Institution-Wide Moral Distress Among Nurses.

IF 1.8 4区 医学 Q2 NURSING
Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI:10.1097/NNA.0000000000001497
Adam T Booth, Bridget F Dobson, Becky J Christian, Paul R Clark, Shuying Sha
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引用次数: 0

Abstract

Background: Moral distress is the inability to do the right thing due to imposed constraints.

Objective: Explore the presence of moral distress among nurses.

Methods: A quantitative, exploratory, cross-sectional study at a level 1 trauma center using the Measure of Moral Distress for Healthcare Professionals (MMD-HP).

Results: Ninety-seven nurses completed the MMD-HP. The top 3 items contributing to moral distress included inadequate staffing, inadequate resources, and lack of administrative support. Nurses who considered leaving had more moral distress. Moral distress explained 28.5% of the variance associated with nurses' "intent to leave" and "primary unit" ( P < 0.001). Moral distress for nurses 40 to 49 years of age was higher compared with nurses 50 years or older.

Conclusions: Moral distress involved deficiencies in staffing, resources, and administrative support. Research should explore interventions to mitigate moral distress among nurses by promoting safe staffing levels, the provision of adequate resources, and increased administrative support.

全院护士的道德压力。
背景:道德困扰是指由于强加的限制而无法做正确的事情:探讨护士是否存在道德困扰:结果:97 名护士完成了 MMD-HP 测量:结果:97 名护士完成了 MMD-HP。导致精神压力的前 3 个项目包括人员配备不足、资源不足和缺乏行政支持。考虑离职的护士有更多的精神压力。精神痛苦解释了与护士 "离职意向 "和 "主要单位 "相关的 28.5%的方差(P < 0.001)。与 50 岁或以上的护士相比,40 至 49 岁护士的精神压力更大:结论:精神痛苦涉及人员配备、资源和行政支持方面的不足。研究应探索通过促进安全的人员配备水平、提供充足的资源和增加行政支持来减轻护士道德困扰的干预措施。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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