scholarly journals The Relationship Between Moral Distress With Level of Burnout on Nurses in Intensive Care Room at the dr. Soebandi Hospital Jember

2021 ◽  
Vol 5 (2) ◽  
pp. 273
Author(s):  
Siswoyo Siswoyo ◽  
Kholid Rosyidi Muhammad Nur ◽  
Faizatul Ulya
Keyword(s):  
Intensive Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Bivariate Analysis ◽  
P Value ◽  
Care Providers ◽  
Distress Scale ◽  
Spearman Test ◽  
The Relationship

Moral distress is defined as psychological disequilibrium and negative feelings that results from recognizing an ethically appropriate action, yet not taking it because of such barriers. This causes an increase workload of nurses in the intensive care room, resulting burnout that affects nurses, patients and health care providers. This study aimed to analyze the relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember. This study used a quantitative descriptive observational analytic with the approach cross sectional design selected 47 nurses as respondents used total sampling. Data collected by Measure of Moral Distress Scale - Healthcare Professionals (MMD-HP) and Maslach Burnout Inventory (MBI). The results revealed that most respondents experienced low moral distress (85.1%) and low burnout (61.7%). The bivariate analysis showed with spearman test that p-value was < 0.001 (α = 0.05; r = 0.531). There was a relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember with moderate and positive relationship strength. A healthy work environment plays an important role in the low level of moral distress and burnout, if there are staff skilled in communication, good collaboration between people or professions, effective decision making, proper staffing, recognition and leadership.

Moral distress among health care workers in the intensive care unit; a systematic review and meta-analysis

2021 ◽  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Meta Analysis ◽  
Significant Heterogeneity ◽  
Care Providers ◽  
Distress Scale

Background: The effect of moral distress among healthcare providers is significant on disease morbidity, especially within the intensive care unit (ICU). In this systematic review and meta-analysis, we aimed to gather all evidence regarding moral distress frequency and severity/intensity among ICU health care providers. Methods: We conducted a systematic search to gather all relevant studies from six databases, followed by a manual search of references. Fourteen studies consisting of 5905 participants were included in the final moral distress scale analyses. Results: Overall, there was moderate moral distress severity/intensity among all participants (Mean = 27.79; 95% confidence interval (CI) = 7.40–64.18). On further stratification of the results according to countries, Canada (Mean = 91.99; 95% CI = 80.10–105.65) and USA (Mean = 52.54; 95% CI = 44.78–61.64) showed the highest distress scores, followed by Iran (Mean = 21.20; 95% CI = 7.21–62.30) and Italy (Mean = 3.42; 95% CI = 3.15–3.72). Studies conducted in high income-earning countries reported more severity/intensity (Mean = 22.65; 95% CI = 6.58–78.02) compared to those in the upper-middle income-earning ones (Mean = 18.89; 95% CI = 2.80–127.34). There was significant heterogeneity among the included studies, which could not be explained by the difference in scales, country of the participants, or the female proportion. Moreover, there was a moderate frequency of moral distress (Mean = 46.83; 95% CI = 8.34–262.87), which was found to be much higher (Mean = 87.94; 95% CI = 83.55–92.57), in performing analysis. Conclusion: Moral distress is a major problem in the ICU setting, in terms of both severity/intensity and frequency. Future large-scale studies are required, through a unified framework, to develop appropriate interventions to address ICU-related moral distress.

scholarly journals Moral distress and Burnout syndrome: are there relationships between these phenomena in nursing workers?

2014 ◽  
Vol 22 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Graziele de Lima Dalmolin ◽  
Valéria Lerch Lunardi ◽  
Guilherme Lerch Lunardi ◽  
Edison Luiz Devos Barlem ◽  
Rosemary Silva da Silveira
Keyword(s):  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Bivariate Analysis ◽  
Rio Grande Do Sul ◽  
Weak Correlation ◽  
Professional Performance ◽  
Moderating Variables ◽  
Professional Fulfillment ◽  
Distress Scale

OBJECTIVE: to identify relationships between moral distress and Burnout in the professional performance from the perceptions of the experiences of nursing workers. METHODS: this is a survey type study with 375 nursing workers working in three different hospitals of southern Rio Grande do Sul, with the application of adaptations of the Moral Distress Scale and the Maslach Burnout Inventory, validated and standardized for use in Brazil. Data validation occurred through factor analysis and Cronbach's alpha. For the data analysis bivariate analysis using Pearson's correlation and multivariate analysis using multiple regression were performed. RESULTS: the existence of a weak correlation between moral distress and Burnout was verified. A possible positive correlation between Burnout and therapeutic obstinacy, and a negative correlation between professional fulfillment and moral distress were identified. CONCLUSION: the need was identified for further studies that include mediating and moderating variables that may explain more clearly the models studied.

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.

Clinicians’ moral distress and family satisfaction in the intensive care unit

2018 ◽  
Vol 25 (12) ◽  
pp. 1894-1904 ◽  
Author(s):  
Giulia Lamiani ◽  
Matteo Ciconali ◽  
Piergiorgio Argentero ◽  
Elena Vegni
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Emotional Support ◽  
Moral Distress ◽  
Family Satisfaction ◽  
Satisfaction With Care ◽  
Decision Making Process ◽  
The Family ◽  
Distress Scale ◽  
The Relationship

This study explored the relationship between clinicians’ moral distress and family satisfaction with care in five intensive care units in Italy. A total of 122 clinicians (45 physicians and 77 nurses) and 59 family members completed the Italian Moral Distress Scale-Revised and the Family Satisfaction in the ICU questionnaire, respectively. Clinicians’ moral distress inversely correlated with family satisfaction related to the inclusion in the decision-making process. Specifically, physicians’ moral distress inversely correlated with satisfaction regarding the respect shown toward the patient. Nurses’ moral distress inversely correlated with satisfaction regarding breathlessness and agitation management, provision of emotional support, understanding of information, and inclusion in the decision-making process.

Frequency of Burnout Syndrome among Health Care Providers and its Association with Gender and Work setup

2021 ◽  
Vol 15 (5) ◽  
pp. 1211-1213
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Gender And Work ◽  
High Level

Objective: To find out the frequency of burnout syndrome among health care providers and its association with gender and work setup Methodology: It was a cross sectional studyinvolving 272 health care providersby convenient sampling, working in government hospitals and private hospitals. Level of Burnout was assessed by Maslach Burnout inventory (MBI). Data was analyzed by SPSS v.25. p-value ≤ 0.05 was considered as significant Results: The mean score of emotional exhaustion, cynicism and professional proficiency were 17.85±7.2, 19.32± 9.3 and 28.39±9.8 respectively. Males had more emotional exhaustion and cynicism burnout as compared to females but the results were insignificant. Professional proficiency burnout was significantly higher in females. In type of work setup, results were statistically significant for emotional exhaustion and professional proficiency. There was more burnout among health care providers working in private work setup. Conclusion: According to levels of burnout high level of cynicism and professional proficiency, and moderate level emotional exhaustion burnout were present among health care providers. Professional proficiency was significantly associated with gender and work setup while emotional exhaustion was significantly associated with work setup. Key words: Mental health, Occupational Health, Professional burnout, Stress

Intensive care nurses’ perception of futility

2013 ◽  
Vol 20 (4) ◽  
pp. 436-447 ◽  
Author(s):  
Dilek Özden ◽  
Şerife Karagözoğlu ◽  
Gülay Yıldırım
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Health Care Professionals ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Satisfaction Questionnaire ◽  
Minnesota Satisfaction Questionnaire ◽  
Intensive Care Nurses ◽  
Low Levels ◽  
The Relationship

Suffering repeated experiences of moral distress in intensive care units due to applications of futility reflects on nurses’ patient care negatively, increases their burnout, and reduces their job satisfaction. This study was carried out to investigate the levels of job satisfaction and exhaustion suffered by intensive care nurses and the relationship between them through the futility dimension of the issue. The study included 138 intensive care nurses. The data were obtained with the futility questionnaire developed by the researchers, Maslach Burnout Inventory and Minnesota Satisfaction Questionnaire. It was determined that nurses who agreed to the proposition that the application of futility demoralizes health-care professionals had low levels of job satisfaction but high levels of depersonalization. It was determined that nurses had moderate levels of job satisfaction, emotional exhaustion, and personal achievements but high levels of sensitivity. Nurses’ job satisfaction and sensitivities are positively affected when they consider that futility does not contradict the purposes of medicine.

scholarly journals Ethical and Social Issues for Health Care Providers in the Intensive Care Unit during the Early Stages of the COVID-19 Pandemic in Japan: a Questionnaire Survey

2021 ◽  
Author(s):  
Yusuke Seino ◽  
Yayoi Aizawa ◽  
Atsushi Kogetsu ◽  
Kazuto Kato
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Palliative Care ◽  
Intensive Care ◽  
Medical Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Social Issues ◽  
Free Text ◽  
Care Providers

