Full text

Turn on search term navigation

© 2019. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objective</b><p>Nursing profession conventionally meets a high standard of ethical behavior and action. One of the ethical challenges in nursing profession is moral distress. Nurses frequently expose to this phenomenon which leads to different consequences such as being bored by delivering patient care that decline care quality and make it challenging to achieve health purposes. This study was conducted to investigate the association between the aspects of moral distress and care quality.</p><sec id="j_FON-2019-0037_s_007_w2aab3b7ab1b6b1aab1c17b2Aa"><title id="d496989e5544_w2aab3b7ab1b6b1aab1c17b2aAa">Methods</b><p>In this descriptive–analytical study, 545 nurses of intensive and cardiac care units and dialysis and psychiatric wards were recruited by census sampling. Three questionnaires, Sociodemographics, Moral Distress Scale, and Quality Patient Care Scale, were distributed among the participants and collected within 9 months. Data analysis was conducted by descriptive statistics, analysis of variance, and the least significant difference in SPSS 13.</p><sec id="j_FON-2019-0037_s_008_w2aab3b7ab1b6b1aab1c17b3Aa"><title id="d496989e5553_w2aab3b7ab1b6b1aab1c17b3aAa">Results</b><p>Investigating moral distress domains (ignoring patient, decision-making power, and professional competence) and care quality domains (psychosocial, physical, and communicational) demonstrated that in being exposed to moral distress, ignoring patient had no effect on psychosocial domain (<i>P</i>=0.056), but decision-making and professional competence of moral distress had positive effect on psychosocial, physical (bodily), and communication domains of care quality.</p><sec id="j_FON-2019-0037_s_009_w2aab3b7ab1b6b1aab1c17b4Aa"><title id="d496989e5565_w2aab3b7ab1b6b1aab1c17b4aAa">Conclusions</b><p>Because moral distress domains are effective on patient care quality, it is recommended to enhance the knowledge of nurses, especially beginners, about moral distress, increase their strength alongside standardizing nursing services in decision-making domains, improve the professional competence, and pay attention to patients.</p></body></html>

Details

Title
Analytical study of care quality and moral distress in clinical situations and patient care
Author
Hasanlo, Masoumeh 1 ; Azarm, Arezo 2 ; Asadi, Parvaneh 3 ; Amini, Kourosh 4 ; Ebrahimi, Hossein 5 ; Mohammad Asghari Jafarabadi 6 

 Department of Surgical Technology, Zanjan University of Medical Sciences, Zanjan, Iran 
 Education and Treatment Center of Beheshti, Zanjan University of Medical Sciences, Zanjan, Iran 
 Kermanshah University of Medical Sciences, Kermanshah, Iran 
 Zanjan Social Determinations of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran 
 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran 
 Health Services Management Research Center, Faculty of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran 
Pages
327-334
Publication year
2019
Publication date
2019
Publisher
De Gruyter Poland
ISSN
20957718
e-ISSN
24686972
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3156939709
Copyright
© 2019. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.