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Volume 9, Issue 2 (9-2019)
PCNM 2019, 9(2): 58-64 |
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Ameri M, Goli S, vaezi A. Relationship between Nurses’ Moral Distress and Psychological Empowerment in Hospitals Affiliated to Shahroud University of Medical Sciences in 2018. PCNM 2019; 9 (2) :58-64
URL: http://nmcjournal.zums.ac.ir/article-1-641-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-641-en.html
Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , vaeziatefeh@zums.ac.ir
Abstract: (6946 Views)
Background: Nurses experience moral distress due to barriers in the workplace in the process of moral decision-making. It seems that the psychological ability of nurses in clinical environments can reduce their moral distress.
Objectives: The present study aimed to investigate the relationship of moral distress and psychological ability of nurses working in hospitals affiliated to Shahroud University of Medical Sciences in 2018.
Methods: In this descriptive-correlational study, all eligible nurses were included in the study through the convenience sampling method. Two questionnaires were used to collect the data, including Corley's Moral Distress Scale and Spritzer’s Psychological Empowerment. Finally, data analysis was performed using descriptive and analytical statistics. SPSS software was used to analyze the data by descriptive and inferential statistics tests such as independent t-test, Pearson’s correlation, and unilateral analysis. (P-vlue <0.05).
Results: The average frequency and intensity of the moral distress in nurses were classified based on the upper floor as 2.41 ± 1.02 and 2.63 ± 0.86, and the psychological capacity of the nurses was placed in the middle class which was 31.88 ± 4.92. Based on the findings, the frequency of moral distresshad an inverse relationship with the dimensions of independence and effectiveness and the total score of psychological ability (P<0.05). Eventually, there was a significant direct association between the average score of moral distress tension and the merit dimension of nurses’ psychological ability (P<0.05).
Conclusion: In general, a statistically significant relationship was found between moral distress and psychological ability in line with the interventions aimed at combating moral distress.
Objectives: The present study aimed to investigate the relationship of moral distress and psychological ability of nurses working in hospitals affiliated to Shahroud University of Medical Sciences in 2018.
Methods: In this descriptive-correlational study, all eligible nurses were included in the study through the convenience sampling method. Two questionnaires were used to collect the data, including Corley's Moral Distress Scale and Spritzer’s Psychological Empowerment. Finally, data analysis was performed using descriptive and analytical statistics. SPSS software was used to analyze the data by descriptive and inferential statistics tests such as independent t-test, Pearson’s correlation, and unilateral analysis. (P-vlue <0.05).
Results: The average frequency and intensity of the moral distress in nurses were classified based on the upper floor as 2.41 ± 1.02 and 2.63 ± 0.86, and the psychological capacity of the nurses was placed in the middle class which was 31.88 ± 4.92. Based on the findings, the frequency of moral distresshad an inverse relationship with the dimensions of independence and effectiveness and the total score of psychological ability (P<0.05). Eventually, there was a significant direct association between the average score of moral distress tension and the merit dimension of nurses’ psychological ability (P<0.05).
Conclusion: In general, a statistically significant relationship was found between moral distress and psychological ability in line with the interventions aimed at combating moral distress.
Type of Study: Orginal research |
Subject:
Nursing
Received: 2020/04/21 | Accepted: 2020/06/29 | Published: 2020/06/29
Received: 2020/04/21 | Accepted: 2020/06/29 | Published: 2020/06/29
References
1. Rathert CH, R. May D, Chung H. Nurse moral distress: A survey identifying predictors and potential interventions. Int J Nurs Stud. 2016; 53: 39-49. [crossref]
2. Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment.Nurs Ethics. 2005; 12(4): 381-90. [crossref]
3. Atashzadeh Shorideh F, Ashktorab T, Yaghmaei F, Alavimajd H. Association of ICU nurses’ demographic characteristics and moral distress. Iran J Med Ethics History. 2013; 5(7):[In Persian]
4. Joolaee S, Jalali H, Rafii F, Hajibabaee F, Haghani H. The relationship between ethical climate at work and job satisfaction among nurses in Teheran. Indian J Med Ethics. 2013; 10(4): 238-42. [crossref]
5. Ameri M, Safavibayat Z, Kavousi A. Moral distress of oncology nurses and morally distressing situations in oncology units. Aust J Adv Nurs. 2016; 33(3): 6.
