Moral distress and its influencing factors: A cross-sectional study in China

Zhang, Wenwen; Wu, Xiaoqing; Zhan, Yuan; Lifeng, Ci; Sun, Congcong

doi:10.1177/0969733016658792

Cited by 47 publications

(68 citation statements)

References 38 publications

(47 reference statements)

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“…In line with the present study, Fumis in Brazil [26], Allen in the United States [27] and Karagozoglu in Turkey [28] all showed some degree [29], Etebari in Ardabil [30], Sadeghi in Shahroud [31], and Ashktorab in Tehran [32] showed the moral distress in nurses. While Wenwen et al in China [33] confirmed less moral distress in nurses in intensive care units. The results of other studies also showed less range of moral distress in nurses in intensive care units [34][35][36].…”

Section: Discussionmentioning

confidence: 94%

“…In terms of income, the results of Wenwen's study in China showed a significant relationship between moral distress and monthly income; as income increased, so did moral tensions [33]. Instead of examining the monthly income level of nurses, some research has examined employment status [32,37], which in itself can be a sign of job stability and better income of permanent employees than others.…”

Section: Discussionmentioning

confidence: 99%

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Moral Distress and Related Factors in Nurses Working in Intensive Care Units

Habibzadeh

Masouleh

Chehrzad

et al. 2020

J. Holist. Nurs. Midwifery

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The intensive care unit is a stressful environment due to the high mortality rate of patients, the occurrence of moral problems and working in a tense atmosphere. Faced with these conditions, nurses may be exposed to moral distresses. Therefore, it is important to study the moral distresses that nurses face in these units. Objective: This study aimed to determine the level of moral distress and related factors in nurses working in the intensive care units of Guilan Province, Iran. Materials and Methods: This analytical cross-sectional study was performed on nurses working in all intensive care units in 20 hospitals affiliated to Guilan University of Medical Sciences. The study samples were 414 intensive care nurses chosen by census method in 2018. The data collection instruments were the individual-social factors questionnaire and the 21-item Corley's moral distress scale standard questionnaire. Data were analyzed using descriptive and inferential statistics (Mann-Whitney, Kruskal-Wallis and Logistic Regression). Results: The majority of the studied samples were women (90.6%), married (67.4%), full-time employees (44.6%), undergraduate (90.3%) with Mean±SD work experience of 75.69±9.93 months in the intensive care units. The mean total score of moral distress was 91.30±65.03 (out of 0-332 scores). Based on the final logistics regression model, gender (OR=2.410, 95%CI; 1.19-5.6, P=0.016) and work experience in the intensive care unit (OR=0.64, 95%CI; 0.43-0.94, P=0.023) were identified as two factors related to moral distress. Conclusion: The results of this study support the existence of moral distress in nurses in intensive care units, can be considered in planning to reduce the moral distress of nurses in the workplace and improve the quality of nursing care.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Moral Distress and Related Factors in Nurses Working in Intensive Care Units

Habibzadeh

Masouleh

Chehrzad

et al. 2020

J. Holist. Nurs. Midwifery

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“…Na literatura discute-se se a enfermagem será uma profissão mais predisposta ao sofrimento por ser maioritariamente feminina. Alguns estudos revelam maiores índices de sofrimento no sexo feminino (Trautmann, Epstein, Rovnyak, & Snyder, 2015) e outros no sexo masculino, mas a maioria não aponta para diferenças significativas entre os sexos (Woods, Rodgers, Towers, & Grow, 2015;Xiaoyan, Yufang, Lifeng, & Congcong, 2016 constatou que os enfermeiros com menos tempo de serviço apresentavam mais sofrimento. No que respeita a estas variáveis, a literatura não é consensual, sendo que alguns estudos apontam relações significativas com a idade e tempo de serviço (Woods et al, 2015), enquanto noutros esta relação não se verifica (Lusignani, Gianni, Re, & Buffon, 2016).…”

