Moral Distress and Related Factors Among Emergency Department Nurses

Jalali, Kamyar; Tabari-Khomeiran, Rasoul; Asgari, Fariba; SedghiSabet, Mitra; Kazemnejad, Ehsan

doi:10.4274/eajem.galenos.2018.78941

Cited by 10 publications

(6 citation statements)

References 10 publications

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“…A study by Jalali et al . showed that moral distress in emergency nurses is high,[ 56 ] which is in agreement with our results. In studies by Shafiei et al .…”

Section: Discussionsupporting

confidence: 93%

The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran

Fard

Azadi

Veisani

et al. 2020

J Edu Health Promot

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BACKGROUND: Nurses in their workplace, for a variety of reasons, always face moral distress that is an underlying issue in the nursing profession, which can lead to problems such as reduced quality and quantity of care and sleep disorder. Besides, given the increased privatization of hospitals, this study aimed to explore the association between nurses' moral distress and sleep quality and its comparison among nurses in private and public hospitals. MATERIALS AND METHODS: This was a descriptive-analytical study involving 150 nurses working in Ilam Province hospitals. Sampling conducted using a multistage random sampling method. Data were collected through the questionnaire of sociodemographic characteristics, the Corley's Moral Distress Scale, and the Pittsburgh Sleep Quality Index. Data were analyzed using SPSS software version 22. Descriptive statistics such as frequency, mean, ANOVA, independent t -test, multiple linear regression, and Pearson correlation coefficient at the significant level of P < 0.05 were calculated. RESULTS: The analysis revealed that moral distress was positively associated with sleep quality. Furthermore, the scores of nurses' moral distress and sleep quality were different in private and public hospitals, so that the level of moral distress in the public hospital and sleep quality in the private hospital was higher and lower, respectively, but the difference was not statistically significant. Moreover, sleep quality, and the type of employment was the most important predicting variables of moral stress ( B = 1.86) and sleep quality ( B = 2.39), respectively. CONCLUSION: According to the study results, a positive and significant association was found between moral distress and nurses' sleep quality. It is recommended that appropriate strategies and training program be formulated by the health-care system to increase nurses' ability to combat moral distress adverse effects.

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“…A study by Jalali et al . showed that moral distress in emergency nurses is high,[ 56 ] which is in agreement with our results. In studies by Shafiei et al .…”

Section: Discussionsupporting

confidence: 93%

The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran

Fard

Azadi

Veisani

et al. 2020

J Edu Health Promot

View full text Add to dashboard Cite

show abstract

“…high levels of tension and stress in the workplace were also factors affecting the level of PMC of the studied samples. The results of studies by Abbaszadeh et al and Jalali et al also showed high levels of tension and moral stress in the emergency and hospital wards, which has been considered as a factor affecting the level of courage and operation of personnel [38,39], but Fernandez-Parsons et al stated that the level of moral stress and tension in the emergency wards was low, which is contrary to the results in this study [40]. In 2017, Aminizadeh et al examined the relationship between nurses' PMC and moral stress in intensive care units.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the level of professional moral courage of pre-hospital emergency staff in the management of patients with COVID-19

Aliakbari¹,

Heidari²,

Heydarpoor³

et al. 2021

fmpcr

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Background. emergency medical Services (emS) are an important part of the healthcare system. decision making is the most important part of their profession, as they often have to make a quick decision and act upon it, despite the critical conditions of the patient. They are often the first to deal with COVID-19, and they experience severe physical, mental or moral stress. Objectives. The aim of this study was to determine the level of Professional Moral Courage (PMC) of Pre-Hospital Emergency (PHE) staff in the management of patients with COVID-19. Material and methods. This descriptive, analytical study was conducted in 2020. A total of 200 PHE staff entered the study, recruited by the census sampling method. Data collection was undertaken using a validated moral courage questionnaire. The data was analyzed using SPSS version/21 with descriptive and analytic tests. Results. The mean age of the participants was 34.42 ± 7.14, and mean of their work experience was 10.29 ± 6.59 years, of the mean moral courage score was 90.77 ± 2.97. There was a significant relationship between the mean score of moral courage and age, type of employment and participation in disaster exercises and training courses (p < 0.001). Conclusions. The findings of the study showed a significant relationship between various variables and level of moral courage in PHE staff. Awareness of the moral courage of PHE staff is the first step to improve their preparedness. This study provides evidence of the need and potential positive impact of moral education opportunities for healthcare team.

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“…Some studies reported lower MD among nurses with higher age and greater work experience (14,17,18). However, a study found that MD had no significant relationship with age and work experience (19). A study also reported that nurses who worked in several hospitals had higher MD than those who worked in just one hospital (17).…”

Section: Personal Factorsmentioning

confidence: 99%

Moral Distress and the Factors Affecting It: A Review Study

2022

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Background and aims: Moral distress is a significant ethical problem in nursing. The aim of this study was to review the studies into nurses’ moral distress and its contributing factors. Methods: This was a narrative review. Data were collected through searching several online Persian and English databases, namely Magiran, SID, IranMedex, PubMed, Scopus, and Google Scholar. Search keywords were "moral distress", "moral stress", "ethics", and "nurse". Eligibility criteria were publication in English or Persian, publication between 2010 and 2020, relevance to moral distress, and accessible full-text. Review studies were not included. Results: A total of 44 eligible articles were included. Nurses’ moral distress was at moderate level and its contributing factors were personal, psychological, and organizational factors as well as factors related to care quality. Conclusion: Nurses’ moral distress is moderate. Personal, psychological, and organizational factors as well as factors related to care quality contribute to moral distress among nurses. Effective management of these factors can prevent damage to nurses and patients and improve the quality of nursing care.

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Moral Distress and Related Factors Among Emergency Department Nurses

Cited by 10 publications

References 10 publications

The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran

The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran

Evaluating the level of professional moral courage of pre-hospital emergency staff in the management of patients with COVID-19

Moral Distress and the Factors Affecting It: A Review Study

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