Analytical study of care quality and moral distress in clinical situations and patient care
Masoumeh Hasanlo
Arezo Azarm
Parvaneh Asadi
Kourosh Amini
Hossein Ebrahimi
Mohammad Asghari Jafarabadi
1.Department of Surgical Technology, Zanjan University of Medical Sciences, Zanjan, Iran2.Education and Treatment Center of Beheshti, Zanjan University of Medical Sciences, Zanjan, Iran3.Kermanshah University of Medical Sciences, Kermanshah, Iran4.Zanjan Social Determinations of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran5.Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran6.Health Services Management Research Center, Faculty of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
摘要：Objective: Nursing profession conventionally meets a high standard of ethical behavior and action. One of the ethical challenges in nursing profession is moral distress. Nurses frequently expose to this phenomenon which leads to different consequences such as being bored by delivering patient care that decline care quality and make it challenging to achieve health purposes. This study was conducted to investigate the association between the aspects of moral distress and care quality. Methods: In this descriptive–analytical study, 545 nurses of intensive and cardiac care units and dialysis and psychiatric wards were recruited by census sampling. Three questionnaires, Sociodemographics, Moral Distress Scale, and Quality Patient Care Scale, were distributed among the participants and collected within 9 months. Data analysis was conducted by descriptive statistics, analysis of variance, and the least significant difference in SPSS 13. Results: Investigating moral distress domains (ignoring patient, decision-making power, and professional competence) and care quality domains (psychosocial, physical, and communicational) demonstrated that in being exposed to moral distress, ignoring patient had no effect on psychosocial domain (P=0.056), but decision-making and professional competence of moral distress had positive effect on psychosocial, physical (bodily), and communication domains of care quality. Conclusions: Because moral distress domains are effective on patient care quality, it is recommended to enhance the knowledge of nurses, especially beginners, about moral distress, increase their strength alongside standardizing nursing services in decision-making domains, improve the professional competence, and pay attention to patients.
机标关键词：professional competenceethical behaviorpositive effect
论文发表日期：2019-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 327-334 )
英文信息