The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization.
Ethical climate
Hospital
Moral distress
Nurses
Journal
Journal of medical ethics and history of medicine
ISSN: 2008-0387
Titre abrégé: J Med Ethics Hist Med
Pays: Iran
ID NLM: 101606442
Informations de publication
Date de publication:
2019
2019
Historique:
received:
19
05
2018
accepted:
06
07
2019
entrez:
25
4
2020
pubmed:
25
4
2020
medline:
25
4
2020
Statut:
epublish
Résumé
The present study was conducted to determine the relation between nurses' moral distress and the ethical climate in selected hospitals of the Iranian Social Security Organization (ISSO). This descriptive-analytical correlational study was conducted in 6 hospitals under the coverage of the Iranian Social Security Organization in 2016. Three hundred nurses were selected by convenience sampling method. Data were gathered using Corley's Standard Moral Distress and Olson's Hospital Ethical Climate Scales. Data were analyzed using SPSS software version 19. The mean score of the nurses' moral distress was 1.94 ± 0.66, which is considered moderate. The mean score of ethical climate was 88.97, indicating desirable ethical climate in these hospitals. The frequency score of moral distress had a unilateral reverse correlation with the total score of ethical climate as well as its dimensions, including colleagues, patients, hospitals and physicians. The score of the intensity of nurses' moral distress also had a unilateral reverse correlation with the total score of ethical climate and the scores of the hospital and physicians dimensions. These results emphasized the importance of creating a positive ethical climate to decrease moral distress as well as the need for professional interventions to increase support in moral issues.
Identifiants
pubmed: 32328221
doi: 10.18502/jmehm.v12i8.1339
pii: JMEHM-12-8
pmc: PMC7166247
doi:
Types de publication
Journal Article
Langues
eng
Pagination
8Informations de copyright
2019 Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences. All rights reserved.
Références
J Nurs Scholarsh. 2005;37(2):173-7
pubmed: 15960062
JONAS Healthc Law Ethics Regul. 2000 Mar;2(1):29-41
pubmed: 10824015
J Nurs Manag. 2008 Apr;16(3):360-73
pubmed: 18324996
Nurs Ethics. 2005 Jul;12(4):381-90
pubmed: 16045246
J Adv Nurs. 2001 Jan;33(2):250-6
pubmed: 11168709
J Adv Nurs. 2009 Apr;65(4):885-92
pubmed: 19243462
Adv Neonatal Care. 2010 Jun;10(3):145-56
pubmed: 20505425
Am J Crit Care. 2005 Nov;14(6):523-30
pubmed: 16249589
Nurs Ethics. 2008 May;15(3):304-21
pubmed: 18388166
Soc Sci Med. 2007 Oct;65(8):1708-19
pubmed: 17619068
Nurs Econ. 2007 Jul-Aug;25(4):217-21
pubmed: 17847657
Nurs Ethics. 2002 Jul;9(4):373-87
pubmed: 12219401
Nurs Ethics. 2016 Dec;23(8):877-888
pubmed: 26116632
Int J Nurs Stud. 2013 Jan;50(1):100-8
pubmed: 22989404
J Clin Nurs. 2008 Mar;17(5A):6-15
pubmed: 18298752
Nurs Ethics. 2009 Sep;16(5):561-73
pubmed: 19671643
J Nurs Manag. 2002 Jan;10(1):37-45
pubmed: 11906599
Nurs Ethics. 2002 Nov;9(6):636-50
pubmed: 12450000
Int Nurs Rev. 1995 May-Jun;42(3):85-90
pubmed: 7649724
Nurs Ethics. 2017 Jun;24(4):474-482
pubmed: 26419438
Health Aff (Millwood). 2001 May-Jun;20(3):43-53
pubmed: 11585181
Nurs Ethics. 2016 May;23(3):265-76
pubmed: 25566814
Nurs Ethics. 2003 May;10(3):312-22
pubmed: 12762464
Nurs Ethics. 2002 Mar;9(2):155-78
pubmed: 11944206
J Emerg Nurs. 2013 Nov;39(6):547-52
pubmed: 23414814
J Clin Nurs. 2011 Dec;20(23-24):3483-93
pubmed: 21884556