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Volume 21, Issue 2 (summer 2019)                   JHC 2019, 21(2): 166-174 | Back to browse issues page


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Anami K, Dadkhah B, Mohammadi M. Moral Distress of Nurses in Emergency Department of Ardabil Hospitals in 1395. JHC 2019; 21 (2) :166-174
URL: http://hcjournal.arums.ac.ir/article-1-912-en.html
Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardebil, Iran
Abstract:   (3588 Views)
Background & objectives: Nurses, as the main members of the care and treatment teams, are at the forefront of health care provision and their performance largely determine the quality of health care. Moral distress can have many physical and psychological consequences in nurses and negatively affect their professional responsibilities. The aim of this study was to determine the extent of moral distress in nurses of emergency department of Ardabil hospitals in 2016.
Methods: This descriptive-analytical study was carried out on 175 nurses, working in the emergency department of hospitals in Ardabil city, who were selected using a census sampling. The data gathering tools were demographic questionnaire and moral distress questionnaire for nurses. Descriptive statistics (mean, standard deviation and frequency) and inferential statistics (one-way ANOVA) were used to analyze the data.
Results: The findings indicated that mean and standard deviation of moral distress in nurses of emergency departments were in moderate level (1.87±0.89). Moral distress in nurses of emergency departments was higher than other departments in terms of non-observance of ethical principles (2.00±1.02). Among evaluated variables, there were significant positive correlations between service record, work shift, employment status and type of hospital with moral distress (p<0.05).
Conclusion: Regarding to moderate moral distress level in emergency nurses participating in this study, the managers of the organization should adopt the necessary methods and measures to identify the symptoms and detect the factors affecting the moral distress of nurses.
Full-Text [PDF 122 kb]   (1086 Downloads)    
Type of Study: descriptive | Subject: Nursing Ethics
Received: 2018/02/25 | Accepted: 2018/06/17 | Published: 2019/06/21

