Education and Ethics In Nursing ISSN: 2322-5300

بررسی ارتباط پریشانی اخلاقی، حساسیت معنوی و معنویت در محیط کار پرستاران: پروتکل مطالعهای مقطعی

دوره 13، شماره 1
فروردین 1403
صفحه 126-134

نوع مقاله : مقاله پژوهشی اصیل

نویسندگان

1 استادیار،گروه پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی جهرم، جهرم، ایران

2 استادیار، مرکز تحقیقات اخلاق پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران

چکیده
مقدمه: پریشانی اخلاقی، حساسیت معنوی و معنویت در محیط کار، از جنبه‌های ضروری در عملکرد پرستاری هستند که می‌توانند به طور قابل ‌توجهی بر مراقبت از بیمار و بهزیستی پرستاران، تأثیر بگذارند. پژوهش حاضر، با هدف بررسی ارتباط پریشانی اخلاقی، حساسیت معنوی و معنویت در محیط کار  پرستاران انجام شد.
روش کار: پژوهش حاضر، از نوع  توصیفی – تحلیلی بود که در سه بیمارستان فعال در شهرستان جهرم، واقع در جنوب استان فارس (فروردین ماه تا خرداد ماه 1403) انجام شد. جامعۀ پژوهش، دربرگیرندۀ تمام پرستاران شاغل در دانشگاه علوم پزشکی جهرم بود که از طریق فراخوان عمومی، برای شرکت در طرح تحقیقاتی دعوت شدند. معیارهای ورود به مطالعه، شامل این موارد بود: داشتن حداقل مدرک لیسانس پرستاری؛ حداقل 6 ماه سابقۀ کار؛ تمایل به شرکت در پژوهش. از تعداد مورد بررسی،  120 نفر به روش تصادفی ساده، بر اساس جدول اعداد تصادفی انتخاب شدند.  سه پرسشنامه که حاوی پرسشنامۀ بازبینی شدۀ پریشانی اخلاقی همریک، حساسیت معنوی و معنویت محل کار پرستاران بود که توسط مشارکت­ کنندگان، تکمیل گردید و سپس داده ­­های به ­دست آمده، توسط نرم افزار SPSS V.21 ، مورد تجزیه و تحلیل قرار گرفت.
بحث: یافته­ های پژوهش حاضر، به درک بهتر تعامل پیچیدۀ بین پریشانی اخلاقی، حساسیت معنوی و معنویت در محیط کار برای پرستاران کمک می­ کند؛ همچنین بررسی کرد که چگونه بهزیستی معنوی و جهت ­گیری معنوی پرستاران ممکن است به ­عنوان یک منبع مقابله با پریشانی اخلاقی عمل کند.

کلیدواژه‌ها

عنوان مقاله English

Investigation of spiritual and moral components in nurses and their work environment: Cross-sectional protocol study

نویسندگان English

Mohsen Faseleh 1
Majid Tavakkol 2
Nahid Tavakkol 1
1 Investigation of spiritual and moral components in nurses and their work environment: Cross-sectional protocol study
2 Assistant Professor, Medical Ethics Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
چکیده English

Introduction:
Introduction: Moral distress, spiritual sensitivity, and spirituality in the work environment are essential aspects of nursing practice that can significantly affect patient care and nurses' well-being. The present study was conducted with the aim of investigating the relationship between moral distress, spiritual sensitivity, and spirituality in nurses' work environment.
Methods & Materials:
The current research was descriptive-analytical and was conducted in three active hospitals in Jahrom city, located in the south of Fars province (from April to June 1403). The research community included all nurses working in Jahrom University of Medical Sciences who were invited to participate in the research project through a public call. The inclusion criteria for the study included having at least a bachelor's degree in nursing, at least 6 months of work experience, and willingness to participate in research. From the total number of participants, 120 people were selected using a simple random method based on a table of random numbers. Participants completed three questionnaires on moral distress, spiritual sensitivity, and the spirituality of the nurses' workplace. The obtained data were then analyzed using SPSS V.21 software.
Discussion:
The findings of the current research help to better understand the complex interaction between moral distress, spiritual sensitivity, and spirituality in the work environment for nurses. It also explored how the spiritual well-being and spiritual orientation of nurses may act as a source of coping with moral distress.
 

