Alipour Zeinab, Nobahar Monir, Ghorbani Raheb, Jahan Elahe
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
BMC Nurs. 2024 Oct 28;23(1):790. doi: 10.1186/s12912-024-02437-3.
In the demanding environment of the neonatal intensive care unit (NICU), quality nursing care hinges on effective teamwork and communication among nurses. However, this requirement for close cooperation can expose nurses to significant levels of moral distress. This study aims to explore the connection between the quality of teamwork and the experience of moral distress among NICU nurses.
Employing a cross-sectional, multicenter descriptive correlational design, this study surveyed female NICU nurses across the cities of Khorramabad and Semnan. Census sampling was utilized over five months, from July to November 2023, resulting in the participation of 190 nurses. Tools for data collection included demographic questionnaires, the Team-STEPPS Teamwork Perception Questionnaire (T-TPQ), and the Moral Distress Scale-Revised (MDS-R) for nurses.
The findings revealed an average teamwork score of 3.73 ± 0.78, denoting an acceptable level, and an average moral distress score of 91.2 ± 56.7, indicating a low level. In multiple linear regression, marital status showed a direct positive correlation (β = 38.5, SE (β) = 9.3, p < 0.001), while the number of children (β = -14.6, SE (β) = 4.9, p = 0.003) and the teamwork score (β = -1.1, SE (β) = 0.12, p < 0.001) were inversely correlated with moral distress.
The study's results suggest that stronger teamwork among nurses correlates with reduced moral distress. Enhancing teamwork within NICUs could lead to policy development focused on the safety and quality of newborn care, also potentially alleviating moral distress experienced by nurses.
在新生儿重症监护病房（NICU）要求严苛的环境中，优质护理依赖于护士之间有效的团队合作与沟通。然而，这种紧密合作的要求可能使护士面临较高程度的道德困扰。本研究旨在探讨NICU护士团队合作质量与道德困扰体验之间的联系。
本研究采用横断面、多中心描述性相关设计，对霍拉马巴德和塞姆南两市的女性NICU护士进行了调查。在2023年7月至11月的五个月时间里采用普查抽样，共有190名护士参与。数据收集工具包括人口统计学问卷、团队策略与工具提升绩效（Team-STEPPS）团队合作感知问卷（T-TPQ）以及护士道德困扰量表修订版（MDS-R）。
研究结果显示，团队合作平均得分为3.73±0.78，表明处于可接受水平；道德困扰平均得分为91.2±56.7，表明程度较低。在多元线性回归中，婚姻状况呈直接正相关（β = 38.5，标准误（β）= 9.3，p < 0.001），而子女数量（β = -14.6，标准误（β）= 4.9，p = 0.003）和团队合作得分（β = -1.1，标准误（β）= 0.12，p < 0.001）与道德困扰呈负相关。
研究结果表明，护士之间更强的团队合作与道德困扰的减轻相关。加强NICU内的团队合作可能会促使制定关注新生儿护理安全与质量的政策，也有可能减轻护士所经历的道德困扰。
