scholarly journals Moral distress among nurses working in Covid-19 wards: a cross-sectional study in 2021

2021 ◽  
Author(s):  
Mina Pooresmaeil ◽  
Masoumeh Aghamohammadi
Keyword(s):  
Significant Relationship ◽  
Work Experience ◽  
Moral Distress ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Moderate Level ◽  
Related Factors ◽  
Cross Sectional ◽  
Experienced Nurses ◽  
Distress Scale

Abstract Background Covid-19 is an emerging disease, which has confronted nurses with new moral distress. This study aims to determine the moral distress and its related factors among nurses working in the covid-19 wards of Ardabil city in Iran. Methods This cross-sectional descriptive study evaluated 159 nurses working in the covid-19 wards of Imam Khomeini hospital -as the only hospitalization center for the patients with covid-19 in Ardabil, 2021. The instruments used included a personal-occupational information form and Corley's moral distress scale. Data analysis was performed using descriptive and inferential statistics (Pearson correlation coefficient, independent t-test and one-way analysis of variance) in SPSS v22. Results The mean and standard deviation of the frequency and intensity of the nurses' moral distress were estimated 52.28 ± 5.24 and 51.54 ± 5.86, respectively, which indicated the moderate level of moral distress in the both dimensions. The item "I hesitate to tell the patient or the patient's family about his condition and treatment" (4.74 ± 0.75) showed the most moral distress based on the intensity and the phrase "too much work reduces the quality of my work” (4.81 ± 0.55) caused the most moral distress in the frequency dimension. The results indicated a significant relationship between the intensity and frequency of moral distress with the type of nurses' employment (P < 0.05). Moreover, a significant relationship was observed between the nurses’ position and the frequency (P = 0.04), and the nurses’ work experience and the intensity of moral distress (P = 0.02). Conclusions It seems that providing the necessary training for how to deal with the moral distress in new waves of the disease and using the experiences of the experienced nurses in this field are essential due to observing the moderate level of moral distress among nurses working in covid-19 wards.

scholarly journals Frequency, Severity, Rate, and Causes of Moral Distress among Nursing Students: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Maryam Janatolmakan ◽  
Amirabbas Dabiry ◽  
Shahab Rezaeian ◽  
Alireza khatony
Keyword(s):  
Nursing Students ◽  
Patient Care ◽  
Student Performance ◽  
Work Experience ◽  
Moral Distress ◽  
Personal Information ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Distress Scale

Background. One of the most important psychosocial issues related to the nursing profession is moral distress (MD), which has devastating effects on student performance as well as patient care. The current study was conducted to determine the frequency, severity, rate, and causes of MD in nursing students. Methods. During this cross-sectional study, 86 samples were last year undergraduate nursing students of Kermanshah University of Medical Sciences, who were entered into the study by the census method. Data gathering instruments were personal information form, Moral Distress Scale-revised (MDS-r), and Moral Distress Thermometer (MDT). Results. The mean frequency, severity, and rate of MD, according to the MDS-r questionnaire, were 1.3 ± 0.7 out of 4, 1.8 ± 0.8 out of 4, and 3.3 ± 2.3 out of 16, respectively. The average MDT score was 2.6 ± 2.5 out of 10. The most common causes of MD were working in unsafe conditions (6.8 ± 6.0), observing impaired patients health servicing (5.4 ± 5.6), and the low quality of patient care (5.1 ± 4.6). There was a statistically significant relationship between the gender, work experience, and participation in the professional ethics workshop variables and mean MDS-total and MDT. Conclusion. The rate and mean severity of MD were reported at a moderate level. Also, the MDT average was reported at a mild to an uncomfortable level, and the overall MD was equal to moderate. Therefore, student administrators should take steps to eliminate or reduce the causes of MD. In this regard, the need for teaching preventive methods against MD to nursing students before their clinical courses seems crucial. Also, students with MD must be referred to the psychiatric/psychologist.

Moral distress in Iranian pediatric nurses

2017 ◽  
Vol 26 (3) ◽  
pp. 663-673 ◽  
Author(s):  
Elham Ghasemi ◽  
Reza Negarandeh ◽  
Leila Janani
Keyword(s):  
Moral Distress ◽  
Pearson Correlation ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Pediatric Nurses ◽  
University Hospitals ◽  
Cross Sectional ◽  
The Mean ◽  
Distress Scale ◽  
Taking Care

Background: Moral distress is a very common experience in the nursing profession, and it is one of the main reasons for job dissatisfaction, burnout, and quitting among nurses. For instance, morally difficult situations in taking care of child patients who are severely ill may lead to moral distress for nurses. However, most of the studies about moral distress have been conducted on nurses of special wards and adult medical centers with much focus on developed countries. Subsequently, little has been researched on this topic among nurses in other nations such as Iran, and most certainly, there has been hardly any such research involving Iranian pediatric nurses. Aim/objectives: This study was conducted to evaluate moral distress among nurses in selected pediatric hospitals in Tehran, Iran. Research design: This cross-sectional study was conducted on eligible nurses who were selected through proportional stratified sampling and who completed demographic characteristics and the pediatric version of Moral Distress Scale-Revised questionnaires. Data were analyzed using descriptive statistics, t test, one-way analysis of variance, and Pearson correlation coefficient. Participants and research context: In total, 195 pediatric nurses working at three selected children’s specialized university hospitals in Tehran participated in this study. Ethical considerations: This study was evaluated and approved by the institutional review board of Tehran University of Medical Sciences. Findings: The mean and standard deviation of total score of moral distress was 106.41 ± 61.64 within a range of 10–257. Also, the difference between the mean score of moral distress of the group who had not quitted their position and those who have quit in the past was statistically significant (p = 0.043). The situation that was associated with the highest moral distress was “observing medical students performing painful procedures on patients just to gain some skill.” Total score of moral distress was significantly higher among male nurses (p = 0.014), while nurses with a master’s degree experienced just a higher intensity of moral distress compared to those who had a bachelor’s degree (p = 0.006). Conclusion: Since many pediatric nurses clearly face moral distress while taking care of children, it is necessary to consider measures for preventing or decreasing situations that would lead to this distress.

scholarly journals The Study of Prescribing Errors Among General Dentists

2015 ◽  
Vol 8 (4) ◽  
pp. 32 ◽  
Author(s):  
Solmaz Araghi ◽  
Rohollah Sharifi ◽  
Goran Ahmadi ◽  
Mahsa Esfehani ◽  
Fatemeh Rezaei
Keyword(s):  
Work Experience ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Antimicrobial Treatment ◽  
Antifungal Drugs ◽  
Entrance Examination ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypothetical Patient ◽  
General Dentists

<p><strong>INTRODUCTION</strong><strong>:</strong> In dentistry, medicine often prescribed to relieve pain and remove infections .Therefore, wrong prescription can lead to a range of problems including lack of pain, antimicrobial treatment failure and the development of resistance to antibiotics.</p> <p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> In this cross-sectional study, the aim was to evaluate the common errors in written prescriptions by general dentists in Kermanshah in 2014. Dentists received a questionnaire describing five hypothetical patient and the appropriate prescription for the patient in question was asked. Information about age, gender, work experience and the admission in university was collected. The frequency of errors in prescriptions was determined. Data by SPSS 20statistical software and using statistical t-test, chi-square and Pearson correlation were analyzed (0.05&gt; P).</p> <p><strong>RESULTS</strong><strong>: </strong>A total of 180 dentists (62.6% male and 37.4% female) with a mean age of 8.23 ± 39.199 participated in this study. Prescription errors include the wrong in pharmaceutical form (11%), not having to write therapeutic dose (13%), writing wrong dose (14%), typos (15%), error prescription (23%) and writing wrong number of drugs (24%).The most frequent errors in the administration of antiviral drugs (31%) and later stages of antifungal drugs (30%), analgesics (23%) and antibiotics (16%) was observed. Males dentists compared with females dentists showed more frequent errors (P=0.046). Error frequency among dentists with a long work history (P&gt;0.001) and the acceptance in the university except for the entrance examination (P=0.041) had a statistically significant relationship.</p> <p><strong>CONCLUSION</strong><strong>:</strong> This study showed that the written prescription by general dentists examined contained significant errors and improve prescribing through continuing education of dentists is essential.</p>

scholarly journals Depression, Death Anxiety, and the Related Factors in Nurses Caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Monir Nobahar ◽  
Elnaz Talebi ◽  
Sara Amaniyan ◽  
Mansoreh Tarahomy
Keyword(s):  
Work Experience ◽  
Death Anxiety ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Related Factors ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Effective Interventions ◽  
Demographic Questionnaire ◽  
High Incidence