6. Brenda A. Wands. A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses. Int J Nurs Sci. 2018; 5(2): 121-25. [crossref]
7. Dodek PM, Norena M, Ayas N , Wong H. Moral distress is associated with general workplace distress in intensive care unit personnel. J Crit Care. 2019; 50: 122–25. [crossref]
8. Browning AM. CNE article: Moral distress and psychological empowerment in critical care nurses caring for adults at end of life. Am J Crit Care. 2013; 22(2): 143-51. [crossref]
9. Spritzer G. Taking stock: A review of more than twenty years of research on empowerment at work. Handbook of organizational behavior. 2008; 1: 54-72. [crossref]
10. Eskandari F, Pazargadi M, ZagheriTafreshi M, RabieSiahkali S, Shoghli AR. Relationship between psychological empowerment with affective commitment among nurses in Zanjan, 2010. Preventive Care Nurs Midwif J (PCNM). 2014; 3(2): 47-60. [In Persian]
11. Zahednezhad H, Manoochehri H, ZaghariTafreshi M, FarokhnezhadAfshar P, GhaneiGheshlagh R. Relationship between organizational justice and nurses’ psychological empowerment. Iran J Nurs. 2015; 28: (93): 78-86. [In Persian] [crossref]
12. Barati F, Tabiee SH, SHarifzadeh GH. Psychological empowerment in nurses of educational hospitals in Birjand and their correlation with demographic characteristics 2013. Mod Care J. 2014; 11 (4): 247-54. [In Persian]
13. Ghamari Zare Z, Ghanbari Afra L, Zand Gh, Aliakbarzadeh Arani Z. Investigation of the correlation between psychological empowerment and its components with psychological strain in nurses. Qom Uni Med Sci J. 2018; 12(4): 89-99.[In Persian] [crossref]
14. Lusignani M, Giannì ML, Re LG, Buffon ML. Moral distress among nurses in medical, surgical and intensive-care units. J Nursing Management. 2017; 25(6): 477-85. [crossref]
15. Silén M, Svantesson M, Kjellström S, Sidenvall B, Christensson L. Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability. J Clin Nurs. 2011; 20(23-24):3483-93. [crossref]
16. Stewart JG, McNulty R, Griffin MT, Fitzpatrick JJ. Psychological empowerment and structural empowerment among nurse practitioners. J Am Acad Nurse Prac. 2010; 22(1): 27-34. [crossref]
17. DiNapoli JM, O Flaherty D, Musil C, Clavelle J T, Fitzpatrick J J.The relationship of clinical nurses perceptions of structural and psychological empowerment and engagement on their unit. J Nurs Adm .2016; 46(2): 95-100. [crossref]
18. Bonyad Karizme T, RahimiPordanjani T, Mohamadzadeh Ebrahimi A. The relationships between structural and psychological empowerment and job satisfaction among nurses. Hayat. 2016; 22 (3): 201-15. [In Persian]
19. Ebrahimi H, Hosseinzadeh R, ZaghariTefreshi M, Hosseinzadeh S, AsghariJafarabadi M. Clinical competency and psychological empowerment of nurses and their correlation with demographic characteristics. JHPM. 2013; 2(4): 30-38.
20. Altaker KW, Howie-Esquivel J, Cataldo JK. Relationships among palliative care,ethical climate, empowerment and moral distress in intensive care unit nurses. Am J Crit Care. 2018; 27(4):295-302. [crossref]
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