کلیدواژه‌ها English

  • Ethics
  • spirituality
  • nurse
  • Iran
  • protocol study
  1. .Ghafouri R, Lotfi-Bajestani S, Nasiri M, Ohnishi K, Atashzadeh-Shoorideh F. Psychometrics of the moral distress scale in Iranian mental health nurses. BMC nursing. 2021;20:1-8.

    1. Luo Z, Tao L, Wang CC, Zheng N, Ma X, Quan Y, et al. Correlations between moral courage, moral sensitivity, and ethical decision-making by nurse interns: a cross-sectional study. BMC nursing. 2023;22(1):260.
    2. Soleimani MA, Sharif SP, Yaghoobzadeh A, Panarello B. Psychometric evaluation of the moral distress scale–revised among Iranian nurses. Nursing ethics. 2019;26(4):1226-42.
    3. Moshtagh M, Mohsenpour M. Moral distress situations in nursing care. Clinical Ethics. 2019;14(3):141-5.
    4. Loyd LA, Stamler LL, Culross B. Early career nurses and moral distress: An integrative review. Nurse Education in Practice. 2023:103844.
    5. Saver C. Managing moral distress. Georgia Nursing. 2021:14-5.
    6. Alimoradi Z, Jafari E, Lin C-Y, Rajabi R, Marznaki ZH, Soodmand M, et al. Estimation of moral distress among nurses: A systematic review and meta-analysis. Nursing ethics. 2023;30(3):334-57.
    7. Naboureh A, Imanipour M, Salehi T. Moral distress and intention to leave intensive care units: A correlational study. Clinical Ethics. 2021;16(3):234-9.
    8. Babamohamadi H, Katrimi SB, Paknazar F. Moral distress and its contributing factors among emergency department nurses: A cross-sectional study in Iran. International Emergency Nursing. 2021;56:100982.
    9. Talebian F, Hosseinnataj A, Yaghoubi T. The Relationship between Resilience and Moral Distress among Iranian Critical Care Nurses: A Cross-sectional Correlational Study. Ethiopian Journal of Health Sciences. 2022;32(2).
    10. Tavakol N, Z. M. Exploring moral distress in the intensive care unit nurses of Shiraz Heart Center in 2013. Education and ethics in nursing. 2022;4(2):49-56.
    11. damshenas mh, javadpour s, rastgarian a. Moral distress and desire to quit: A cross-sectional descriptive study of nurses working in teaching hospitals of Jahrom in 2016. Education and Ethics In Nursing. 2020;9(1-2):10-7.
    12. Morley G, Ives J, Bradbury-Jones C, Irvine F. What is ‘moral distress’? A narrative synthesis of the literature. Nursing ethics. 2019;26(3):646-62.
    13. Salari N, Shohaimi S, Khaledi-Paveh B, Kazeminia M, Bazrafshan M-R, Mohammadi M. The severity of moral distress in nurses: a systematic review and meta-analysis. Philosophy, Ethics, and Humanities in Medicine. 2022;17(1):1-14.
    14. Tavakol N, Molazem Z, Rakhshan M, Asemani O. Strategies of Iranian psychiatric nurses to deal with moral distress. Indian Journal of Occupational and Environmental Medicine. 2023;27(1):67.
    15. Kubitza J, Große G, Schütte-Nütgen K, Frick E. Influence of spirituality on moral distress and resilience in critical care staff: A scoping review. Intensive and Critical Care Nursing. 2023;76:103377.
    16. Villagran CA, Dalmolin GdL, Barlem ELD, Greco PBT, Lanes TC, Andolhe R. Association between Moral Distress and Burnout Syndrome in university-hospital nurses. Revista Latino-Americana de Enfermagem. 2023;31:e3747.
    17. Kim H, Kim H, Oh Y. Impact of ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses: a cross-sectional study. BMC nursing. 2023;22(1):55.
