What does this research mean for the field?

Primary health care nurses experience moral distress during vaccine-hesitancy encounters as a relationally and organizationally mediated ethical burden shaped by cultural factors such as family hierarchy, religious reasoning, and gendered credibility. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To interpret how primary health care nurses experience and negotiate moral distress during vaccine-hesitancy encounters with families in culturally diverse clinical settings.

September 8, 2026Nursing Ethics

Caught between care and conviction: Primary health care nurses’ moral distress during vaccine-hesitancy encounters in a culturally diverse context

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Authors

GEGhada Elsaid Ali ElsayedNajran University OROsama Mohamed Elsayed RamadanCairo University WTWargaa Hashim TahaNajran University

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Implication

Qualitative study reveals moral distress in primary healthcare nurses managing vaccine hesitancy, highlighting the need for organizational ethics support.

Key Points

To interpret how primary health care nurses experience and negotiate moral distress during vaccine-hesitancy encounters with families in culturally diverse clinical settings.
Conducted a qualitative interpretive description study guided by moral distress theory.
Recruited a purposive sample of 22 registered nurses from 20 primary health care centres within one southern Saudi health cluster.
Gathered data via in-person semi-structured interviews and analyzed the transcripts using reflexive thematic analysis.
Identified four central themes: constrained action despite knowing responsible practice, moral agency negotiated through family, faith, and gendered authority, cumulative moral residue, and organizational ethical responsibility.
Family decision hierarchies served as the primary cultural constraint, while interpretations of religious guidance and gendered credibility further complicated encounters.
Characterized moral distress as a relationally and organizationally mediated ethical burden intensified by absent institutional support systems.

Cite This Study

Elsayed et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd83b58e84d0ff5b47a24 https://doi.org/10.1177/09697330261483628

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Implication

Qualitative study reveals moral distress in primary healthcare nurses managing vaccine hesitancy, highlighting the need for organizational ethics support.

Caught between care and conviction: Primary health care nurses’ moral distress during vaccine-hesitancy encounters in a culturally diverse context

Discussion

Member takes

Implication

Key Points

Cite This Study

Caught between care and conviction: Primary health care nurses’ moral distress during vaccine-hesitancy encounters in a culturally diverse context

Discussion

Member takes

Implication

Key Points

Cite This Study

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