Journal of Mazandaran University of Medical Sciences

fa بررسی پریشانی اخلاقی و عوامل مرتبط با آن در دانشجویان کارشناسی پرستاری Moral Distress and Related Factors in Undergraduate Nursing Students آموزش پرستاری Nursing Education پژوهشي-کامل Research(Original)  سابقه و هدف: پریشانی اخلاقی تجربه‌ای تنش‌زای در مواجهه با تصمیم گیری در بالین است که سبب استرس روانی شدیدی در فرد می‌شود. این پدیده شایع با ممانعت فرد از اقدام درست علی‌رغم آگاهی در وی رخ می‌دهد. دانشجویان پرستاری نیز در طول آموزش بالینی خود در معرض آسیب‌های اخلاقی قرار دارند، لذا این مطالعه با هدف بررسی پریشانی اخلاقی و عوامل مرتبط با آن در دانشجویان پرستاری انجام شد. مواد و روش‌ها: در این مطالعه توصیفی همبستگی، 350 دانشجوی پرستاری دانشکده پرستاری و مامایی ساری در سال 1398 به روش نمونه‌گیری در دسترس شرکت کردند. ابزارهای جمع‌آوری داده‌ها شامل پرسشنامه‌های جمعیت‌شناختی و تحصیلی و پریشانی اخلاقی 21 سوالی هامریک بود، که طیف نمره این پرسشنامه از صفر تا 336 است و نمره بالاتر نشان دهنده میزان پریشانی اخلاقی بالاتری است، این پرسشنامه، پریشانی اخلاقی را از دو جنبه فراوانی رویداد و شدت آن رویداد اخلاقی بر روی فرد بررسی می‌کند. تجزیه و تحلیل داده‌ها با نرم افزار آماری 25SPSS انجام شد. یافته‌ها: میانگین نمره کلی پریشانی اخلاقی دانشجویان پرستاری 35/79 ± 78/59 بود. میانگین برای فراوانی سوالات پریشانی اخلاقی 10/05 ± 31/66 و میانگین شدت سوالات پریشانی اخلاقی 13/38±42/76 بود که پریشانی اخلاقی در میان دانشجویان پرستاری را در سطح پایین نشان داد. نتایج رگرسیون خطی نیز رابطه معناداری را برای سن، محل سکونت، نحوه اقامت دانشجویان پرستاری نشان داد (0/001=P، 0/09=r2). استنتاج: با توجه به وجود پریشانی اخلاقی در دانشجویان پرستاری، تمرکز برنامه‌های آموزش بالین بر موارد تنش‌زای اخلاقی، می‌تواند از پیامدهای منفی آن بکاهد.   <div class="J0lOec"><span class="JLqJ4b" data-language-for-alternatives="en" data-language-to-translate-into="fa" data-phrase-index="0" jsaction="agoMJf:PFBcW;usxOmf:aWLT7;jhKsnd:P7O7bd,F8DmGf;Q4AGo:Gm7gYd,qAKMYb;uFUCPb:pvnm0e,pfE8Hb,PFBcW;f56efd:dJXsye;EnoYf:KNzws,ZJsZZ,JgVSJc;zdMJQc:cCQNKb,ZJsZZ,zchEXc;Ytrrj:JJDvdc;tNR8yc:GeFvjb;oFN6Ye:hij5Wb" jscontroller="Zl5N8" jsdata="uqLsIf;_;$113" jsmodel="SsMkhd" jsname="txFAF"> Background and purpose: Moral distress is a stressful experience in the face of clinical decision making that causes severe psychological stress. This common phenomenon occurs when a person cannot take appropriate action despite being aware of that. Nursing students are also exposed to moral damage during clinical education, so, this study was conducted to investigate moral distress and related factors in nursing students. Materials and methods: In a descriptive correlational study, 350 nursing students in Mazandaran University of Medical Sciences participated in 2019. They were selected via available sampling. Demographic information and educational information were recorded, and Moral Distress Scale-Revised (MDS-R) was completed. In this scale, the scores range from zero to 336 and a high score indicates a higher level of moral distress. The scale examines moral distress from two aspects; frequency of an event and its severity. Data analysis was done using SPSS V25. Results: The mean score for moral distress in nursing students was 78.59±35.79. The mean score for frequency of moral distress was 31.66±10.05 and the mean score for the intensity of moral distress was 42.76±13.38. Findings showed low levels of moral distress in nursing students. Linear regression analysis also showed a significant relationship between moral distress and age, place of residence, and type of residence (P= 0.0010, r2= 0.09). Conclusion: Moral distress is experienced by nursing students, therefore, clinical education programs should focus on morally stressful events and help the students to cope and reduce any negative consequences. </div> <div aria-hidden="true" class="UdTY9 Yb6eTe" data-location="2" jsaction="agoMJf:gXkcrf;h5CHLc:RHer4,P6Fjxb;rpiAHc:GitQp,fNH7he" jscontroller="ZbunN" jsname="c3wAjc"><div jsname="jTaUub" class="kO6q6e"></div></div> <div class="BdDRKe" jsaction="JIbuQc:WDL0xb(vLv7Lb), DSQAtf(kImuFf),ZRWqcb(kImuFf),FeoNK(rhPddf),X9gwPe(rhPddf)"><div jsaction=" click:Gbxe1; mouseover:hhMOkf;JIbuQc:PreYxb;OBoCn:mVk5Z,lCU3Od;Ty8gnd:HPNHWd;NWKMf:kyVNJ;vcrU3d:Zlhgrb,UK2BE,AF7SHc,nkwrxd;HOIUFe:HPNHWd,kyVNJ,SuUFRb;Q8Drrd:HPNHWd,kyVNJ,vnX0N;aTptWe:Ln2vo;vvtHud:oKcBzb,xFzAKb;l1LAxc:nEgk5e" class="aJIq1d DSmisd" data-language-code="en" data-language-name="English" data-text="Introduction: Moral distress is a stressful experience in the face of clinical decision making that causes severe psychological stress in the individual. This common phenomenon occurs when a person is prevented from taking the right action despite being aware of it. Nursing students are also exposed to moral damage during their clinical education, so this study was conducted to investigate moral distress and related factors in