Newly graduated nurses’ experiences of moral distress during transition process: a convergent mixed methods study

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: March 4, 2025

Newly graduated nurses are particularly vulnerable to moral distress due limited experience, low self-confidence, and inadequate ethical knowledge, which impact their ability make act on decisions. This study aims describe experiences during the transition professional practice identify predictive factors affecting levels. A convergent parallel mixed-methods design was used. The quantitative qualitative data were collected in using Measure of Moral Distress for Healthcare Professionals a semi-structured questionnaire. analysis conducted separately then integrated. In part study, 205 new with 1-18 months working experience recruited, 25 recruited part. Gender, type hospital, time, caregiver manager role level, subjective perception levels significant predictors distress. Qualitative revealed four main themes: (1) causes distress, (2) effect (3) coping (4) suggestions reducing experienced by newly may become more pronounced life. During this period, lack insufficient knowledge can increase affect future making it difficult implement showed that individual, organizational, systemic influence graduate nurses. It highlights challenges developing identity closely tied organizational structure regulations, emphasizing need individual support improvements education systems reduce Not applicable.

Language: Английский

Moral distress effects on spirituality determinants in nurses

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: March 31, 2025

Moral distress in nurses is a widespread issue with lasting consequences. Understanding the relationship between spiritual factors, like sensitivity, workplace spirituality, and moral distress, important due to significant role of spirituality nursing ethics. This study explores connections these three phenomena, focusing on psychological, spiritual, ethical dimensions nursing. cross-sectional involved 120 from hospitals affiliated Jahrom University Medical Sciences, selected randomly using number table. Inclusion criteria were having at least bachelor's degree nursing, 6 months work experience, no history mental health issues or medication use. Participants completed questionnaires (Hamrick et al.), sensitivity. Descriptive tests used determine frequency distribution demographic variables. Analysis variance (ANOVA) independent t-tests compare mean scores variables across different groups based factors. Pearson's correlation coefficient linear regression relationships Data analyzed SPSS version 23, significance level set 0.05. In determining variables, occupational (i.e., gender, age, type department distress) significantly related. Similarly, it shows that education, organization's impact Conversely, there type, spirituality. Workplace sensitivity displayed substantial negative correlations distress. According this study, positive environmental individual factors influenced reduced nurses. The findings highlight education for strengthen awareness strategies promote environment healthcare settings. More studies are suggested field. Not applicable.

Language: Английский

Moral Distress and Its Determinants among Nursing Students in an Italian University: A Cross-Sectional Study

Nursing Reports, Journal Year: 2024, Volume and Issue: 14(3), P. 2140 - 2152

Published: Aug. 27, 2024

Moral Distress (MD) is a unique form of distress that occurs when people believe they know the ethically correct action to take but are constrained from doing so. Limited clinical experience and insufficient ethical knowledge contribute nursing students' MD, which can potentially cause negative outcomes. The aims this study are: (1) describe MD intensity students, (2) analyze differences associations between socio-demographic academic variables.

Language: Английский