Volume 12, Issue 3 (4-2022)                   PCNM 2022, 12(3): 41-49 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hanifi N, Moqaddam M. The Amount of Moral Courage and Moral Distress of Nurses and Their Related Factors in Educational and Medical Centers of Zanjan. PCNM 2022; 12 (3) :41-49
URL: http://nmcjournal.zums.ac.ir/article-1-780-en.html
Instructor of community of health Nursing unite. Zanjan University of Medical Sciences, Zanjan, Iran , mmoqaddam@zums.ac.ir
Abstract:   (2967 Views)
Background: Ethical challenges are considered an integral part of the nursing profession. In these challenges, despite moral courage, nurses experience moral distress.
Objectives: This study was conducted to determine the amount of moral courage and moral distress of nurses and their related factors in educational and medical centers in the city of Zanjan.
Methods: This descriptive-analytical study was conducted on 256 nurses working in educational hospitals of Zanjan in 2019 through the proportional convenience method. Data collection tools were three questionnaires, including the demographic information questionnaire, Sekerka’s Moral Courage Questionnaire, and Corley’s Moral Distress Scale. The questionnaires were collected by self-reporting method after distribution and completion by nurses. Data were analyzed using descriptive statistics and independent t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficient in SPSS software version 22.
Results: Most of the participants were female, married, and design-employed, with a bachelor’s degree and a mean age of 32.11± 6.9 years. The mean score of nurses’ moral courage was 5.73 ± 0.81 out of 7 points and their mean score of moral distress was 4.48±1.13 out of 7 points. The mean score of moral courage was statistically significantly different from age and work experience (p<0.05). The mean scores of moral distress in women, pediatric ward, and individuals with low work experience showed a statistically significant difference (p<0.05). The results showed no statistically significant relationship between the score of moral courage and that of moral distress.
Conclusion: According to the results of this study, it is recommended to use less novices and young individuals in stressful wards to reduce moral distress and to have courageous approach in challenging situations.
Full-Text [PDF 736 kb]   (2057 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2021/07/31 | Accepted: 2022/04/30 | Published: 2022/04/30

References
1. 1.Nikfarid L. Care of ethics: A nursing approach to ethics. Teb Va Tazkieh. 2016; 25(1): 18-19. [In Persian]
2. Harrowing JN, Mill J. Moral distress among Ugandan nurses providing HIV care: a critical ethnography. Int J Nurs Stud. 2010; 47(6): 723-31. [Crossref]
3. LaSala CA, Bjarnason D. Creating workplace environments that support moral courage. Online J Issues Nurs. 2010; 15(3). [Crossref]
4. Savel R, Munro C. Moral distress, moral courage. Am J Crit Care. 2015; 24(4): 276-278. https://doi.org/10.4037/ajcc2014328 [Crossref]
5. Coles D. " Because we can..." Leadership responsibility and the moral distress dilemma. Nurs Manag. 2010; 41(3): 26-30. [Crossref]
6. Gallagher A. Moral distress and moral courage in everyday nursing practice. Online J Issues Nurs. 2011; 16(2): 8. [Crossref]
7. Abdeen MA, Attia NM. Ethical Work Climate, Moral Courage, Moral Distress and Organizational Citizenship Behavioramong Nurses. Int J Nurs Educ. 2020; 5(1): 1-5.
8. Gibson E, Duke G, Alfred D. Exploring the relationships among moral distress, moral courage, and moral resilience in undergraduate nursing students. J Nurs Educ. 2020; 59(7): 392-95. [Crossref]
9. Lachman VD, Murray JS, Iseminger K, Ganske KM. Doing the right thing: Pathways to moral courage. Am Nurs Today. 2012; 7(5): 24-29.
10. Abbas Zadeh A, Borhani F, Farahani MJH, Ghasemi E, Ravesh NN. Moral distress among nurses of Shahid Beheshti University of medical sciences hospitals in 2013. Med Ethics J. 2015; 8(29): 121-43.
