Moral distress among nurses during <scp>COVID</scp>‐19 pandemic: Challenges and coping strategies

Ghazanfari, Mohammad Javad; Esmaeili, Shaqayeq; Zeydi, Amir Emami; Karkhah, Samad

doi:10.1002/nop2.1248

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…The current study explored nurses' professional obligations when dealing with COVID‐19 patients during the pandemic. Nursing professional obligations embody nurses' ethics, values and motivations to give excellence in care for the patients (Ghazanfari et al, 2022 ; Suandika et al, 2021 ). It aids nurses in understanding professional objectives and nursing principles (McNett et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Coping strategies adopted by frontline nurses in dealing with COVID‐19 patients in a developing country during the pandemic: A qualitative study

et al. 2023

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Aim This study aimed to explore the coping strategies adopted by frontline nurses in dealing with COVID‐19 patients during the pandemic in Bangladesh. Design A qualitative descriptive study. Methods Purposive sampling was used to recruit seventeen frontline nurses from three COVID‐19‐specific hospitals in Dhaka City. In‐depth online interviews and semi‐structured questionnaires were used to collect data through the Google Meet platform. Interview sessions audio–video were recorded, interpreted, analysed, verbatim transcribed and quotes of the participants were verified by member checking. Thematic analysis was used in this research. The study's reporting guidelines were based on the consolidated criteria for reporting qualitative research. Results Seven themes were identified after careful data analysis: (i) A positive attitude in dealing with challenging situation, (ii) Intimate partner's influence, (iii) Self‐emotional regulation, (iv) The tendency to avoid negativity, (v) Motivated by professional obligations, (vi) Religious influence, (vii) Recreational activities. No patient or public contribution This study explored various coping strategies employed by frontline nurses in caring for COVID‐19 patients. No patient or public contribution was investigated.

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Section: Discussionmentioning

confidence: 99%

Coping strategies adopted by frontline nurses in dealing with COVID‐19 patients in a developing country during the pandemic: A qualitative study

et al. 2023

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“…Most recommendations have focused on addressing the symptoms of moral distress through activities such as meditation, ensuring adequate sleep, listening to music [21], personal refection, and informal conversations with colleagues [10,22,23]. However, these self-care strategies often align more with alleviating post-traumatic stress disorder symptoms than moral distress [24] and limited evidence supports their efectiveness in the context of moral distress. Furthermore, emphasizing these coping techniques may inadvertently frame moral distress as a challenge for individuals, implying that personal resilience is the primary solution.…”

Section: Introductionmentioning

confidence: 99%

Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study

Lee,

Ji,

Lee

et al. 2024

Journal of Nursing Management

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The COVID-19 pandemic has exacerbated the difficulties nurses face, resulting in higher turnover rates and workforce shortages. This study investigated the relationships between nurses’ moral distress, burnout, and turnover intention during the last stage of the COVID-19 pandemic. It also explored the coping strategies nurses use to mitigate moral distress. Utilizing a mixed-method approach, this study analyzed data from 307 nurses caring for patients with COVID-19 in acute care hospitals through an online survey conducted in November 2022. Our data analysis encompassed quantitative methods, including descriptive statistics and path analysis, using a generalized structural equation model. For the qualitative aspect, we examined open-ended responses from 246 nurses using inductive content analysis. The quantitative findings revealed that nurses’ moral distress had a significant direct effect on turnover intention. In addition, burnout significantly mediated the relationship between moral distress and turnover intention. Qualitative analyses contextualized the relationships uncovered in the quantitative analyses. The qualitative analysis identified various positive and negative coping strategies. Positive strategies included a commitment to minimize COVID-19 transmission risks, adopting a holistic approach amidst the challenges posed by the pandemic, voicing concerns for patient safety, engaging in continuous learning, and prioritizing self-care. Conversely, negative strategies involved adopting avoidance behaviors stemming from feelings of powerlessness and adopting a passive approach to one’s role. Notably, some participants shifted from positive to negative coping strategies because of institutional barriers and challenges. The findings underscore the importance for hospital administrators and nurse managers to acknowledge the impact of the pandemic-related challenges encountered by nurses and recognize the link among moral distress, burnout, and turnover intention. It highlights the essential role of organizational and managerial support in fostering effective coping strategies among nurses to address moral distress.

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“…On December 2019, coronavirus disease 2019 (COVID- 19) emerged in Wuhan, China. The rapid spread of this disease in the world led to a global health crisis [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. The mortality rate of COVID-19 patients was more than six million people in the world until March 20, 2022 [15].…”

Section: │ Introductionmentioning

confidence: 99%

Comparison of the characteristics of coronavirus disease 2019 (COVID-19) in dead and survived patients with heart failure: A retrospective study from northern Iran

Ghorbani Vajargah,

Salari,

Ahmadnia

et al. 2024

JNRCP

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During coronavirus disease 2019 (COVID-19), one of the comorbidities that can cause more severe negative clinical consequences than other patients are heart failure (HF) disease. This study aimed to assess and compare characteristics of COVID-19 in dead or survived patients with HF. Using a retrospective study, 78 HF patients with COVID-19 referred to a heart center in northern Iran were included. Data gathering was performed via census sampling from August 2020 to 2021. The medical records of Hf patients with COVID-19 were assessed. Chi-square and t-tests were used to assess the relationship between study variables. Multiple logistic regression analysis was also applied to assess the relationships of clinical and demographic characteristics with in-hospital mortality.

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Moral distress among nurses during COVID‐19 pandemic: Challenges and coping strategies

Cited by 6 publications

References 5 publications

Coping strategies adopted by frontline nurses in dealing with COVID‐19 patients in a developing country during the pandemic: A qualitative study

Coping strategies adopted by frontline nurses in dealing with COVID‐19 patients in a developing country during the pandemic: A qualitative study

Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study

Comparison of the characteristics of coronavirus disease 2019 (COVID-19) in dead and survived patients with heart failure: A retrospective study from northern Iran

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