Education and Ethics In Nursing ISSN: 2322-5300

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

https://doi.org/10.22034/ethic.2024.2032035.1059
Volume 13, 1-2
April 2024
Pages 87-94
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

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

Abstract
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.

Keywords

nurses
moral climate
moral distress
cancer
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