en آموزش Education پژوهشي اصیل Orginal Research <span style="line-height:2;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><b>Background & Objective: </b>The learning environment plays a vital role in shaping a student&#39;s academic success and overall satisfaction. In this study, we aimed to evaluate the impact of the educational climate in the Operating Room (OR) on the moral distress experienced by operating room technology students.<br> <b>Material & Methods:</b> In 2022, we conducted a descriptive-analytical study on 58 undergraduate operating room technology students from North Khorasan University of Medical Sciences. We utilized purposeful sampling in the form of a census from qualified academic departments. To collect information, we used three questionnaires: one for demographic information, one for IMOTEC, and one for moral distress. We analyzed the data using independent t-tests, one-way analysis of variance, and Pearson&#39;s correlation coefficient, as well as multiple linear regression analysis at a 95% confidence level using SPSS 26 software.<br> <b>Results:</b> The mean score for the OR educational climate was 71.14 &plusmn; 12.01. The rate of moral distress was measured in severity and frequency dimensions, with scores of 1.87 &plusmn; 1.08 and 1.79 &plusmn; 0.94, respectively. We found a significant inverse relationship between the mean of the educational environment and the severity (p < 0.001) and frequency (p < 0.05) of moral distress.<br> <b>Conclusion:</b> Given that the educational climate is one of the key factors affecting moral distress, it appears that enhancing the educational climate in the OR environment can play a significant role in reducing the moral distress experienced by students.</span></span></span> educational environment, moral distress, ethical distress, operating room technology students, educational climate 154 163 http://edujournal.zums.ac.ir/browse.php?a_code=A-12-2071-2&slc_lang=en&sid=1 Nasrin Kamali kamali.nasrin524@gmail.com 5300319475328460033322 5300319475328460033322 No Department of Operating Room, Paramedical Faculty, North Khorasan university of Medical Sciences, Bojnurd, Iran. Zakiyeh Amini aminiz872@gmail.com 5300319475328460033323 5300319475328460033323 No Department of Operating Room, Paramedical Faculty, North Khorasan university of Medical Sciences, Bojnurd, Iran. Farkhonde Asadi farkhonde_asadi@yahoo.com 5300319475328460033324 5300319475328460033324 No Department of Operating Room, Paramedical Faculty, North Khorasan university of Medical Sciences, Bojnurd, Iran. Sara Mohammadi smohamadi91070@gmail.com 5300319475328460033325 5300319475328460033325 No Department of Operating Room, School of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran. Kasra Khatib kasra.kh1998@gmail.com 5300319475328460033326 5300319475328460033326 No Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran Sepideh Gholami sepidgholami1368@gmail.com 5300319475328460033327 5300319475328460033327 Yes Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.