Background: Hospital nurses frequently experience emotional and psychological strain that extends beyond ordinary workplace stress and cannot be fully explained by constructs such as burnout or compassion fatigue. This analysis seeks to conceptualise occupational distress as a system-originating phenomenon distinct from burnout. Aims: It intends to clarify the concept of occupational distress by identifying its defining attributes, antecedents and consequences. Methods: A concept analysis was conducted using Walker and Avant’s eight-step approach. CINAHL, PubMed, PsycINFO and Scopus were searched for papers on occupational distress, burnout, moral distress, occupational stress and nurse wellbeing. Studies published between 1980 and 2025 were included if they explored occupational distress among hospital nurses, particularly in relation to workload, staffing and hospital systems. Studies outside healthcare settings or focused on psychiatric conditions unrelated to workplace stress were exc
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