Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nurs Ethics. 2012 Jul;19(4):464-78. doi: 10.1177/0969733012437988. Epub 2012 Jun 12.
Researchers have identified the phenomena of moral distress through many studies in Western countries. This research reports the first study of moral distress in Iran. Because of the differences in cultural values and nursing education, nurses working in intensive care units may experience moral distress differently than reported in previous studies. This research used a qualitative method involving semistructured and in-depth interviews of a purposive sample of 31 (28 clinical nurses and 3 nurse educators) individuals to identify the types of moral distress among clinical nurses and nurse educators working in 12 cities in Iran. A content analysis of the data produced four themes to describe the nurses' moral distress. The four themes were as follows: (a) institutional barriers and constraints; (b) communication problems; (c) futile actions, malpractice, and medical/care errors; (d) inappropriate responsibilities, resources, and competencies. The results demonstrate that moral distress for intensive care unit nurses is different and that the nursing leaders must reduce moral distress among nursing in intensive care.
研究人员通过在许多西方国家进行的多项研究已经确定了道德困境的现象。本研究报告了伊朗首次对道德困境的研究。由于文化价值观和护理教育的差异，重症监护病房的护士在经历道德困境时可能与以往研究报告的情况不同。本研究采用定性方法，对伊朗 12 个城市的 31 名（28 名临床护士和 3 名护理教育者）目的抽样个体进行半结构化和深入访谈，以确定临床护士和护理教育者的道德困境类型。对数据的内容分析产生了四个主题来描述护士的道德困境。这四个主题是：（a）制度障碍和限制；（b）沟通问题；（c）无效行动、医疗事故和医疗/护理错误；（d）不适当的责任、资源和能力。结果表明，重症监护病房护士的道德困境是不同的，护理领导者必须减轻重症监护病房护士的道德困境。
