The association between moral distress and moral courage in nurses: A cross-sectional study in iran

Background: Moral distress and moral courage among healthcare professionals have received considerable attention in recent years. However, there is a paucity of studies investigating these topics among nurses. Thus, the present study aimed to evaluate the association between moral distress and moral courage among nurses in an Iranian sample population. Materials and Methods: The present cross-sectional study was conducted during February–December 2018. Corley’s Moral Distress (MDS-R) and Sekerka’s moral courage scales were used to collect the data. MDS-R is a 21-items scale which includes frequency and intensity ranges from 0 (never) to 4 (very frequently) and 0 (none) to 4 (great extent), respectively. In addition, the moral courage scale contains 15 items ranging from “never true” (1 point) to “always true” (7 points). In total, 225 eligible nurses were entered into this study. Finally, SPSS-16 was used for statistical analysis at the α = 0.05 level. Results: The mean scores of the frequency and intensity of moral distress and moral courage were 45.41 (95 CI = 43.37-47.45), 44.24 (95 CI = 42.98-45.42), and 59.63 (95 CI = 58.50-60.87), respectively. Eventually, a significant relationship was found between the moral courage and frequency of moral distress (r = 0.46, p < 0.001) and the intensity of moral distress (r = 0.73, p < 0.001). Conclusions: In general, encouraging healthcare managers and administrators is considered as crucial for developing supportive structures and highly sensitive management which promotes moral courage while reducing moral distress in nurses’ work setting. © 2020 Iranian Journal of Nursing and Midwifery Researc

Managers preferred management style from the perspective of nurses

The lack of access to empowerment structures is the outcome of inadequate management performance that will lead to nurse’s mental and emotional exhaustion.It is therefore necessary to pay particular attention to this group of nurse managers and provide medical staff nurses with improved working conditions by selecting the appropriate management style. The aim of this study was to assess the viewpoints of nurses in relation to the preferred management style in teaching hospitals of Il am, Iran in 2016. A descriptive analytic cross-sectional study was done on 192 nurses by convenience sampling method, from three educational hospitals of Il am, Iran. The instruments including demographic and preferred management questionnaire were used in the present study. A Chi-square and ANOVA test were used to data analysis using SPSS v16.0. The study showed that141 (73.4) of participants prefer collaborative management. The work experience was also found to be associated with Preferred Management Style (p =0.004). Also, the statistically significant association was found between management experience and Preferred Management Style (p =0.039).Collaborative management style is more preferred by the nurses. Therefore, it seems that employees are willingness to participate in managerial affairs and thus managers should involve employees on planning programs and other affairs to motivate their incentives to thrive and get things done faster with organization goals achieved. © 2019, Advanced Scientific Research. All rights reserved

Uncivil behaviors in nursing education from the perspectives of nursing instructors and students: A cross-sectional study

One of the serious concerns in nursing education is uncivil behaviors (UBs). These behaviors negatively affect both teaching and learning and result in instructor-student conflicts. Nonetheless, the data about these behaviors is minimal hence the need for a study on them. The study aimed to evaluate UBs in nursing education from the perspectives of nursing instructors and students. This cross-sectional descriptive-analytical study was conducted in 2019 with 52 nursing instructors and 240 nursing students from Kerman, Bam, and Jiroft Universities of Medical Sciences, Iran. Data was collected using the Instructors’ Uncivil Behaviors Scale and the Students’ Uncivil Behaviors Scale and analyzed using the SPSS software (v. 22.0), independent t-test, ANOVA, and Pearson correlation coefficient. Both nursing instructors and students perceived UBs at a moderate level. UBs in the learning climate dimension was the most prevalent and were experienced among both students and instructors. Due to the commonness of UBs, nursing education and healthcare authorities need to employ strategies to minimize these behaviors and reduce their effects on nursing instructors, students, and clients. © 2022 The Author(s