Background: Moral distress is a common phenomenon in the nursing profession. Objectives: This study was aimed to determine the mean intensity and frequency of moral distress among Iranian Nurses. Methods: This systematic review and meta-analysis was based on PRISMA guideline and searching in National databases as SID, Magiran, Irandoc, Noormag, IranMedex, and Medlib as well as International databases as Madlib and Web of Sciences, Scopus, PubMed, Direct-Science, Cochrane, Embase, Springer, Online Library Wiley, Ebsco, CEBM, CINHAL, SAGE, and Google Scholar were published by 2016. Researched keywords were in Persian and their English equivalents in accordance with their Mesh: "Moral", "Morale", "Distress", "Iran", "Frequency", "intensity", "Ethics", "Nurse", and all possible combinations. The obtained documents were analyzed based on appropriate checklist through a random effects model by using Review Manager Software ver: 5.3.5.