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This study aims to evaluate the effectiveness of Morley’s moral distress categories in capturing the experiences of healthcare professionals.

February 2, 2026Nursing Ethics

Surface and deep causes of moral distress: A qualitative study among healthcare professionals

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Qualitative study uncovers complex moral distress experiences in healthcare professionals, indicating deeper ethical issues.

This study aims to evaluate the effectiveness of Morley’s moral distress categories in capturing the experiences of healthcare professionals.
Conducted semi-structured interviews with 20 healthcare professionals in Northern Italy.
Employed deductive content analysis based on Morley’s framework.
Conducted inductive analysis to identify additional sources of moral distress.
Identified 64 morally distressing situations, with 41 aligning to Morley’s framework.
Six situations involved multiple causes, while 17 stemmed from the new cause of misconduct.
Found that all causes resulted from a perceived violation of professional values and norms.

Lamiani et al. (2026) studied this question.

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