Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Intensive Care Unit, Naft Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Semin Oncol Nurs. 2024 Dec;40(6):151742. doi: 10.1016/j.soncn.2024.151742. Epub 2024 Oct 11.
This study aimed to investigate the relationship between perceived comfort level with moral distress and moral sensitivity among oncology nurses METHODS: This is a descriptive-correlational study on 210 oncology nurses. The samples were selected through the convenience method from September 2020 to February 2022 in the oncology centers of Ahvaz, Iran. Data were collected via a demographic form, Lutzen's Modified Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, and Kolcaba's Nurses Comfort Questionnaire (NCQ). Data were analyzed using SPSS V24, descriptive statistics, Independent t, Mann-Whitney-U, Kruskal-Wallis, Pearson's correlation coefficient, ANOVA, and linear regression tests.
Nurses experienced a moderate level of perceived comfort (67.91 ± 8.75), moral sensitivity (58.4 ± 13.3), and moral distress (57.54.8 ± 8.9). Moral sensitivity was significantly inversely related to the intensity of moral distress (P < .001). A statistically significant relationship was found between nurses' perceived comfort level with frequency of distress (P < .001) and moral sensitivity (P = .046). Moral distress explained 13.8% of changes in perceived comfort level (R2 = 0.138, F = 6.51, sig < 0.001, R = 0.371).
Nurses' perceived comfort level, moral sensitivity, and moral distress were at a moderate level and intercorrelated. It is suggested that factors contributing to moral distress should be eliminated. Also, moral sensitivity should be refined as a decisive factor.
Oncology nurses are exposed to morally distressing situations that may be a source of discomfort. This study guides nurses, managers, planners, and policymakers to identify the contributing factors and use strategies and solutions to enhance nurses' perceived comfort level.
本研究旨在探讨肿瘤科护士感知道德困境舒适度与道德敏感性之间的关系。
这是一项针对 210 名肿瘤科护士的描述性相关性研究。样本于 2020 年 9 月至 2022 年 2 月间通过便利抽样法，从伊朗阿瓦士的肿瘤中心选取。通过一般资料表、Lutzen 改良道德敏感性问卷、Corley 道德困境量表和 Kolcaba 护士舒适度问卷（NCQ）收集数据。采用 SPSS V24 进行数据分析，包括描述性统计、独立 t 检验、Mann-Whitney-U 检验、Kruskal-Wallis 检验、Pearson 相关系数检验、方差分析和线性回归检验。
护士感知舒适度（67.91±8.75）、道德敏感性（58.4±13.3）和道德困境（57.54.8±8.9）处于中等水平。道德敏感性与道德困境强度呈显著负相关（P<0.001）。护士感知舒适度与困扰频率（P<0.001）和道德敏感性（P=0.046）之间存在显著关系。道德困境可解释感知舒适度水平变化的 13.8%（R2=0.138，F=6.51，sig<0.001，R=0.371）。
护士感知舒适度、道德敏感性和道德困境处于中等水平且相互关联。建议消除导致道德困境的因素，并进一步提高道德敏感性。
肿瘤科护士面临道德困境，可能会感到不适。本研究为护士、管理人员、规划人员和决策者提供指导，以识别促成因素，并利用策略和解决方案提高护士的感知舒适度水平。
