伊朗私立和公立医院护士的道德困扰与睡眠质量之间的关联及其影响因素。
The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran.
作者信息
Fard Zeynab Rezaei, Azadi Arman, Veisani Yousef, Jamshidbeigi Amirreza
机构信息
Department of Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
出版信息
J Educ Health Promot. 2020 Oct 30;9:268. doi: 10.4103/jehp.jehp_291_20. eCollection 2020.
BACKGROUND
Nurses in their workplace, for a variety of reasons, always face moral distress that is an underlying issue in the nursing profession, which can lead to problems such as reduced quality and quantity of care and sleep disorder. Besides, given the increased privatization of hospitals, this study aimed to explore the association between nurses' moral distress and sleep quality and its comparison among nurses in private and public hospitals.
MATERIALS AND METHODS
This was a descriptive-analytical study involving 150 nurses working in Ilam Province hospitals. Sampling conducted using a multistage random sampling method. Data were collected through the questionnaire of sociodemographic characteristics, the Corley's Moral Distress Scale, and the Pittsburgh Sleep Quality Index. Data were analyzed using SPSS software version 22. Descriptive statistics such as frequency, mean, ANOVA, independent -test, multiple linear regression, and Pearson correlation coefficient at the significant level of < 0.05 were calculated.
RESULTS
The analysis revealed that moral distress was positively associated with sleep quality. Furthermore, the scores of nurses' moral distress and sleep quality were different in private and public hospitals, so that the level of moral distress in the public hospital and sleep quality in the private hospital was higher and lower, respectively, but the difference was not statistically significant. Moreover, sleep quality, and the type of employment was the most important predicting variables of moral stress ( = 1.86) and sleep quality ( = 2.39), respectively.
CONCLUSION
According to the study results, a positive and significant association was found between moral distress and nurses' sleep quality. It is recommended that appropriate strategies and training program be formulated by the health-care system to increase nurses' ability to combat moral distress adverse effects.
背景
护士在工作场所，由于各种原因，始终面临道德困扰，这是护理行业的一个潜在问题，可能导致护理质量和数量下降以及睡眠障碍等问题。此外，鉴于医院私有化程度的提高，本研究旨在探讨护士道德困扰与睡眠质量之间的关联及其在私立和公立医院护士中的比较。
材料与方法
这是一项描述性分析研究，涉及伊拉姆省医院的150名护士。采用多阶段随机抽样方法进行抽样。通过社会人口学特征问卷、科利道德困扰量表和匹兹堡睡眠质量指数收集数据。使用SPSS 22软件进行数据分析。计算描述性统计量，如频率、均值、方差分析、独立样本t检验、多元线性回归和显著水平<0.05时的皮尔逊相关系数。
结果
分析显示，道德困扰与睡眠质量呈正相关。此外，私立和公立医院护士的道德困扰得分和睡眠质量得分不同，公立医院的道德困扰水平和私立医院的睡眠质量分别较高和较低，但差异无统计学意义。此外，睡眠质量和就业类型分别是道德压力（β = 1.86）和睡眠质量（β = 2.39）的最重要预测变量。
结论
根据研究结果，发现道德困扰与护士睡眠质量之间存在积极且显著的关联。建议医疗保健系统制定适当的策略和培训计划，以提高护士应对道德困扰不利影响的能力。
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