Moral Distress and relationship between Physician and Nurses

Mohammadi, Somayeh; Borhani, Fariba; Roshanzadeh, Mostafa

doi:10.21859/mej-10367

Cited by 14 publications

(22 citation statements)

References 1 publication

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“…However, they did not report any significant relationship between MD and the education level of the participants. 24,25,33 But unlike our study, BSc was the minimum level of education in most studies. Also, the lack of a significant relationship between MD and work experience in the present study could be due to a low mean of the years of work experience of the participants.…”

Section: Discussioncontrasting

confidence: 72%

Severity and frequency of moral distress among midwives working in birth centers

2018

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Background: When individuals are aware of the appropriate ethical practice, but lack the ability to do it, they will suffer from moral distress. Moral distress is a frequent phenomenon in clinical practice which can have different effects on the performance of physicians, nurses, and midwives, and therefore patients and health care systems. Research objective: The present study aimed to determine the severity and frequency of moral distress in midwives working in birth centers. Research design: This study is a descriptive cross-sectional research. Researcher-made questionnaire was used to gather data. Participants and research context: A total of 180 midwives working in the labor ward of the public birth centers affiliated to Shahid Beheshti University of Medical Sciences were included to the study by census. Ethical considerations: Official permission for data collecting was obtained from the directors of the birth centers affiliated to Shahid Beheshti University of Medical Sciences. Then, after explaining the objectives of the study and assuring the confidentially of information, verbal consent of the participants was obtained. Findings: The total mean ± standard deviation of the severity and frequency of moral distress were 3.85 ± 0.75 and 3.03 ± 0.48, respectively. The highest severity and the lowest frequency of moral distress were obtained for the assistance for abortion and the lowest severity of moral distress was related to the organizational domain. However, the highest frequency of moral distress was related to futile care field. The mean of moral distress severity in the midwives with associate degree was significantly lower than other levels of education. Also, there was a significant relationship between age and moral distress frequency (p = 0.010). Discussion: The midwives’ moral distress was relatively high as expected. This finding is consistent with the results of similar studies in intensive care unit nurses. Conclusion: After identifying the level and most important factors of moral distress among midwives, the next step is empower them to prevent moral distress, in particular efforts to change structures.

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Section: Discussioncontrasting

confidence: 72%

Severity and frequency of moral distress among midwives working in birth centers

2018

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“…3 Moral distress can have essential drawbacks such as stress, frustration, job dissatisfaction and leaving the workplace or even the nursing profession. 4 Moreover, it can lead to physical problems outbreak such as diarrhoea, chills, headache and crying. 5 Consequences of moral distress have been indicated in prior studies that participants had stated they did not tend to get any invasive procedures if the patients were suffered from severe and worse illness, had Dementia or persistent vegetative state.…”

Section: Introductionmentioning

confidence: 99%

“…3 Moral distress can have essential drawbacks such as stress, frustration, job dissatisfaction and leaving the workplace or even the nursing profession. 4…”

Section: Introductionmentioning

confidence: 99%

Moral distress situations in nursing care

Moshtagh

Mohsenpour

2019

Clinical Ethics

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Introduction: When professional nurses face an obstacle in their perfect purposes, they would experience moral distress which is a suffering situation. This study aims at exploring conditions which lead to high levels of moral distress for nursing personnel within a teaching hospital in Iran. Methods: All nursing staffs worked in ICU, CCU, open heart surgery and emergency ward of a teaching hospital in Mashhad, Iran, were evaluated in a descriptive study by translated and modified moral distress questionnaire of Corley. Results: According to the participants, the mean age and work experience were 34.15 AE 4.17 and 10.77 AE 4.06, respectively. Almost 91.5% of nurses had a bachelor degree, and 51.1% of them were female. The most amount of moral distress was identified in contribution to physicians who have not enough skills, disregarding patients' right, and the inability for providing drugs. Discussion: Post-CCU and assistant nurses, especially female individuals had higher scores of moral distress compare with others in our study. However, some studies have reported different results between demographic features and the moral distress of nurses. These divert findings might have been created due to cultural issues or be related to conflicts caused by personal and social roles. Conclusion: Classification of moral distress in nurses based on practical situations in teaching hospitals may be helpful for healthcare managers. Making new policies to mitigate moral distress in the care field would be useful in the promotion of self-efficiency in nursing staffs as well as mental health and public welfare.

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“…Previous studies have reported that burnout syndrome, common among OR personnel, is the result of working in stressful settings which in turn can cause anti-social behavior (28)(29)(30). In addition, ethical distress among nurses is indicative of their inability to work in accordance with their code of ethics (31)(32)(33)(34)(35).…”

Section: Introductionmentioning

confidence: 99%