Showing 39 results for Nurses
Aliasghar Ghods, Easa Mohammadi, Zohreh Vanaki, Anooshirvan Kazemnejad,
Volume 4, Issue 1 (12-2010)
Abstract
Although there is no more propensity for measuring patient's satisfaction as an important qualitative scale of health services, the thing which is slightly seems to be forgotten is the attention towards the concept and expansion of theory framework. The purpose of this study is to remark the meaning of satisfaction and to offer a qualitative definition for that. This research is a qualitative study and content analysis. During the study period fifteen patients who were hospitalized in Semnan hospitals (2009) were selected. The data were gathered by half-structured interview and analyzed. The results of this study shows four two major themes and four subthemes including feeling of satisfaction and the reception of nurses by patients. Accordingly, satisfaction is a calm sense that the patient feels it after the emotional and logical reception of nurses. The feeling will be sensed by intelligent and sometimes emotional feeling of patient towards the nurse in his/her care unit environment. The results of this study indicate the real and basic meaning of patient's satisfaction from nurses' views. This meaning is even beyond the imagination of experts and managers. These results can be put into work for designing suitable tools to measure the scale of patients' satisfaction of nurses based on their real perception.
Soodabeh Joolaee, Hamidreza Jalili, Forogh Rafiee, Hamid Haggani,
Volume 4, Issue 4 (7-2011)
Abstract
Nurses have to cope with various forms of tension in the workplace on a daily basis. One of the factors affecting the moral distress experienced by nurses is the ethical climate prevalent in clinical environments. The present study aimed to establish the relationship between moral distress and nurses’ ethical work environment.
This was a cross-sectional, correlational study on 210 nurses in select departments of medical/educational centers of the Tehran University of Medical Sciences in 2009. Data collection tools included a demographic questionnaire, Corley’s Moral Distress Scale, and Olson's Ethical Climate Questionnaire. Data analysis was performed using SPSS version 14.
Findings confirmed that the nurses under study were tolerating an average amount of moral distress, although they did not perceive the frequency of morally stressful situations to be particularly high. There was no significant relationship between the moral distress of the nurses under study and their evaluation of the ethical climate of their workplace. Of the five factors affecting the ethical climate, there was a meaningful indirect relationship between managers and frequency of moral distress (P ≤ 0.04), and patients and frequency and intensity of moral distress (P = 0.001).
The results obtained through this research indicated a need for authorities to pay more attention to medical/educational centers and devise various strategies in order to make work environments more ethical, so that nurses can continue to offer health care services in more relaxed environments and with less stress.
Mahnaz Sanjari, Farzaneh Zahedi, Maryam Aalaa, Maryam Peimani, Alireza Parsapoor, Kiarash Aramesh, Sadat Bagher-Maddah, Mohammad Ali Cheraghi, Ghazanfar Mirzabeigi, Bagher Larijani,
Volume 5, Issue 1 (12-2011)
Abstract
Quality of nursing care services directly influences individuals' health status. Compiling codes of ethics according to the religion and culture of each population could be an appropriate approach in improving quality of health care services especially nursing care. Hence, the most important priority in our national health system is developing ethical guidelines.
For this purpose a task force has been established in collaboration with nurses, physicians, lawyers and clergymen who were expert in the field of medical ethics. The code of ethics for Iranian nurses was drafted in 2010. The draft that included 12 values and 71 regulations of professional ethics were finally approved in the second session of the Ethics Supreme Council of the Ministry of Health and Medical Education on 6 March, 2010.
The values consist of concepts such as maintaining human dignity, adherence to professional obligations, accountability and responsibility, patient privacy, promotion of scientific and practical competence and respect to individual's autonomy.
Also, 71 regulations of professional ethics divided to five sections including "Nurse and Community" consisting of 9 items, "Nurse and Professional Commitments" with 14 items, "Nurse and Clinical Services" with 23 items, "The Nurse and Other Healthcare Providers in Medical Team" with 15 items, and also "Nurse, Education and Research" including 10 items.
