Texila International Journal of Nursing ISSN: 2520-3126 DOI: 10.21522/TIJNR.2015.07.02.Art003 *Corresponding Author: llegojordan@gmail.com A Comparative Study on the Level of Moral Distress of Medical-Surgical Nurses in Hail Saudi Arabia during the Covid-19 Pandemic Jordan H. Llego 1,2* , Petelyne P. Pangket 1 1 Medical Surgical Nursing Department, University of Hail- College of Nursing, Hail, Saudi Arabia 2 Graduate School, Texila American University, Georgetown, Guyana Abstract This study is a part of a wider study. The purpose of this study is to look at the differences between the level of moral distress of medical-surgical nurses in Hail Saudi Arabia and their demographics. This study used a descriptive-comparative research design using the Moral Distress Questionnaire through an online survey. There are 274 respondents in this study. The statistical test used is frequency, percentage, mean, standard deviation, t-test, and one-way ANOVA. Results include regarding sex, t-test scored t (272) =-4.48; p=<0.001. Concerning civil status, t-test scored t (272) =0.35; p=0.72. Regarding age, one-way ANOVA score F (3,270) =1.78; p= 0.15. About the place of work, t-test scored t (272) =3.73; p=<0.001. Regarding years of experience one-way ANOVA scored F (2,269) =2.61; p= 0.04. Finally, on religious affiliation one-way ANOVA scored F (2,271) =2.32; p=0.10. The researchers conclude that the level of their moral distress varies with their sex, place of work, and years of experience. However, moral distress does not change with their civil status, age, and religious affiliation. Keywords: Covid-19, Hospital, Moral distress, Nursing Practice. Introduction Moral distress is the passionate expression that emerges from a circumstance when a nurse feels that the morally right move is not quite the same as what the person in question is entrusted with an action. When strategies or methods keep a nurse from doing what is correct, that presents an ethical issue. This problem, named “moral distress”, can cause nurses to feel feeble, on edge, and surprisingly discouraged. Frequently, nurses go through a few hours per day with patients and families. They experience the delight, yet additionally, the misery and stress that affliction can cause them. The unique idea of the nurse-patient relationship adds to the commonness of the problem [1]. According to [2], one of the moral anguishes’ nurses’ experiences during the COVID-19 pandemic is moral distress. Before the Covid-19 happened in 2019, [3] conducted a study on the prevalence of severe moral distress among healthcare providers in Saudi Arabia; the authors found that 75.70% have mild moral distress 24.30% had experienced severe moral distress. In 2018, another study was conducted in Brazil with the same theme and found out that nurses have a moderate risk of developing moral distress [4]. Furthermore, [5] looks at the association between mental health nurses’ moral distress and secondary traumatic stress syndrome; 47.60% of their 206 respondents reported experiencing a morally distressing situation. Moreover, [6] conducted the same research theme on medical intensive care unit nurses and found out that they have a moderate level of moral distress. Literature is scarce on medical- surgical nurses regarding their moral distress during the Covid-19 pandemic, and this 1