The relationship between ethical climate and moral distress from the perspective of operating room staff: A correlational study

2021 ◽  
pp. 147775092110572
Author(s):  
Fatemeh Esmaelzadeh ◽  
Fatemeh Rajabdizavandi ◽  
Monirsadat Nematollahi
Keyword(s):  
Organizational Climate ◽  
Operating Room ◽  
Ethical Climate ◽  
Moral Distress ◽  
Medical Sciences ◽  
The Social ◽  
The Mean ◽  
Distress Scale ◽  
The Relationship ◽  
Operating Room Staff

Background The organizational climate in the operating room is special due to the specific conditions of the patient, and the ethical climate may affect moral distress of the operating room staff. Objective This study determined the relationship between ethical climate and moral distress from staff working in operating rooms of hospitals affiliated to Mashhad University of Medical Sciences. Method This analytical study was performed on 169 operating room staff in Mashhad, Iran. The operating room staff was selected using stratified random sampling. The data were collected via Olson's Hospital Ethical Climate Survey and the Corley Moral Distress Scale and analyzed with IBM Statistical Package for the Social Sciences (SPSS) software version 21. Results The results showed no relationship between the ethical climate, the frequency, and intensity of moral distress of the operating room staff ( p > 0.05). In addition, the mean score of the ethical climate was 3.32 ± 0.48, indicating the average ethical climate in the operating room. The mean frequency and intensity of moral distress were 36.36 ± 11.68 and 48.8 ± 15.92, showing a moderate rate. There was a significant inverse relationship between the dimensions of ethical climate, the relationship with physicians, and the intensity of moral distress ( p <0.05). A significant relationship was found between the intensity of moral distress, the level of education, and field of study ( p <0.05). Conclusion The results of the current study showed that interventional programs should be implemented to reduce moral distress and improve the ethical climate in the operating room.

Relationship between moral distress and ethical climate with job satisfaction in nurses

2017 ◽  
Vol 26 (2) ◽  
pp. 346-356 ◽  
Author(s):  
Sharareh Asgari ◽  
Vida Shafipour ◽  
Zohreh Taraghi ◽  
Jamshid Yazdani-Charati
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Social Security ◽  
Ethical Climate ◽  
Moral Distress ◽  
Correlation Study ◽  
Critical Care Nurses ◽  
Quality Of Work Life ◽  
Distress Scale ◽  
The Relationship

Background: Moral distress and ethical climate are important issues in the workplace that appear to affect people’s quality of work life. Objectives: This study was conducted to determine the relationship of moral distress and ethical climate to job satisfaction in critical care nurses. Materials and methods: This descriptive-correlation study was conducted on 142 critical care nurses, selected from five social security hospitals in north Iran through census sampling. Data were collected using a demographic questionnaire, the Moral Distress Scale–Revised, the Olson’s Hospital Ethical Climate Survey, and the Brayfield and Rothe Job Satisfaction index. Ethical considerations: The research project was approved by the Ethics Committee of Mazandaran University of Medical Sciences and the Medical Deputy of the Social Security Organization. Findings: The mean scores obtained by the critical care nurses for moral distress, ethical climate, and job satisfaction were 87.02 ± 44.56, 3.51 ± 0.53, and 62.64 ± 9.39, respectively. Although no significant relationships were observed between moral distress and job satisfaction, the relationship between ethical climate and job satisfaction was statistically significant (p < 0.05). Conclusion: Identifying ethical stressors in the workplace and giving proper feedback to the authorities to eliminate these factors and improve the ethical climate in these workplaces can help enhance job satisfaction in nurses and lead to higher quality care.

scholarly journals The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian Social Security Organization

