{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:28:29Z","timestamp":1777944509923,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The present study was performed with the aim of exploring the experiences of moral distress among perioperative nurses in Iran, specifically focusing on their encounters with anaesthetised patients. Despite its significance, this issue has received limited attention from researchers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A phenomenological study based on Van Manen\u2019s six-research-activities approach was employed in this study. The phenomenon was perioperative nurses experience of moral distress. Perioperative nurses in two general hospitals in Iran were purposefully invited as participants. Semi-structured individual interviews were performed using open-ended questions, and two focus groups were conducted. Interviews were recorded using a digital sound recorder and typed word for word upon the participant\u2019s consent. Thematic analysis was performed by hermeneutic phenomenological reflection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Finding:<\/jats:title>\n                    <jats:p>Lived experiences of perioperative nurses of moral distress were derived from three main themes: psychological confusion, low self-esteem, and struggle to look after oneself.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings of the present study revealed that perioperative nurses experienced moral distress as a negative feeling which threatens their humanity and professional work. Understanding this experience can empower nurses to uphold their values and encourages managers and researchers to intervene to reduce moral distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589251314993","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T06:20:10Z","timestamp":1741846810000},"page":"544-552","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Iranian perioperative nurses\u2019 lived experiences of moral distress: A phenomenological study"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7846-4775","authenticated-orcid":false,"given":"Mahboobeh","family":"Khosravani","sequence":"first","affiliation":[{"name":"Department of Surgical Technology, School of Allied Medical Sciences, Arak University of Medical Sciences, Arak, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Solymani","sequence":"additional","affiliation":[{"name":"Ministry for Women, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0440-7241","authenticated-orcid":false,"given":"Mohaddeseh","family":"Mohsenpour","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"issue":"17","key":"e_1_3_3_2_1","first-page":"119","article-title":"Ethical distress in nurses working in Bam therapeutic centers","volume":"5","author":"Abbaszadeh A","year":"2011","unstructured":"Abbaszadeh A, Borhani F, Kalantari S 2011 Ethical distress in nurses working in Bam therapeutic centers Journal of Medical Ethics 5 (17) 119\u2013140","journal-title":"Journal of Medical Ethics"},{"issue":"2","key":"e_1_3_3_3_1","first-page":"27","article-title":"Investigation of the amount of stressors in operating room nurses","volume":"15","author":"Asadi Fakhr A","year":"2017","unstructured":"Asadi Fakhr A, Asadi S 2017 Investigation of the amount of stressors in operating room nurses Pajouhan Scientific Journal 15 (2) 27\u201331","journal-title":"Pajouhan Scientific Journal"},{"issue":"2","key":"e_1_3_3_4_1","first-page":"59","article-title":"Nurses distress in intensive care unit: A survey in teaching hospitals","volume":"5","author":"Beikmoradi A","year":"2010","unstructured":"Beikmoradi A, Rabiee S, Khatiban M, Cheraghi M 2010 Nurses distress in intensive care unit: A survey in teaching hospitals Journal of Medical Ethics and History of Medicine 5 (2) 59\u201369","journal-title":"Journal of Medical Ethics and History of Medicine"},{"issue":"6","key":"e_1_3_3_5_1","first-page":"10","article-title":"Moral distress and its relationship with professional stress in nurses","volume":"6","author":"Borhani F","year":"2014","unstructured":"Borhani F, Mohammadi S, Roshanzadeh M 2014 Moral distress and its relationship with professional stress in nurses Iranian Journal of Medical Ethics and History of Medicine 6 (6) 10\u201319","journal-title":"Iranian Journal of Medical Ethics and History of Medicine"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733020964859"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2005.14.6.523"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2019.03.002"},{"key":"e_1_3_3_9_1","first-page":"191","volume-title":"Clinical Ethics","volume":"17","author":"Ghahremani A","year":"2022","unstructured":"Ghahremani A, Esmaelzadeh F, Khosravani M, Mohsenpour M 2022 The effect of professional ethics workshop with virtual follow-up on nurses moral distress Clinical Ethics 17 (2) 191\u2013197"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733020906593"},{"issue":"1","key":"e_1_3_3_11_1","first-page":"83","article-title":"Nursing practice: The ethical issues Englewood Cliffs. 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