Asayesh Hamid, Mosavi Mojtaba, Abdi Mohammad, Masoud Mohammad Parvaresh, Jodaki Kurosh
Mentor, Spiritual Health Research Center, Department of Medical Emergencies, School of Paramedicine, Qom University of Medical Sciences, Qom, Iran.
Assistant Professor, Department of Anesthesia, School of Paramedicine, Qom University of Medical Sciences, Qom, Iran.
J Med Ethics Hist Med. 2018 Mar 7;11:2. eCollection 2018.
Moral distress is among the various types of distress that involves nurses and can lead to multiple complications. It is therefore rather important to identify the factors related to moral distress. The purpose of this study was to examine the relationship between futile care perception and moral distress among intensive care unit (ICU) nurses. This cross-sectional study used a descriptive-correlation method and was conducted on 117 ICU nurses of Qom hospitals in 2016. Data were collected using a 17-item futile care perception questionnaire, and Jameton's moral distress questionnaire containing 30 questions. Data analysis was performed using SPSS 16, descriptive statistics and univariate regression analysis. The results showed that the mean age of the participants was 34.99, and most (about 66.7%) were women. Univariate regression analysis indicated that when ICU nurses' perception of futile care and work experience increased, their moral distress also increased significantly ( = 0.03 and = 0.02, respectively). It can therefore be concluded that moral distress is associated with futile care and ICU work experience. It seems that some interventions are necessary in future to place nurses in clinical situations involving futile care, and thus reduce their level of moral distress.
道德困扰是涉及护士的多种困扰类型之一，可能导致多种并发症。因此，识别与道德困扰相关的因素相当重要。本研究的目的是探讨重症监护病房（ICU）护士对无效治疗的认知与道德困扰之间的关系。这项横断面研究采用描述性相关方法，于2016年对库姆医院的117名ICU护士进行。数据收集使用了一份包含17个项目的无效治疗认知问卷，以及一份包含30个问题的杰米顿道德困扰问卷。数据分析使用SPSS 16进行，包括描述性统计和单变量回归分析。结果显示，参与者的平均年龄为34.99岁，大多数（约66.7%）为女性。单变量回归分析表明，当ICU护士对无效治疗的认知和工作经验增加时，他们的道德困扰也显著增加（分别为 = 0.03和 = 0.02）。因此可以得出结论，道德困扰与无效治疗及ICU工作经验有关。未来似乎有必要采取一些干预措施，使护士避免处于涉及无效治疗的临床情境中，从而降低他们的道德困扰程度。
