Effect of moral distress on professional quality work among nurses in intensive care units
Keywords:
Moral distress, Professional quality work, ICU nursesAbstract
Background: Moral distress, as one of the most important issues in the nursing profession, can negatively affect the healthcare system. Purpose: To examine the effect of moral distress on professional quality work life. Method: A descriptive cross-sectional study a non-probability sampling method used and total sample collected was (126) of ICU nurses. Results: Moral distress, BO, STS, and, CS among ICUs nurses were moderate. Conclusion: Nurses in ICUs suffered from moderate MD which that effected their BO and STS, and the result can be negative effects on quality of care. Although MD did not affect nurses' CS, it is still an important issue that nurses may face in ICUs
Downloads
References
Adolfo, C. S. (2021). Predictors of professional quality of life among nurses–a cross-sectional study. International Journal of Advanced and Applied Sciences, 8(2), 44-53. https://doi.org/10.21833/ijaas.2021.02.006
Al-Dossary, R. N., Kitsantas, P., & Maddox, P. J. (2016). Clinical decision-making among new graduate nurses attending residency programs in Saudi Arabia. Applied Nursing Research, 29, 25-30. https://doi.org/10.1016/j.apnr.2015.05.008
Alshehry, A. S., Alquwez, N., Almazan, J., Namis, I. M., Moreno‐Lacalle, R. C., & Cruz, J. P. (2019). Workplace incivility and its influence on professional quality of life among nurses from multicultural background: A cross‐sectional study. Journal of Clinical Nursing, 28(13-14), 2553-2564. https://doi.org/10.1111/jocn.14840
Aprilia, T. D., Somantri, I., & Mirwanti, R. (2019). Nurses’ Mental workload in critical care rooms and emergency department. Journal of Nursing Care, 2(3). https://doi.org/10.24198/jnc.v2i3.20372.
Austin, C. L., Saylor, R., & Finley, P. J. (2017). Moral distress in physicians and nurses: Impact on professional quality of life and turnover. Psychological Trauma : Theory, Research, Practice and Policy, 9(4), 399–406. https://doi.org/10.1037/tra0000201
Ayash, M. H. (2021). Quality of nursing care provided for patients in intensive care units at governmental hospitals in the gaza strip: Nurses' Perspective (Doctoral dissertation, Islamic University of Gaza).
Azizi-Fini, I., Hajibagheri, A., & Adib-Hajbaghery, M. (2015). Critical thinking skills in nursing students: a comparison between freshmen and senior students. Nursing and Midwifery Studies, 4(1).
Badolamenti, S., Fida, R., Biagioli, V., Caruso, R., Zaghini, F., & Sili, A. (2017). Modified moral distress scale (MDS-11): Validation study among Italian nurses. Professioni Infermieristiche, 70(4).
Barlem, E. L. D., Lunardi, V. L., Lunardi, G. L., Dalmolin, G. D. L., & Tomaschewski, J. G. (2012). The experience of moral distress in nursing: the nurses' perception. Revista da Escola de Enfermagem da USP, 46, 681-688. https://doi.org/10.2478/fon-2020-0033
Bayat, M., Shahriari, M., & Keshvari, M. (2019). The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization. Journal of Medical Ethics and History of Medicine, 12.
Borhani, F., Mohammadi, S., & Roshanzadeh, M. (2014). Moral distress and its relationship with professional stress in nurses. Iranian Journal of Medical Ethics and History of Medicine, 6(6). http://eprints.skums.ac.ir/id/eprint/6176
Chuang, C. H., Tseng, P. C., Lin, C. Y., Lin, K. H., & Chen, Y. Y. (2016). Burnout in the intensive care unit professionals: a systematic review. Medicine, 95(50). 10.1097/MD.0000000000005629
Dodek, P. M., Wong, H., Norena, M., Ayas, N., Reynolds, S. C., Keenan, S. P., ... & Alden, L. (2016). Moral distress in intensive care unit professionals is associated with profession, age, and years of experience. Journal of Critical Care, 31(1), 178-182. https://doi.org/10.1016/j.jcrc.2015.10.011
Elpern, E. H., Covert, B., & Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care, 14(6), 523-530. https://doi.org/10.4037/ajcc2005.14.6.523
El-Shafei, D. A., Abdelsalam, A. E., Hammam, R. A., & Elgohary, H. (2018). Professional quality of life, wellness education, and coping strategies among emergency physicians. Environmental Science and Pollution Research, 25(9), 9040-9050.
Epstein, E. G., Whitehead, P. B., Prompahakul, C., Thacker, L. R., & Hamric, A. B. (2019). Enhancing understanding of moral distress: the measure of moral distress for health care professionals. AJOB Empirical Bioethics, 10(2), 113-124. 10.1080/23294515.2019.1586008
Gazarian, P. K., Fernberg, L. M., & Sheehan, K. D. (2016). Effectiveness of narrative pedagogy in developing student nurses’ advocacy role. Nursing Ethics, 23(2), 132-141. https://doi.org/10.1177/0969733014557718
Hamric, A. B., Borchers, C. T., & Epstein, E. G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research, 3(2), 1-9. https://doi.org/10.1080/21507716.2011.652337
Heydari, A., Ahrari, S., & Toghian Chaharsoughi, N. (2018). Moral distress in nursing and its contributors in the context of Iran. Health, Spirituality and Medical Ethics, 5(3), 44-50. https://doi.org/10.1111/inr.12195
Huang, H., Zhang, H., Xie, Y., Wang, S. B., Cui, H., Li, L., ... & Geng, Q. (2020). Effect of balint group training on burnout and quality of work life among intensive care nurses: a randomized controlled trial. Neurology, Psychiatry and Brain Research, 35, 16-21.
