Moral distress and compassion fatigue in nurses of neonatal intensive care unit

Saleh, Zahra Noghanchi; Loghmani, Laleh; Rasouli, Milad; Nasiri, Maliheh; Borhani, Fariba

doi:10.29333/ejgm/93473

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…In their study, which is the only one on the subject in the literature, Kılıç et al [1], found that there was no relationship between compassion level and ethical sensitivity. In other studies, it was reported that there was a positive relationship between compassion fatigue and moral distress, and that nurses experiencing compassion fatigue feel moral distress intensely [38,39]. The finding of the study may have resulted from the approaches applied in the institution where the study was conducted, focused on improving the quality of patient care and increasing nurse satisfaction.…”

Section: Discussionmentioning

confidence: 87%

The Effect on Ethical Sensitivity of Compassion Level in Nurses

2021

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Introduction: Nurses should have sufficient knowledge and skills for care, and they are also expected to be able to provide compassionate care and fulfill ethical principles. In fact, a decrease in compassion may lead to a decrease in the importance given to ethical values. Objectives:The study was conducted to determine the level of compassion and ethical sensitivity of nurses and to identify the relationship between compassion level and ethical sensitivity. Methods:A cross-sectional study carried out with 689 nurses working in a university hospital in Turkey between January-March 2020. The study data were collected using individual information form, the Compassion Scale, and the Ethical Sensitivity Questionnaire. Mann-Whitney U-test, Kruskal-Wallis test, Spearman's correlation test and multiple linear regression analysis were used to evaluate the data.Results: It was determined that compassion and ethical sensitivity levels of the nurses were partially high, and that as the compassion levels of nurses increased, the level of ethical sensitivity also increased. Besides, it was determined that the nurses' levels of kindness, common humanity, and mindfulness, which are sub-dimensions of compassion, are factors that significantly affect the ethical sensitivity and that these factors explain 8% of the total variance at the ethical sensitivity level (R=0.283, R 2 =0,080, F=9,899, p<0.01). Conclusions:It was determined that nurses' compassion and ethical sensitivity levels were partially high, as their level of compassion increased, their ethical sensitivity also increased, and compassion is an important predictor in ethical sensitivity. Practices to increase the compassion level of nurses should be prioritized.

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Section: Discussionmentioning

confidence: 87%

The Effect on Ethical Sensitivity of Compassion Level in Nurses

2021

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“…Saleh et al also showed that higher work experience in neonatal wards is one of the factors associated with higher compassion fatigue. 28 Long-term working in critical care units due to the high sensitivity of nursing care compared to other wards, frequent deaths, multiple cardiopulmonary resuscitation operations, and constant monitoring of patients can be possible causes of fatigue in nurses in these wards.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses

Ameri¹,

Mirhosseini²,

Basirinezhad³

et al. 2021

Indian Journal of Critical Care Medicine

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Background The critical care unit is inherently stressful due to its complexity, leading to fatigue and consequences such as restless legs syndrome (RLS). This study aimed to investigate the prevalence of RLS and its relationship with fatigue in critical care nurses. Patients and methods This cross-sectional study was performed with 200 nurses of critical care units of Shahroud hospitals in 2019 using the census sampling method. Data collection tools included the RLS questionnaire and the Multidimensional Fatigue Inventory. Data analysis was performed using descriptive and inferential statistics (multiple linear regression analysis). Results The results showed that 72% of the subjects had moderate to high RLS, and their mean fatigue was 55.31 ± 10.53. By increasing one point in the score of RLS and 1 year of critical care nursing experience, the fatigue score increases by 0.3 and 0.71. Conclusions Considering the relationship between fatigue and RLS in critical care nurses, supportive interventions seem necessary to reduce the effects of these two components. How to cite this article Ameri M, Mirhosseini S, Basirinezhad MH, Ebrahimi H. Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses. Indian J Crit Care Med 2021;25(11):1275–1279.

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“…Synthesis of the scientific literature demonstrates a central theme describing moral distress as a ubiquitous problem contributing to physical, psychosocial, and emotional effects on nurses resulting in unintended consequences impacting patient care, communication between the interdisciplinary team, the practice environment, and intent to leave the profession. 2,4,5,12,16 The body of research describing the phenomenon of moral distress in NICU nurses focuses on measuring the experience of moral distress, sources of moral distress, the consequences of moral distress, and potential interventions to diminish the negative effects of moral distress. 1,3,[15][16][17][18][19][20] Common ethical challenges in the NICU contributing to moral distress are described in the literature as related to advances in technology, inadequate staffing and resources, caring for infants born at the edge of viability, interdisciplinary communication and hierarchical organizational struggles, and organizational regulations and restrictions.…”

Section: Literature Reviewmentioning

confidence: 99%

“…he phenomenon of moral distress experienced by nurses is recognized as a significant problem with vast implications for nursing practice. [1][2][3][4][5][6][7][8][9] Moral distress in nurses contributes to dissatisfaction with the nursing professional practice role, potentially exacerbating the nursing shortage through attrition. In 1984, philosopher Andrew Jameton 10 first defined the concept of moral distress in nurses as knowing what is right for the patient yet feeling powerless to do the right thing due to unalterable constraints.…”

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confidence: 99%

“…They can result in lesser quality patient care, communication problems within the interdisciplinary team, an ethically challenging practice environment, and intent to leave the profession. [1][2][3][4]12 In recent literature, the components of moral distress have been described as a threat to the nurse's moral integrity due to pressure to act in a manner misaligned with the values of the profession. 3,13,14 Growing concern exists that the negative consequences of persistent moral distress on nursing practice and its subsequent effect on the profession affect both the quality and delivery of optimal patient care.…”

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confidence: 99%

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Relationship Between Moral Distress and Intent to Leave a Position Among Neonatal Intensive Care Nurses

Hally¹,

Settle²,

Nelson³

2021

Advances in Neonatal Care

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Background: The phenomenon of moral distress is prevalent in the literature, but little is known about the experiences of nurses working in the neonatal intensive care unit (NICU). In addition, a paucity of literature exists exploring the relationship between moral distress and intent to leave a position in NICU nurses. Purpose: To explore the phenomenon of moral distress in NICU nurses using the Measure of Moral Distress for Health Care Professionals (MMD-HP) survey. Methods: A cross-sectional, descriptive, correlational study was conducted nationally via an electronic survey distributed to NICU nurses who are members of National Association of Neonatal Nurses (NANN). Participants were asked to electronically complete the MMD-HP survey between March 27 and April 8, 2020. Findings: A total of 75 NICU nurses completed the survey, and 65 surveys were included for data analysis. Five situations from the survey had a composite MMD-HP score of more than 400. Results indicated that 41.5% of the NICU nurses surveyed considered leaving a clinical position due to moral distress, and 23.1% of the nurses surveyed left a position due to moral distress. Implications for Practice: NICU nurses experiencing high MMD-HP scores are more likely to leave a position. Further research is needed to develop strategies useful in mitigating moral distress in and prevent attrition of NICU nurses. Implications for Research: Many NICU nurses experiencing high levels of moral distress have left positions or are considering leaving a clinical position. Longitudinal interventional studies are vital to understand, prevent, and address the root causes of moral distress experienced by NICU nurses.

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Moral distress and compassion fatigue in nurses of neonatal intensive care unit

Cited by 15 publications

References 14 publications

The Effect on Ethical Sensitivity of Compassion Level in Nurses

The Effect on Ethical Sensitivity of Compassion Level in Nurses

Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses

Relationship Between Moral Distress and Intent to Leave a Position Among Neonatal Intensive Care Nurses

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