Research map: Mapping the conceptualisation, contributing factors and interventions of moral distress among healthcare providers in Africa: a scoping review

Papers in this map

1. JBI Manual for Evidence Synthesis · 2024 · 2335 citations · Cited by this paper
2. Transforming health systems in crisis: innovative infrastructure adaptations for Marburg outbreak response in Biharamulo, Kagera, Tanzania · 2026 · Related
3. Moral Distress, Moral Residue, and the Crescendo Effect · Elizabeth Gingell Epstein · 2009 · 903 citations · Cited by this paper
4. Mpox in Sierra Leone and the Mano River Union: an epidemic unfolding in real time · 2026 · Related
5. Moral Distress in Nursing Practice: Experience and Effect · Judith M. Wilkinson · 1987 · 540 citations · Cited by this paper
6. An evidence gap map of fall-related outcomes among older adults in the Middle East and North Africa region · 2026 · Related
7. What is ‘moral distress’? A narrative synthesis of the literature · Georgina Morley · 2017 · 536 citations · Cited by this paper
8. Early essential newborn care: a decade of scaling up quality, life-saving interventions across East Asia and the Pacific (2013–2023) · 2026 · Related
9. Moral Distress Among Healthcare Professionals: Report of an Institution‐Wide Survey · Phyllis Brown Whitehead · 2014 · 519 citations · Cited by this paper
10. Effectiveness of the Moments that Matter parenting programme on caregiving practices, family violence, mental health and early child development in Kenya: a cluster-randomised controlled trial · 2026 · Related
11. Critical Care Nurses’ Perceptions of Futile Care and Its Effect on Burnout · Lilia Susana Meltzer · 2004 · 479 citations · Cited by this paper
12. Optimising screening for recurrent tuberculosis: a microsimulation-based study · 2026 · Related
13. The health worker shortage in Africa: are enough physicians and nurses being trained? · Yohannes Kinfu · 2009 · 297 citations · Cited by this paper
14. Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng · 2023 · Related
15. Moral Distress and Moral Conflict in Clinical Ethics · Carina Fourie · 2013 · 275 citations · Cited by this paper
16. Prevalence and determinants of premature or early menopause: a pooled analysis of 716 648 women from 44 low- and middle-income countries · 2026 · Related
17. Moral Distress and Moral Courage in Everyday Nursing Practice · Ann Miriam Gallagher · 2011 · 178 citations · Cited by this paper
18. From implicit to explicit: an evidence-informed deliberative process for health benefits package revision using the WHO UHC Compendium in Kyrgyzstan · 2026 · Related
19. Moral distress in frontline healthcare workers in the initial epicenter of the COVID‐19 pandemic in the United States: Relationship to PTSD symptoms, burnout, and psychosocial functioning · Sonya B. Norman · 2021 · 163 citations · Cited by this paper
20. Return-on-investment for interventions to reduce adolescent pregnancy and child marriage in Southeast Asia: a five-country modelling study · 2026 · Related
21. Interventions to mitigate moral distress: A systematic review of the literature · Georgina Morley · 2021 · 151 citations · Cited by this paper
22. Factors influencing nurses' intentions to leave adult critical care settings · Nadeem Ullah Khan · 2018 · 146 citations · Cited by this paper
23. Who Is Experiencing What Kind of Moral Distress? Distinctions for Moving from a Narrow to a Broad Definition of Moral Distress · Carina Fourie · 2017 · 141 citations · Cited by this paper
24. ‘Moral distress’ – time to abandon a flawed nursing construct? · Megan‐Jane Johnstone · 2013 · 125 citations · Cited by this paper
25. Moral distress: A concept clarification · Sadie Deschenes · 2020 · 125 citations · Cited by this paper
26. Moral distress among Ugandan nurses providing HIV care: A critical ethnography · Jean Harrowing · 2009 · 120 citations · Cited by this paper
27. Moral Distress Among Healthcare Professionals at a Health System · Rose Allen · 2013 · 115 citations · Cited by this paper
28. Moral distress and its correlates among mental health nurses in J ordan · Shaher Hamad Hamaideh · 2013 · 92 citations · Cited by this paper
29. Moral distress interventions: An integrative literature review · Vanessa Amos · 2022 · 88 citations · Cited by this paper
30. Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure · Mara H. Buchbinder · 2023 · 86 citations · Cited by this paper
31. Shocks, stress and everyday health system resilience: experiences from the Kenyan coast · Nancy N Kagwanja · 2020 · 83 citations · Cited by this paper
32. Moral distress in nursing practice in Malawi · Veronica Mary Maluwa · 2012 · 78 citations · Cited by this paper
33. Interventions to reduce moral distress in clinicians working in intensive care: A systematic review · Dilini I. Imbulana · 2021 · 71 citations · Cited by this paper
34. An innovative leadership development initiative to support building everyday resilience in health systems · Jacinta Nzinga · 2021 · 68 citations · Cited by this paper
35. Enhancing Organizational Resilience: The Transformative Influence of Strategic Human Resource Management Practices and Organizational Culture · Iulian Georgescu · 2024 · 68 citations · Cited by this paper
36. Exploring Moral Distress for Hospital Social Workers · Sophia Fantus · 2017 · 65 citations · Cited by this paper
37. Satisfaction, motivation, and intent to stay among Ugandan physicians: a survey from 18 national hospitals · Sam Luboga · 2010 · 58 citations · Cited by this paper
38. Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia · Alemshet Yirga Berhie · 2020 · 53 citations · Cited by this paper
39. Triggers and factors associated with moral distress and moral injury in health and social care workers: A systematic review of qualitative studies · Emily S. Beadle · 2024 · 52 citations · Cited by this paper

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