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
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:   (3423 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.

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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

References
1. Gallagher A. Moral distress and moral courage in everyday nursing practice. Online J Issues Nurs. 2011;16(2).
2. Burston AS, Tuckett AG. Moral distress in nursing: contributing factors, outcomes and interventions. Nurs Ethics. 2013;20(3):312-24. [DOI:10.1177/0969733012462049] [PMID]
3. Pauly BM, Varcoe C, Storch J. Framing the issues: moral distress in health care. InHec Forum 2012 Mar 1 (Vol. 24, No. 1, pp. 1-11). Springer Netherlands. [DOI:10.1007/s10730-012-9176-y] [PMID] [PMCID]
4. Vaziri MH, Merghati-Khoei E, Tabatabaei S. Moral distress among Iranian nurses. Iran Psychiatry. 2015;10(1):32. (In Persian)
5. Mason VM, Leslie G, Clark K, Lyons P, Walke E, Butler C, Griffin M. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. Dimens Crit Care Nurs. 2014;33(4):215-25. [DOI:10.1097/DCC.0000000000000056] [PMID]
6. Aminizadeh M, Arab M, Mehdipour R. The Relationship between Nurses' Moral Courage and Moral Stress in Intensive Care Units. Med Ethics History. 2017; 10 (1): 131-40. (In Persian)
7. Andolhe R, Barbosa RL, Oliveira EM, Costa AL, Padilha KG. Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors. Revista da Escola de Enfermagem da USP. 2015;49(SPE):58-64. [DOI:10.1590/S0080-623420150000700009] [PMID]
8. Moghaddam MN, Amiresmaeili M, Ghorbaninia R, Sharifi T, Tabatabaie SS. Awareness of Patients' rights charter and respecting it from the perspective of patients and nurses: A study of limited surgical centers in Kerman city, 2013. Bioethics J. 2016;4(11):31-56.
9. Joolaee S, Nikbakht-Nasrabadi A, Parsa-Yekta Z, Tschudin V, Mansouri I. An Iranian perspective on patients' rights. Nurs Ethics. 2006;13(5):488-502. [DOI:10.1191/0969733006nej895oa] [PMID]
10. Mohammadi S, Borhani F, Roshanzadeh L, Roshanzadeh M. Moral distress and compassion fatigue in patient care: a correlational study on nurses. Ethics History Med. 2014; 7(2):69-79. (In Persian)
11. Georges JJ, Grypdonck M. Moral problems experienced by nurses when caring for terminally ill people: a literature review. Nurs Ethics. 2002;9(2):155-78. [DOI:10.1191/0969733002ne495oa] [PMID]
12. Meltzer LS, Huckabay LM. Critical care nurses' perceptions of futile care and its effect on burnout. Ame J Crit Care. 2004;13(3):202-8. [DOI:10.4037/ajcc2004.13.3.202]
13. Beikmoradi A, Rabiee S, Khatiban M, Cheraghi MA. Nurses distress in intensive care unit: a survey in teaching hospitals. Med Ethics History. 2012; 5 (2): 58-69.
14. Borhani F, Mohammadi S, Roshanzadeh M. Moral distress and its relationship with professional stress in nurses. Iran J Med Ethics History Med. 2014;6(6):10-9. [DOI:10.21859/mej-103819]
15. Russell AC. Moral distress in neuroscience nursing: An evolutionary concept analysis. Journal of Neuroscience Nursing. 2012;44(1):15-24. [DOI:10.1097/JNN.0b013e31823ae4cb] [PMID]
16. Nafchi S, Borhani F, RoshanZadeh M. Relationship between moral distress and environmental empowerment in nurses of educational hospitals of Kerman. J Med Ethics. 2014; 7 (26): 91-113.
