Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction

Jeon, Kkot Bi; Park, Mi-Hyun

doi:10.11111/jkana.2019.25.1.42

Cited by 16 publications

(6 citation statements)

References 28 publications

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“…Early studies on this topic were confined to the intensive care setting [ 4 , 5 ], specifically related to end-of-life treatment [ 6 , 7 ]. However, empirical research on this topic has seen exponential growth in recent years, intensifying the study of moral distress in any other clinical care setting (long-term care facilities, pediatric or neonatal settings and emergency or mental health departments) [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

et al. 2021

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Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level of moral distress among healthcare professional working in community or hospital settings and compare it by demographic and workplace characteristics. This is a cross-sectional study. All the professionals working in the hospitals or community settings involved received personal e-mail invitations to participate in the study. The Moral Distress Thermometer was used to measure moral distress among healthcare professionals. Before data collection, ethical approval was obtained from each setting where the participants were enrolled. The sample of this study is made up of 397 healthcare professionals: 53.65% of the sample works in hospital setting while 46.35% of the sample works in community setting. Moral distress was present in all professional groups. Findings have shown that nurses experienced level of moral distress higher than other healthcare professionals (mean: 4.91). There was a significant differences between moral distress among different professional categories (H(6) = 14.407; p < 0.05). The ETA Coefficient test showed significant variation between healthcare professionals working in community and in hospital settings. Specifically, healthcare professionals who work in hospital experienced a higher level of moral distress than those who work in community settings (means 4.92 vs. means 3.80). The results of this study confirm that it is imperative to develop educational programs to reduce moral distress even in those settings where the level perceived is low, in order to mitigate the moral residue and the crescendo effect.

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Section: Introductionmentioning

confidence: 99%

Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

et al. 2021

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“…In this regard, Dodek et al suggested that higher moral distress in ICU nurses was associated with higher psychological stressors and psychological strain (39). Jeon and Park suggested that nurses working in ICU wards suffered from moral distress due to difficulties at the end of life care and realist support in the workplace (40). Recent studies also indicate high levels of moral distress in nurses responsible for caring for COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

Perceived Stress, Moral Distress, and Spiritual Intelligence of Clinical Nurses in the Coronavirus Disease 2019 Pandemic

Bazghaleh

Abbasi

Bahonar

et al. 2023

Ann Mil Health Sci Res

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Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the psychological problems of people all over the world. In this crisis, nurses experienced complex physical and psychological stress. Objectives: This study aimed to determine the relationship of perceived stress with moral distress and the spiritual intelligence of clinical nurses in the context of COVID-19. Methods: This cross-sectional study was conducted on 285 clinical nurses working in public hospitals in the city of Shahroud, Iran. Data collection instruments included a demographic data sheet, the Perceived Stress Scale (PSS), Corley’s Moral Distress Scale (MDS), and King’s Spiritual Intelligence Scale (SISRI-24). Descriptive (frequency, mean, and standard deviation) and inferential statistics (the independent t-test, Pearson correlation coefficient, and logistic regression analysis) were used to analyze the data. Results: The findings showed that nurses reported high levels of perceived stress (36.12 ± 5.14). Perceived stress was positively and significantly correlated with moral distress (P = 0.001, r = 0.09). Perceived stress was also significantly correlated with age (P < 0.01, r = 0.29) and work experience (P = 0.001, r = -0.85). Conclusions: According to the findings, nurses must strive to reduce moral distress during the COVID-19 pandemic. For this purpose, psychosocial support for clinical nurses, stress management courses, and providing welfare facilities for nurses are essential.

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“…과 Park [16]이 간호사의 소진 관련 요인을 조사한 선행연구에 근거 하여 G*power 3.1.9.4 프로그램을 이용하여 검정력 .80, 유의수준 .05, 중간효과크기 .15로 설정하였고, 일반적 특성 13개, 의사소통 능력, 간호전문직관, 스트레스 대처 하위 영역 2개를 포함하여 총 17 개의 예측요인을 투입하여 단계적 다중 회귀분석(stepwise multiple regression analysis)을 근거로 산출한 결과 146명으로 산출되 었다. 탈락률 10%를 고려하여 163명을 대상으로 설문지를 배부하여 160부를 회수하였고, 응답이 불충분한 설문지 11부를 제외한 총 149부를 자료 분석에 포함하였다.…”

Section: 연구대상unclassified

Factors related to burnout of nurses working at intensive care units: A descriptive survey study

Lee,

Park,

Joung

2024

J Korean Gerontol Nurs

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Purpose: The purpose of this study was to investigate the factors related to burnout of nurses working at intensive care units. Methods: The subjects of this study included 149 nurses in intensive care units at six general hospitals. The data was analyzed using the SPSS/WIN 23.0 program with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient, and Stepwise multiple regression analysis were used. Results: The factors significantly affecting burnout included work stress ‘high to very high’ (β=.39, p<.001), communication skill (β=-.24, p=.001), subjective health status ‘normal’ (β=.22, p=.001) and ‘bad to very bad’ (β=.20, p=.002) and problem-driven coping (β=-.19, p=.010) in order, and the explanatory power of these factors to the burnout was 46.3%. Conclusion: Based on the results, effective interventions need to be provided to improve intensive care unit nurses’ health conditions and to relieve their work stress. It is necessary to develop practical strategies to improve nurses’ communication and stress coping skills to reduce their burnout.

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Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction

Cited by 16 publications

References 28 publications

Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

Perceived Stress, Moral Distress, and Spiritual Intelligence of Clinical Nurses in the Coronavirus Disease 2019 Pandemic

Factors related to burnout of nurses working at intensive care units: A descriptive survey study

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