Ali Beikmoradi, Somayyeh Rabiee, Mahnaz Khatiban, , Mohammad Ali Cheraghi,
Volume 5, Issue 2 (4-2012)
Abstract
In spite of increasing advances in technology, medical equipments, costs, geriatric population, consideration to ethical and legal issues has increased in nursing profession. This study aimed to explore ethical codes and consideration of ethical issues and severity of ethical distress experienced by nurses at intensive care units.
A cross-sectional survey using questionnaire was conducted by a census of nurses in intensive care units in educational and treatment centers of Hamadan.
Nurses value most the ethical codes related to responsibility (95.1%), accountability (95.1%), patient support (77.3%), secret keeping (83.4%), and honesty (78.5%). They studied patient rights statement 2.47 times with standard deviation of 2.86. Only 50.3 percent of nurses had education about professional ethics. Nurses had mean of mark in severity of ethical distress 99.34 ±46.61.
Severity of ethical distress was moderate in nurses. There was not significant relationship between demographic data and severity of ethical distress. There are more needs to assess for effects and effective factors on ethical distress in intensive care units nurses.
Tahereh Moghadas, Maryam Momeni, Mojgan Baghaee, Shahram Ahmadi,
Volume 5, Issue 4 (7-2012)
Abstract
Nurses play an important role in end-of-life care for dying patients. Based on the essence of the work environment, nurses are confronted with dying patients and their requests for euthanasia more than other care givers. However, little is known about their attitudes towards euthanasia. Hence, aim of present study was to determine nurses' attitudes toward euthanasia. In this descriptive-analytical study, 91 nurses who employed in intensive care units situated in educational and medical hospitals affiliated to Guilan University of Medical Sciences participated. Nurses attitudes evaluated by using Euthanasia Attitude Scale. Data analyzed by descriptive and inferential statistics (T-test, ANOVA and generalized linear models) by SPSS software version 16. Majority of nurses (83.5%) had negative attitude toward euthanasia. Univariate analysis showed no significant statistical relationship between demographic factors and nurses' attitude toward euthanasia, whilst age (P < 0.029) and employment status (P < 0.004) were related to nurses' attitude toward euthanasia in regression analysis.
Findings of the present study showed that majority of nurse's believe in care of dying patients for health maintenance and life continuance even in the end stage of life. They don't accept euthanasia at any condition. Perhaps, more accurate studies need to assess other confounding factors such as nurses' knowledge, practice and role.
Maliheh Ameri, Zahra Safavi Bayat, Tahereh Ashktorab, Amir Kavoosi, Atefeh Vaezi,
Volume 6, Issue 1 (4-2013)
Abstract
Moral distress is considered as an important issue in nursing. Nurses participation in ethical decision making and taking deliberate action are facing them with many ethical challenges in their work environment. Confronting those challenges can lead to moral distress.
This descriptive study was conducted to determine moral distress and its contributing factors from the perspective of oncology nurses in Tehran teaching hospitals in 2011.
Data collection was done through a demographic questionnaire, the Moral Distress Scale – revised (MDS-R) and a questionnaire on moral distress related factors administered to all oncology nurses with inclusion criteria.
Findings showed that nurses reported a high level of moral distress overall. The highest level of moral distress was associated with giving inadequate information to patients about informed consent and carrying out a physicians’ order for unnecessary tests and treatments. A significant correlation was found between oncology nurses’ age, their work experience and employment status with moral distress. Institutional factors such as managers’ support, nurses’ autonomy and having determined duties had the greatest effect on moral distress from oncology nurses’ view.
Oncology nurses commonly encounter situations that are associated with high levels of moral distress, and therefore strategies need to be developed in order to mitigate moral distress.
