Determinants of moral distress in daily nursing practice: A cross sectional correlational questionnaire survey

In recent years, additional expressions such as ‘sensation of breathing discomfort’ and ‘discomfort of dyspnea’ are being used in daily nursing care in Japan. To better understand the current status of the use of these terms by nurses, and to ascertain what the term ‘dyspnea’ may not express, we designed an original questionnaire and conducted a study with all nurses at our hospital. The questionnaire included questions to determine if nurses used these terms, and in what context. Of the 279 nurses in our hospital, 225 (80.6%) responded. Three-quarters of nurses indicated that they use these terms in clinical nursing practice. There was no difference in the usage of these terms between nurses who had or had not worked in a respiratory outpatients/ward. However, the percentage of nurses using these terms was higher amongst those with 10 years or less nursing experience compared with those with more than 10 years’ experience. Open-ended questions revealed that these terms were used to communicate information between nurses and between nurses and patients’ families. Our observations need to be verified in large-scale studies to determine if these terms are meaningful for nursing practice in that they describe something not expressed with ‘dyspnea’. There is the possibility of confusion due to the use of inappropriate terms and a lack of education on the subject. Many nurses used these terms, and there may be things that the term ‘dyspnea’ could not express. The results of this study can be used to identify something that is lacking in communication about dyspnea between nurses, nurses and patients, and nurses and patients’ families.

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Nurses’ Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312800 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12800

Author(s):

Yukari Hisaka ◽

Hirokazu Ito ◽

Yuko Yasuhara ◽

Kensaku Takase ◽

Tetsuya Tanioka ◽

...

Keyword(s):

Acute Stroke ◽

Nursing Care ◽

Questionnaire Survey ◽

Nursing Practice ◽

Stroke Care ◽

Factor Loading ◽

Actual Practice ◽

Care Practice ◽

Cross Sectional ◽

Web Based

The awareness of care provided by stroke care unit (SCU) nurses in Japan to patients with an acute cerebrovascular accident (CVA) and the characteristic differences in their actual nursing practice were evaluated. A cross-sectional web-based questionnaire survey was administered to 1040 SCU nurses. Data collection and reporting procedures followed the STROBE Statement Checklist for cross-sectional studies. Exploratory factor analysis, using 52 observation items, identified eight factors with a factor loading > 0.4. For all factors, the actual practice was significantly lower than the awareness of the importance of nursing care for patients with acute CVA. Awareness and actual practice of recognition of patients’ physical changes (RPPCs) were high. The actual practice of RPPCs and preventing the worsening of acute stroke and related symptoms varied, depending on years of experience in acute phase stroke care. RPPCs in actual practice had a significantly higher score among certified nurses or certified nurse specialists. Their awareness of the importance of collaborating with therapists was low. On-the-job training can improve nurses’ competence and prevent worsening conditions in patients with CVA. An emphasis on enhancing practice experience toward patients with acute CVA and facilitating the deployment of certified nurses in SCUs can improve nursing care practice.

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A Romanian University Studentss Profile Regarding Their Migration Intentions. A Cross-Sectional Study Based on Questionnaire Survey

SSRN Electronic Journal ◽

10.2139/ssrn.3102857 ◽

2017 ◽

Author(s):

Aurelian P. Plopeanu ◽

Daniel Homocianu

Keyword(s):

Questionnaire Survey ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Enhancing family nursing practice in schools: School nurses’ perspectives on illness beliefs and family nursing practice skills when caring for children with attention-deficit hyperactivity disorder or asthma – A cross-sectional study

Nordic Journal of Nursing Research ◽

10.1177/20571585211009690 ◽

2021 ◽

pp. 205715852110096

Author(s):

Erla Kolbrun Svavarsdottir ◽

Gudny Bergthora Tryggvadottir ◽

Margret Gisladottir ◽

Ragnheidur Osk Erlendsdottir

Keyword(s):

Nursing Practice ◽

Healthcare Services ◽

Cross Sectional Study ◽

School Nurses ◽

Illness Beliefs ◽

Sectional Study ◽

Cross Sectional ◽

Hyperactivity Disorder ◽

Family Nursing ◽

Practice Skills

An increasing number of children attend schools with chronic illnesses/disorders that require managing and comprehensive healthcare from school nurses during the day. Collaboration between school nurses, the school-aged child with attention-deficit hyperactivity disorder (ADHD) or asthma, and their families is needed when coordinating/managing chronic health problems in the school setting. However, involving families in the assessment and care planning processes can be challenging. The aim of this study was to survey the illness beliefs of school nurses and their perceptions of their family nursing practice skills when offering healthcare services to children with ADHD or asthma in schools. A cross-sectional study was used for a sample of 82 school nurses. The manuscript was prepared following STROBE guidelines. Results indicated that the school nurses perceived themselves to be more confident and to have better knowledge and skill in family nursing practice when offering healthcare services to families of children with ADHD in comparison to asthma.