    18. Buchbinder M, Browne A, Berlinger N, Jenkins T, Buchbinder L. Moral stress and moral distress: confronting challenges in healthcare systems under pressure. The American Journal of Bioethics. 2023:1-15.
    19. Jalali K, Tabari-Khomeiran R, Asgari F, Sedghi-Sabet M, Kazemnejad E. Moral distress and related factors among emergency department nurses. Eurasian Journal of Emergency Medicine. 2019;18(1):23.
    20. Koonce M, Hyrkas K. Moral distress and spiritual/religious orientation: Moral agency, norms and resilience. Nursing ethics. 2023;30(2):288-301.
    21. Rego F, Rego G, Nunes R. Moral agency and spirituality in palliative care. Annals of Palliative Medicine. 2020;9(4):2286293-2293.
    22. Kubitza J, Große G, Schütte-Nütgen K, Frick E. Influence of spirituality on moral distress and resilience in critical care staff: A scoping review. Intensive and Critical Care Nursing. 2022:103377.
    23. Akbari O, Dehghan M, Tirgari B. Muslim nurse’s spiritual sensitivity as a higher perception and reflection toward spiritual care: a qualitative study in southeast Iran. BMC nursing. 2022;21(1):1-9.
    24. Akbari O, Dehghan M, Tirgari B. Development and Validation of the Nurses’ Spiritual Sensitivity Scale in Southeastern Iran. Journal of Religion and Health. 2023:1-17.
    25. Kazemi SY, Jafari A, Rabiei L, Nikfarjam M, Omidi M, Masoudi R. Exploring the concept of spiritual sensitivity from the perspectives of healthcare providers in Iran. Journal of religion and health. 2022;61(5):3806-21.
    26. Şengül Ü, Özsaban A, COŞKUN EY, KARADENİZ EY, Esra U, Aşkan F. Spirituality, spiritual care perceptions and moral sensitivity of senior nursing students: a multicenter and cross-sectional study. Genel Tıp Dergisi. 2022;32(4):390-6.
    27. Pirkola H, Rantakokko P, Suhonen M. Workplace spirituality in health care: An integrated review of the literature. Journal of nursing management. 2016;24(7):859-68.
    28. Fradelos EC, Tzavella F. Spiritual climate as is perceived by Greek clinical nurses. A validation study. Materia Socio-Medica. 2020;32(1):66.
    29. Iqbal M, Adawiyah WR, Suroso A, Wihuda F. Exploring the impact of workplace spirituality on nurse work engagement: an empirical study on Indonesian government hospitals. International Journal of Ethics and Systems. 2020;36(3):351-69.
    30. Albaqawi HM, Alquwez N, Almazan JU, Alharbi SM, Catimbang CC, Rivera Jr PP, et al. Workplace spiritual climate and its influence on nurses’ provision of spiritual care in multicultural hospitals. Religions. 2019;10(2):118.
    31. Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. Journal of advanced nursing. 2001;33(2):250-6.
    32. Hamric AB, Borchers CT, Epstein EG. Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research. 2012;3(2):1-9.
    33. Milliman J, Czaplewski AJ, Ferguson J. Workplace spirituality and employee work attitudes: An exploratory empirical assessment. Journal of organizational change management. 2003;16(4):426-47.
    34. Alizadeh S. Relationship between spirituality in workplace as an ethical factor and team working. 2018.
    35. Farmahini Farahani M, Jaberi K, Purfarzad Z. Workplace Spirituality, Compassion Satisfaction, Burnout, and Secondary Traumatic Stress: A Cross-Sectional Study in Iranian Nurses. Perspectives in Psychiatric Care. 2023;2023:7685791.
