Universidade Federal do Rio Grande, Brazil.
Universidade Federal de Santa Maria, Brazil.
Nurs Ethics. 2019 Nov-Dec;26(7-8):2325-2339. doi: 10.1177/0969733018814902. Epub 2019 Feb 13.
Moral distress is considered to be the negative feelings that arise when one knows the morally correct response to a situation but cannot act because of institutional or hierarchal constraints.
To analyze moral distress and its relation with sociodemographic and academic variables in undergraduate students from different universities in Brazil.
Quantitative study with a cross-sectional design. Data were collected through the Moral Distress Scale for Nursing Students, with 499 nursing students from three universities in the extreme south of Brazil answering the scale. The data were analyzed in the statistical software SPSS version 22.0, through descriptive statistical analysis, association tests (t-test and analysis of variance), and linear regression models.
Approval for the study was obtained from the Research Ethics Committee at Universidade Federal do Rio Grande.
The mean intensity of moral distress in the constructs ranged from 1.60 to 2.55. As to the occurrence of situations leading to moral distress in the constructs, the frequencies ranged from 1.21 to 2.43. The intensity level of moral distress showed higher averages in the more advanced grades of the undergraduate nursing course, when compared to the early grades of this course (between 5 and 10 grade, average = 2.60-3.14, p = 0.000).
The demographic and academic characteristics of the undergraduate nursing students who referred higher levels of moral distress were being enrolled in the final course semesters, were at a federal university, and had no prior degree as an auxiliary nurse/nursing technician.
道德困境被认为是当一个人知道对某种情况的道德正确反应，但由于制度或等级限制而无法采取行动时所产生的负面情绪。
分析巴西不同大学本科护生的道德困境及其与社会人口学和学术变量的关系。
这是一项采用横断面设计的定量研究。通过护理学生道德困境量表收集数据，共有来自巴西南端三所大学的 499 名护理学生回答了该量表。使用 SPSS 22.0 统计软件对数据进行分析，采用描述性统计分析、关联检验（t 检验和方差分析）和线性回归模型。
该研究获得了南里奥格兰德州联邦大学伦理委员会的批准。
在各结构中，道德困境的平均强度范围为 1.60 至 2.55。至于导致各结构中道德困境的情况发生频率，范围为 1.21 至 2.43。道德困境的强度水平在本科护理课程的较高年级中表现出更高的平均值，与该课程的早期年级相比（5 至 10 年级，平均=2.60-3.14，p=0.000）。
在道德困境程度较高的本科护生中，具有以下特征的学生人数较多：处于最后学期的课程，就读于联邦大学，且没有护理助理/护理技术员的前置学位。
