Construction of a training program for clinical nurses coping with moral distress based on Corley’s theoretical model
Year: 2026
Type: article
Abstract: Public health crises and emerging medical technologies have created complex ethical challenges for nurses, resulting in widespread moral distress that impairs nurses’ occupational well-being and the quality of patient care. Systematic and practical training interventions targeting this problem remain scarce. To develop a training programme designed to strengthen nurses’ moral competence for managing moral distress. A mixed-methods study integrating a systematic review, quantitative research, and the modified Delphi technique. Three postgraduate students and three interdisciplinary experts performed the systematic review. Cross-sectional quantitative data were collected in eastern China, and 18 specialists in nursing management, clinical nursing and nursing ethics participated in the Delphi consultation. Nineteen eligible studies were included for systematic review and thematic analysis, from which four core themes were extracted. Based on Corley’s moral distress theoretical model, the regression model was statistically significant ( F = 34.173, P < 0.001, R ² = 0.229). Two rounds of consultation were completed by the 18 experts; the expert authority coefficient reached 0.87. The finalized ethical training framework comprised 5 primary indicators, 9 secondary indicators and 30 tertiary indicators. Centered on the core objective of nursing ethics education, this multi-level, feasible and evidence-based intervention programme was constructed to improve nurses’ moral competence to cope with moral distress. Not applicable.
Source: BMC Nursing
Authors: Juntong Meng, Yan Wang, Ye Liu
Language: English
Topic: Ethics in medical practice
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,090
OpenAlex ID: W7222072276
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