Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying.
Burnout
mediation
moral distress
nurses
structural equation modeling
workplace bullying
Journal
Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
pubmed:
26
6
2018
medline:
29
8
2020
entrez:
26
6
2018
Statut:
ppublish
Résumé
Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse's burnout. To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying. The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences. This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying. The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 ± 35.26, 79.9 ± 18.27, and 45.4 ± 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly. Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout.
Sections du résumé
BACKGROUND
BACKGROUND
Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse's burnout.
AIM
OBJECTIVE
To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying.
ETHICAL CONSIDERATIONS
METHODS
The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences.
METHOD
METHODS
This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying.
RESULTS
RESULTS
The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 ± 35.26, 79.9 ± 18.27, and 45.4 ± 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly.
CONCLUSION
CONCLUSIONS
Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout.
Identifiants
pubmed: 29938574
doi: 10.1177/0969733018779210
doi:
Types de publication
Journal Article
Langues
eng