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情绪劳动水平与道德困扰之间的关系。

The relationship between emotional labor level and moral distress.

作者信息

Iskender Mahinur Durmus, Eren Handan, Çalışkan Nurcan, Yılmaz Elmas

机构信息

Health Sciences Faculty, Department of Midwifery, Kastamonu University, Turkey.

Health Sciences Faculty, Department of Nursing, Yalova University, Turkey.

出版信息

Nurs Ethics. 2023 Jun;30(4):500-512. doi: 10.1177/09697330221140489. Epub 2023 Feb 3.

Abstract

BACKGROUND

The coronavirus disease (COVID-19) pandemic has implications for health professionals.

AIM

The aim of this study was to explain the relationship between emotional labor levels and moral distress in health professionals during the COVID-19 pandemic using the Structural Equation Modeling (SEM) technique.

RESEARCH DESIGN

A descriptive and cross-sectional study was adopted.

PARTICIPANTS AND RESEARCH CONTEXT

Data were collected between 7 February and 7 March 2021. 302 health professionals who were not on leave (annual leave, sick leave, prenatal and postnatal leave, etc.) at the time of the research and who volunteered to participate in the research were included. Research data were collected using a "Personal Information Form," the "Emotional Labor Scale" and the "Moral Distress Thermometer."

ETHICAL CONSIDERATIONS

The Ethics Committee approved the study (dated 07.01.2021 and numbered 2021/1-3). The participants were informed of the study aim and written consent was obtained before completing the survey.

FINDINGS

In the present study, the mediator role of emotional labor in the effect of providing service to a patient with COVID-19 and having had COVID-19 on moral distress was examined in health professionals and it was found that there was a correlation between providing service to a patient with COVID-19 and moral distress regardless of whether or not emotional labor had a role in this relationship.

CONCLUSION

In this study, the relationship between the level of emotional labor and moral distress in health professionals during the COVID-19 pandemic was evaluated with a structural equation model.

摘要

背景

冠状病毒病(COVID-19)大流行对卫生专业人员产生了影响。

目的

本研究的目的是使用结构方程模型(SEM)技术解释COVID-19大流行期间卫生专业人员的情绪劳动水平与道德困扰之间的关系。

研究设计

采用描述性横断面研究。

参与者和研究背景

数据收集于2021年2月7日至3月7日。纳入了302名在研究时未休假(年假、病假、产前和产后假等)且自愿参与研究的卫生专业人员。研究数据通过“个人信息表”、“情绪劳动量表”和“道德困扰温度计”收集。

伦理考量

伦理委员会批准了该研究(日期为2021年1月7日,编号为2021/1 - 3)。在完成调查前,向参与者告知了研究目的并获得了书面同意。

研究结果

在本研究中,对卫生专业人员中情绪劳动在为COVID-19患者提供服务及感染过COVID-19对道德困扰的影响中的中介作用进行了研究,结果发现,无论情绪劳动在此关系中是否起作用,为COVID-19患者提供服务与道德困扰之间均存在相关性。

结论

在本研究中,使用结构方程模型评估了COVID-19大流行期间卫生专业人员的情绪劳动水平与道德困扰之间的关系。

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