The Necessity of Approach Change From Uni-Professional Education to Inter-Professional Education in Health Sciences

Vafadar, Zohreh

doi:10.5812/jme.107290

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…The contextual challenges of team-based culture and the cooperation in the investigated hospitals may result in moral distress to nurses. Numerous studies also reported weaknesses in teamwork and interprofessional cooperation in the investigated context [ 29 – 31 ], which is similar to the results of the present study. According to the current explored model, the inadequacy of team-based support systems led nurses to use a compromise strategy to cope with unprofessional behaviors and distressing situations.…”

Section: Discussionsupporting

confidence: 91%

“…The weak support from members in interprofessional and uni-professional teams in difficult situations caused distress among nurses, which was explained in the category of failure team-based support. In the present context, the lack of a participatory decision-making process and the opportunity to express nurses’ opinions caused them to eliminate their assertiveness to express opinions [ 29 , 30 , 36 ]. These challenges enhanced the perception of powerlessness and directed to passives among nurses.…”

Section: Discussionmentioning

confidence: 99%

“…These challenges enhanced the perception of powerlessness and directed to passives among nurses. The previous studies revealed the physician paternalistic approach in the present context resulted in the elimination of the participation of other team members such as nurses in the decision-making process [ 29 , 30 , 36 ]. Similarly, Giannetta in a systematic review study indicated that the weak support of supervisors was one of the effective factors in the perceived distress of nurses [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study

Hosseinpour,

Keshmiri

2024

BMC Nurs

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Background Moral distress is a multifactorial and complex phenomenon influenced by various individual, cultural, and systemic factors. This study aimed to investigate the frequency and intensity of nurses’ moral distress, explore their experiences, and develop the conceptual model of risk factors of moral distress in surgical units and operating rooms. Method This is a sequential mixed-method study conducted at four teaching hospitals affiliated with the Qom University of Medical Sciences. In the first step, the moral distress of nurses in surgical units and operating rooms was investigated by a survey. The participants included nurses who worked in the operating room and surgical units. (n = 180). The data was collected by a Moral Distress Scale-Revised (MDS-R) questionnaire. In the second step, the experiences of nurses regarding risk factors of moral distress were explored using semi-structured interviews and analyzed using the conventional content analysis by Graneheim and Lundman’s approach. Results One hundred eighty nurses participated in this study. The mean total moral distress scores ranged from 12 to 221, with a mean (SD) of 116.8 (42.73). The causes of moral distress cited with the highest frequency and intensity related to the ‘role of healthcare providers’. The experiences of the participants in the theme ‘Inductive process of moral distress development’ were categorized into three categories: ‘Melting into the faulty system’, ‘Power and the system as distress promotors’, and ‘Perceived unpleasant consequences’. Conclusion The results indicated that the frequency of moral distress in operating rooms and surgical units was at a moderate level and the distress intensity of nurses was at a moderately high level. The results indicated that in the investigated system, the “inductive moral process of distress development” was continuously understood by the participants. This process was influenced by systemic and individual factors. Weak assertiveness, conservative compromise, and desensitization to unprofessionalism as individual factors were effective in causing distress. Risk factors at the systemic level led nurses to melt into the faulty system and created adverse outcomes at the individual level. The lack of systemic support and the stabilization of mobbing by powerful system members had a negative impact on the individual factors of distress development. Also, these factors directly cause negative consequences.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study

Hosseinpour,

Keshmiri

2024

BMC Nurs

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“…Nurses have identified interprofessional discrimination as the most critical challenge in interprofessional collaboration and teamwork in the results of the Valizadeh study in 2015 (17). Likewise, the results of Vafadar and colleagues defined the hierarchical and individualistic approaches as challenges to interprofessional collaboration (18,19). The challenges may affect the adherence to professionalism and interprofessional values principles in the context.…”

Section: Discussionmentioning

confidence: 99%

Assessment of interprofessional professionalism of surgical residents and workers in operating units in teaching hospitals: A cross-sectional study

et al. 2022

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The effect of continuing interprofessional education on improving learners’ self-efficacy and attitude toward interprofessional learning and collaboration

Keshmiri

Ghelmani

2022

Journal of Interprofessional Care

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The Necessity of Approach Change From Uni-Professional Education to Inter-Professional Education in Health Sciences

Cited by 3 publications

References 17 publications

Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study

Inductive process of moral distress development in viewpoints from surgical nurses: a mixed-method study

Assessment of interprofessional professionalism of surgical residents and workers in operating units in teaching hospitals: A cross-sectional study

The effect of continuing interprofessional education on improving learners’ self-efficacy and attitude toward interprofessional learning and collaboration

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