Determinants of Moral Distress Among Mental Health Professionals

Jumana Shehadeh1, *, Obay Almaraira2, Ayman Hamdan-Mansour1
1 Department of Community Nusing, University of Jordan, Amman, Jordan
2 Department of Community Nursing, Al-Farabi College, Riyadh, Saudi Arabia

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© 2022 Shehadeh et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of community nusing, University of Jordan, Amman, Jordan; E-mail:



It is assumed that understanding moral distress and its correlated factors among mental health professionals would enhance understanding of the ethical dilemmas that mental health professionals are confronting.


To identify moral distress determinants among Jordanian mental health professionals working in psychiatric in-patient settings.


A cross-sectional descriptive design was used, employing self-administered questionnaire.


Two- steps multiple hierarchical regression analysis showed that model 1 that includes the demographic characteristics, was significant with R2 = .151, while in model 2 that included demographics and the psychological characteristics of stress factors, it was found to be also significant R2 = .243.


Morally distressing environments might diminish the quality of psychiatric care provided as well as the job satisfaction among healthcare providers.

Keywords: Moral distress, Mental health, Determinants, Psychological characteristics, Hospitalization, Psychiatric professionals.