Karakachian, A., & Colbert, A. (2019). Nurses' moral distress, burnout, and intentions to leave: an integrative review. Journal of Forensic Nursing, 15(3), 133-142. doi: 10.1097/JFN.0000000000000249
Kim, K., Han, Y., Kwak, Y., & Kim, J. S. (2015). Professional quality of life and clinical competencies among Korean nurses. Asian Nursing Research, 9(3), 200-206. https://doi.org/10.1016/j.anr.2015.03.002
Kunaviktikul, W., Wichaikhum, O., Nantsupawat, A., Nantsupawat, R., Chontawan, R., Klunklin, A., ... & Sirakamon, S. (2015). Nurses' extended work hours: patient, nurse and organizational outcomes. International Nursing Review, 62(3), 386-393.
Lazzari, T., Terzoni, S., Destrebecq, A., Meani, L., Bonetti, L., & Ferrara, P. (2020). Moral distress in correctional nurses: A national survey. Nursing Ethics, 27(1), 40-52.
Liu, Y., Wu, L. M., Chou, P. L., Chen, M. H., Yang, L. C., & Hsu, H. T. (2016). The influence of work‐related fatigue, work conditions, and personal characteristics on intent to leave among new nurses. Journal of Nursing Scholarship, 48(1), 66-73. https://doi.org/10.1111/jnu.12181
Lu, M. H., Weng, L. T., Chen, Y. L., Lin, C., Wang, C. H., & Pan, H. H. (2020). Predictors of professional quality of life among nursing staff following the Taiwan Formosa Fun Coast explosion. Burns, 46(2), 423-429. https://doi.org/10.1016/j.burns.2019.02.010
Ludin, S. M. (2018). Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey. Intensive and Critical Care Nursing, 44, 1-10. https://doi.org/10.1016/j.iccn.2017.06.002Get
Lusignani, M., Giannì, M. L., Re, L. G., & Buffon, M. L. (2017). Moral distress among nurses in medical, surgical and , intensive‐care units. Journal of Nursing Management, 25(6), 477-485. https://doi.org/10.1111/jonm.12431
Mealer, M., & Moss, M. (2016). Moral distress in ICU nurses. Intensive Care Medicine, 42(10), 1615-1617. https://doi.org/10.1007/s00134-016-4441-1
Moradi, T., Maghaminejad, F., & Azizi-Fini, I. (2014). Quality of working life of nurses and its related factors. Nursing and Midwifery Studies, 3(2). https://doi.org/10.1177/0969733019834976
Nowrouzi, B., Giddens, E., Gohar, B., Schoenenberger, S., Bautista, M. C., & Casole, J. (2016). The quality of work life of registered nurses in Canada and the United States: A comprehensive literature review. International Journal of Occupational and Environmental Health, 22(4), 341-358.
O’Connell, C. B. (2015). Gender and the experience of moral distress in critical care nurses. Nursing etEthics22(1), 32-42. https://doi.org/10.1177/0969733013513216
Remegio, W., Rivera, R. R., Griffin, M. Q., & Fitzpatrick, J. J. (2021). The professional quality of life and work engagement of nurse leaders. Nurse Leader, 19(1), 95-100. https://doi.org/10.1080/10773525.2016.1241920
Robaee, N., Atashzadeh-Shoorideh, F., Ashktorab, T., Baghestani, A., & Barkhordari-Sharifabad, M. (2018). Perceived organizational support and moral distress among nurses. BMC nursing, 17(1), 1-7.
Razieh, S., Somayeh, G., & Fariba, H. (2018). Effects of reflection on clinical decision-making of intensive care unit nurses. Nurse education today, 66, 10-14.
Sacco, T. L., Ciurzynski, S. M., Harvey, M. E., & Ingersoll, G. L. (2015). Compassion satisfaction and compassion fatigue among critical care nurses. Critical Care Nurse, 35(4), 32-42. https://doi.org/10.4037/ccn2015392
Sheen, K., Slade, P., & Spiby, H. (2014). An integrative review of the impact of indirect trauma exposure in health professionals and potential issues of salience for midwives. Journal of Advanced Nursing, 70(4), 729-743. https://doi.org/10.1111/jan.12274
Shorideh, F. A., Ashktorab, T., & Yaghmaei, F. (2012). Iranian intensive care unit nurses’ moral distress: a content analysis. Nursing Ethics, 19(4), 464-478. https://doi.org/10.1177/0969733012437988
Sirilla, J., Thompson, K., Yamokoski, T., Risser, M. D., & Chipps, E. (2017). Moral distress in nurses providing direct patient care at an academic medical center. Worldviews on Evidence‐Based Nursing, 14(2), 128-135. https://doi.org/10.1111/wvn.12213
Tehranineshat, B., Torabizadeh, C., & Bijani, M. (2020). A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran. International Journal of Nursing Sciences, 7(3), 313-319. https://doi.org/10.1016/j.ijnss.2020.06.001
Turchi, V., Verzuri, A., Nante, N., Napolitani, M., Bugnoli, G., Severi, F. M., ... & Messina, G. (2019). Night work and quality of life. A study on the health of nurses. Annali dell'Istituto Superiore di Sanità, 55(2), 161-169.
Wulandari, A. E., Susilaningsih, F. S., & Somantri, I. (2018). The Professional quality of life of nurses who work in the intensive care unit and emergency unit. Journal of Nursing Care, 1(3). https://doi.org/10.24198/jnc.v1i3.18983
Yılmaz, G., & Üstün, B. (2018). Professional quality of life in nurses: Compassion satisfaction and compassion fatigue. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 9(3). https://doi.org/10.14744/phd.2018.86648
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
