University of Kentucky, USA.
J Health Psychol. 2023 Mar;28(3):279-292. doi: 10.1177/13591053221111850. Epub 2022 Jul 14.
Moral distress, or the inability to act congruent with moral beliefs, has been of concern for healthcare professionals especially since the COVID-19 pandemic. Hospital nurses are particularly affected in their roles with mounting administrative pressures and demands. We examined whether general and COVID-specific support in employing healthcare organizations predicted moral distress in a sample of inpatient hospital nurses. A total of 248 nurses completed the Measure of Moral Distress for Healthcare Professionals, Survey of Perceived Organizational Support, COVID Organizational Support survey, and the Hospital Ethical Climate Scale. We found that general and COVID-related organizational support were predictors of moral distress after controlling for age, gender, working in an intensive care unit setting, and ethical climate. Findings support the need for a comprehensive strategy to address moral distress, including institutional efforts to convey support and commitment. Strategies moral distress may be experienced differently based on gender identity.
道德困境，或无法按照道德信念行事，一直是医疗保健专业人员关注的问题，尤其是自 COVID-19 大流行以来。随着行政压力和需求的增加，医院护士在其角色中受到的影响尤其大。我们研究了在住院医院护士样本中，使用医疗保健组织的一般和 COVID-19 特定支持是否可以预测道德困境。共有 248 名护士完成了医疗保健专业人员道德困境量表、感知组织支持量表、COVID-19 组织支持量表和医院伦理气候量表。我们发现，在控制年龄、性别、在重症监护病房工作和伦理气候后，一般和与 COVID-19 相关的组织支持是道德困境的预测因素。研究结果支持采取综合策略来解决道德困境，包括机构努力传达支持和承诺。策略道德困境可能因性别认同而有不同的体验。
