The Relation Among Moral Distress, Physical Symptoms and Burnout of Hospital Nurses

Chae, Younbyoung; Yu, Su-Jeong; Lee, Eun Ja; Park, Eun Ha

doi:10.5977/jkasne.2017.23.4.430

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…Concerning job‐related features, the greater the level of exhaustion in the participants' position as general nurses, the more dissatisfied they were with their jobs, and the more they intended to find another job. These findings align with previous research in which general nurses experienced burnout more than head nurses (Chae et al, 2017).…”

Section: Discussionsupporting

confidence: 92%

Influence of the subfactors of self‐compassion on burnout among hospital nurses: A cross‐sectional study in South Korea

Jang

Jeong

Park

2022

J Nursing Management

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Aim This study aimed to identify the effects of the subfactors of self‐compassion on hospital nurse burnout and provide basic knowledge for an intervention programme to prevent nurse burnout. Background Burnout in nurses has been reported to influence their own and patients' mental health and safety. Enhancing self‐compassion can help to prevent burnout. Methods This study involved descriptive research using a cross‐sectional design. Data were collected at H University Hospital in Korea, from January to March 2020. Of the 213 questionnaires collected, 208 were included in data analysis. Results Burnout was higher when nurses were younger, unmarried, in poor health, general nurses, dissatisfied with their jobs, planning to leave their jobs or receiving low social support from peers. There was a negative correlation between burnout and the self‐compassion subscales. Multiple regression analysis showed that isolation and mindfulness among self‐compassion, were significantly related to burnout. Conclusions Since individual variables and self‐compassion are major elements impacting nurse burnout, it is important for nursing organizations to investigate nurses' individual variables, including subfactors of self‐compassion, to help them prevent burnout. Implications for Nursing Management Nurse burnout might be prevented by increasing self‐compassion. Hospital and nurse managers may employ individualized strategies to enhance nurses' self‐compassion.

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Section: Discussionsupporting

confidence: 92%

Influence of the subfactors of self‐compassion on burnout among hospital nurses: A cross‐sectional study in South Korea

Jang

Jeong

Park

2022

J Nursing Management

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“…The Korean version of the Moral Distress Scale-Revised (KMDS-R) validated by Chae et al [ 33 ] using the Moral Distress Scale-Revised (MDS-R) developed by Hamric et al [ 34 ], was used. Permission to use the KMDS-R was granted by Hamric and Chae.…”

Section: Methodsmentioning

confidence: 99%

“…A higher score indicated a stronger sense of moral distress. Hamric et al [ 34 ] and Chae et al [ 33 ] reported Cronbach’s alpha reliabilities of 0.89 and 0.91, respectively. This study supported the KMDS-R’s reliability with a Cronbach’s α = 0.85.…”

Section: Methodsmentioning

confidence: 99%

Impact of ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses: a cross-sectional study

Kim

2023

BMC Nurs

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Background While several studies have been performed on turnover intention among nurses, limited studies have considered the ethical perspectives on turnover intention among haemodialysis nurses. The purpose of this study was to clarify the impact of ethical factors, namely ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses. Methods This cross-sectional research was conducted between July and August 2017. A total of 148 haemodialysis nurses were invited to participate in the study by convenience sampling from 11 general and university hospitals in South Korea. Data were analysed using SPSS for t-test, one-way analysis of variance, Pearson’s correlation coefficients, and multiple regression analysis. Results In the final regression model, the adjusted R-squared significantly explained 34.6% of the variance in turnover intention (F = 22.534, p < .001) when moral distress related to physician practice (β = 0.310, p = .001) and ethical climate related to the hospital climate (β = − 0.253, p = .003) and manager (β = − 0.191, p = .024) were included. Following the stepwise multiple regression process, all subdomains related to moral sensitivity were excluded due to no statistical significance in the final regression model. Conclusion To reduce turnover intention among haemodialysis nurses, hospitals and managers should pay attention to haemodialysis nurses’ moral distress originating from physicians’ practice and improve their ethical climate. Additionally, it is required that the impact of moral sensitivity on turnover among nurses working in diverse care settings be examined further.

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“…A Korean version of the Moral Distress Scale-Revised (KMDS-R) was employed, which was validated by Chae et al [ 33 ] from the Moral Distress Scale-Revised (MDS-R) developed by Hamric et al [ 34 ] for nurses. Permission to use the KMDS-R was granted by Dr. Hamric and Dr. Chae.…”

Section: Methodsmentioning

confidence: 99%

“…The number of points of moral distress was calculated as the total score by adding all the scores of each question; a higher score indicates a stronger sense of moral distress. Hamric, Borchers and Epstein [ 34 ] reported a Cronbach’s alpha reliability of 0.89, and Chae, Yu, Lee and Park [ 33 ] found a reliability of 0.91. In this study, the KMDS-R reliability was generated with a Cronbach’s alpha of 0.85.…”

Section: Methodsmentioning

confidence: 99%

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

Kim

Lee

et al. 2022

IJERPH

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Although there is considerable literature on job satisfaction among nurses in various settings, there is little research about contributing factors, including moral distress to job satisfaction among a certain group of nurses, such as nurses acting as physician assistants. The purpose of this study was to verify the impact of nurse–physician collaboration, moral distress, and professional autonomy on job satisfaction among nurses acting as physician assistants. Descriptive and correlational research was conducted on a convenience sample of 130 nurses from five general hospitals in South Korea. In the final regression model, the adjusted R square was significant, explaining 38.2% of the variance of job satisfaction (F = 8.303, p < 0.001), where ‘cooperativeness’ (β = 0.469, p = 0.001) from nurse–physician collaboration, ‘institutional and contextual factor’ from moral distress (β = −0.292, p = 0.014), and professional autonomy (β = 0.247, p = 0.015) were included. In hospital environments, a more cooperative inter-professional relationship between nurses and physicians led to less moral distress caused by organisational constraints. A higher level of professional autonomy among nurses acting as physician assistants is required to increase their job satisfaction.

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The Relation Among Moral Distress, Physical Symptoms and Burnout of Hospital Nurses

Cited by 10 publications

References 12 publications

Influence of the subfactors of self‐compassion on burnout among hospital nurses: A cross‐sectional study in South Korea

Influence of the subfactors of self‐compassion on burnout among hospital nurses: A cross‐sectional study in South Korea

Impact of ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses: a cross-sectional study

Impact of Nurse–Physician Collaboration, Moral Distress, and Professional Autonomy on Job Satisfaction among Nurses Acting as Physician Assistants

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