nursing students. Methods: This is a descriptive correlational study in which 350 nursing students participated by available sampling method. Data collection tools included demographic and educational questionnaires, and moral distress 21 questions of Hamrick, then data analysis using SPSS software version 25 and descriptive statistical tests and one-way analysis of variance, Pearson correlation, regression Linear) was performed. Results: The mean and standard deviation of general moral distress of nursing students was 78.59 ۳ 35.79. The mean for the frequency of moral distress questions was 31.66 ۵ 10.05 and the mean for the intensity of moral distress questions was 42.76 ۱۳ 13.38. Statistical results showed low level of moral distress among nursing students. The results of linear regression also showed a significant relationship for age, place of residence, and type of residence of nursing students (P-value = 0.0010.09r2). Conclusion: Considering the presence of moral distress in nursing students, it seems that the focus of clinical education programs on morally stressful cases in nursing students can reduce its negative consequences on the quality of care." data-crosslingual-hint="" data-location="2" data-enable-toggle-playback-speed="true" jscontroller="JNcm2e" jsmodel="WCciof" jsname="Xk9Utf"></div></div> <div class="aJIq1d DSmisd" data-crosslingual-hint="" data-enable-toggle-playback-speed="true" data-language-code="en" data-language-name="English" data-location="2" data-text="Introduction: Moral distress is a stressful experience in the face of clinical decision making that causes severe psychological stress in the individual. This common phenomenon occurs when a person is prevented from taking the right action despite being aware of it. Nursing students are also exposed to moral damage during their clinical education, so this study was conducted to investigate moral distress and related factors in nursing students. Methods: This is a descriptive correlational study in which 350 nursing students participated by available sampling method. Data collection tools included demographic and educational questionnaires, and moral distress 21 questions of Hamrick, then data analysis using SPSS software version 25 and descriptive statistical tests and one-way analysis of variance, Pearson correlation, regression Linear) was performed. Results: The mean and standard deviation of general moral distress of nursing students was 78.59 ۳ 35.79. The mean for the frequency of moral distress questions was 31.66 ۵ 10.05 and the mean for the intensity of moral distress questions was 42.76 ۱۳ 13.38. Statistical results showed low level of moral distress among nursing students. The results of linear regression also showed a significant relationship for age, place of residence, and type of residence of nursing students (P-value = 0.0010.09r2). Conclusion: Considering the presence of moral distress in nursing students, it seems that the focus of clinical education programs on morally stressful cases in nursing students can reduce its negative consequences on the quality of care." jsaction=" click:Gbxe1; mouseover:hhMOkf;JIbuQc:PreYxb;OBoCn:mVk5Z,lCU3Od;Ty8gnd:HPNHWd;NWKMf:kyVNJ;vcrU3d:Zlhgrb,UK2BE,AF7SHc,nkwrxd;HOIUFe:HPNHWd,kyVNJ,SuUFRb;Q8Drrd:HPNHWd,kyVNJ,vnX0N;aTptWe:Ln2vo;vvtHud:oKcBzb,xFzAKb;l1LAxc:nEgk5e" jscontroller="JNcm2e" jsmodel="WCciof" jsname="Xk9Utf"> <div __is_owner="true" data-anchor-corner="bottom-left" data-append-to-body="true" data-popup-corner="top-left" data-propagate-tooltip-mouseover-events="true" data-show-delay-ms="250" id="ow341" jsaction="mouseover: kptBG(Fs81Kd); mouseout: o9UdU(Fs81Kd),o9UdU(V6DMGe)" jscontroller="HwavCb" jsshadow=""> <div jsname="Fs81Kd"></div> </div> </div> <div data-anchor-corner="bottom-left" data-append-to-body="true" data-popup-corner="top-left" data-propagate-tooltip-mouseover-events="true" data-show-delay-ms="250" jsaction="mouseover: kptBG(Fs81Kd); mouseout: o9UdU(Fs81Kd),o9UdU(V6DMGe)" jscontroller="HwavCb" jsshadow=""> <div jsname="Fs81Kd"></div> </div> پریشانی اخلاقی, استرس, دانشجویان پرستاری, اخلاق, آموزش بالین moral distress, stress, nursing students, ethics, clinical education 104 113 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-3185-8&slc_lang=fa&sid=1 Vida Shafipour ویدا شفع پور vidashafipour@yahoo.com 1003194753284600144954 1003194753284600144954 Yes Associate Professor, Department of Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، گروه پرستاری، دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران Fahimeh Ghasemi Charati فهیمه قاسمی چراتی fahime.ghasemi24@gmail.com 1003194753284600144955 1003194753284600144955 No Nursing Instructor, Department of Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran مربی، گروه پرستاری، دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران