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Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia

BACKGROUND: Moral distress is the cognitive-emotional dissonance that arises when one feels compelled to act against one’s moral requirements. The study aimed to assess the proportion of moral distress and associated factors among nurses working in Northwest Amhara Regional State referral hospitals...

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Autores principales: Berhie, Alemshet Yirga, Tezera, Zewdu Baye, Azagew, Abere Woretaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037049/
https://www.ncbi.nlm.nih.gov/pubmed/32110124
http://dx.doi.org/10.2147/PRBM.S234446
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author Berhie, Alemshet Yirga
Tezera, Zewdu Baye
Azagew, Abere Woretaw
author_facet Berhie, Alemshet Yirga
Tezera, Zewdu Baye
Azagew, Abere Woretaw
author_sort Berhie, Alemshet Yirga
collection PubMed
description BACKGROUND: Moral distress is the cognitive-emotional dissonance that arises when one feels compelled to act against one’s moral requirements. The study aimed to assess the proportion of moral distress and associated factors among nurses working in Northwest Amhara Regional State referral hospitals in 2018. METHODS: A cross-sectional study was conducted among nurses working at Northwest Amhara regional state referral hospitals from April 1–30/2018. A total of 423 study participants were enrolled in the study. A systematic random sampling technique was used to select the study participants. A pretested self-administered structured questionnaire was used to collect data. Moral Distress Scale-Revised (MDS-R) was used to assess the proportion of moral distress. Epi info version 7 for data entry and SPSS version 22 for data analysis were used. A binary logistic model was computed. Variables having p-value < 0.5 with 95% CI were used to declare the presence of significant associations. RESULTS: A total of 423 study participants were enrolled in the study with a response rate of 97.4%. The mean (SD) age of the respondents was 30.62 ± 5.7 years. The majority of nurses 350 (85%) were degree and above holders in nursing. The proportion of moral distress among nurses was found to be 83.7%. Work experience 11–20 years [adjusted odds ratio (AOR)=2, 95% CI: 1.01, 3.34], perceived poor team communication [AOR=4.5, 95% CI: 1.78, 11.62], perceived powerlessness in decision making [AOR=3.3, 95% CI: 1.38, 7.87], inadequate staffing [AOR=2.96, 95% CI: 1.26, 6.97], and inappropriate provision of care [AOR=4.12, 95% CI: 1.55, 10.9] were significantly associated with moral distress. CONCLUSION: Nurses frequently experienced moral distress in clinical settings. Perceived poor communication, perceived powerlessness in decision making, inadequate staffing, and inappropriate provision care were the factors associated with moral distress.
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spelling pubmed-70370492020-02-27 Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia Berhie, Alemshet Yirga Tezera, Zewdu Baye Azagew, Abere Woretaw Psychol Res Behav Manag Original Research BACKGROUND: Moral distress is the cognitive-emotional dissonance that arises when one feels compelled to act against one’s moral requirements. The study aimed to assess the proportion of moral distress and associated factors among nurses working in Northwest Amhara Regional State referral hospitals in 2018. METHODS: A cross-sectional study was conducted among nurses working at Northwest Amhara regional state referral hospitals from April 1–30/2018. A total of 423 study participants were enrolled in the study. A systematic random sampling technique was used to select the study participants. A pretested self-administered structured questionnaire was used to collect data. Moral Distress Scale-Revised (MDS-R) was used to assess the proportion of moral distress. Epi info version 7 for data entry and SPSS version 22 for data analysis were used. A binary logistic model was computed. Variables having p-value < 0.5 with 95% CI were used to declare the presence of significant associations. RESULTS: A total of 423 study participants were enrolled in the study with a response rate of 97.4%. The mean (SD) age of the respondents was 30.62 ± 5.7 years. The majority of nurses 350 (85%) were degree and above holders in nursing. The proportion of moral distress among nurses was found to be 83.7%. Work experience 11–20 years [adjusted odds ratio (AOR)=2, 95% CI: 1.01, 3.34], perceived poor team communication [AOR=4.5, 95% CI: 1.78, 11.62], perceived powerlessness in decision making [AOR=3.3, 95% CI: 1.38, 7.87], inadequate staffing [AOR=2.96, 95% CI: 1.26, 6.97], and inappropriate provision of care [AOR=4.12, 95% CI: 1.55, 10.9] were significantly associated with moral distress. CONCLUSION: Nurses frequently experienced moral distress in clinical settings. Perceived poor communication, perceived powerlessness in decision making, inadequate staffing, and inappropriate provision care were the factors associated with moral distress. Dove 2020-02-19 /pmc/articles/PMC7037049/ /pubmed/32110124 http://dx.doi.org/10.2147/PRBM.S234446 Text en © 2020 Berhie et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Berhie, Alemshet Yirga
Tezera, Zewdu Baye
Azagew, Abere Woretaw
Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title_full Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title_fullStr Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title_full_unstemmed Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title_short Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia
title_sort moral distress and its associated factors among nurses in northwest amhara regional state referral hospitals, northwest ethiopia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037049/
https://www.ncbi.nlm.nih.gov/pubmed/32110124
http://dx.doi.org/10.2147/PRBM.S234446
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