Abbas Abbaszadeh , Nozar Nakhaei , Fariba Borhani , Mostafa Roshanzadeh ,
Volume 6, Issue 2 (5-2013)
Abstract
Moral distress is one of the common issues in nursing that has been receiving a lot of attention in research related to this profession. Moral distress is a phenomenon that can impact nurses, patients and health systems greatly. One significant impact of moral distress on nurses is its role on their desire to continue to work in their profession, and the present cross-sectional, descriptive and analytical study was conducted in order to determine this impact. Study samples were nurses in Birjand teaching hospitals who were selected through polls and according to entrance criteria. A 22-item questionnaire was developed by combining demographic information, Corley’s moral distress scale and the nurses’ desire to stay in the profession. The questionnaire was translated from English by the researcher and its validity and reliability were assessed. The results indicated that there is no significant relationship between moral distress and the desire to stay in the nursing profession (P>0/05). Moreover, levels of moral distress in the nurses in this study were moderate 2.25±0.6 (mean±SD) Given the level of moral distress in nurses and its possible consequences, strategies and solutions should be devised to familiarize nurses with moral distress and its underlying factors in order to reduce the undesirable outcomes of this phenomenon more effectively.
Sabriyeh Khazani, Marziyeh Shayestehfard, Mansooreh Saeed-Al-Zakererin, Bahman Cheraghian,
Volume 6, Issue 2 (5-2013)
Abstract
Nurses and administrators can identify and implement mechanisms to manage, change, and improve the ethical climate in their workplace through an understanding and awareness of this concept as well as how it is perceived by everyone involved.This study aimed to compare the nurses’ perception of the actual and ideal organizational ethical climate in hospitals of Ahwaz Juondishapour University of Medical Sciences. This was a cross-sectional descriptive study conducted on 558 nurses working at 9 medical centers of Ahwaz Jondishapour University of Medical Sciences selected by systematic sampling. Data instrument consisted of 2 parts: 1) demographic characteristics, and 2) actual & ideal climate questionnaire based on the Farsi version of Olson’s ethical climate questionnaire, used to assess nurses’ perception of the hospital ethical climate in 5 categories (managers, colleagues, physicians, patients, and hospitals). Descriptive and inferential statistical tests, independent T-test and One-Way ANOVA were used to analyze the data.Results demonstrated a positive hospital ethical climate (mean = 3.66), while the nurses’ perception of the ideal ethical climate was positive as well. A significant difference was found between the mean scores of the nurses’ perceptions of actual & ideal ethical climates (P<0.05). Results demonstrated a significant relationship between nurses’ work experience & organizational level, and their perceptions of the hospital ethical climate.A positive ethical climate exists in hospitals, although it is far from the ideal ethical climate, and therefore managers must maintain the actual ethical climate and at the same time implement strategies to improve their hospitals’ ethical climate.
Hossein Ebrahimi, Abdolhassan Kazemi, Mohammad Asghari Jafarabadi, Arezo Azarm,
Volume 6, Issue 4 (10-2013)
Abstract
One of the most important issues in nursing ethics is moral distress, which is a severe psychological problem among nurses. The purpose of this study was to determine the nurses’ moral distress in the hospitals of the northwest of Iran.This was a cross-sectional study in which 418 nurses were selected by randomized multistep sampling method in the northwest of Iran in 2012. Data collection was done using the moral distress standard scale with high reliability and validity. In order to analyze data, descriptive (mean, standard deviation, frequency and percent) and inferential statistics (independent t-test and one way ANOVA) were used.The mean score of nurses’ moral distress was 148.49 ± 32.93, and 222 nurses (53%) suffered from severe moral distress. Of the three provinces under study, Zanjan (152.46 ± 35.88) and intensive care units (152.72 ± 33.36) had the highest moral distress scores. Among the respondents’ demographic characteristics, province (P < 0.01), education (P < 0.05), type of shift (P < 0.05) and job status (P < 0.05) were significantly related to the level of moral distress experienced by the nurses.Due to the high level of moral distress in the nursing profession, dealing with it requires a lot of attention. Studies on casual and predictive factors in different wards and teaching coping strategies to nurses appear to be necessary in order to address this issue.
