Research Article

Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study

Table 2

COVID-19-related moral distress.

DomainFrequencyIntensityMultiplied score
Mean (SD)Mean (SD)Mean (SD)

Patient domain1.4 (0.9)1.4 (1.0)2.4 (2.0)

Being asked to provide and continue aggressive and potentially futile treatments when I believe it is not in the best interest of the patient1.6 (0.8)1.5 (1.0)2.7 (2.5)
Witnessing orders for unnecessary or inappropriate care that do not adequately address patient needs1.2 (0.8)1.2 (1.0)2.0 (2.3)
Providing care to patients who have not been adequately informed or included in decisions regarding their own care1.5 (0.9)1.4 (1.0)2.6 (2.4)

Team/system domain1.7 (0.9)1.5 (1.0)3.1 (2.0)

Experiencing poor communication between members of the care team that adversely affects patient care1.7 (0.7)1.6 (0.9)3.0 (2.4)
Being assigned an unsafe number of patients to care for at once considering the acuity level for each patient assigned to me2.1 (0.8)1.9 (0.9)4.4 (3.0)
Attempting to deliver a high standard of care with limited time, supplies, and resources1.7 (0.9)1.5 (1.0)3.1 (2.8)
Using technology and documentation that burdens me and compromises patient care1.6 (0.8)1.5 (0.9)2.8 (2.5)
Witnessing or experiencing uncivil behavior among members of the care team1.8 (0.9)1.6 (1.0)3.2 (2.9)
Witnessing a lack of respect among the healthcare team for patients from vulnerable populations or minority groups1.1 (0.9)1.1 (1.1)1.8 (2.3)

COVID-19 domain1.8 (0.9)1.5 (1.0)3.3 (2.3)

Caring for patients who must experience hospitalization without family presence2.1 (0.8)1.6 (0.9)3.7 (2.7)
Caring for patients who die during a hospitalization without family and/or clergy present1.3 (1.0)1.3 (1.1)2.4 (2.7)
Caring for COVID‐19 patients that presents a transmission risk to you or your family/household2.0 (0.9)1.7 (1.0)3.8 (2.9)

Summary score1.6 (0.9)1.5 (1.0)3.0 (1.8)

Note. SD: standard deviation.