Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities

Abbasi, Morteza; Nejadsarvari, Nasrin; Kiani, Mehrzad; Borhani, Fariba; Bazmi, Shabnam; Tavaokkoli, Saeid Nazari; Rasouli, Hamid Reza

doi:10.5812/ircmj.18797

Cited by 32 publications

(75 citation statements)

References 37 publications

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“…In such situation, not only the quality of care affected, the probability of complications such as the moral distress increases in doctors and nurses (12). In the study of Asterk (2003), the highest average is belonging to the "manager's factor" and the lowest is the "doctor's factor" (13). Which reveals a relatively similar pattern of organizational relationships between nurses and other colleagues in different cultures.…”

Section: Resultsmentioning

confidence: 77%

The relationship between ethical climate of hospital and moral courage of nursing staff

et al. 2019

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Introduction:Courage is the ethical virtues that has special place in the nursing profession, whose role in patient support is highlighted. Courage virtues seems to grow with environmental reinforcement and social support. Hospital as a dynamic social institution has different forms of ethical climates. The purpose of this study was to determine the correlation between the ethical climate of the hospital and the moral courage of the nurses in one of the medical universities of Iran medical science's selected hospitals. Method: This study is a descriptive-correlational study. The sample included 156 nurses who were selected by available method. A translated questionnaire of Olson's ethical climate and Sekerka's et al moral courage was used to collect data, in addition to demographic questions. The data were analyzed by SPSS software version 21 using descriptive and inferential statistics. Findings: Nurses' perception of the ethical climates of the hospital was average (mean= 3.79, SD = 0.56) and their courage was moderate (mean 3.87, SD=0.86). There was a significant positive correlation between nurses' ethical climates and their moral courage (r = 0.90, p <0.001). Conclusion: According to the findings of this study, the moral courage virtue of nurses in ethical climates of support and care grows well. Therefore, to improve the role of protecting patients' rights and promote moral courage, attention should be paid to improving the ethical climates of the hospital. In addition, planners and nursing managers should consider arrangements for developing the ethical climates of the workplace.

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Section: Resultsmentioning

confidence: 77%

The relationship between ethical climate of hospital and moral courage of nursing staff

et al. 2019

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“…In a previous study, we investigated moral distress among Iranian physicians and compared the results to those of similar studies in other countries ( 5 ). It was found out that the physicians under study showed a high moral sensitivity, a moderate to high moral distress intensity and a low to moderate frequency of moral distress.…”

Section: Discussionmentioning

confidence: 99%

“…Physicians are always exposed to moral distress due to some circumstances, such as taking action despite one’s conscience, not providing full treatment due to the financial weakness of a patient, ineffective treatment, lack of time, patients on a long waiting list, lack of resource and organizational factors ( 4 ). Our previous study found moral distress among Iranian physicians ( 5 ) ; the consequences are anger, hopelessness, depression, shamefulness, distress, sadness, disappointment and feeling miserable ( 6 , 7 ). Its long-term consequences emerge due to unresolved moral distresses, which are called moral residue.…”

Section: Introductionmentioning

confidence: 99%

Relationship of Moral Sensitivity and Distress Among Physicians

et al. 2015

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Background:Providing health services is described as an important moral measure, since its major aim is to ensure the welfare of the people who need treatment and care. Moral sensitivity is the ability to identify the existing moral problem and understand the moral consequences of the decisions made on the patient’s part. Physicians are always exposed to moral distress due to various circumstances.Objectives:In this survey, we evaluated moral sensitivity and moral distress among physicians and the relationship of these ethical factors on them. Hence, we assessed y relationship between moral sensitivity and moral distress in physicians will facilitate their sound management so as to provide high-quality and safe health services. Moreover it will confirm proposed theories regarding this subject.Materials and Methods:This cross-sectional descriptive-analytic study aimed at investigating the relationship between moral sensitivity and moral distress among 321 specialist physicians working in hospitals affiliated to Tehran Medical Universities in Tehran. The samples were selected through two-stage random cluster sampling method. A three-partite questionnaire comprising of demographic characteristics, moral distress, and moral sensitivity was used for collecting data which then were analyzed using SPSS-20.Results:There was a negative significant relationship between moral sensitivity and moral distress frequency; there was a positive significant relationship between moral sensitivity and moral distress intensity. Participating in medical ethics courses increased moral sensitivity and decreased the frequency of moral distress.Conclusions:Participating in medical ethics courses increased moral sensitivity and decreased the frequency of moral distress.

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“…In a study conducted on medical students, facing good doctors and negative models caused increased and decreased interest into medical ethics, respectively. In fact, the physicians involved in teaching were viewed as models in medical ethics training, even if they were not teaching medical ethics [34,35]. In a qualitative study, students indicated role model as the greatest factor of learning professional ethics.…”

Section: Comprehensive Model-based Educational Systemmentioning

confidence: 99%

Effective Factors of Professional Ethical Competency in Medical Students : A Qualitative Study

Alni¹,

Borhani²,

Ebadi³

2017

ME-JFM

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Introduction: Attaining ethical competency for medical practitioners, especially physicians, is one of the critical concerns for the education and management system. The competency related factors rely upon the context and culture physicians live and train in. Therefore, it is necessary to initially identify the factors to improve ethical competency. Objective: This qualitative research was carried out to study the effective factors of professional ethical competency in medical students through using participants' life experiences. Methodology: The research was qualitatively conducted. Research data were collected following written informed consent. 14 participants who had experience in teaching medical students were semistructurally interviewed. Data were analyzed using conventional qualitative content analysis method. Data reliability and validity were verified using Lincoln and Guba criteria. Results: Three groups were extracted in the study according to participants' experiences, including comprehensive recognition, ethical development supporting climate, and comprehensive role model training. Discussion: Directing students to know the self, profession, and culture, followed by improved social and economic communications in the organization, as well as enhancing ethics contribution in educational assessment, and emphasizing ethical models may pave the roads to the ethical competency of a physician. It is recommended that policy makers adopt a holistic view in medical instruction.

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Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities

Cited by 32 publications

References 37 publications

The relationship between ethical climate of hospital and moral courage of nursing staff

The relationship between ethical climate of hospital and moral courage of nursing staff

Relationship of Moral Sensitivity and Distress Among Physicians

Effective Factors of Professional Ethical Competency in Medical Students : A Qualitative Study

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