Volume 29, Issue 1 (Winter 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(1): 61-71 | Back to browse issues page

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Zarei Nodee Y, Sheikhi M R, HosseinKhani Z, Soleimani M A. The Predictive Factors of Job Performance in Nurses' Moral Distress. Avicenna J Nurs Midwifery Care 2021; 29 (1) :61-71
URL: http://nmj.umsha.ac.ir/article-1-2211-en.html
The Predictive Factors of Job Performance in Nurses' Moral Distress
Yahya Zarei Nodee1 , Mohammad Reza Sheikhi2 , Zahra HosseinKhani3 , Mohammad Ali Soleimani * 4
1- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
2- Associate Professor of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
3- Assistant Professor, Department of Epidemiology. School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
4- Associate Professor, Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran. , ma.soleimany@qums.ac.ir
Abstract:   (4137 Views)

Background: Moral distress is one of the most complex ethical problems for nurses working in Intensive Care Units. Desired job performance of the nurse guarantees the quality of health care provided to patients and is an important factor in accelerating the process of treatment and recovery of patients. This study was conducted to investigate the predictive factors of job performance in nurses' moral distress.
Materials and Methods: This is a descriptive cross-sectional study, in which 256 nurses working in ICU wards of private and public hospitals of Qazvin province (from January to March 2019) were selected through convenience sampling method. Demographic characteristics questionnaire, Six Dimension Scale of Nursing Performance and Modified Moral Distress Scale-Revised were used for data collection. Statistical analysis was performed using linear regression model test in SPSS 22.
Results: The results showed that the mean score of nurses' moral distress was 171.37±55.63. In the multivariate linear regression model, only educational dimension of job performance in both frequency (β=-26.37, P=0.001) and quality (β =-76.15, P=0.025) correlated significantly with moral distress.
Conclusion: Based on the results of the present study, the educational dimension of job performance is a predictive factor for moral distress. Therefore, steps can be taken to reduce moral distress in clinical settings, such as the use of nurses with specialized training in Intensive Care Units, paying special attention to teaching ethical issues in nursing centers and holding retraining courses for nurses.

Keywords: Job performance, Moral distress, Nursing
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✅ Based on the results of the present study, educational dimension of job performance is a predictive factor for moral distress. Therefore, steps can be taken to reduce moral distress in clinical settings, such as the use of nurses with specialized training in Intensive Care Units, paying special attention to teaching ethical issues in nursing centers and holding retraining courses for nurses.


Type of Study: Original Research | Subject: Nursing
Received: 2020/04/12 | Accepted: 2020/07/18 | Published: 2020/10/11
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