Moral distress in students: A cross- sectional study in educational environment

Moral distress in educational environments can be associated with multiple effects. Students who faced with this ethical challenge feel insecurity and dissatisfaction and so school dropout and failure will be increased in them. Low quality of teaching in these conditions could potentially cause a lack of scientific and clinical sufficiency and thus the performance of health systems to achieve the health goals will be at risk. This study aimed to assess the students' moral distress in Birjand paramedical school students. The Cross - Sectional study took on 600 students of paramedical school who were selected by census. To collect data, it was used a questionnaire of 20 questions. The validity and reliability of this questionnaire was evaluated and Cronbach's Alfa was calculated 81 percent. Data were collected by Spss16 software and were analyzed with descriptive and inferential statistics. The findings showed that the average of moral distress from total score was 0-5, (3/12±0/88) in the intensity and (3/5±1/2) in the frequency. There was a significant relationship between moral distress with years of educations and sex (P>0/05). Moderate level of moral distress in students requires the planning and some actions as students’ awareness to this phenomenon. Identification and control of this phenomenon in educational environments and investigating its reasons may play an important role in the control of this phenomenon and the prevention of its adverse effects in future

Moral Sensitivity and Nurse’s Attitude toward Patients' Rights

Nursing is an ethical profession and nurses are responsible for patient care. In providing healthcare services, patient right is an important issue to consider. However, not only the awareness the patient right is important but also moral sensitivity to ethical decision-making is crucial. This study aimed to determine the relationship between moral sensibility and attitude towards patients' rights. A descriptive-analytic study was used and 194 nurses working in intensive care units in hospitals affiliated to medical university of South Khorasan province were selected by convenience sampling method. The data collected through a questionnaire consisting of three parts: 1) demographics 2) the moral sensitivity questionnaire (Korean version), and 3) a questionnaire survey of nurses' attitudes towards the patients’ rights. Data collected by the software SPSS version 16, and were analyzed descriptive and analytical statistical tests. The results showed that there is a significant direct relationship between average moral sensibility and nurses' attitudes towards patients’ rights (r= 0.6, P=0.03). The average nurse's ethical sensitivity has been reported 3.05±0.68 0f the total score (0-4). The average attitude towards the patients’ rights was 4 ± 0.8 of the total score (1-5). The relationship between moral sensitivity whit the years of service and age of the participants was significant (P<0.05). There was also a significant relationship between the attitudes of nurses towards patients' rights with gender and years of service (P<0.05). In conclusion it is necessary to provide more moral education to increase nurse’s moral sensitivity towards patients’ rights. It should be noted that due to the fact that moral sensitivity and attitude towards patients' rights increases with the number of years of service the article suggests that considering more experienced nurses in the teams would result a more morally sensitive care for the patients

Moral distress and perception of futile care in intensive care nurses.

Special characteristics of care environments have always presented nurses with some challenges. One particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. The dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job. This descriptive-analytical study attempted to investigate the relationship between futile care and moral distress in intensive care nurses. Study subjects were 300 nurses in intensive care units in Kerman, Iran and were selected by convenience sampling based on inclusion criteria. Study tools included Corley's 21-item questionnaire on moral distress and a researcher-made 17-item questionnaire on futile care. Data analysis was performed using SPSS version 16 and suitable analytical and descriptive tests. The results showed a significantly positive relationship between moral distress and futile care (P = 0.03, r = 0.4). Based on the obtained results, futile care can create conditions that may lead to moral distress in nurses and therefore strategies should be devised to prevent these conditions. Moreover, distress in nurses should be identified by periodical counseling so that it can be managed more efficiently

Moral distress and its relationship with professional stress in nurses

Moral distress is an important issue in the field of medical ethics that can have serious effects on nurses, patients and health organizations. One of the most common effects of this phenomenon is professional stress in nurses. Stressful situations in nurses’ job environment lead to burnout and dissatisfaction, and adversely affect the quality of care. This was a cross-sectional study aimed to determine the relationship between moral distress and professional stress in 220 nurses of educational hospitals in the city of Birjand. Data were collected using a 51-item questionnaire based on Corley’s Moral Distress Scale and Wolfgang’s Health Professions Stress Inventory. Reliability and validity of the questionnaire were assessed by the researchers, and its reliability was calculated using Cronbach’s alpha (93%). The results indicated a positive relationship between moral distress and professional stress (P<0/05, r = 0/8). Intensity and frequency of moral distress and professional stress were reported average. Moral distress and professional stress were reported at a frequency and severity of moderate size. Findings of this study can provide guidelines for educating nurses on this phenomenon and the conditions leading to it. They may also be used to develop management strategies and establish organizations to prevent and minimize the consequences of these phenomena in nurses

