Structural moral distress among nurse middle managers in crisis

Tatiana Talya Fleishman, Daniel Sperling, Anat Drach-Zahavy, Nadya Golfenshtein, Orly Toren, Miriam Hirschfeld, Nurith Wagner, Julie Benbenishty, Einav Srulovici, The Israeli Nursing Ethics Bureau, Division of General Medicine, Ministry of Health, The Cheryl Spencer Department of Nursing, University of Haifa, Nursing Department, Ono Academic College, Kiryat Ono, Faculty of Medicine School of Nursing, Hebrew University

Nursing Ethics: An International Journal for Health Care Professionals

Published online on May 16, 2026

Abstract

Nursing Ethics, Ahead of Print.
BackgroundAt a time marked by ongoing global instability and health emergencies, the ethical and operational burdens on healthcare systems derived from the COVID-19 crisis, remain urgently relevant. Positioned between frontline staff and senior management,...