Background: The high incidence of COVID-19 has provided a challenge for healthcare systems in Iran, and may result in some psychological problems. Objectives: The study aims at describing depression, death anxiety, and the related factors in nurses caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran. Methods: In this cross-sectional study, 89 nurses caring for COVID-19 patients were selected in October 2020 via the census method. A demographic questionnaire, Beck’s Depression inventory, and Templer Death Anxiety scale were used to collect the required data. The collected data were analyzed using SPSS software version 20. Results: The mean scores of death anxiety and depression among nurses were 7.32 ± 1.75 and 10.82 ± 8.50 respectively. The results of the Pearson’s correlation-coefficient showed a significant positive correlation between death anxiety and depression (P = 0.05), death anxiety and nurses’ age (P < 0.05), death anxiety, and nurses’ work experience (P < 0.05). Conclusions: The findings of the study revealed that nurses caring for COVID-19 patients are at high risk of death anxiety and depression. Thus, there is a need to identify these problems to prevent or reduce them with effective interventions.

scholarly journals Intensity and frequency of moral distress in Brazilian nurses

2020 ◽  
Vol 54 ◽  
Author(s):  
Flavia Regina Souza Ramos ◽  
Priscila Orlandi Barth ◽  
Laura Cavalcanti de Farias Brehmer ◽  
Graziele de Lima Dalmolin ◽  
Mara Ambrosina Vargas ◽  
...  
Keyword(s):  
Professional Identity ◽  
Moral Distress ◽  
Work Teams ◽  
Cross Sectional Study ◽  
Work Environments ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nurses Role ◽  
Distress Scale ◽  
Descriptive Statistical Analysis

Abstract Objective: To evaluate the frequency and intensity of moral distress in Brazilian nurses. Method: Cross-sectional study performed with nurses from 27 Brazilian states through application of the Brazilian Moral Distress Scale in Nurses (Portuguese acronym: EDME-Br) and descriptive statistical analysis. Results: Participation of 1,226 Brazilian nurses in the study. The intensity and frequency of overall moral distress were rated as moderate level, with averages of 3.08 (± 1.45) and 2.94 (± 1.37), respectively. Specifically, the highest intensity and frequency was related to the factors Acknowledgement, power and professional identity and Work teams, while the lowest was related to the factor Defense of values and rights. Conclusion: Moral distress occurs in precarious work environments, with little expressiveness of the nurses’ role. One highlights the importance of the problem in terms of its amplitude and multicausality, reaching professionals acting in different work contexts.

scholarly journals Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

2017 ◽  
Vol 70 (5) ◽  
pp. 1011-1017
Author(s):  
Aline Marcelino Ramos ◽  
Edison Luiz Devos Barlem ◽  
Jamila Geri Tomaschewski Barlem ◽  
Laurelize Pereira Rocha ◽  
Graziele de Lima Dalmolin ◽  
...  
Keyword(s):  
Cultural Adaptation ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Intensity Analysis ◽  
Cross Sectional ◽  
Hospital Units ◽  
Brazilian Version ◽  
Valid Instrument ◽  
Distress Scale ◽  
Specialist Committee

ABSTRACT Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest. The instrument demonstrated satisfactory internal consistency through frequency and intensity analysis per question in the 157 items and per subgroups of the various hospital units. Cronbach’s alpha was 0.88 for the instrument and between 0.76 and 0.94 for hospital units. Pearson’s correlation found a moderate association for moral distress among nurses. Conclusion: The Moral Distress Scale-Revised – Brazilian version is a valid instrument for the assessment of moral distress in nurses.

scholarly journals Recurrence of periodontitis and associated factors in previously treated periodontitis patients without maintenance follow-up

2020 ◽  
Vol 12 (2) ◽  
pp. 79-83
Author(s):  
Fazele Atarbashi-Moghadam ◽  
Mohammadreza Talebi ◽  
Farnaz Mohammadi ◽  
Soran Sijanivandi
Keyword(s):  
Recurrence Rate ◽  
Significant Relationship ◽  
Maintenance Phase ◽  
Cross Sectional Study ◽  
Periodontal Therapy ◽  
Related Factors ◽  
Cross Sectional ◽  
Exact Test ◽  
Supportive Periodontal Therapy

Background. Preventive dentistry, including supportive periodontal therapy (SPT), is one of the most critical areas of attention. Despite SPT’s importance in the long-term success of periodontal treatment, the patients’ adherence to it is weak. The present study aimed to evaluate of periodontal disease’s recurrence rate and its related factors in periodontal patients without regular follow-up. Methods. A cross-sectional study was set in a specialized periodontics clinic in Tehran, Iran. Patients with periodontitis who completed periodontal therapy during 2005–2014 and did not adhere to the maintenance phase were evaluated. The periodontal history of the patients was updated. The previous diagnoses of patients according to their previous periodontal charts were revised by AAP 2015 criteria. Then, periodontal parameters were assessed, and current periodontal status was evaluated. Statistical analyses consisted of Fisher’s exact test, t-test, Man-Whitney test, and Kruskal-Wallis test. Spearman’s correlation coefficient was used to assess the relationship between factors and variables. Results. Fifty patients were evaluated, including 29 males and 21 females. There was a significant relationship between the initial diagnosis and recurrence rate of periodontitis (P=0.017). There was also a significant relationship between the recurrence of periodontitis and the years elapsed since the initial treatment (P=0.027, r = 0.353). Smoking significantly affected tooth loss (P=0.001). Conclusion. Patients with severe periodontitis need more attention to participate in supportive periodontal care. The patients must be aware of the disadvantages of neglecting this phase and be reminded of regular follow-up.

