https://publish.kne-publishing.com/index.php/jmehm <p>The&nbsp;<strong><em>Journal of Medical Ethics and History of Medicine</em></strong>&nbsp;is the official scientific publication of the&nbsp;<strong>Medical Ethics and History of Medicine of Tehran University of Medical Sciences.&nbsp;</strong>Physicians and health practitioners always deal with ethical issues in treatment and management of diseases. The advent of new biomedical technologies further complicated the moral and societal issues of medical research and practice. Religious and cultural differences more emphasize the need for nationalizing this knowledge. The&nbsp;<strong><em>Journal of Medical Ethics and History of Medicine (J Med Ethics Hist Med)&nbsp;</em></strong>is an opportunity for healthcare professionals as well as theologians, philosophers, and sociologists to present and discuss their ideas from several aspects in relation to medical ethics and bioethics. In addition this Journal traces its roots to several aspects of History of Medicine which further emphasizes on Iranian and Islamic era.</p> <p><strong data-stringify-type="bold">All the manuscripts should be submitted through the Journal Primary Website at <a href="https://jmehm.tums.ac.ir/index.php/jmehm/about/submissions">https://jmehm.tums.ac.ir/index.php/jmehm/about/submissions</a></strong></p> Tehran University of Medical Sciences en-US Journal of Medical Ethics and History of Medicine 2008-0387 https://publish.kne-publishing.com/index.php/jmehm/article/view/18879 <p>This cross-sectional study, conducted in 2023 on 386 ICU nurses from hospitals affiliated with Tehran University of Medical Sciences, investigated the relationships between moral resilience, moral distress, and second victim syndrome. Participants were selected through simple random sampling, and data were collected using Rushton’s Moral Resilience Scale, Hamric’s Moral Distress Questionnaire, and Burlison’s Second Victim Scale. Analysis was performed using descriptive statistics and Pearson’s correlation in SPSS v24. The results showed a significant positive correlation between second victim syndrome and moral distress, indicating that increased second victim experiences were associated with higher moral distress. There was also a significant negative correlation between moral resilience and second victim syndrome, confirmed by regression and structural equation modeling. However, no significant correlation was found between moral resilience and moral distress. Overall, the study highlights that second victim syndrome contributes to moral distress, while moral resilience acts as a protective factor. It is recommended that targeted interventions – such as resilience training, peer support groups, professional debriefing, and organizational mental health initiatives be imple- mented to mitigate these psychological challenges in high-stress ICU environments.</p> Zahra Asadi Alun C Jackson Azam Jahangirimehr Fatemeh Bahramnezhad Copyright (c) 2025 Journal of Medical Ethics and History of Medicine 2025-06-10 2025-06-10 10.18502/jmehm.v18i3.18879