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Correlation of Students’ Academic Achievements at a Professional Course of Ethics and Pediatrics Clinical Practice at Mizan-Tepi University, South Nations, Nationalities and People’s Region, Ethiopia

Global Pediatric Health ◽

10.1177/2333794x211003799 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2110037

Author(s):

Lalisa Chewaka Gamtessa

Keyword(s):

Academic Achievement ◽

Clinical Practice ◽

Nursing Students ◽

Professional Ethics ◽

Nursing Practice ◽

Coefficient Of Determination ◽

Significant Positive Association ◽

Cross Sectional ◽

Academic Achievements ◽

Clinical Nursing

Nursing is a respect for dignity and treating every person equally. Qualifying competent and ethical nurses requires the incorporation of a professional code of ethics with clinical nursing practice. However, no study was conducted on the relationship between professional ethics and clinical nursing practice. Therefore this study aimed to determine correlation between professional ethics and pediatrics clinical practice from an achievement perspective. Accordingly, cross-sectional study design was conducted at Mizan-Tepi University using nursing students’ academic achievements at professional ethics and pediatric practice. Collected data were entered into Epi info 7. SPSS version 21.0 was used to calculate spearman’s rho correlation ( rs) and coefficient of determination ( R2) at P < .05. A total of 316 study participants comprising of 209 (66.14%) male and 107 (33.86%) female nursing students included in the current study. Nursing students’ academic achievements at professional ethics was significantly and positively associated with achievements at pediatrics clinical practice ( rs = 0.4-0.6), P < .001. Linear regression results revealed 25% to 26.7% coefficient determination for regular students and 18% to 22.9% for summer nursing students. To sum up, there was a significant positive association between achievements of students at professional ethics and pediatrics clinical practice. Therefore increasing students’ academic achievement in professional ethics can further improve their achievements at pediatrics clinical practice. However, academic achievement in professional ethics explained 22.35% of the variability in achievements at pediatric clinical practice. 77.65% of the variability in pediatrics clinical practice was due to other factors that deserve another study.

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Moral distress in undergraduate nursing students

Nursing Ethics ◽

10.1177/0969733018814902 ◽

2019 ◽

Vol 26 (7-8) ◽

pp. 2325-2339 ◽

Cited By ~ 2

Author(s):

Simoní Saraiva Bordignon ◽

Valéria Lerch Lunardi ◽

Edison Luiz Devos Barlem ◽

Graziele de Lima Dalmolin ◽

Rosemary Silva da Silveira ◽

...

Keyword(s):

Nursing Students ◽

Undergraduate Students ◽

Moral Distress ◽

Intensity Level ◽

Linear Regression Models ◽

Design Data ◽

Cross Sectional ◽

Undergraduate Nursing Students ◽

Undergraduate Nursing ◽

Distress Scale

Background: Moral distress is considered to be the negative feelings that arise when one knows the morally correct response to a situation but cannot act because of institutional or hierarchal constraints. Objectives: To analyze moral distress and its relation with sociodemographic and academic variables in undergraduate students from different universities in Brazil. Method: Quantitative study with a cross-sectional design. Data were collected through the Moral Distress Scale for Nursing Students, with 499 nursing students from three universities in the extreme south of Brazil answering the scale. The data were analyzed in the statistical software SPSS version 22.0, through descriptive statistical analysis, association tests (t-test and analysis of variance), and linear regression models. Ethical considerations: Approval for the study was obtained from the Research Ethics Committee at Universidade Federal do Rio Grande. Findings: The mean intensity of moral distress in the constructs ranged from 1.60 to 2.55. As to the occurrence of situations leading to moral distress in the constructs, the frequencies ranged from 1.21 to 2.43. The intensity level of moral distress showed higher averages in the more advanced grades of the undergraduate nursing course, when compared to the early grades of this course (between 5 and 10 grade, average = 2.60–3.14, p = 0.000). Conclusion: The demographic and academic characteristics of the undergraduate nursing students who referred higher levels of moral distress were being enrolled in the final course semesters, were at a federal university, and had no prior degree as an auxiliary nurse/nursing technician.

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Awareness and concern towards anesthesia among patients undergoing surgical procedure: A cross-sectional study at pre-anesthetic clinic of a Teaching Hospital

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v8i2.28168 ◽

2019 ◽

Vol 8 (2) ◽

pp. 76-80

Author(s):

Sushila Lama Moktan ◽

Ujma Shrestha ◽

Mona Sharma ◽

Manan Karki

Keyword(s):

Questionnaire Survey ◽

Surgical Procedure ◽

Educational Status ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Surgical Patients ◽

Sectional Study ◽

Cross Sectional ◽

Poor Knowledge ◽

The Past

Background: With the advent of anesthesia, surgery is no longer a race against the clock and surgeons. Many studies in the past have demonstrated limited knowledge among patients about various aspects of anesthesia.Objectives: To assess the awareness and concern of elective surgical patients towards anesthesia.Methodology: A cross-sectional questionnaire survey was conducted over two months’ period in adult patients of age eighteen years and above. Two hundred surgical patients accessing services at the pre-anesthesia check-up clinic were interviewed using 12 questions assessing demographic characteristics, educational status and their knowledge about anesthesia.Results: Out of 200 patients, only 32% knew that anesthesiologists provide anesthesia. It was found that 63% didn’t have any knowledge about the types of anesthesia. The most common fear among the participants about anesthesia was the fear of pain during surgery.Conclusion: The study showed poor knowledge of patients regarding anesthesia.

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