],"staff)":[87],"using":[88,106,118],"Brazilian":[90],"Distress":[92],"Scale":[93],"-":[94],"Short":[95],"Version":[96],"(EDME-BR-VR).":[97],"Group":[98],"differences":[99,138,144,211],"dimensions":[103],"assessed":[105],"descriptive":[107],"statistics":[108],"Mann-Whitney":[110],"U":[111],"tests.":[112],"structural":[114,140,217],"analyses":[115],"conducted":[117],"Partial":[119],"Least":[120],"Squares":[121],"Structural":[122],"Equation":[123],"Modeling":[124],"(PLS-SEM),":[125],"with":[126,189,210],"separate":[127],"models":[128],"estimated":[129],"for":[130,260,276],"each":[131],"group":[133],"examine":[135],"similarities":[136],"relationships.":[141],"RESULTS:":[142],"Significant":[143],"between":[145],"observed":[151],"selected":[153],"dimensions,":[156],"Safe":[158],"Qualified":[160],"Care,":[161],"Defense":[162],"of":[163,183,215,251],"Values":[164],"Rights,":[166],"Working":[168],"Conditions.":[169],"Across":[170],"both":[171],"groups,":[172,209],"Recognition,":[173],"Power,":[174],"Professional":[176],"Identity":[177],"emerged":[178],"central":[181,249],"antecedent":[182],"distress,":[185],"showing":[186],"significant":[187],"associations":[188],"teamwork,":[190],"conditions,":[192],"safe":[193],"qualified":[195],"care,":[196],"violations.":[199],"PLS-SEM":[201],"results":[202],"indicated":[203],"similar":[204],"overall":[205],"relational":[206],"patterns":[207],"magnitude":[214],"specific":[216],"paths":[218],"reflecting":[219],"profession-specific":[220,242],"dynamics.":[221],"CONCLUSIONS:":[222],"shaped":[234],"by":[235],"shared":[236],"factors":[238],"well":[240],"pressures.":[244],"analysis":[246],"highlights":[247],"role":[250],"recognition":[253],"identity":[255],"while":[256],"underscoring":[257],"need":[259],"differentiated":[261],"strategies":[263],"address":[265],"groups.":[270],"These":[271],"findings":[272],"provide":[273],"actionable":[274],"insights":[275],"managers":[278],"seeking":[279],"promote":[281],"practice,":[283],"psychological":[284],"safety,":[285],"sustainable":[287],"work":[288],"care.":[292]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-06-28T00:00:00"}