References
1. Uddin M, Islam M, Ullah M. A study on the quality of nurses of government hospitals in Bangladesh. Proc Pakistan Acad Science. 2006;43(2):121-29.
2. Sanjar M, Shirazi F, Heidarii S, Mirzabeigi G, Salemi S. Assessing nurses' attitudes toward clinical environment. Quarterly Journal of Nursing Management. 2012;1(2):9-19 [Persian].
3. Nikpeyma N, Abed-Saeedi J, Azargashb E, Alavi Majd H. A review of nurses' performance appraisal in Iran. Journal of Health Promotion Management. 2014;3(1):74-83 [Persian].
4. Abbasi M, Hajatmand F, Khaghanizadeh M, Gashtroudkhani AA. Moral distress in nurses employed in selected hospitals of Shahid Beheshti University of Medical Sciences. Medical Ethics Journal. 2015;9(32):121-40 [Persian].
5. Mirzazadeh G NK, Fallahi M, Vaziri MH, Kiany T. Evaluating the effect of stressful incident debriefing on moral distress of. Iranian Journal of Rehabilitation Research in Nursing. 2015;2(5) [Persian].
6. Atashzade Shoorideh F, Ashktorab T, Yaghmaei F. Responses of ICU nurses to moral distress: a qualitative study. Journal of Critical Care Nursing. 2012;4(4):159-68 [Persian].
7. Dalmolin GdL, Lunardi VL, Barlem ELD, Silveira RSd. Implications of moral distress on nurses and its similarities with burnout. Texto & Contexto-Enfermagem. 2012;21(1):200-8. [DOI:10.1590/S0104-07072012000100023]
8. Gonzalez J. Exploring the presence of moral distress in critical care nurses. A thesis for the degree of Master of Science in Nursing. Rhode Island College; 2016. [DOI:10.28971/532016GJ79]
9. Schaefer R, Zoboli ELCP, Vieira M. Identification of risk factors for moral distress in nurses: basis for the development of a new assessment tool. Nursing Inquiry. 2016;23(4):346-57. [DOI:10.1111/nin.12156] [PMID]
10. Langley GC, Kisorio L, Schmollgruber S. Moral distress experienced by intensive care nurses. Southern African Journal of Critical Care. 2015;31(2):36-41. [DOI:10.7196/SAJCC.2015.v31i2.235]
11. Salluzzo RF. Emergency department management: principles and applications. 1th edition. Mosby; 1997.
12. Argentero P, Setti I. Job perception, work conditions and burnout in emergency workers. Giornale italiano di medicina del lavoro ed ergonomia. 2007;30(1 Suppl A):A64-70.
13. Fernandez-Parsons R, Rodriguez L, Goyal D. Moral distress in emergency nurses. Journal of Emergency Nursing. 2013;39(6):547-52. [DOI:10.1016/j.jen.2012.12.009] [PMID]
14. Wolf LA, Perhats C, Delao AM, Moon MD, Clark PR, Zavotsky KE. "It's a burden you carry": describing moral distress in emergency nursing. Journal of Emergency Nursing. 2016;42(1):37-46. [DOI:10.1016/j.jen.2015.08.008] [PMID]
15. Beikmoradi A, Rabiee S, Khatiban M, Cheraghi MA. Nurses distress in intensive care unit: a survey in teaching hospitals. Medical Ethics and History of Medicine. 2012;5(2):58-69 [Persian].
16. Corley MC. Nurse moral distress: a proposed theory and research agenda. Nursing Ethics. 2002;9(6):636-50. [DOI:10.1191/0969733002ne557oa] [PMID]
17. Atashzadeh Shorideh F, Ashktorab T, Yaghmaei F, Alavimajd H. Association of ICU nurses' demographic characteristics and moral distress. Iranian Journal of Medical Ethics and History of Medicine. 2013;5(7):66-78.
18. Afshar L, Joolaee S, Vaskouei K, Bagheri A. Nursing ethics priorities from nurses aspects: a national study. Iranian Journal of Medical Ethics and History of Medicine. 2013;6(3):54-63.
19. Corley MC, Minick P, Elswick R, Jacobs M. Nurse moral distress and ethical work environment. Nursing Ethics. 2005;12(4):381-90. [DOI:10.1191/0969733005ne809oa] [PMID]
20. Elpern EH, Covert B, Kleinpell R. Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care. 2005;14(6):523-30.
21. Keighobadi F, Sadeghi H, Keighobadi F, Tabaraei Y. The relationship between moral distress and emotional exhaustion in nurses. Iranian Journal of Medical Ethics and History of Medicine. 2014;7(3):36-47 [Persian].
22. Etebari-asl Z, Etebari-asl F, Nemati KH. A survey on the level of moral distress among nurses of special wards affiliated to educational- therapeutic centers in Ardabil University of Medical Sciences in 2016: a short report. Journal of Rafsanjan University of Medical Sciences. 2017;16(2):169-78 [Persian].
23. Poladi F, Atashzade F, Abaaszade A, Moslemi A. The correlation between moral distress and burnout in nurses working in educational hospitals of Shahid Beheshti University of Medical Sciences during 2013. Iranian Journal of Medical Ethics and History of Medicine. 2015;8(4):37-45 [Persian].
24. Mohammadi S, Talebi F, Borhani F, Roshanzadeh M. Moral distress and attitude to euthanasia: a correlation study in nurses. Medical Ethics Journal. 2014;8(28):32-36 [Persian].
25. Janvier A, Nadeau S, Deschenes M, Couture E, Barrington K. Moral distress in the neonatal intensive care unit: caregiver's experience. Journal of Perinatology. 2007;27(4):203. [DOI:10.1038/sj.jp.7211658] [PMID]
26. Kalvemark Sporrong S, Arnetz B, Hansson MG, Westerholm P, Höglund AT. Developing ethical competence in health care organizations. Nursing Ethics. 2007;14(6):825-37. [DOI:10.1177/0969733007082142] [PMID]
27. Dodek PM, Wong H, Norena M, Ayas N, Reynolds SC, Keenan SP, et al. Moral distress in intensive care unit professionals is associated with profession, age, and years of experience. Journal of Critical Care. 2016;31(1):178-82. [DOI:10.1016/j.jcrc.2015.10.011] [PMID]
28. Vaziri M, Khoiee E, Motevallian S, Alizadegan S, Razzaghi KO, Kavousi A, et al. Development and validation of scale measuring moral distress among Iranian nurses. Iranian Journal of Psychiatry. 2015;10(1):32-36 [Persian].
29. Joolaee S, Jalili H, Rafiee F, Haggani H. The relationship between nurses' perception of moral distress and ethical environment in Tehran University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine. 2011;4(4):56-66.
30. Yaghobiyan M, Parhizgar S. A study on job stress among nurses working in hospitals in eastern Mazandaran province in 1999. Scientific Information Database. 2002:7(25):13-20 [Persian].
31. Farzianpour F, Ansari Nosrati S, Rahimi Foroushani A. Survey of relationship between nurses shift and personality characteristics in private hospitals in Tehran city. Journal of Payavard-e- Salamat. 2017;10(5):419-28 [Persian].

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