Moral Competence and Perceived Moral Distress among Health Care Professionals in an Urban Health Care Setting; Facility Based Study

Manchana, Varalakshmi

doi:10.21275/art20172388

Cited by 2 publications

(2 citation statements)

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“…[ 27 ] Lack of appropriate public image was another factor for moral distress in nurses, echoing the findings from a previous study. [ 7 28 ] Support from the family and friends was the highest valued support by the nurses in the present study, similar to previous evidence. [ 29 ] The findings of a study showed 19% of the nurses take alcohol to cope with stress.…”

Section: Discussionsupporting

confidence: 91%

“…Evidence suggests that moral distress is negatively associated with job satisfaction and the perceived quality of health care. [ 7 ] Resilience has been shown as the resource for coping with moral distress and burnout. However, little research has been available to understand and address job demands and moral distress among health-care workforce.…”

Section: Introductionmentioning

confidence: 99%

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Job demands and job resources for job satisfaction and quality health outcomes among nurses during COVID-19

Manchana

2022

Journal of Education and Health Promotion

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BACKGROUND: Coronavirus disease 2019 (COVID-19) pandemic has created unprecedented challenges for the Indian health-care system. Nurses, being vital partners of health care, experience tremendous challenges and job stress to deliver quality health care with limited resources. Drastic surge in health-care demands during COVID-19 pandemic amplified the challenges for nurses, yet it remains a neglected area of concern. Job resources like working conditions, team support, and job demands like workload, stress, and ethical dilemmas greatly affect the job satisfaction and health outcomes in nurses. The study aims to identify the job demands and resources among nurses in connection to COVID 19. MATERIALS AND METHODS: A quantitative cross-sectional design was adopted to assess the impact of job demands and resources among registered nurses ( N = 102). Those in the age group of 21–58 years and working in regular and COVID-19 patient care were included. Semi-structured interview schedule was used, and psychological impact was assessed through DASS-21 scale. Data analysis was done by descriptive and analytical statistical applications using Statistical Package for the Social Sciences (SPSS) 20. The level of significance was P ≤ 0.05. RESULTS: The study findings revealed that 66.67% of the nurses frequently experienced work pressure, 72.55%experienced frequent moral distress, and 80.4%were dissatisfied due to being non-participatory inpatient care decision making. Of all, 67.3% agreed that they hadjob dissatisfaction and 79.4% felt conflicting work climate. CONCLUSION: Nurses, being key players in the health care, experience constant challenges in the delivery of safe and quality patient care. Addressing the challenges of job stress and promoting job resources can positively impact their job satisfaction, perceived autonomy, job morale, and commitment, which directly influence positive health outcomes.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%