Sarkoohijabalbarezi Zahra, Ghodousi Arash, Davaridolatabadi Elham
Faculty of Nursing and Midwifery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Forensic Medicine Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Int J Nurs Sci. 2017 Jan 31;4(2):117-121. doi: 10.1016/j.ijnss.2017.01.007. eCollection 2017 Apr 10.
Nurses serve as the primary source of care for minor patients in intensive care units. Even though they support both patients and their relatives, these nurses may experience moral distress from their profession. While managing their daily relationships with their patients, nurses must also be able to control their actions to feel that they are from a social unit and feel their competence in association with others.
This study aimed to investigate the relationship between professional autonomy and moral distress among nurses working in children's units and pediatric intensive care wards.
This descriptive/comparative cross-sectional study was conducted in 2015 using 120 nurses as subjects. Subjects were selected using the census method. The research tools used to gain measurable data were the Pankratznursing questionnaire(PNQ) and Corley'sMoral distress scale (MDS). In order to analyze the collected data, descriptive statistic tests such as the relative frequency distribution, mean, standard deviation and the Pearson correlation test, T-test, ANOVA, and regression were used. The SPSSv.20 software was also used to analyze the data obtained.
The relationship between professional autonomy and moral distress revealed that there was a significant positive relationship between professional autonomy and moral distress in the intensity (r = 0.39; < 0.001) and the iteration (r = 0.41; < 0.001). In addition, professional autonomy predicted 18% of changes in intensity of moral distress in total(MR = 0.42, R = 0.18) and also professional autonomy predicted 25% of iteration in moral distress in total(MR = 0.507, R = 0.25).
The results of this study revealed that there was a direct positive relationship between professional autonomy and moral distress.
护士是重症监护病房中未成年患者的主要护理人员。尽管他们既要照顾患者，又要支持患者家属，但这些护士可能会因职业而经历道德困扰。在管理与患者的日常关系时，护士还必须能够控制自己的行为，以感觉自己属于一个社会单元，并感受到与他人相处时的自身能力。
本研究旨在调查儿童病房和儿科重症监护病房护士的职业自主性与道德困扰之间的关系。
2015年进行了这项描述性/比较性横断面研究，以120名护士为研究对象。采用普查法选取研究对象。用于获取可测量数据的研究工具为潘克拉茨护理问卷（PNQ）和科利道德困扰量表（MDS）。为了分析收集到的数据，使用了描述性统计测试，如相对频率分布、均值、标准差以及皮尔逊相关检验、t检验、方差分析和回归分析。还使用SPSSv.20软件分析获得的数据。
职业自主性与道德困扰之间的关系表明，职业自主性与道德困扰在强度方面存在显著正相关（r = 0.39；P < 0.001），在反复性方面也存在显著正相关（r = 0.41；P < 0.001）。此外，职业自主性预测了道德困扰强度总体变化的18%（多元回归系数MR = 0.42，决定系数R = 0.18），职业自主性还预测了道德困扰反复性总体变化的25%（多元回归系数MR = 0.507，决定系数R = 0.25）。
本研究结果表明，职业自主性与道德困扰之间存在直接正相关。
