Northern Borders Health Cluster, Arar, Saudi Arabia.
Medical Surgical Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Int Emerg Nurs. 2024 Jun;74:101447. doi: 10.1016/j.ienj.2024.101447. Epub 2024 Apr 29.
Understanding moral distress and resilience is crucial for supporting the well-being of emergency nursing staff and improving patient care. However, there is limited research specifically examining moral distress and resilience among emergency nursing staff in ARAR city hospitals.
This study aims to examine moral distress and resilience levels among emergency nursing staff in ARAR city hospitals. Specifically, the study seeks to determine the correlation between moral distress and resilience among emergency nursing staff and examine differences in the levels of moral distress and resilience among different demographic and occupational characteristics.
A cross-sectional study design was employed, involving a non-probability stratified sample of emergency nursing staff from two hospitals in ARAR city. The participants completed a Brazilian Moral Distress Scale in Nurses (MDSN-BR) and Rushton Moral Resilience Scale in Nurses (RMRS). Statistical analyses, including descriptive statistics and one-way- ANOVA, were conducted to analyze the data.
The study found that emergency nursing had a moderate level of moral distress, with a mean frequency of 2.70 (SD = 1.02) and a mean intensity of 2.79 (SD = 1.04). The overall self-reported moral resilience was also moderate, with a mean score of 2.48 (SD = 0.77). Significant positive correlations were observed between resilience and both moral distress frequency (r = 0.48, p = 0.001) and intensity (r = 0.48, p = 0.001). Educational levels and nursing positions were associated with variations in moral distress and resilience. Postgraduate diploma emergency nursing reported the highest levels of moral distress frequency (3.12, SD = 1.14) and intensity (3.21, SD = 1.16). A bachelor's degree in nursing exhibited higher levels of personal integrity (3.06, SD = 0.87), while a master's degree in nursing showed higher levels of moral efficacy (2.88, SD = 1.09). Head nurses experienced higher levels of moral distress compared to other positions (3.08, SD = 1.37 for frequency; 3.18, SD = 1.29 for intensity).
The study revealed that emergency nursing experienced relatively moderate levels of moral distress, which could be attributed to insufficient multidisciplinary teams and unprepared actions. The findings also highlighted moderate levels of moral resilience, particularly in relational integrity. Educational levels and nursing positions were found to influence moral distress and resilience. These results underscore the need for targeted interventions to support the well-being of emergency nurses and enhance ethical decision-making.
了解道德困境和韧性对于支持急诊护理人员的福祉和改善患者护理至关重要。然而，专门研究 ARAR 市医院急诊护理人员道德困境和韧性的研究有限。
本研究旨在探讨 ARAR 市医院急诊护理人员的道德困境和韧性水平。具体而言，本研究旨在确定急诊护理人员道德困境和韧性之间的相关性，并探讨不同人口统计学和职业特征的道德困境和韧性水平的差异。
采用非概率分层样本，对 ARAR 市两家医院的急诊护理人员进行横断面研究。参与者完成了巴西护士道德困境量表（MDSN-BR）和 Rushton 护士道德韧性量表（RMRS）。采用描述性统计和单因素方差分析进行数据分析。
研究发现，急诊护理人员的道德困境处于中等水平，平均频率为 2.70（SD=1.02），平均强度为 2.79（SD=1.04）。自我报告的整体道德韧性也处于中等水平，平均得分为 2.48（SD=0.77）。韧性与道德困境的频率（r=0.48，p=0.001）和强度（r=0.48，p=0.001）均呈显著正相关。教育水平和护理岗位与道德困境和韧性的变化有关。急诊护理研究生文凭报告的道德困境频率（3.12，SD=1.14）和强度（3.21，SD=1.16）最高。护理学士学位表现出更高的个人正直（3.06，SD=0.87），而护理硕士学位表现出更高的道德效能（2.88，SD=1.09）。护士长比其他岗位经历更高的道德困境（频率为 3.08，SD=1.37；强度为 3.18，SD=1.29）。
研究表明，急诊护理人员经历了相对中等程度的道德困境，这可能归因于多学科团队不足和准备不足的行动。研究结果还突出了道德韧性的中等水平，特别是在关系完整性方面。教育水平和护理岗位被发现会影响道德困境和韧性。这些结果强调需要采取有针对性的干预措施，以支持急诊护士的福祉并增强道德决策能力。