Fariba Borhani, Somayyeh Mohammadi , Mostafa Roshanzadeh,
Volume 6, Issue 6 (2-2014)
Abstract
Moral distress is an important issue in the field of medical ethics that can have serious effects on nurses, patients and health organizations. One of the most common effects of this phenomenon is professional stress in nurses. Stressful situations in nurses’ job environment lead to burnout and dissatisfaction, and adversely affect the quality of care.This was a cross-sectional study aimed to determine the relationship between moral distress and professional stress in 220 nurses of educational hospitals in the city of Birjand. Data were collected using a 51-item questionnaire based on Corley’s Moral Distress Scale and Wolfgang’s Health Professions Stress Inventory. Reliability and validity of the questionnaire were assessed by the researchers, and its reliability was calculated using Cronbach’s alpha (93%).The results indicated a positive relationship between moral distress and professional stress (P<0/05, r = 0/8). Intensity and frequency of moral distress and professional stress were reported average.Moral distress and professional stress were reported at a frequency and severity of moderate size. Findings of this study can provide guidelines for educating nurses on this phenomenon and the conditions leading to it. They may also be used to develop management strategies and establish organizations to prevent and minimize the consequences of these phenomena in nurses.
Shourangiz Biranvand, Fatemeh Valizadeh, Reza Hosseinabadi, Mehdi Safari,
Volume 7, Issue 1 (5-2014)
Abstract
Despite the efforts of health care practitioners, medical errors are inevitable. Disclosure of errors is patients’ demand and right. The aim of this study was to determine the nursing staff’s attitudes about disclosure of medical errors to patients and its relationship with disclosure of actual and hypothetical errors. In this descriptive cross-sectional study, 180 of the nursing staff employed in the educational hospitals of the city of Khorramabad were selected by non-probability quota and available sampling. Data collection tools were a valid and reliable questionnaire including some questions about the nursing staff’s attitude toward disclosing medical errors to patients, recording and reporting actual errors, and scenarios to investigate the tendency of nurses for reporting hypothetical errors. The data was analyzed SPSS software. The findings indicate that the mean score of the nursing staff’s attitude about disclosing medical errors to patients was 80.50 14.4. The mean score of the nursing staff’s attitudes toward recording minor actual errors (P < 0.02) and their tendency to disclose hypothetical errors causing minor injuries (P < 0.001), moderate injuries (P < 0.001) and major injuries (P < 0.003) were meaningfully more than those who did not tend to disclose errors. There was no significant difference between attitudes of nurses with a history of disclosing actual errors that lead to major harms to patients (P = 0.64) and those who did not report such medical errors to patients. Attitude of the nursing staff toward disclosing medical errors to patients was at a moderate level, which practically increases the probability of concealing errors.
Somayeh Mohammadi, Fariba Borhani, Leili Roshanzadeh, Mostafa Roshanzadeh,
Volume 7, Issue 2 (7-2014)
Abstract
Moral distress is one of the ethical challenges that nurses face due to the nature of their career. Nurses' frequent confrontation with this phenomenon can have different outcomes such as frustration and boredom in providing patient care. This will lead directly to a decline in care quality and can hamper the accomplishment of health goals. Therefore, the present study examined the relationship between moral distress and compassion fatigue in nurses.This cross-sectional study was conducted on 260 nurses of intensive care units in Kerman who were selected through convenience sampling method. In this study, Corley’s moral distress scale and Figley’s Compassion Fatigue Scale were used for data collection. The collected data were analyzed using the SPSS software and descriptive and analytical statistics.The results of this study indicate that there is a significantly positive relationship between moral distress and compassion fatigue (P<0.05). From a total range of 0 to 5, the average score of moral distress was 3.5±0.8 in terms of intensity, and 3.9±0.55 in terms of frequency. The mean of compassion fatigue score was 3.5±0.68 from a range of 0 to 5.Moral distress and its association with compassion fatigue suggest that conditions contributing to moral distress can have an important role in the quality of care. It is clear that strategies should be adopted to prevent the occurrence of these conditions. Informing nurses about moral distress and its consequences as well as periodic consultations will play an important part in the identification and management of moral distress and its consequences.
