护士所感知到的组织支持与道德困扰
Perceived organizational support and moral distress among nurses.
作者信息
Robaee Navideh, Atashzadeh-Shoorideh Foroozan, Ashktorab Tahereh, Baghestani Ahmadreza, Barkhordari-Sharifabad Maasoumeh
机构信息
1Student Research Committee of Nursing and Midwifery, International Branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2Department of Nursing Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and Hashemi Rafsanjani Highway, Opposite to Rajaee Heart Hospital, Tehran, 1996835119 Iran.
出版信息
BMC Nurs. 2018 Jan 10;17:2. doi: 10.1186/s12912-017-0270-y. eCollection 2018.
BACKGROUND
Moral distress is prevalent in the health care environment at different levels. Nurses in all roles and positions are exposed to ethically challenging conditions. Development of supportive climates in organizations may drive nurses towards coping moral distress and other related factors. This study aimed at determining the level of perceived organizational support and moral distress among nurses and investigating the relationship between the two variables.
METHODS
This was a correlational-descriptive study. A total of 120 nurses were selected using random quota sampling method. A demographic questionnaire, Survey of Perceived Organizational Support, and Moral Distress Scale were used to collect the data which were analyzed using descriptive and analytical tests in SPSS20.
RESULTS
The mean perceived organizational support was low (2.63 ± 0.79). The mean moral distress was 2.19 ± 0.58, which shows a high level of moral distress. Moreover, Statistical analysis showed no significant relationship between perceived organizational support and moral distress ( = 0.01, = 0.86).
CONCLUSION
Given the low level of perceived organizational support and high moral distress among nurses in this study, it is necessary to provide a supportive environment in hospitals and to consider strategies for diminishing moral distress.
背景
道德困扰在不同层面的医疗环境中普遍存在。所有角色和职位的护士都会面临伦理挑战。组织中支持性氛围的营造可能促使护士应对道德困扰及其他相关因素。本研究旨在确定护士对组织支持的感知水平和道德困扰程度，并调查这两个变量之间的关系。
方法
这是一项相关性描述性研究。采用随机配额抽样法共选取120名护士。使用人口统计学问卷、组织支持感知量表和道德困扰量表收集数据，并在SPSS20中使用描述性和分析性测试进行分析。
结果
组织支持感知的平均得分较低（2.63±0.79）。道德困扰的平均得分是2.19±0.58，表明道德困扰程度较高。此外，统计分析显示组织支持感知与道德困扰之间无显著关系（=0.01，=0.86）。
结论
鉴于本研究中护士对组织支持的感知水平较低且道德困扰程度较高，有必要在医院提供支持性环境，并考虑采取减少道德困扰的策略。
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