آموزش و اخلاق در پرستاری
Education and Ethics In Nursing ISSN: 2322-5300

رابطۀ دیسترس اخلاقی با جوّ اخلاقی سازمانی پرستاران بیمارستان آموزشی سیدالشهدای اصفهان(1399)

https://doi.org/10.22034/ethic.2024.2032035.1059
دوره 13، شماره 1
فروردین 1403
صفحه 87-94
آموزش و اخلاق در پرستاری

نوع مقاله : مقاله پژوهشی اصیل

نویسندگان

زهرا هادی زاده کاشانی 1
فریبا طالقانی 2
محسن شهریاری 3

1 دانشحوی کارشناسی ارشد داخلی و جراحی پرستاری، دانشکده پرستاری و مامایی اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دکتری تخصصی پرستاری، استاد، مرکز تحقیقات مراقبت‌های پرستاری و مامایی دانشکده پرستاری و مامایی، گروه سلامت بزرگسالان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دکتری تخصصی پرستاری، استاد، دانشکده پرستاری و مامایی، گروه سلامت بزرگسالان، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده
مقدمه: دیسترس اخلاقی و جوّ اخلاقی سازمانی، دو مفهوم مهم و تأثیرگذار بر پرستاران است. هدف از این پژوهش، بررسی ارتباط بین دیسترس اخلاقی، با جوّ اخلاقی سازمانی در پرستاران بخش سرطان، بود.
روش کار: این پژوهش مقطعی،  از نوع توصیفی- تحلیلی است که در بخش‌های سرطان بیمارستان سیدالشهدای اصفهان(1399)، انجام شده است. در این تحقیق، پرستاران شاغل در بخش­ های سرطان، به روش سرشماری، مورد بررسی قرار گرفتند. داده‌ها با استفاده از سه پرسشنامۀ اطلاعات دموگرافیک، جوّ اخلاقی سازمانی بیمارستان و دیسترس اخلاقی هامریک( 2012)، جمع اوری شد.
یافته‌ها: داده­ های 214 نمونه، وارد مطالعه شدند که میانگین نمرۀ فراوانی دیسترس اخلاقی پرستاران مورد مطالعه 0/51 ± 1/87، میانگین نمرۀ شدت دیسترس اخلاقی 0/62 ± 2/16 و میانگین نمرۀ کل جوّ اخلاقی پرستاران15/15 ± 86/64، بود. داده‌ها نشان داد که میان نمرۀ فراوانی، شدت و نمرۀ کل دیسترس اخلاقی پرستاران، با نمرۀ کل جوّ اخلاقی و با حیطه‌های  5گانۀ آن (پرستاران، بیماران، مدیران و سرپرستاران، پزشکان و بیمارستان) ارتباط معنادار و معکوسی وجود دارد.
نتیجه­ گیری: براساس نتایج به ­دست آمده، ارتباط معناداری میان دیسترس اخلاقی پرستاران بخش‌های سرطان، با جوّ اخلاقی وجود دارد؛ به عبارت دیگر، هر چه جوّ اخلاقی سازمانی درک شده از دیدگاه پرستاران، نامطلوب‌تر باشد، شدت ناراحتی اخلاقی درک شدۀ آن­ها بیشتر است.

کلیدواژه‌ها

پرستاران
بخش سرطان
دیسترس اخلاقی
جو اخلاقی سازمانی

عنوان مقاله English

The relationship between moral distress and organizational moral climate of nurses in an educational hospital in Isfahan

نویسندگان English

Zahra Hadizadeh Kashani 1
Fariba Taleghani 2
mohsen shahriari 3
1 Master of Internal Medicine and Nursing Surgery, Isfahan College of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 . PhD in Nursing, Professor of Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Department of Adult Health, Isfahan University of Medical Sciences, Isfahan, Iran
3 PhD in Nursing, Professor of Nursing and Midwifery Faculty, Department of Adult Health, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده English

Introduction:
Moral distress and organizational moral climate are an important concepts in nurses. The aim of this study was to investigate the relationship between moral distress and moral climate organization in nurses who work in the cancer wards.
Methods & Materials:
A descriptive-analytical cross-sectional study was conducted in the cancer departments of Seyed-al-Shohada Hospital in Isfahan in 2019. All nurses working in cancer wards of this hospital who were eligible to enter the study. The data were collected using three demographic, hospital organizational moral climate and moral distress Hamrick 2012 questionnaires.
Results:
The data of 214 samples were included in the study. The average score of the frequency of moral distress was 1.87 ± 0.51. The mean score of the intensity of moral distress was 2.16 ± 0.62. The average score of the moral was 86.64 ± 15.15. The data showed that there is a significant and inverse relationship between the frequency score, intensity and the total score of nurses' moral distress with total score of the organizational moral climate and with its 5 areas (nurses, patients, managers and supervisors, doctors and hospitals).
Conclusions:
The results of this research show that the moral distress of cancer ward nurses in this study had a significant relationship with the moral climate.  In other words, the more unfavorable the perceived organizational moral climate is from the nurses' point of view, the intensity of their perceived moral distress is greater.

کلیدواژه‌ها English

  • nurses
  • moral climate
  • moral distress
  • cancer
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