Safarpour Hamid, Ghazanfarabadi Mohammad, Varasteh Saeideh, Bazyar Jafar, Fuladvandi Masoumeh, Malekyan Leila
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Department of Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.
Iran J Nurs Midwifery Res. 2020 Nov 7;25(6):533-538. doi: 10.4103/ijnmr.IJNMR_156_19. eCollection 2020 Nov-Dec.
Moral distress and moral courage among healthcare professionals have received considerable attention in recent years. However, there is a paucity of studies investigating these topics among nurses. Thus, the present study aimed to evaluate the association between moral distress and moral courage among nurses in an Iranian sample population.
The present cross-sectional study was conducted during February-December 2018. Corley's Moral Distress (MDS-R) and Sekerka's moral courage scales were used to collect the data. MDS-R is a 21-items scale which includes frequency and intensity ranges from 0 (never) to 4 (very frequently) and 0 (none) to 4 (great extent), respectively. In addition, the moral courage scale contains 15 items ranging from "never true" (1 point) to "always true" (7 points). In total, 225 eligible nurses were entered into this study. Finally, SPSS-16 was used for statistical analysis at the α = 0.05 level.
The mean scores of the frequency and intensity of moral distress and moral courage were 45.41 (95% CI = 43.37-47.45), 44.24 (95% CI = 42.98-45.42), and 59.63 (95% CI = 58.50-60.87), respectively. Eventually, a significant relationship was found between the moral courage and frequency of moral distress ( = 0.46, < 0.001) and the intensity of moral distress ( = 0.73, < 0.001).
In general, encouraging healthcare managers and administrators is considered as crucial for developing supportive structures and highly sensitive management which promotes moral courage while reducing moral distress in nurses' work setting.
近年来，医疗保健专业人员中的道德困扰和道德勇气受到了相当多的关注。然而，在护士中调查这些主题的研究却很少。因此，本研究旨在评估伊朗样本人群中护士的道德困扰与道德勇气之间的关联。
本横断面研究于2018年2月至12月进行。使用科利的道德困扰量表（MDS-R）和塞克卡的道德勇气量表收集数据。MDS-R是一个包含21个条目的量表，频率范围从0（从不）到4（非常频繁），强度范围从0（无）到4（很大程度）。此外，道德勇气量表包含15个条目，范围从“从不正确”（1分）到“总是正确”（7分）。共有225名符合条件的护士参与了本研究。最后，使用SPSS-16在α = 0.05水平进行统计分析。
道德困扰的频率和强度以及道德勇气得分的平均值分别为45.41（95%可信区间 = 43.37 - 47.45）、44.24（95%可信区间 = 42.98 - 45.42）和59.63（95%可信区间 = 58.50 - 60.87）。最终，发现道德勇气与道德困扰的频率（r = 0.46，P < 0.001）和道德困扰的强度（r = 0.73，P < 0.001）之间存在显著关系。
总体而言，鼓励医疗保健管理人员被认为对于建立支持性结构和高度敏感的管理至关重要，这在护士的工作环境中既能促进道德勇气又能减少道德困扰。