scholarly journals The information system stress, informatics competence and well-being of newly graduated and experienced nurses: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anu-Marja Kaihlanen ◽  
Kia Gluschkoff ◽  
Elina Laukka ◽  
Tarja Heponiemi
Keyword(s):  
Psychological Distress ◽  
Information Systems ◽  
Work Experience ◽  
Well Being ◽  
Cross Sectional Study ◽  
Nursing Informatics ◽  
Career Stage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Experienced Nurses

Abstract Background The use of information systems takes up a significant amount of nurses’ daily working time. Increased use of the systems requires nurses to have adequate competence in nursing informatics and is known to be a potential source of stress. However, little is known about the role of nursing informatics competence and stress related to information systems (SRIS) in the well-being of nurses. Moreover, the potential impact of nurses’ career stage on this matter is unknown. This study examined whether SRIS and nursing informatics competence are associated with stress and psychological distress in newly graduated nurses (NGNs) and experienced nurses. Methods A cross-sectional study was conducted in Finland between October and December 2018. The participants were NGNs (n = 712) with less than two years of work experience and experienced nurses (n = 1226) with more than two years of work experience. The associations of nursing informatics and SRIS with nurses’ stress and psychological distress were analyzed with linear regression analysis. Analyses were conducted separately for NGNs and experienced nurses. Models were adjusted for age, gender, and work environment. Results SRIS was associated with stress / psychological distress for both NGNs (β = 0.26 p < 0.001 / β = 0.22 p < 0.001) and experienced nurses (β = 0.21 p < 0.001/ β = 0.12 p < 0.001). Higher nursing informatics competence was associated with lower stress (β = 0.20 p < 0.001) and psychological distress (β = 0.16 p < 0.001) in NGNs, but not among experienced nurses. Conclusions SRIS appears to be an equal source of stress and distress for nurses who are starting their careers and for more experienced nurses, who are also likely to be more experienced users of information systems. However, informatics competence played a more important role among NGNs and a lack of adequate competence seems to add to the strain that is already known to be high in the early stages of a career. It would be important for educational institutions to invest in nursing informatics so that new nurses entering the workforce have sufficient skills to work in increasingly digital health care.

scholarly journals Investigation of Health-Promoting Lifestyle and its Determinants Among Students of Medical Sciences in Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Pearson Correlation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Promoting ◽  
The Mean ◽  
Health Promoting Lifestyle

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.

scholarly journals Assessment of dentists' knowledge and practice regarding the principles of protection against ionizing radiation

2021 ◽  
pp. 97-105
Keyword(s):  
Ionizing Radiation ◽  
Radiation Protection ◽  
Significant Relationship ◽  
Work Experience ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
History Of ◽  
Knowledge And Practice ◽  
And Performance

Background: Today, the use of dental radiography equipment in dental centers has increased due to its high application in the diagnosis of dental diseases. As a result, concerns are increasing regarding repeated exposure to this low dose level of radiation. Therefore, the knowledge and practice of dentists about radiation protection are essential for themselves and the patients. This study aimed to assess the knowledge and practice of dentists about radiation protection. Materials and Methods: This cross-sectional study was performed based on a questionnaire in several cities of Iran. The first part of the questionnaire included such information as gender, years of work experience, and participation in radiation protection workshops. The second, third, and fourth sections consisted of questions on radiobiology, radiation protection, and performance, respectively. Results: In this study, 94 dentists participated, and the mean scores of dentists (out of 5 points) for radiobiology knowledge, radiation protection knowledge, and performance were obtained at 2.66±1.1, 2.80±1.01, and 2.87±1.37, respectively. The results of Pearson analysis showed that general knowledge had a significant relationship with performance (P=0.014). There was also a significant relationship between the history of participation in radiation protection workshops and performance (P=0.01). Conclusion: It was found that more knowledge about the effects of ionizing radiation on the body and more awareness of the principles of radiation protection would help dentists to better observe the practical principles of radiation protection. Also, participating in radiation protection workshops could increase dentists' knowledge, and therefore, improve their performance.

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