Effect of moral empowerment program on moral distress in intensive care unit nurses.
Adult
Analysis of Variance
Attitude of Health Personnel
Female
Humans
Intensive Care Units
/ organization & administration
Iran
Job Satisfaction
Male
Middle Aged
Morals
Nurses
/ psychology
Power, Psychological
Program Evaluation
/ methods
Psychometrics
/ instrumentation
Stress, Psychological
/ psychology
Surveys and Questionnaires
Teaching
/ psychology
Empowerment
intensive care unit
moral distress
nurse
Journal
Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
pubmed:
27
4
2018
medline:
1
10
2019
entrez:
27
4
2018
Statut:
ppublish
Résumé
Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system. The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality of care. This research was a randomized clinical trial conducted in two groups and three stages before, after 2 weeks, and 1 month after the intervention in order to evaluate the changes in moral distress of 60 nurses working in adults' intensive care unit wards of Al-Zahra teaching hospital of Isfahan University of Medical Sciences. Data were collected using the standard Hamric's Moral Distress Scale (2012) and analyzed using SPSS software version 22. This study was approved by the Ethics Committee of Isfahan University of Medical Sciences, Isfahan, Iran. Results showed that in the three stages, there was no significant difference between the mean score of moral distress before (4.12 ± 2.70), 2 weeks after (4.23 ± 2.70), and 1 month after the intervention (4.04 ± 2.54) in the control group (p > 0.05), while in the experimental group, there was a significant difference between the three stages (p < 0.05). The mean score of moral distress in the experimental group before intervention (4.05 ± 2.26) and 2 weeks after the intervention (3.38 ± 2.11) was not significant (p > 0.05). However, this score significantly decreased 1 month after the intervention (2.64 ± 2.23; p < 0.05). In this research, it was observed that moral empowerment program has been effective in reducing the mean score of moral distress. Therefore, it is recommended that nursing managers and hospital directors implement empowerment program, in order to reduce the moral distress of nurses and improve the quality of care.
Sections du résumé
BACKGROUND
BACKGROUND
Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system.
OBJECTIVE
OBJECTIVE
The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality of care.
METHODS
METHODS
This research was a randomized clinical trial conducted in two groups and three stages before, after 2 weeks, and 1 month after the intervention in order to evaluate the changes in moral distress of 60 nurses working in adults' intensive care unit wards of Al-Zahra teaching hospital of Isfahan University of Medical Sciences. Data were collected using the standard Hamric's Moral Distress Scale (2012) and analyzed using SPSS software version 22.
ETHICAL CONSIDERATIONS
METHODS
This study was approved by the Ethics Committee of Isfahan University of Medical Sciences, Isfahan, Iran.
RESULTS
RESULTS
Results showed that in the three stages, there was no significant difference between the mean score of moral distress before (4.12 ± 2.70), 2 weeks after (4.23 ± 2.70), and 1 month after the intervention (4.04 ± 2.54) in the control group (p > 0.05), while in the experimental group, there was a significant difference between the three stages (p < 0.05). The mean score of moral distress in the experimental group before intervention (4.05 ± 2.26) and 2 weeks after the intervention (3.38 ± 2.11) was not significant (p > 0.05). However, this score significantly decreased 1 month after the intervention (2.64 ± 2.23; p < 0.05).
CONCLUSION
CONCLUSIONS
In this research, it was observed that moral empowerment program has been effective in reducing the mean score of moral distress. Therefore, it is recommended that nursing managers and hospital directors implement empowerment program, in order to reduce the moral distress of nurses and improve the quality of care.
Identifiants
pubmed: 29695198
doi: 10.1177/0969733018766576
doi:
Types de publication
Journal Article
Langues
eng