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Relationship between autonomy and moral distress in emergency nurses
Mohsen Abdolmaleki1, Sima Lakdizaji2, Akram Ghahramanian3
1MSc Student in Nursing, Student' Research Committee of Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, IRAN., Mohsen_2068491@yahoo.com.
Indian Journal of Medical Ethics
|November 27, 2018
Summary
Lowered nurse autonomy is linked to increased moral distress. Enhancing professional independence and mentorship can help reduce moral distress among nurses, improving patient care.
Area of Science:
- Nursing
- Healthcare Management
- Medical Ethics
Background:
- Reduced nurses' autonomy negatively impacts decision-making and interventions.
- Lack of professional independence can hinder ethical reasoning, potentially causing moral distress.
Purpose of the Study:
- To investigate the relationship between professional independence and moral distress in emergency department nurses.
- To identify factors contributing to moral distress in this population.
Main Methods:
- A descriptive correlational study was conducted with 173 emergency nurses in Tabriz, Iran.
- Data were collected using questionnaires assessing professional autonomy and moral distress.
- Statistical analyses included descriptive statistics, bivariate analysis, and multiple regression using SPSS 13.
Main Results:
- Emergency nurses reported low professional autonomy (83.2±16.9) and moderate moral distress (7.43±3.52).
- A significant negative relationship was found between professional independence and the frequency of moral distress (p=0.018).
- Age was a significant predictor of moral distress frequency, intensity, and total scores.
Conclusions:
- Low professional autonomy hinders effective nursing practice and contributes to moral distress.
- Increasing professional independence and implementing mentorship programs for younger nurses may reduce moral distress.
- Addressing autonomy issues is crucial for enhancing nurses' well-being and practice efficiency.
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