Elham Fazljoo, Fariba Borhani, Abbas Abbaszadeh, Farideh Razban,
Volume 7, Issue 2 (7-2014)
Abstract
Considering the advances in today's world, the increased complexity of diseases and longer life expectancy, nurses experience a great deal of moral distress. One factor that is likely to contribute to the development of moral distress is the ethical climate prevailing in hospitals. This study aimed to assess the relationship between nurses' perceptions of moral distress and the ethical climate in Shahid Sadoughi University of Medical Sciences in Yazd. This correlational descriptive study used the Moral Distress Scale (MDS) and Hospital Ethical Climate Survey (HECS) to examine 370 nurses working in a number of hospitals including Shahid Sadooghi, Shahid Rahnemun, Shahid Afshar and Savaneh Sukhteghi. Data analysis was performed using SPSS18 and descriptive and analytical statistics. Findings showed that the intensity of perceived moral distress among nurses was 3.41±1.28, and their perceptions of the ethical climate were 3.22±0.78. There was a significant negative relationship between nurses’ perception of moral distress and the ethical climate (P=0.00). The findings of this study suggest that development of plans to improve the ethical climate prevailing in hospitals might decreases nurses’ perceived moral distress.
Somayeh Mohammadi, Fariba Borhani, Mostafa Roshanzadeh,
Volume 7, Issue 3 (9-2014)
Abstract
In the nursing profession, moral distress is a challenge thatc an have different consequences. The nurses’ moral courage to make the right decision can play an important role in the prevention of moral distress, and thus promote moral comfort. The present study examined the relationship between moral distress and moral courage in nurses. In this study, 313 nurses from hospitals in southern Khorasan Province were selected through quota sampling, and Corley’s Moral Distress Scale and the Professional Moral Courage Scale by Sekerka, et al. were used for data collection. The collected data were analyzed by descriptive and analytical statistics. The findings showed a significant relationship between the intensity of moral distress and moral courage (P = 0.03, r = - 0.44). From a range of 0 - 5, the mean of moral distress was 3.7 ± 0.5 in terms of intensity, and 3.55 ± 0.86 in terms of frequency. The mean score of moral courage was calculated at 3.33 ± 0.46 from a range of 1 - 5.The significant correlation between moral distress and moral courage strongly suggests that high levels of moral courage in nurses can play an important role in controlling moral distress. Determining the factors that create moral courage and developing strategies and circumstances such as promoting an appropriate moral climate could play a major role in encouraging moral behavior and controlling moral distress.
Nasrin Imanifar, Seyyed Abolfazl Vagharseyyedin,
Volume 7, Issue 6 (3-2015)
Abstract
Patient advocacy is an inherent element of professional nursing ethics that helps to protect the patient’s rights. Many codes of ethics in nursing are concerned with this particular role of nurses. The present study aimed to evaluate the protective advocacy beliefs and actions of the nurses employed in educational hospitals affiliated to Birjand University of Medical Sciences during 2014. Data in this cross-sectional study were collected using a demographic characteristics questionnaire and the protective nursing advocacy scale. Participants included 248 nurses working in six hospitals located in Southern Khorasan province selected by randomized stratified sampling. The Cronbach’s alpha for Protective Nursing Advocacy Scale was 0.74. Data were analyzed in SPSS version 16 using descriptive and inferential statistical tests.Moderate levels of protective advocacy were observed in the majority of participants (80.6%), with a total mean score of 137.39 13.65. Some of the protective advocacy components had significant correlations with age, work experience, type of ward, employment status, and history of participation in ethics education programs (P < 0.05). In other words, the total mean score of advocacy and some of its components were significantly higher among nurses who had attended ethics education programs than those who had not (P < 0.05). Moreover, nurses who were older had more work experience, had worked in the emergency ward, and had a permanent employment status had higher scores of advocacy than others. The total mean score of advocacy among the nurses in this study was relatively appropriate, although strategies are needed to improve the score. It can also be assumed that nurses’ involvement in ethics education programs can increase the level of nursing advocacy. On the other hand, changing nurses’ temporary employment status to permanent status and providing job security for them may reinforce protective advocacy beliefs and actions in nurses.
