Moral sensitivity and moral distress correlation in nurses caring of patients with spinal cord injury

Goyaghaj, Naser Sedghi; Zoka, Amir; Mohsenpour, Mohaddeseh

doi:10.1177/1477750921994279

Cited by 14 publications

(9 citation statements)

References 22 publications

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“…16 Moreover, increased ethical sensitivity is associated with diminished moral distress among healthcare professionals. 17 This means that improving moral sensitivity scores among healthcare professionals might improve the quality of patient care.…”

Section: Introductionmentioning

confidence: 99%

The Predictors of Moral Sensitivity Among Physicians

Alyousefi¹,

Alibrahim²,

Taleb³

et al. 2021

IJGM

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Purpose:The continually advancing nature of health care has improved the quality of care provided to patients. However, it has also resulted in complex ethical issues healthcare providers face in Saudi Arabia. Literature concerning healthcare workers' moral sensitivity in Saudi Arabia is limited. This study aims to estimate moral sensitivity among physicians and determine the factors that influence it. Participants and Methods: A descriptive cross-sectional study was carried out among physicians working at a tertiary hospital. The Moral Sensitivity Questionnaire (MSQ) developed by Kim Lützén was used. The lowest score that can be obtained from the MSQ is 30, and the highest score is 210. Low scores demonstrate high ethical sensitivity, and high scores indicate low ethical sensitivity. Results: A total of 253 physicians participated in the study. The mean score of moral sensitivity was 90.6±19.6. There is a significant difference in the overall moral sensitivity in relation to age (P = 0.049). There are significant differences in the Moral conflict dimension according to age (P = 0.002), parental status (P = 0.011), being a member of an ethical committee (P = 0.025), years of experience (P = 0.002), clinical ranking (P < 0.001), and previous training in bioethics (P = 0.029). There were significant differences in the Relational orientation dimension with the clinical ranking (P = 0.038) and specialty (P = 0.038). Membership of an ethical committee is a significant variable in the Benefit dimension (P = 0.028). Correlation coefficients between the overall moral sensitivity score and its dimensions were Autonomy (r = 0.68), Practice (r = 0.69), and Holistic approach (r = 0.69). Physicians who previously had training in bioethics (β 2.37, P = 0.022) and physicians who worked with clinical ethics committee (β 2.66, P = 0.008) were more likely to score better in Moral conflict dimension. Conclusion: Implementing ethical training for medical students and physicians will help raise their moral sensitivity levels, thereby enhancing how they deal with ethical dilemmas.

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Section: Introductionmentioning

confidence: 99%

The Predictors of Moral Sensitivity Among Physicians

Alyousefi¹,

Alibrahim²,

Taleb³

et al. 2021

IJGM

View full text Add to dashboard Cite

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“…17 In addition, lack of awareness of patients from complaints-handling authorities is a barrier to the detection of medical errors 28 and makes them vulnerable and caused moral distress, and decreases moral sensitivity in health care providers. 29 As can be seen, in the present study, patients considered this area as the least important among all aspects of patient rights which can be a threat to the practice of patients' rights. Researchers should pay more attention to this issue and provide a solution to increase the demands of patients for their rights and accountability of therapists to guarantee compliance with the other aspects of patient rights.…”

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Comparison of the views of patients and rehabilitation therapists on the importance and respecting of the patients’ rights charter

et al. 2022

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Introduction Respecting the Patients’ Rights Charter leads to the demands of patients for their rights and the response of rehabilitation therapists by increasing their compliance. The present study aimed to compare the views of patients and rehabilitation therapists about the importance and extent of compliance with the Patients’ Rights Charter. Methods This cross-sectional study was conducted for 3 months on 114 patients and 55 therapists who were selected using the convenience sampling method. The data collection tools included a demographic information form and the Justification and Practice of Patient Rights Questionnaire. The collected data were analyzed using descriptive statistics, independent t-test, paired t-test, and Pearson correlation coefficient. Results Mean scores of the importance of compliance with the Patients’ Rights Charter were 2.21 ± 0.40 and 2.31 ± 0.43 in the group of patients and therapists, respectively. Moreover, the mean scores of compliance with the Patients’ Rights Charter were 1.45 ± 0.48 and 1.53 ± 0.61 from the perspective of patients and therapists, respectively. There was no statistically significant difference between the views of patients and therapists on the importance and extent of compliance with the Patients’ Rights Charter. Discussion and Conclusion The importance of respecting the Patients’ Rights Charter from the perspective of patients and therapists was at a desirable level while the level of compliance with it from the perspective of both groups was moderate. It seems that more research is needed to explain the causes of this discrepancy and increase compliance with the Patients’ Rights Charter in rehabilitation clinics.

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“…People-oriented management can add dynamism to the treatment system and collects constructive feedback from patients about the provided services, which in turn contribute greatly to the enhancement of service quality. 21 The development of training programs for managers to strengthen this people-oriented relationship at an advanced level can be effective in this regard. 36 Professional empowerment.…”

Section: People-oriented Managementmentioning

confidence: 99%

“…16 The provision of a psychologically safe environment for nurses fosters a sense of accomplishment, manages the potential risks, and satisfies patients and colleagues. 21 The enforcement of ethics is the best way stabilization of moral values and improves the performance of human resources. 12 Ethical behavior of nursing managers is one of the important factors in fostering ethics in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Understanding lived experiences of nurse managers about managerial ethics

et al. 2022

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Introduction Expressions of Managerial ethics as a clinical phenomenon in Nursing Ethics as expressed by nurse managers were investigated. A coherence could be detected between the concepts and phenomena of Managerial ethics and nurse managers as a context. Background Managerial ethics as a new approach has emerged in the perspective and by prioritizing ethics in the organization has provided the basis for creating and promoting individual and organizational effectiveness. Managers’ and staff’s adherence to professional ethics helps hospitals to achieve their intended goals. Aim The present study aimed to explain nurse managers’ experience of managerial ethics. Research design This qualitative study was conducted based on a phenomenological design in 2022. Participants and research context The participants included 20 nurse managers working in hospitals in Arak, Iran. They were selected by the purposive sampling method which continued until data saturation. Data were collected through semi-structured individual interviews (30–90 min); subsequently, the obtained results were analyzed using the Van Manen six-step approach. Ethical considerations The confidentiality and the right of participants to take part or withdraw from the study were observed during this research. Results The results of the present study were able to demonstrate nurse managers’ lived experience of managerial ethics in the form of five themes of professional ethics, people-oriented management, professional empowerment, excellencism, and patient-centered care. Conclusions As evidenced by the obtained results, nurse managers held a positive view of managerial ethics. They were striving to strongly adhere to ethical principles in nursing management since they contribute greatly to the improved quality of nursing services in care and health settings. Therefore, appropriate policy-making and planning for managerial ethics training are indispensable for all nurses and nursing students.

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Moral sensitivity and moral distress correlation in nurses caring of patients with spinal cord injury

Cited by 14 publications

References 22 publications

The Predictors of Moral Sensitivity Among Physicians

The Predictors of Moral Sensitivity Among Physicians

Comparison of the views of patients and rehabilitation therapists on the importance and respecting of the patients’ rights charter

Understanding lived experiences of nurse managers about managerial ethics

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