The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses

Heidari, Tahereh; Shafipour, Vida; Shamshiri, Samae; Mousavinasab, Seyed-Nouraddin; Jannati, Yadollah

doi:10.32598/jhnm.32.4.2216

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…This might be due to individuals lacking con dence may perform poorly for the challenge and exhibit negative reactions when confronted with failures, negative events, and psychosocial risk factors such as high workload, lack of support, patients' deaths and their families' grief, working in highly stressful wards, and patients suffering from chronic diseases and cancers. As a result, moral distress increases (33).…”

Section: Discussionmentioning

confidence: 99%

Moral Distress and Associated Factors Among Nurses Working in Central Ethiopia: a cross-sectional study

Getahun,

Gurara,

Bekele

et al. 2023

Preprint

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Background Moral distress is recognized as a problem affecting nurse professionals globally. Unaddressed moral distress harm nurses' physical and mental health, the quality of patient care, and the performance of healthcare organizations. However, evidence on the magnitude and risk factors of moral distress is limited in Ethiopia in general and in the study area in particular. Thus, thus study aimed to assess the magnitude of moral distress and associated factors among nurses working in Adama Comprehensive Specialized Hospital Medical College, central Ethiopia, 2023. Methods A facility-based cross-sectional study was conducted from January 1 to 30, 2023, on 219 nurses. A simple random sampling technique was employed to select the study participants. A self-administered structured questionnaire was used for data collection and Moral Distress Scale-Revised (MDS-R) was used to assess moral distress. Data were checked, coded, and entered into Epi info version 7, and then exported to the Statistical Package for Social Science version 26 for analysis. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with moral distress. The odds ratio with its 95% confidence interval was used as a measure of association and statistical significance was declared at a p-value < 0.05. Result A total of 212 nurses were included in the analysis making the response rate 96.8%. The magnitude of moral distress was 86.8% (95% CI: 82.1%, 91.0%). Perceived powerlessness (AOR = 6.08; 95% CI: 1.69, 11.8), lack of confidence (AOR = 7.08; 95% CI: 2.05–14.41), inadequate staffing (AOR = 12.46; 95% CI:3.28,15.1), and perceived weak organizational support (AOR = 11.59; 95% CI: 2.8,17.33) were significantly associated with moral distress. Conclusion The magnitude of moral distress was high among nurses in the study setting. Perceived powerlessness, lack of confidence, inadequate staffing, and perceived weak organizational support were independent determinants of moral distress. Thus, creating adequate number of staff, and establishing acceptable organizational policies are ways to reduce moral distress.

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Section: Discussionmentioning

confidence: 99%

Moral Distress and Associated Factors Among Nurses Working in Central Ethiopia: a cross-sectional study

Getahun,

Gurara,

Bekele

et al. 2023

Preprint

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“…9 In the caring field, burnout means loss of feeling and interest in the patients and providing improper and non-standard care for them. 10 The COVID-19 pandemic has raised many challenges for HCWs 1 and affected the performance and job satisfaction of the front-line HCWs. 11 In a study on prehospital emergency medical personnel, Heidari et al found that personnel who directly cared for the patients with COVID-19 had higher symptoms of burnout.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians

et al. 2023

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Introduction: Exposure to coronavirus disease 2019 (COVID-19) has caused many physical and psychological effects on front-line healthcare workers (HCWs). This study aimed to assess the relationship between the exposure risk to COVID-19 disease and burnout in prehospital emergency medical technicians (EMTs). Methods: In this correlational study, 335 prehospital EMTs were selected by random sampling method from the 49 stations of emergency medical services in the northwest of Iran. Data were collected using a questionnaire developed by the world health organization for the risk assessment and management of exposure of health care workers to COVID-19. Moreover, Pines burnout measure was used for the assessment of participants’ burnout. Data were analyzed using SPSS version 13. Results: Results showed that 30.7 % of prehospital EMTs had a high burnout score against COVID-19 disease. The prehospital EMTs who had a high occupational exposure risk experienced a high risk of burnout (P=0.03). The results of the linear regression analysis showed that prehospital EMTs who had a low exposure risk of COVID-19 had a low burnout score (β=-9.30; P<0.001), and those who had less than 10 years of work experience showed less burnout (β=-10.54; P<0.001). Conclusion: According to the results, the exposure risk to COVID-19 increases the prehospital EMT’s burnout. As a result, reducing the exposure risk to COVID-19 by providing adequate access to personal protective equipment (PPE), development of training and following standards and protocols can be effective in controlling burnout in HCWs.

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Moral distress and associated factors among nurses working in central Ethiopia: a cross-sectional study

Getahun,

Gurara,

Bekele

et al. 2024

Discov Soc Sci Health

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Background Moral distress is recognized as a problem affecting nurse professionals globally. Unaddressed moral distress harms nurses’ physical and mental health, the quality of patient care, and the performance of healthcare teams and organizations. However, evidence on the magnitude and risk factors of moral distress is limited in Ethiopia in general and in the study area in particular. Thus, this study aimed to assess the magnitude of moral distress and associated factors among nurses working in Adama Comprehensive Specialized Hospital Medical College, central Ethiopia, 2023. Methods A facility-based cross-sectional study was conducted from January 1 to 30, 2023, with 219 nurses. A simple random sampling technique was employed to select the study participants. A self-administered structured questionnaire was used for data collection and Moral Distress Scale-Revised (MDS-R) was used to assess moral distress. Data were checked, coded, and entered into Epi info version 7, and then exported to the Statistical Package for Social Science version 26 for analysis. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with moral distress. The odds ratio with its 95% confidence interval was used as a measure of association and statistical significance was declared at a p-value < 0.05. Result A total of 212 nurses participated in the analysis making the response rate 96.8%. The magnitude of moral distress was 86.8% (95% CI 82.1%, 91.0%). Perceived powerlessness (AOR = 6.08; 95% CI 1.69, 11.8), lack of confidence (AOR = 7.08; 95% CI 2.05–14.41), inadequate staffing (AOR = 12.46; 95% CI 3.28,15.1), and perceived weak organizational support (AOR = 11.59; 95% CI 2.8,17.33) were significantly associated with moral distress. Conclusion The magnitude of moral distress was high among nurses in the study setting. Perceived powerlessness, lack of confidence, inadequate staffing, and perceived weak organizational support were independent determinants of moral distress. Thus, creating adequate number of staff, and establishing acceptable organizational policies are ways to reduce moral distress.

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The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses

Cited by 3 publications

References 20 publications

Moral Distress and Associated Factors Among Nurses Working in Central Ethiopia: a cross-sectional study

Moral Distress and Associated Factors Among Nurses Working in Central Ethiopia: a cross-sectional study

The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians

Moral distress and associated factors among nurses working in central Ethiopia: a cross-sectional study

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