Relationship between moral distress and ethical climate with job satisfaction in nurses

Asgari, Sharareh; Shafipour, Vida; Taraghi, Zohreh; Charati, Jamshid Yazdani

doi:10.1177/0969733017712083

Cited by 85 publications

(122 citation statements)

References 42 publications

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“…In the present study, the highest score is for the domain of relationship with managers, which is consistent with the results of the study of Asgari [ 35 ]. This finding stresses the importance of the role of managers in improving the ethical climate in organizations.…”

Section: Discussionsupporting

confidence: 93%

“…Another finding of the present study is the existence of a significant positive relationship between ethical climate and the indexes of nurses’ professional quality of life—compared to the other indexes, compassion satisfaction has a stronger relationship with ethical climate. The ethical climate reflects the personnel’s perception of the performance of their organization about decision-making and feedback [ 35 ]. In the present study, the status of the ethical climate was found to be average.…”

Section: Discussionmentioning

confidence: 99%

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A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran

Tehranineshat

Torabizadeh

Bijani

2020

International Journal of Nursing Sciences

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Objective To explore the relationship between nursing professional values and ethical climate and nurses’ professional quality of life. Methods The present study is a descriptive, cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied. Data were collected using a questionnaire consisting of four sections: demographics, Nurses’ Professional Values Scale-Revised (NPVS-R), the Hospital Ethical Climate Survey (HECS), and the Professional Quality of Life Scale (ProQOL). Results The total mean scores for professional values were 105.29 ± 15.60. The total mean score for the ethical climate was 100.09 ± 17.11. The mean scores for the indexes of compassion satisfaction, burnout, and secondary traumatic stress were 45.29 ± 8.93, 34.38 ± 6.84, and 32.15 ± 7.02 respectively. The relationships between professional values and the indexes of compassion satisfaction ( r = 0.56), burnout ( r = 0.26), and secondary traumatic stress ( r = 0.18) were found to be positive and significant ( P < 0.001). Also, the relationships between ethical climate and the items of compassion satisfaction ( r = 0.60, P < 0.001), burnout ( r = 0.15, P = 0.002) were found to be positive and significant. Conclusion An understanding of nurses’ perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening burnout and work-related stress.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran

Tehranineshat

Torabizadeh

Bijani

2020

International Journal of Nursing Sciences

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“…From studies using the MDS, MDS-R, or modifications of the MDS-R, ICU nurses experienced varying levels of moral distress, ranging from relatively low levels 32,34 to moderate 8,28 and high 29 levels. In parallel, studies of non-ICU nurses also reported varying levels, from low 31 to moderate 27 to high.…”

Section: Resultsmentioning

confidence: 99%

Moral distress experienced by non-Western nurses: An integrative review

Prompahakul

Epstein

2019

Nurs Ethics

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Background: Moral distress has been identified as a significant issue in nursing practice for many decades. However, most studies have involved American nurses or Western medicine settings. Cultural differences between Western and non-Western countries might influence the experience of moral distress. Therefore, the literature regarding moral distress experiences among non-Western nurses is in need of review. Aim: The aim of this integrative review was to identify, describe, and synthesize previous primary studies on moral distress experienced by non-Western nurses. Review method: Whittemore and Knafl’s integrative review methodology was used to structure and conduct the review of the literature. Research context and data sources: Key relevant health databases included the Ovid MEDLINE, CINAHL, Web of Science, and Google Scholar databases. Two relevant journals, Nursing Ethics and Bioethics, were manually searched. Ethical consideration: We have considered and respected ethical conduct when performing a literature review, respecting authorship and referencing sources. Findings: A total of 17 primary studies published between 1999 and 2019 were appraised. There was an inconsistency with regard to moral distress levels and its relationship with demographic variables. The most commonly cited clinical causes of moral distress were providing futile care for end-of-life patients. Unit/team constraints (poor collaboration and communication, working with incompetent colleagues, witnessing practice errors, and professional hierarchy) and organizational constraints (limited resources, excessive administrative work, conflict within hospital policy, and perceived lack of support by administrators) were identified as moral distress’s stimulators. Negative impacts on nurses’ physical, psychological, and spiritual well-being were also reported. Conclusion: Further research is needed to investigate moral distress among other healthcare professions which may further build understanding. More importantly, interventions to address moral distress need to be developed and tested.

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“…The emotional distress experienced by critical care nurses who care for dying patients remains poorly understood. Current literature focuses primarily on posttraumatic stress disorder symptoms and moral distress (5,(15)(16)(17)(18)(19)(20)(21). Here we examine nurses' self-reported emotional distress in caring for ICU patients in the patients' last week of life.…”

mentioning

confidence: 99%

Dying Patient and Family Contributions to Nurse Distress in the ICU

Lief¹,

Berlin²,

Maciejewski³

et al. 2018

Annals ATS

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Patients' emotional distress, physical distress, and perceived quality of death are associated with nurse emotional distress. Unrealistic family expectations for the patient may be a source of nurse emotional distress. Improving patients' quality of death, including enhancing their dignity, reducing their suffering, and promoting acceptance of an impending death among family members may improve the emotional health of nurses.

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Relationship between moral distress and ethical climate with job satisfaction in nurses

Abstract: Identifying ethical stressors in the workplace and giving proper feedback to the authorities to eliminate these factors and improve the ethical climate in these workplaces can help enhance job satisfaction in nurses and lead to higher quality care.

Cited by 85 publications

References 42 publications

A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran

A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran

Moral distress experienced by non-Western nurses: An integrative review

Dying Patient and Family Contributions to Nurse Distress in the ICU

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