伊朗护士的道德困扰
Moral Distress among Iranian Nurses.
作者信息
Vaziri Mohammad Hosein, Merghati-Khoei Effat, Tabatabaei Shahnaz
机构信息
School of Health, Safety and Environment, School of Health Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian National Center for Addiction Studies(INCAS), Instituion of Risk Behavior Reduction Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Psychiatry. 2015;10(1):32-6.
OBJECTIVE
The purpose of this study was to describe the moral distress among Iranian registered nurses.
METHODS
This was a descriptive -analytic study, in which 264 out of 1000 nurses were randomly selected as a sample group and completed the questionnaire. The nurses' moral distress was assessed using Corley's 30-item Moral Distress Scale adapted for use in an Iranian population. The collected data were analyzed by SPSS version 19.
RESULTS
In this study, no correlation was found between the level of moral distress and any of the demographic data. The mean moral distress score ranged from 3.56 to 5.83, indicating moderate to high levels of moral distress. The item with the highest mean score was "working with unsafe levels of nurse staffing". The item with the lowest mean score was "giving medication intravenously to a patient who has refused to take it". Nurses working in EMS and NICU units had the highest levels of moral distress.
CONCLUSION
A higher degree of moral distress is observed among nurses who work in health care systems. The results of this study highly recommend practical and research-oriented evaluation of moral distress in the medical society in Iran. Our findings suggest that Iranian version of MDS is a reliable instrument to measure moral distress in nurses.
目的
本研究旨在描述伊朗注册护士的道德困扰情况。
方法
这是一项描述性分析研究，从1000名护士中随机抽取264名作为样本组并完成问卷调查。采用为伊朗人群改编的科利30项道德困扰量表评估护士的道德困扰。收集的数据用SPSS 19版进行分析。
结果
本研究中，道德困扰水平与任何人口统计学数据之间均未发现相关性。道德困扰平均得分在3.56至5.83之间，表明道德困扰程度为中度到高度。平均得分最高的项目是“在不安全的护士配备水平下工作”。平均得分最低的项目是“给拒绝服药的患者静脉给药”。在急诊医疗服务（EMS）和新生儿重症监护病房（NICU）工作的护士道德困扰水平最高。
结论
在医疗保健系统工作的护士中观察到较高程度的道德困扰。本研究结果强烈建议对伊朗医学界的道德困扰进行务实且以研究为导向的评估。我们的研究结果表明，伊朗版的道德困扰量表（MDS）是测量护士道德困扰的可靠工具。
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