Section: Discussionunclassified

Sofrimento nos enfermeiros em cuidados de saúde primários

2020

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Resumo Enquadramento: O sofrimento nos enfermeiros advém da prestação de cuidados ao doente em sofrimento e de fatores relacionados com as condições de trabalho. É uma experiência multidimensional que ocorre em situações de perda, dano ou ameaça à integridade da pessoa. Objetivo: Comparar as médias das dimensões do sofrimento (Dor Emocional, Perda Relacional e Evitamento) em função das variáveis sociodemográficas e profissionais dos enfermeiros. Metodologia: Estudo descritivo e transversal de natureza quantitativa. Amostra constituída por 100 enfermeiros. Foi aplicado um questionário de autopreenchimento e para avaliação do sofrimento a Caregiver Grief Scale. Resultados: O sexo feminino com filhos, com companheiro, sem especialização em enfermagem e com mais tempo de serviço apresentou médias mais elevadas de sofrimento. No sexo masculino, as médias mais elevadas verificaram-se nos enfermeiros sem filhos, sem companheiro, com especialização em enfermagem e com mais tempo de serviço. Conclusão: Os enfermeiros apresentaram médias mais elevadas de sofrimento na dimensão Dor Emocional, seguida da Perda Relacional e do Evitamento, sendo maior a expressão do sofrimento no sexo feminino.

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“…A falta de recursos é um elemento que põe em risco o cumprimento do compromisso moral profissional do enfermeiro, qual seja, prestar o melhor cuidado de enfermagem. Quando o enfermeiro percebe que a falta de recursos acarreta prejuízo para os resultados do paciente, o sofrimento moral é inevitável (Wolf, et al, 2016 (Xiaoyan, Yufang, Lifeng, & Congcong, 2016). A literatura afirma que o sofrimento moral costuma ser maior em contextos hospitalares, quando comparado com outros serviços, como os de atenção primária à saúde (Eizenberg, Desivilya, & Hirschfeld, 2009), assim, o nível moderado e baixo de sofrimento moral deste estudo pode resultar dessa diferença de médias entre serviços.…”

Section: Discussionunclassified

“…A literatura discute se a enfermagem estaria mais predisposta a vivência do sofrimento moral por ser uma profissão majoritariamente feminina. A ligação entre sofrimento moral e gênero não é clara, com estudos mostrando maiores índices em mulheres (Trautmann, Epstein, Rovnyak, & Snyder, 2015), outros em homens (Dyo, Kalowes, & Devries, 2016), enquanto que a maioria não demonstra diferenças significativas entre eles (Xiaoyan, Yufang, Lifeng, & Congcong, 2016) (Woods, Rodgers, Towers, & Grow, 2015) (Borhani, Mohammadi, & Roshanzadeh, 2015).…”

Section: Tabela 10 -Variáveis Relativas Ao Local De Trabalho Dos Enfeunclassified

Sofrimento moral: avaliação de risco em enfermeiros.

Schaefer¹

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Moral distress is described as the feeling resulting from the impediment to an action considered morally appropriate, mainly due to institutional obstacles such as the lack of resources and the high workload. Main consequences are physical symptoms, such as malaise, crying and sleep disorders and psychological symptoms, such as frustration, impotence and guilt, as well as organizational implications, mainly related to withdrawal and abandonment of employment. Considering that the work context may influence the experience of morally problematic situations, the objective of these study was to analyze the phenomenon of moral distress among nurses in Brazil and in Portugal. It is a methodological research for development, searching for evidence of validity and refinement of a research instrument. The research started with the analysis of 38 studies for the construction of a scale to identify risk factors for moral distress. The search for evidence of validity included an analysis of judges, for content validation, and an exploratory factorial analysis, for construct validation, with a sample of 268 Brazilian nurses and 278 Portuguese nurses. The result was a scale with evidence of validity, Cronbach's Alpha of 0,913 and 0,790, Kaiser-Meyer Olkin test of 0,869 and 0,914 and a significant Bartlett (p <0,001). About 59,8% of the variance was explained by 30 items, divided into seven factors in the Brazilian version, and about 53,9% of the variance was explained by 20 items, divided into four factors in the Portuguese version. The experience of risk factors for moral distress was considered moderate in Brazil and low in Portugal. The variables that showed a significant association with the highest risk for moral distress in both countries were the type of work context, the hours of work, being in moral distress and having the intention to leave the current job. Research in the field of moral distress can, among other things, help in identifying the challenges and difficulties that most concern nurses in their work context. In order to contribute to the development of coping strategies and to improve professional retention and satisfaction, researches about moral distress may positively reflect on the quality of care.

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Moral distress and its influencing factors: A cross-sectional study in China

Cited by 47 publications

References 38 publications

Moral Distress and Related Factors in Nurses Working in Intensive Care Units

Moral Distress and Related Factors in Nurses Working in Intensive Care Units

Sofrimento nos enfermeiros em cuidados de saúde primários

Sofrimento moral: avaliação de risco em enfermeiros.

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