Levels of Moral Distress, Secondary Traumatic Stress, General Health, and Empathy Among Nursing Staff in Eight Public Hospitals in Greece: A Cross‐Sectional Study.

Background: Exploring the potential relationships among moral distress (MD), general health (GH) levels, secondary traumatic stress (STS) and levels of empathy within nursing personnel is of specific interest. Aims: This study aimed to investigate the occurrence of MD and its associations with GH, S...

Descripción completa

Detalles Bibliográficos
Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 6; pp. 1 - 14
Autores principales: Gamvrouli, Maria, Karanikola, Maria, Triantafyllou, Christos, Paschali, Antonia, Giannakopoulou, Margarita
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Dec2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190585193&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 190585193
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        17416787
        NRNX
      jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.)
      issn: 17416787
      maglogo: N
    pubinfo:
      dt: Dec2025
      vid: 22
      iid: 6
      pid: 52269
      pub: John Wiley & Sons, Inc.
    artinfo:
      ui:
        190585193
        190585193
        190585193
        10.1111/wvn.70093
        190585193
      ppf: 1
      ppct: 13
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Levels of Moral Distress, Secondary Traumatic Stress, General Health, and Empathy Among Nursing Staff in Eight Public Hospitals in Greece: A Cross‐Sectional Study.
      aug:
        au:
          Gamvrouli, Maria
          Karanikola, Maria
          Triantafyllou, Christos
          Paschali, Antonia
          Giannakopoulou, Margarita
        affil: Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece
      sug:
        subj:
          Morals
          Compassion Fatigue Psychosocial Factors
          Psychological Distress
          Health Status
          Empathy
          Nursing Staff, Hospital Psychosocial Factors
          Hospitals, Public Greece
          Human
          Cross Sectional Studies
          Nonexperimental Studies
          Male
          Female
          Adult
          Middle Age
          Marital Status
          Educational Status
          Work Experiences
          Hospitals, Psychiatric Greece
          Greece
          Scales
          Questionnaires
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Pearson's Correlation Coefficient
          Multiple Linear Regression
          Funding Source
          Psychiatric Units
          Hospital Units
          Multivariate Analysis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Exploring the potential relationships among moral distress (MD), general health (GH) levels, secondary traumatic stress (STS) and levels of empathy within nursing personnel is of specific interest. Aims: This study aimed to investigate the occurrence of MD and its associations with GH, STS, and empathy levels among nurses employed in eight public hospitals across the Attica Basin in Greece. Methods: Between January and March 2020, a cross‐sectional study was conducted among nursing staff working in surgical, medical, and psychiatric units of 6 public hospitals and 2 psychiatric institutions in the Attica Basin. Respondents completed the validated Greek versions of the Moral Distress Scale–Revised, the Jefferson Scale of Empathy for Health Professionals, the 28‐item General Health Questionnaire, and the Secondary Traumatic Stress Scale. Participants were asked to complete a paper‐pencil data sheet consisting of 27 sociodemographic questions. Results: A total of 267 out of 350 distributed questionnaires were completed and returned, corresponding to a response rate of 76.3%. The findings showed that nurses experienced moderate MD in both frequency and intensity, moderate‐to‐high GH and empathy, and moderate levels of STS. Psychiatric nurses reported lower STS and better GH than their counterparts in general hospital settings. Multivariate analysis demonstrated a statistically significant association between increased STS and deterioration in GH. A rise in the frequency of MD is significantly linked to an increase in its intensity. Linking Evidence to Action: Incorporating proven screening methods, programs that build resilience, supportive workplace cultures, ongoing evaluations over time, and peer support systems creates a complete approach to lowering moral distress and secondary traumatic stress, improving nurse well‐being, maintaining work efficiency, and enhancing the overall safety and quality of healthcare services.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N