    36. Henrich NJ, Dodek PM, Alden L, Keenan SP, Reynolds S, Rodney P. Causes of moral distress in the intensive care unit: A qualitative study. Journal of critical care. 2016;35:57-62.
    37. Wachholz A, Dalmolin GdL, Silva AMd, Andolhe R, Barlem ELD, Cogo SB. Moral distress and work satisfaction: what is their relation in nursing work? Revista da Escola de Enfermagem da USP. 2019;53:e03510.
    38. Semler LR. Moral distress to moral success: Strategies to decrease moral distress. Nursing ethics. 2023;30(1):58-70.
    39. Atashzadeh-Shoorideh F, Tayyar-Iravanlou F, Chashmi ZA, Abdi F, Cisic RS. Factors affecting moral distress in nurses working in intensive care units: A systematic review. Clinical Ethics. 2021;16(1):25-36.
    40. HARORANI M, GOLITALEB M, DAVODABADY F, ZAHEDI S, HOUSHMAND M, MOUSAVI SS, et al. Moral Distress and Self-efficacy among Nurses Working in Critical Care Unit in Iran-An Analytical Study. Journal of Clinical & Diagnostic Research. 2019;13(11).
    41. Manookian A, Nadali J, Ghiyasvandian S, Weaver K, Haghani S, Divani A. Spiritual care competence, moral distress and job satisfaction among Iranian oncology nurses. International Journal of Palliative Nursing. 2023;29(10):487-97.
    42. Yaghoobzadeh A, Soleimani MA, Sheikhi MR, Sharif SP, Panarello B, Win MTM. Spiritual well-being and moral distress among Iranian nurses. Nursing Ethics. 2019;26(4).
    43. Tavakol N, Molazem Z, Rakhshan M, Asemani O. An educational program of reducing moral distress (PRMD) in nurses; designing and evaluating. BMC Medical Education. 2023;23(1):501.
    44. Lamiani G, Borghi L, Argentero P. When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates. Journal of health psychology. 2017;22(1):51-67.
    45. Soleimani MA, Sharif SP, Yaghoobzadeh A, Sheikhi MR, Panarello B, Win MTM. Spiritual well-being and moral distress among Iranian nurses. Nursing ethics. 2019;26(4):1101-13.
    46. Woods M. Moral distress revisited: the viewpoints and responses of nurses. International Nursing Review. 2020;67(1):68-75.
    47. Prompahakul C, Keim-Malpass J, LeBaron V, Yan G, Epstein EG. Moral distress among nurses: A mixed-methods study. Nursing Ethics. 2021;28(7-8):1165-82.
    48. Alazmani-Noodeh F, Abdi K, Ranjbar H. The moderating effect of spiritual beliefs on job dissatisfaction related to the futile care. BMC nursing. 2021;20:1-9.
    49. Tracey E, Crowe T, Wilson J, Ponnala J, Rodriguez-Hobbs J, Teague P. An introduction to a novel intervention,“This is My Story”, to support interdisciplinary medical teams delivering care to non-communicative patients. Journal of Religion and Health. 2021;60(5):3282-90.
    50. Große G, Frick E, Schütte-Nütgen K. Does spirituality mitigate critical carers’ moral distress and strengthen their resilience? A scoping review protocol. Spiritual Care. 2022;11(2):192-8.
    51. Clark P, Crawford TN, Hulse B, Polivka BJ. Resilience, moral distress, and workplace engagement in emergency department nurses. Western Journal of Nursing Research. 2021;43(5):442-51.
    52. de Diego‐Cordero R, Zurrón Pérez MP, Vargas‐Martínez AM, Lucchetti G, Vega‐Escaño J. The effectiveness of spiritual interventions in the workplace for work‐related health outcomes: A systematic review and meta‐analysis. Journal of Nursing Management. 2021;29(6):1703-12.