AbstractThis questionnaire-based observational study was conducted in July 2020 with the aim of understanding the ethical and social issues faced by health care providers (HCPs) registered with the Japanese Society of Intensive Care Medicine in intensive care units (ICUs) during the coronavirus disease (COVID-19) pandemic. There were 200 questionnaire respondents, and we analyzed the responses of 189 members who had been involved in COVID-19 treatment in ICUs. The ethical and social issues that HCPs recognized during the pandemic were difficulties in the decision-making process with patients’ families, limitations of life-sustaining treatment, lack of palliative care, and inadequate mental support for patients’ families and HCPs. Regarding decision-making on issues of clinical ethics during the pandemic, more than half of the respondents thought they had failed to provide sufficient palliative care to patients and responded that they experienced moral distress. The free-text responses on moral distress revealed issues such as unusual treatment and care, restricted visits, challenging situations for HCPs, and psychological burden. Additionally, 38.1% of respondents experienced episodes of social prejudice or discrimination and 4.7% experienced a shortage of medical resources. Our study result shows that the moral distress of HCPs was caused by difficulties in patient-centered decision-making and insufficient medical care to patients and their families. These were caused mainly by a lack of communication due to the stronger implementation of infection control measures. We believe that it is important to address ethical and social issues during a pandemic in order to provide appropriate medical care and prevent burnout among HCPs.

scholarly journals Hubungan Merokok dan Obesitas Sentral dengan Nilai Ankle-Brachial Index pada Mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Maghfirah Savitri ◽  
Frans Wantania ◽  
Bisuk P. Sedli
Keyword(s):  
Peripheral Artery Disease ◽  
Health Care Providers ◽  
Significant Relationship ◽  
Central Obesity ◽  
Ankle Brachial Index ◽  
P Value ◽  
Care Providers ◽  
Peripheral Artery ◽  
Artery Disease ◽  
The Relationship

Abstract: Peripheral artery disease (PAD) is commonly found in the community but it is hard to detect in primary health care providers. Smoking and central obersity are the major risk factors in the development of PAD. One non-invasive and cheap method in screening for PAD is determining the ankle-brachial index (ABI). This study was aimed to provide an overview of the relationship between ABI and smoking and central obesity among students of Faculty of Medicine, Sam Ratulangi University. This was an analytical study with a cross sectional design using the ABI results of the students. There were 73 students as subjects; 26 non-smokers with no central obesity (36%), 15 smokers (20%), 21 with central obesity (29%), and 11 smokers with central obesity (15%). The age range of subjects was 18-23 year olds (young adult age). The Fisher’s exact test analysis of the relationship between smoking and PAD obtained a p-value of 0.267 (p>=0.05) and of the relationship between central obesity and PAD obtained a p-value of 0.016 (p<=0.05). In conclusion, there was a significant relationship between central obesity and ABI, albeit there was no significant relationship between smoking and ABI.Keywords: peripheral artery disease, ankle-brachial index, smoking, central obesity. Abstrak: Penyakit arteri perifer (PAP) banyak ditemukan pada masyarakat tetapi sulit terdeteksi di layanan kesehatan primer. Merokok dan obesitas sentral ialah faktor risiko yang berperan penting dalam perkembangan PAP. Salah satu metode pemeriksaan non invasif, murah, dan mudah untuk mendeteksi PAP ialah dengan menentukan nilai Ankle-Brachial Index (ABI). Penelitian ini bertujuan untuk mengetahui gambaran ABI serta hubungan merokok dan obesitas sentral dengan PAP pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ialah analitik dengan desain potong lintang menggunakan hasil pemeriksaan ABI. Hasil penelitian mendapatkan 73 mahasiswa sebagai subyek; 26 yang tidak merokok dan tidak obes sentral (36%), 15 yang merokok (20%), 21 yang obes sentral (29%), dan 11 yang obes sentral dan merokok (15%). Kisaran usia sampel yaitu 18-23 tahun (usia dewasa muda). Hasil uji Fisher’s exact terhadap hubungan merokok dengan PAP didapatkan nilai p=0,269 (p>=0,05) dan untuk obesitas sentral dengan PAP didapatkan nilai p=0,016 (p<=0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara obesitas dengan nilai ABI, tetapi tidak terdapat hubungan bermakna antara merokok dengan nilai ABI.Kata kunci: penyakit arteri perifer, ankle-brachial index, merokok, obesitas sentral

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017

2018 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Napis Alfikri ◽  
Wisnu Hidayat ◽  
Vierto Irennius Girsang
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Bivariate Analysis ◽  
P Value ◽  
Analytic Method ◽  
Care Providers ◽  
Cross Sectional ◽  
Public Figures ◽  
The Government ◽  
Cross Sectional Design

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day.  which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action   Throwing Garbage  

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