17. Wiegand, D. L. and M. Funk. Consequences of clinical situations that cause critical care nurses to experience moral distress..Nursing Ethics (2012); 19(4): 479-487. [DOI:10.1177/0969733011429342] [PMID]
18. Rushton CH. Defining and addressing moral distress: tools for critical care nursing leaders. AACN Adv Crit Care. 2006;17(2):161-8. [DOI:10.1097/00044067-200604000-00011] [PMID]
19. Dyrbye LN, Shanafelt TD, Johnson PO, Johnson LA, Satele D, West CP. A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC nursing. 2019;18(1):57. [DOI:10.1186/s12912-019-0382-7] [PMID] [PMCID]
20. Asfaw AM, Argaw MD, Bayissa L. The impact of training and development on employee performance and effectiveness: A case study of District Five Administration Office, Bole Sub-City, Addis Ababa, Ethiopia. Journal of Human Resource and Sustainability Studies. 2015;3(04):188. [DOI:10.4236/jhrss.2015.34025]
21. Schwirian PM. Evaluating the performance of nurses: A multidimensional approach. Nurs Res. 1978;27(6):347-50. [DOI:10.1097/00006199-197811000-00004] [PMID]
22. Sharma J, Dhar RL. Factors influencing job performance of nursing staff: mediating role of affective commitment. Personnel Rev. 2016;45(1):161-82. [DOI:10.1108/PR-01-2014-0007]
23. Mrayyan MT, AL‐FAOURI IB. Predictors of career commitment and job performance of Jordanian nurses. J Nurs Manag. 2008;16(3):246-56. [DOI:10.1111/j.1365-2834.2007.00797.x] [PMID]
24. Soleimani MA, Sharif SP, Yaghoobzadeh A, Sheikhi MR, Panarello B, Win MT. Spiritual well-being and moral distress among Iranian nurses. Nurs Ethics. 2019;26(4):1101-13. [DOI:10.1177/0969733016650993] [PMID]
25. Bennett G. Re: Moral distress of staff nurses in a medical intensive care unit. American journal of critical care: an official publication, Am J Crit Care. 2006;15(2):127. [DOI:10.4037/ajcc2006.15.2.127] [PMID]
26. Cummings CL. The effect of moral distress on nursing retention in the acute care setting.
27. Kousar Perveen, Afzal M, Abid S, Majeed I, Hussain M. Impact of Moral Distress on Nurse's Performance. Saudi J Med Pharm Sci. 2017: 3 (9): 991-996.
28. AbbasZadeh A, Nakhaei N, Borhani F, Roshanzadeh M. Ethical distress in nurses' clinical practice: a descriptive cross-sectional study. J Med Ethics. 2013; 6 (21): 113-30.
29. Elpern EH, Covert B, Kleinpell R. Moral distress of staff nurses in a medical intensive care unit. American J Critical Care. 2005;14(6):523-30. [DOI:10.4037/ajcc2005.14.6.523]
30. Sadeghi M, Ebrahimi H, Abbasi M. The relationship between moral distress and burnout in clinical nurses in the Shahroud city. Iran J Nurs Res. 2016;11(2):78-87.
31. Zakerian SA, Mosaferchi S, Sepidarkish M, Nasiri Z, Yaseri M. The Role of Individual Effective Factors on Nurses' Job Performance. A Case Study: Selected Hospitals in Tehran. Occup Med Q J. 2018;10(1):54-61.
32. Keighobadi F, Sadeghi H, Keighobadi F, Tabarae Y. The relationship between moral distress and emotional exhaustion in nurses. Med Ethics History. 2014;7(3):36-47.
33. Pauly BM, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nurs Ethics. 2009;16(5):561-73. [DOI:10.1177/0969733009106649] [PMID]
34. Rogers S, Babgi A, Gomez C. Educational Interventions in End-of-Life Care: Part IAn Educational Intervention Responding to the Moral Distress of NICU Nurses Provided by an Ethics Consultation Team. Adv Neonatal Care. 2008;8(1):56-65. [DOI:10.1097/01.ANC.0000311017.02005.20] [PMID]

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