2019 ◽  
Author(s):  
Mina Bayat ◽  
Mohsen Shahriari ◽  
Mahrokh Keshvari
Keyword(s):  
Social Security ◽  
Ethical Climate ◽  
Moral Distress ◽  
Reverse Correlation ◽  
Moral Issues ◽  
The Mean ◽  
Convenience Sampling ◽  
Spss Software ◽  
Professional Interventions ◽  
The Relationship

the present study was conducted to determine the relation between nurses’ moral distress and the ethical climate in selected hospitals of the Iranian Social Security Organization (ISSO). This descriptive-analytical correlational study was conducted in 6 hospitals under the coverage of the Iranian Social Security Organization in 2016. Three hundred nurses were selected by convenience sampling method. Data were gathered using Corley’s Standard Moral Distress and Olson’s Hospital Ethical Climate Scales. Data were analyzed using SPSS software version 19. The mean score of the nurses’ moral distress was 1.94 ± 0.66, which is considered moderate. The mean score of ethical climate was 88.97, indicating desirable ethical climate in these hospitals. The frequency score of moral distress had a unilateral reverse correlation with the total score of ethical climate as well as its dimensions, including colleagues, patients, hospitals and physicians. The score of the intensity of nurses’ moral distress also had a unilateral reverse correlation with the total score of ethical climate and the scores of the hospital and physicians dimensions. These results emphasized the importance of creating a positive ethical climate to decrease moral distress as well as the need for professional interventions to increase support in moral issues.

A comparison of the ethical climate of operating rooms from the perspective of operating room nursing students and staff: An analytical study

2021 ◽  
pp. 147775092110114
Author(s):  
Fatemeh Esmaelzadeh ◽  
Monirsadat Nematollahi
Keyword(s):  
Nursing Students ◽  
Organizational Climate ◽  
Operating Room ◽  
Ethical Climate ◽  
Analytical Study ◽  
Operating Rooms ◽  
Significant Difference ◽  
Room Nursing ◽  
Operating Room Staff ◽  
Operating Room Nursing

Background The ethical climate is an essential component of organizational climate or culture. The ethical climate is necessary for clinical practice in operating rooms. Objective This study aimed to compare the ethical climate from the perspective of operating room nursing students and operating room staff of hospitals affiliated with Mashhad University of Medical Sciences, Iran. Method This analytical study was performed on 95 operating room nursing students and 169 operating room staff of hospitals in Mashhad, Iran. The students were selected through the census method and the staff were selected by using stratified random sampling. The data were collected via Olson’s Hospital Ethical Climate Survey and analyzed by using BMI SPSS version 21. Results The total mean scores of the ethical climate were 3.44 ± 0.45 and 3.32 ± 0.48 from students and staff’s perspectives, and the independent t-test showed no significant difference between them ( p < 0.05). In addition, from the students’ and staff’s points of view, the scores of communication with nurse managers were (3.95 ± 0.59), and (3.61 ± 0.91), the scores of communication with peers were (3.75 ± 0.43) and (3.48 ± 0.59), the scores of communication with patients and staff were (3.18 ± 0.6) (3.33 ± 0.62), respectively with no significant difference ( p > 0.05). Furthermore, the results of the study indicated a significant difference in communication with physicians’ score between operating room staff (2.82 ± 0.49) and students’ views (3.25 ± 0.6) ( p < 0.05). Conclusion Although it is difficult to create a right ethical climate in operating rooms, but hospital managers should implement practical programs to improve the ethical climate of operating rooms and inter-professional teamwork. Besides, deans of faculties can provide ethical-based education for students, who can effectively create an ethical climate.

scholarly journals Relationships Among Palliative Care, Ethical Climate, Empowerment, and Moral Distress in Intensive Care Unit Nurses

2018 ◽  
Vol 27 (4) ◽  
pp. 295-302 ◽  
Author(s):  
Krista Wolcott Altaker ◽  
Jill Howie-Esquivel ◽  
Janine K. Cataldo
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Ethical Climate ◽  
Moral Distress ◽  
Care Delivery ◽  
National Database ◽  
Palliative Care Teams ◽  
Intensive Care Unit Nurses ◽  
Distress Scale