Zahra Nikkhah Farkhani, Fariborz Rahimnia, Mostafa Kazemi, Ali Shirazi,
Volume 7, Issue 6 (3-2015)
Abstract
The purpose of this research was to explore the components of nurses’ ethical conduct in public hospitals in Mashhad. This study employed an eclectic method for research and followed a mixed exploratory design. A qualitative study was first performed, and then based on the results the quantitative method was applied. The statistical population consisted of all the nurses in public hospitals in the city of Mashhad. In order to collect data, in-depth semi-structured interviews were conducted, and the data were then analyzed using thematic content analysis. A preliminary model was developed for the nurses' ethical conduct comprising three levels. The first level covered areas of ethical behavior toward patients, patients’ families and the core group. At the second level 13 dimensions and at the third, 51 components (themes) were abstracted. The questionnaire was then distributed among 176 experienced nurses employed in public hospitals in Mashhad. In order to assess the fit of the model in quantitative research, data were analyzed using confirmatory factor analysis and AMOS software. The results of the confirmatory factor analysis showed that all dimensions and components were acceptable with the exception of the component "patient education". Using AMOS software, the comparative fit index (CFI) was calculated at 0.9, which indicates a good fit of the model and validates the components and sub-components. The results of this study can guide human resource managers in public hospitals to promote ethical conduct in nurses.
Nader Hajlo, Mozafar Ghaffari, Mansoor Movaghar,
Volume 8, Issue 1 (5-2015)
Abstract
Social and moral intelligence can enhance nurses’ amenability and affect their professional performance in treatment settings, where there is considerable personality and individual diversity. The aim of this research is to investigate the relationship between nurses' social and moral intelligence, and their attitude to patient education. This was a descriptive-analytic correlation study conducted on a statistical sample of 200 nurses selected from West Azerbaijan province during 2014 using the Cochran formula and cluster sampling. Lennick & Kiel’s Moral Competency Inventory, Thet’s Social Intelligence Scale and a researcher-compiled questionnaire on nurses' attitude to patient education were used for data collection. The data were analyzed by Pearson’s correlation coefficient and multiple regression analysis. A positive relationship was found between nurses' attitude to patient education and the social intelligence variable (r=0.422, P=0.001), subscale integrity (r=0.554, P=0.001) subscale responsibility (r=0.292, P=0.001), subscale forgiveness (r=0.283, P=0.002) and subscale compassion (r=0.353, P=0.001) of moral intelligence. The results of multi-variable correlation coefficient using input method indicated that social intelligence and the subscales of moral intelligence influence nurses' attitude to patient education (R2 = 0.426). Patient education is among the main responsibilities of nurses. The results of this study showed that there is a positive and significant relationship between social intelligence and the subscales of moral intelligence, and nurses’ attitude to patient education. It is therefore necessary to improve nurses’ social and moral intelligence through group training in order to enhance their educational role.
