Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Ethiop J Health Sci. 2022 Mar;32(2):405-412. doi: 10.4314/ejhs.v32i2.21.
Critical care nurses usually experience high levels of moral distress due to the nature of their work. Resilience in critical care nurses can potentially facilitate effective adaptation to physical and emotional burden of caring for critically ill patients. The present study aimed to evaluate the relationship between resilience and moral distress among Iranian critical care nurses.
In this cross-sectional correlational study, 144 critical care nurses working in intensive care units (ICUs) of five teaching hospitals affiliated to Mazandaran University of Medical Sciences, were selected randomly, from July to October 2020. Data were collected using a 36-item moral distress questionnaire and a 25-item Connor-Davidson Resilience Scale (CD-RISC) questionnaire. Data were analyzed using independent t-test, ANOVA and Pearson correlation coefficient using SPSS 21 software.
The mean score of moral distress in nurses was 66.93±2.47 and 95.8% of nurses had low-level moral distress. The mean score of resilience in nurses was 90.66±10.92 and 73.6% of nurses had high levels of resilience. There was a statistically significant relationship between the scores of moral distress and resilience. Also, there was a significant positive relationship between work experience and two subscales of resilience as "trust in individual instincts, tolerance of negative emotions" and "impact of spirituality" (p<0.001).
The results of the present study indicated a positive correlation between resilience and moral distress in nurses working in ICUs. It seems that when moral distress increases, critical care nurses increasingly use the mechanism of resilience for better permanence and active presence in the organization.
由于工作性质，重症监护护士通常会经历较高水平的道德困境。重症监护护士的韧性可能有助于他们有效地适应照顾重症患者的身心负担。本研究旨在评估伊朗重症监护护士的韧性与道德困境之间的关系。
这是一项横断面相关性研究，于 2020 年 7 月至 10 月期间，随机选取了 144 名在马赞达兰大学医学科学附属五所教学医院重症监护病房工作的重症监护护士。使用 36 项道德困境问卷和 25 项 Connor-Davidson 韧性量表（CD-RISC）问卷收集数据。使用 SPSS 21 软件，采用独立 t 检验、方差分析和 Pearson 相关系数分析数据。
护士的道德困境平均得分为 66.93±2.47，95.8%的护士处于低水平道德困境。护士的韧性平均得分为 90.66±10.92，73.6%的护士具有较高的韧性水平。护士的道德困境评分与韧性评分之间存在统计学显著关系。此外，工作经验与“信任个人本能、容忍负面情绪”和“灵性影响”这两个韧性子量表之间存在显著正相关（p<0.001）。
本研究结果表明，重症监护病房护士的韧性与道德困境之间存在正相关。当道德困境增加时，重症监护护士似乎越来越多地利用韧性机制，以更好地在组织中保持持久和积极的存在。