Background Intensive care unit nurses experience moral distress when they feel unable to deliver ethically appropriate care to patients. Moral distress is associated with nurse burnout and patient care avoidance. Objectives To evaluate relationships among moral distress, empowerment, ethical climate, and access to palliative care in the intensive care unit. Methods Intensive care unit nurses in a national database were recruited to complete an online survey based on the Moral Distress Scale–Revised, Psychological Empowerment Index, Hospital Ethical Climate Survey, and a palliative care delivery questionnaire. Descriptive, correlational, and regression analyses were performed. Results Of 288 initiated surveys, 238 were completed. Participants were nationally representative of nurses by age, years of experience, and geographical region. Most were white and female and had a bachelor’s degree. The mean moral distress score was moderately high, and correlations were found with empowerment (r = −0.145; P = .02) and ethical climate scores (r = −0.354; P &lt; .001). Relationships between moral distress and empowerment scores and between moral distress and ethical climate scores were not affected by access to palliative care. Nurses reporting palliative care access had higher moral distress scores than those without such access. Education, ethnicity, unit size, access to full palliative care team, and ethical climate explained variance in moral distress scores. Conclusions Poor ethical climate, unintegrated palliative care teams, and nurse empowerment are associated with increased moral distress. The findings highlight the need to promote palliative care education and palliative care teams that are well integrated into intensive care units.

Does incivility impact the quality of work-life and ethical climate of nurses?

2020 ◽  
Vol 13 (3) ◽  
pp. 301-319 ◽  
Author(s):  
Yariv Itzkovich ◽  
Niva Dolev ◽  
Moran Shnapper-Cohen
Keyword(s):  
Organizational Climate ◽  
Ethical Climate ◽  
Qualitative Data ◽  
Perceived Quality ◽  
Work Life ◽  
Quality Of Work Life ◽  
Content Type ◽  
Quality Of Work ◽  
The Relationship

PurposeThe purpose of this study is to assess the relationship between incivility and two organizational and personal attitudes, namely, perceived ethical climate and perceived quality of work-life of nurses, in the framework of organizational climate.Design/methodology/approachQuantitative data of 148 nurses working in a medium-sized hospital in Israel were collected. Furthermore, qualitative data were collected through semi-structured interviews with 12 nurses and 14 doctors from the same hospital, constructing a mixed-method approach.FindingsFindings revealed that witnessing or experiencing incivility affected the nurses' perception of the ethical climate of their work unit and their perceived quality of their work-life. Additionally, we found that the relationship between incivility and nurses' perceived quality of work-life was partially mediated through their perceived ethical climate. The qualitative data supported some of the findings.Originality/valueThe article stretches the incivility theory beyond its dyadic boundaries, prominently showing the spillover effect of incivility as an organizational problem. Additionally, it offers some evidence-based support for the multidimensionality of incivility, strengthening the need for a construct cleanup.

scholarly journals “How Do They Even Know They Love?” The Image of Polyamory in Polish Expert Discourse

2020 ◽  
Vol 49 (8) ◽  
pp. 2829-2847
Author(s):  
Katarzyna Grunt-Mejer ◽  
Weronika Chańska
Keyword(s):  
Thematic Analysis ◽  
Psychological Evaluation ◽  
Moral Order ◽  
Medical Sciences ◽  
Scientific Objectivity ◽  
The Social ◽  
Relationship Model ◽  
The Media ◽  
The Relationship ◽  
Made In

Abstract The article presents the results of a thematic analysis of statements about polyamory made in the media by Polish psychology and sexology experts. The analysis was conducted on the basis of 20 pieces of material released in the Polish national press, radio, and television between July 2012 and October 2018. The results show that most of the analyzed experts approach polyamory with suspicion. In most cases, the decision to be in a polyamorous relationship is assessed very negatively, and in the eyes of the therapists it is evidence of psychological defects in people who make such attempts or it is seen as a harbinger of unfavorable outcomes for the relationship. This negative psychological evaluation is often accompanied by a strong moral assessment and a clear willingness to discourage society from this relationship model. The results show that representatives of psychology and medical sciences in the Polish media support and legitimize the social and moral order that promotes mono-normativity. The true reasons for the aforementioned negative assessment are hidden behind a veil of scientific objectivity.

Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying

2018 ◽  
Vol 26 (6) ◽  
pp. 1834-1847 ◽  
Author(s):  
Fardin Ajoudani ◽  
Rahim Baghaei ◽  
Mojgan Lotfi
Keyword(s):  
Workplace Bullying ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Mediating Role ◽  
Distress Scale ◽  
The Relationship ◽  
Negative Acts

Background: Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse’s burnout. Aim: To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying. Ethical considerations: The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences. Method: This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying. Results: The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 ± 35.26, 79.9 ± 18.27, and 45.4 ± 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly. Conclusion: Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout.

Relationship between ICU nurses’ moral distress with burnout and anticipated turnover

2014 ◽  
Vol 22 (1) ◽  
pp. 64-76 ◽  
Author(s):  
Foroozan Atashzadeh Shoorideh ◽  
Tahereh Ashktorab ◽  
Farideh Yaghmaei ◽  
Hamid Alavi Majd
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Turnover Intention ◽  
Work Experience ◽  
Moral Distress ◽  
Statistical Correlation ◽  
Medical Sciences ◽  
Anticipated Turnover ◽  
Intensive Care Unit Nurses ◽  
Distress Scale

Background: Moral distress is one of intensive care unit nurses’ major problems, which may happen due to various reasons, and has several consequences. Due to various moral distress outcomes in intensive care unit nurses, and their impact on nurses’ personal and professional practice, recognizing moral distress is very important. Research objective: The aim of this study was to determine correlation between moral distress with burnout and anticipated turnover in intensive care unit nurses. Research design: This study is a descriptive-correlation research. Participants and research context: A total of 159 intensive care unit nurses were selected from medical sciences universities in Iran. Data collection instruments included “demographic questionnaire,” “ICU Nurses’ Moral Distress Scale,” “Copenhagen Burnout Inventory” and “Hinshaw and Atwood Turnover Scale.” Data analysis was done by using SPSS19. Ethical considerations: Informed consent from samples and research approval was obtained from Shahid Beheshti Medical Sciences University Research Ethics Board in Tehran. Findings: The findings showed intensive care unit nurses’ moral distress and anticipated turnover was high, but burnout was moderate. The results revealed that there was a positive statistical correlation between intensive care unit nurses’ age, their work experience and the fraction of nurses’ number to number of intensive care unit beds with their moral distress and burnout. However, there were no correlation between gender, marriage status, educational degree and work shift and moral distress. Discussion: Some of the findings of this research are consistent with other studies and some of them are inconsistent. Conclusion: Similarly, moral distress with burnout and anticipated turnover did not have statistical correlation. However, a positive correlation was found between burnout and anticipated turnover. The results showed that increase in the recruitment of young nurses, and nursing personnel, and diminishing intensive care unit nurses’ moral distress, burnout and their turnover intention are essential.

scholarly journals The Relationship between Attitude toward Research and Research Self-efficacy in MSc Students of Medical Sciences

2019 ◽  
Author(s):  
Manijeh ShahriaryKalantary ◽  
Khadijeh Nasiriani
Keyword(s):  
Self Efficacy ◽  
Positive Attitude ◽  
Statistical Tests ◽  
Statistical Correlation ◽  
Data Collection Tool ◽  
Medical Sciences ◽  
The Mean ◽  
And Gender ◽  
Interest In Research ◽  
The Relationship

Introduction: Positive attitude towards research can increase the students’ interest in research. Research self-efficacy is an effective factor on attitude towards research. It seems that higher research self-efficacy can influence students’ interest in research. Therefore, this study was conducted to determine the relationship between attitude to research and research self-efficacy in MSc students of medical sciences. Methods: In this descriptive study, 176 graduate students in medical sciences were selected through stratified random sampling. The data collection tool was the questionnaires of attitude toward research and research self-efficacy. Data analysis was conducted using parametric statistical tests by SPSS version 15.  Results: Most samples were female (80.1%) and studied nursing (10.8%), while a minority of them was studying parasitology and physiology (1.1%). A significant statistical correlation was observed between the mean scores of attitude towards research and research self-efficacy of students. Moreover, a significant correlation was found between the mean scores of attitude towards research and the students' age and gender. Conclusions: Based on the results, existence of a positive relationship between attitude and research self-efficacy suggests that creation of a positive attitude towards research creates higher research self-efficacy beliefs in students and provides a basis for more student research.

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