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Moral Distress among Iranian Nurses
Mohammad Hosein Vaziri1, Effat Merghati-Khoei2, Shahnaz Tabatabaei1
1School of Health, Safety and Environment, School of Health Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian Journal of Psychiatry
|May 26, 2015
Summary
Iranian nurses experience moderate to high levels of moral distress, particularly those in EMS and NICU units. Unsafe nurse staffing was the primary contributor to this distress.
Area of Science:
- Nursing
- Medical Ethics
- Healthcare Management
Background:
- Moral distress is a significant issue in healthcare.
- Understanding its prevalence among Iranian nurses is crucial for improving care.
Purpose of the Study:
- To describe the prevalence and contributing factors of moral distress among registered nurses in Iran.
Main Methods:
- A descriptive-analytic study involving 264 randomly selected Iranian nurses.
- Utilized the Corley's 30-item Moral Distress Scale (MDS) adapted for Iran.
- Data analyzed using SPSS version 19.
Main Results:
- No correlation found between moral distress levels and demographic data.
- Mean moral distress scores indicated moderate to high levels (3.56-5.83).
- Highest distress reported for "working with unsafe levels of nurse staffing"; lowest for "giving medication intravenously to a patient who has refused to take it".
- Nurses in Emergency Medical Services (EMS) and Neonatal Intensive Care Units (NICU) reported higher distress.
Conclusions:
- Healthcare systems contribute to elevated moral distress in nurses.
- Practical and research-oriented evaluations of moral distress in Iran are recommended.
- The Iranian version of the MDS is a reliable tool for measuring nurse moral distress.
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