11. Moosavi SS, Borhani F, Abbaszadeh A. The moral courage of nurses employed in hospitals affiliated to Shahid Beheshti University of Medical Sciences. J Hayat. 2017; 22(4): 339-49. [In Persian]
12. Lachman V. Strategies Necessary for Moral Courage. OJIN: The Online Journal of Issues in Nursing. 2010; 15(3). [Crossref]
13. Atashzadeh-Shoorideh F, Tayyar-Iravanlou F, Chashmi ZA, Abdi F, Cisic RS. Factors affecting moral distress in nurses working in intensive care units: A systematic review. Clin Ethics. 2021; 16(1): 25-36. [Crossref]
14. Safarpour H, Ghazanfarabadi M, Varasteh S, Bazyar J, Fuladvandi M, Malekyan L. The association between moral distress and moral courage in nurses: A cross-sectional study in Iran. Iran J Nurs Midwifery Res. 2020; 25(6): 533-38. [Crossref]
15. Vargas Celis I, Concha Méndez C. Moral distress, sign of ethical issues in the practice of oncology nursing: Literature review. J Aquichan. 2019; 19(1): 11-15. [Crossref]
16. Hauhio N, Leino-Kilpi H, Katajisto J, Numminen O. Nurses' self-assessed moral courage and related socio-demographic factors. Nurs Ethics. 2021; 28(7-8): 1402-15. [Crossref]
17. Pajakoski E, Rannikko S, Leino-Kilpi H, Numminen O. Moral courage in nursing-An integrative literature review. Nurs Health Sci. 2021; 23(3): 570-85. [Crossref]
18. Taraz Z, Loghmani L, Abbaszadeh A, Ahmadi F, Safavibiat Z, Borhani F. The relationship between ethical climate of hospital and moral courage of nursing staff. Electronic Journal of General Medicine. 2019;16(2):1-6. [Crossref]
19. Smallwood N, Pascoe A, Karimi L, Willis K. Moral distress and perceived community views are associated with mental health symptoms in frontline health workers during the COVID-19 pandemic. Int J Environ Res Public Health. 2021; 18(16): 8723. [Crossref]
20. Sekerka LE, Bagozzi RP, Charnigo R. Facing ethical challenges in the workplace: Conceptualizing and measuring professional moral courage. J Bus Ethics. 2009; 89(4): 565-79. [Crossref]
21. Khoshouei MS. Psychometric Properties of Professional Moral Courage Scale and It's Measuring On The Basis Of Demographic Characteristics. Quarterly Journal Of Career Rganizational Counseling. 2015; 6(20): 44-58. [In Persian]
22. Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. J Adv Nurs. 2001; 33(2): 250-56. https://doi.org/10.1111/j.1365-2648.2001.01658.x [Crossref]
23. Vaziri MH, Merghati Khoei E, Motevallian SA, Alizadegan S, Razzaghikashani OM, Kavousi A ,et al. Development and Validation of Scale Measuring: Moral Distress among Iranian Nurses. Teb Va Tazkiyeh. 2008; 16(3-4): 46-55. [In Persian]
24. Khodaveisi M, Oshvandi K, Bashirian S, Khazaei S, Gillespie M, Masoumi SZ, et al. Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID‐19. Nurs Open. 2021; 8(6): 3538-46. [Crossref]
25. Mohammadi S BF, Roshanzadeh M. Relationship between moral distress and moral courage in nurses. Iran J Med Ethics & History Med. 2014; 7(3): 26-35. [In Persian]
26. Fazljoo E, Borhani F, Abbaszadeh A, Razban F. The relationship between nurses' perceptions of moral distress and the ethical climate in Shahid Sadoughi University of Medical Sciences of Yazd. J Med Ethics & History Med. 2014; 7(2): 80-90. [In Persian]
27. Namadi F, Khalkhali H, Shahbazi A. moarl courage of nurses in educational and therapeutic centers of Urmia University of Medical Science. Nurs Midwifery J. 2019; 17(7): 574-81. [In Persian]
28. Mahdavi seresht R, Atashzadeh-Shoorideh F, Borhani F, Baghestani AR. Correlation between moral sensitivity and moral courage in nurses of selected hospitals affiliated to Tabriz University of Medical Sciences in 2014. Iran J Med Ethics & History. 2015; 8(3): 27-39. [In Persian]
29. Mohamadi N FF, Haghani H, Khanjari S. The Association of Moral Distress and Demographic Characteristics in the Nurses of Critical Care Units in Tehran, Iran. Iran J Nurs. 2019; 32(121): 41-53. [In Persian] [Crossref]
30. Taghavi Larijani T, Jodaki K. The Relationship between Moral Distress and Nurses' Turnover Intention in Intensive Care Unit Nurses. Med Ethic J. 2020; 14(45): 1-12. [In Persian]
31. Vaziri MH, Merghati-Khoei E, Tabatabaei S. Moral distress among Iranian nurses. Iran j psychiatry. 2015; 10(1): 32-36.
32. Aminizadeh M, Arab M, Mehdipour R. Relationship moral courage to moral distress in nurses the intensive care unit. Iran J Med Ethics History Med. 2017; 10(1): 131-40. [In Persian]
33. Ebadi A, Sadooghiasl A and Parvizy S. Moral courage of nurses and related factors. Iran J Nurs Res. 2020; 15(2): 24-34. [In Persian]
34. Borhani F, Abbaszadeh A, Nakhaee N, Roshanzadeh M. The relationship between moral distress, professional stress, and intent to stay in the nursing profession. J Med Ethics History Med. 2014; 7(4): 1-8. [In Persian]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Preventive Care in Nursing & Midwifery Journal

Designed & Developed by : Yektaweb