en Nursing Orginal research <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Background:</span></i></b></span> <span new="" roman="" times="">Technicians working in the emergency medical services (EMS) ward face more cases of moral distress due to the nature of their work. The consequences of moral distress include decreased self-confidence, job burnout, job dissatisfaction, and depression. One of the solutions to deal effectively with stressors is coping. The ability to adjust can be affected by much exposure to stressors</span><span new="" roman="" times="">. </span></span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><b><i><span new="" roman="" times="">Objectives: </span></i></b><span new="" roman="" times="">This study aimed to investigate the relationship between moral distress and coping in technicians working in the EMS ward.</span></span></span><br> <span new="" roman="" times=""><span style="color:#2980b9;"><b><i>Methods:</i></b></span><span style="color:black"> This cross-sectional study was conducted in 2021 on 494 technicians working in EMS bases in East Azerbaijan province. Sampling was performed by stratified random method. Data collection tools were the demographic characteristics questionnaire, the Corely moral distress scale (MDS), and the Littman&#39;s Cope inventory. In addition, data were analyzed using descriptive statistics and Pearson&rsquo;s correlation coefficient.</span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Results</span></i></b><b><span new="" roman="" times="">:</span></b></span><span new="" roman="" times=""> The results of the study showed that the mean (SD) score of the frequency of moral distress was 47.21 (17.24), the severity of moral distress was 47.44 (19.63), and coping was 38.81 (4.82). The severity of moral distress (r= -0.14 and p=0.004) and the frequency of moral distress (r=-0.19 and p=0.001) were observed to have inverse and significant statistical relationships to coping in EMS technicians.</span></span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Conclusion:</span></i></b></span><span new="" roman="" times=""><span style="color:#2980b9;"> </span>Considering that there is a significant inverse relationship between moral distress and coping of EMS technicians, it seems that by providing solutions to control the moral distress of these staff, it is possible to improve their adjustment and, consequently, their job capabilities.</span></span></span></span></span></span></div> Moral Distress, Coping, Emergency Medical Services Technician 35 43 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-733-3&slc_lang=en&sid=1 Mostafa Soleimani mostafa.soleymani20@gmail.com 100319475328460014307 100319475328460014307 Yes Disaster and Emergency Medical Management Center, Tabriz University of Medical Science, Postgraduate, Tabriz, Iran Kavoos Shahsavarinia kavous.shahsavari@yahoo.com 100319475328460014308 100319475328460014308 No Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Associate Professor, Tabriz, Iran Abbas Dadashzadeh ddshzd@yahoo.com 100319475328460014309 100319475328460014309 No Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Assistant Professor, Tabriz, Iran Fereshteh Hadi fereshtehhadi@gmail.com 100319475328460014310 100319475328460014310 No Nutrition Faculty, Tabriz University of Medical Science, Postgraduate, Tabriz, Iran jafar khani f.hadi_nu@yahoo.com 100319475328460014311 100319475328460014311 No Disaster and Emergency Medical Management Center, Tabriz University of Medical Science, Postgraduate, Tabriz, Iran