Moral reckoning in critical care units nurses

Introduction: The nurses especially in in critical care unitsfacing whit different moral challenges in the health system. ThatIf this situation is not resolved, will be leading to serious consequences for nurses, patients and health systems. In the process of these challenges the moral reckoning phenomenon can play a central role in the stability of personal values nurses. Thus, this study has been conducted with the aim of determining moral reckoning in the nurses. Methods and Materials: Cross sectional-analytical study on 211 intensive care unit nurses of Southern Khorasan hospitals in 2014. Samples were selected by accessible method and was used the 36-item instrument developed by the researcher. The data collected were analyzed by the software Spss16 and analyzed using descriptive (mean, standard deviation, frequency and relative frequency) and analytical methods (t-test, ANOVA and Pearson correlation coefficient). Results: The results showed that the mean score of moral reckoningin nurses was (3.27±0.5). There was a significant relationship among the mean score of moral reckoning and age, number of service years (P<0.05). Conclusion: The results showed that people with more experience successfully spent moral reckoning levels in the workplace and perhaps they will be able to support role to other people, especially those less experienced in healthcare team

Moral Sensitivity and Moral Distress in Critical Care Unit Nurses

Background and Aim: The present study was carried out aiming to determine the relationship between moral distress and moral sensitivity among nurses. Materials and Methods: This descriptive analytical study was conducted on 257 nurses employed in teaching hospitals affiliated to Birjand University of Medical Sciences (South Khorasan) in 2015. Available sampling was done among the nurses working in intensive care units (ICU, CCU, NICU and dialysis) in the whole province meeting the inclusion criteria. The data collection tool was a three-part questionnaire consisting of the demographic information questionnaire, Corly moral distress questionnaire, and the Korean version of the Hun moral sensitivity questionnaire. The collected data were analyzed running SPSS statistical software version 16. Ethical Considerations: Written consent was obtained from all participants. Additionally, all of them were assured of anonymity of the questionnaires and confidentiality of the information. Findings: There was no significant relationship between moral distress and the nurses’ moral sensitivity (P=0.2). The mean scores (out of 5) were 3.5±0.66 for the total moral distress, 3.5±0.75 for the intensity of moral distress, and 3.54±0.66 for the frequency of moral distress, respectively. The mean for moral sensitivity (out of 4) was 3.1±0.45. There was a statistically significant relationship between moral sensitivity and moral distress with age and years of work experience, and also between moral distress and the type of the ward (P<0.05). Conclusion: The findings indicates that nurses who do not have sufficient executive power for moral performance will experience moral distress, despite their high and low levels of moral sensitivity. Thus, it is necessary hospital administrators to take some specific measures to carry out periodic evaluation of this phenomenon, and hold some codified trainings in this regar

Relationship between moral distress and environmental empowerment for nurses in education hospitals in Kerman

Moral distress is one of the ethical problems in Care-Health professional that can will be various affected in on nursing. One of subject that can on intensive of moral distress and response of nursing the effect is them empowerment in the work environment. So this study has been aimed to determine the relationship between moral distress & Empowerment environment for nurses. The present association study has been made on 300 nurses in teaching hospitals of Kerman. Units of study were selected according to a quota method ..

The assesment nursing attitude of spiritual care : a descriptive study in Birjand teaching hospitals

معنویت و مراقبت معنوی جزء الینفک مراقبت کل نگر در پرستاری محسوب شده و توجه به آن میتواند نقش مهمی در بهبودی بیماران و دستیابی به اهداف سالمتی داشته باشد. نگرش و آگاهی پرستاران نسبت به مراقبت معنوی میتواند نقش مهمی را جهت اجرای این مراقبت ایفا نماید. لذا مطالعه حاضر با هدف تعیین نگرش پرستاران نسبت به مراقبت معنوی صورت گرفته است. واحدهای مورد پژوهش 222 پرستار از دو بیمارستان آموزشی شهر بیرجند بودند که به روش سرشماری انتخاب شدند. جمع آوری دادهها با استفاده از پرسشنامه نگرش نسبت به مراقبت معنوی (SCPS (صورت گرفته و دادهها توسط نرم افزار Spss16 مورد تحلیل قرار گرفت. نتایج به دست آماده حاکی از نگرش باالی پرستاران نسبت به مراقبت معنوی بوده است )4=M , 8/2=SD .)بین نگرش نسبت به مراقبت معنوی و سن، تعداد سالهای خدمت و نوع بخش خدمت رابطه معنیداری گزارش شد)20/2<P .)در این زمینه پیشنهاد میگردد که بایستی عالوه بر ایجاد نگرش مثبت نسبت به مراقبت معنوی راهکارهایی در جهت اجرای هر چه بیشتر این جنبه از مراقبت در نظر گرفته شود