Masoomeh Seidi, Fatmeh Cheraghi, Taibeh Hasan Tehrani,
Volume 8, Issue 3 (9-2015)
Abstract
Medication errors are among the most common medical errors that place patients at risk, and their prevalence is considered a measure of patient safety in hospitals. Using the experiences and opinions of experts is an important source of information for developing strategies to prevent medication errors. The aim of this study was to define strategies for the prevention of medication errors in hospitals of Hamedan University of Medical Sciences.This qualitative study was conducted on 10 nurses with experience of working in various hospital wards, selected through purposive sampling using the maximum variation technique. Semi-structured interviews were used to collect record and transcribe the data, which were then typed and stored on the computer. The collected data were analyzed using content analysis. After combining similar cases, we were able to develop 11 main categories, 43 sub-categories, and 3 themes: human factors, administrative principles and organizational structures. Our findings present the experiences of nurses regarding strategies related to the prevention of medication errors. Proper planning, coordination of human resources within wards, development of a comprehensive system to monitor prescription charts, suitable hospital equipment and favorable environmental conditions are some factors that can prevent the dangerous and perhaps irreversible consequences of medication errors.
Roghaye Mahdaviseresht, Foroozan Atashzadeh-Shoorideh, Fariba Borhani, Hmad Reza Baghestani,
Volume 8, Issue 3 (9-2015)
Abstract
Nurses nowadays are faced with complex moral problems, which put them in conditions where their proper performance may conflict with the values and beliefs of other health care providers. In such situations, maintaining commitment to patients requires considerable moral courage, and moral sensitivity can play a significant role in the development of moral courage. The present study was performed to investigate the correlation between moral courage and moral sensitivity of the nurses working in selected hospitals of Tabriz University of Medical Sciences.In this study, 260 nurses were selected by randomized sampling. Data were collected through a demographic questionnaire, the Moral Sensitivity Questionnaire by Han et al., and the Professional Moral Courage Scale by Sekerka et al. Content validity and face validity of the moral sensitivity questionnaire and moral courage scale were qualitatively investigated, and Cronbach's alpha was used for assessing their reliability. Data were analyzed by descriptive and analytic statistical tests using SPSS 21.The results indicated that the average score of nurses’ moral courage was 90.36 ± 10.56, and the highest moral courage pertained to the dimension of moral agent. The average score of the nurses’ moral sensitivity was 60.99 ± 17.78, and the highest moral sensitivity was observed in the dimension of respect for the patient. The statistical analysis indicated a positive correlation between moral courage and moral sensitivity (P < 0.05, r = 0.15). The subjects’ moral courage differed according to their age, work experience and employment type, but not according to their gender, marital status, education level and work shift. The results of the present study indicate that there is a positive and significant statistical correlation between moral courage and moral sensitivity. It seems that promoting nurses’ awareness of moral principles and increasing their moral sensitivity lead to the development of courageous moral behaviors in nurses.
Fateme Poladi, Foroozan Atashzade, Abaas Abaaszade, Azam Moslemi,
Volume 8, Issue 4 (11-2015)
Abstract
Moral distress is a phenomenon that can result in feelings of disappointment, guilt, depression, insecurity, fear, discouragement, and depression in nurses, and can affect their personality and professional performance. Burnout in nurses could cause various complications in their families, personal and social lives, and organizations. The aim of the present study was to determinate the correlation between moral distress and burnout in nurses.
This was a correlative descriptive study conducted on 224 nurses selected by stratified randomized sampling. Data were collected through a demographic characteristics questionnaire Corley’s Moral Distress Scale and the Copenhagen Burnout Inventory. Data analysis was performed by SPSS 20 software and Spearman correlation tests.
In this study, mean of moral distress score, mean of personal burnout score, score of work-related burnout, and mean of client-related burnout were 1.31, 55.97, 54.35 and 51.28 respectively. The findings showed a positive significant correlation (P<0.001) between moral distress and all of its dimensions, and personal burnout, work-related burnout, and client-related burnout, although the correlation was low.
According to these findings, it is recommended to reduce the conditions and situations causing moral distress and burnout in order to promote job satisfaction and quality of nursing care.
