Heart & Lung, Год журнала: 2024, Номер 68, С. 254 - 259
Опубликована: Авг. 3, 2024
Язык: Английский
Journal of Clinical Nursing, Год журнала: 2025, Номер unknown
Опубликована: Фев. 24, 2025
To measure the outcome of implementation a multifaceted educational intervention on impact moral distress among critical care nurses. The complex nature settings exaggerates different morally distressing situations that require ongoing development interventions to mitigate distress. Despite availability research has addressed nurses in literature, there is debate about effectiveness applied reducing A quasi-experimental pretest-posttest control group study design. Critical two public hospitals Emirate Abu Dhabi, UAE enrolled extended over 6 months. Hospital was assigned as an experimental (n = 76) and received four sessions three booster sessions. B 82) didn't receive any distress-related education. Measure Moral Distress for Health Care Professionals questionnaire Thermometer were utilised participants' frequency, intensity, composite scores pre- post-intervention identify outcomes. exhibited statistically significant reductions post-test. Conversely, increased group. Moreover, significantly reduced number who intended leave their positions from 58 47 exerts positive outcomes across all dimensions improving nurses' retention. provides materials could enhance knowledge skills. It tools, techniques, strategies help address manage
Язык: Английский
Процитировано
0
Nursing Ethics, Год журнала: 2025, Номер unknown
Опубликована: Март 12, 2025
Background Nurses working in a clinic must be morally sensitive to identify unethical circumstances and act morally. Educational strategies that can effectively gain this sensitivity are matter of curiosity. Objective This study aimed examine if an interactive ethics training program would benefit (a) moral (b) knowledge. Research Design The present was quasi-experimental based on control group pretest/posttest. Participants Context involved 53 nurses from 10 hospitals Istanbul, Türkiye. intervention received the 5-week Interactive Ethics Training Program. Data were collected through Personal Characteristics Form, Moral Sensitivity Questionnaire, Nursing Knowledge Test. Ethical Considerations conducted according guidelines Declaration Helsinki approved by Non-Invasive Committee (No. 78/2022) Istanbul Medipol University. Results There statistically significant difference between two groups posttest for (MD: −10.247; p = .010) knowledge level 4178; .009). Conclusion An nursing education positively impacts nurses’ sense Improving awareness facilitate ethical decision-making. Therefore, it is advised nurse educators design their curricula these results.
Язык: Английский
Процитировано
0
BMC Medical Ethics, Год журнала: 2025, Номер 26(1)
Опубликована: Март 14, 2025
Nursing ethical decision-making ability is a core competency of nurses. However, no tool has been developed to measure the nurses in China. Therefore, we aimed develop nursing scale (EDMAS) and assess its validity reliability. A literature review, qualitative study, Delphi method were employed identify most common dilemmas original items. cross-sectional study was conducted evaluate The reliability evaluated. Exploratory factor analysis (EFA) investigate structure based on data from group 1 (N = 404). Confirmatory (CFA) construct 2 503). Convergent evaluated using composite (CR) average variance extracted (AVE). Discriminant assessed by analyzing maximum shared (MSV). We invited 15 experts content EDMAS. This between December 2021 January 2023. defined 4 71 deleted items during screening process. Additionally, 3 EFA. EFA revealed that EDMAS with 64 had four-factor (ethical sensitivity, motivation, judgment, action), accounting for 56.05% total variance. CFA χ2/df 1.291, RMSEA 0.024, CFI 0.976, TLI 0.974, NFI 0.902, IFI 0.976. CR values 0.945 0.964. AVE 0.583 0.588. MSV 0.533 0.572. value I-CVI varied 0.867 1.000, S-CVI/Ave 0.965. Cronbach's 0.982. test–retest reliable valid evaluating nurses' enhancing through ethics training programs.
Язык: Английский
Процитировано
0
BMC Nursing, Год журнала: 2025, Номер 24(1)
Опубликована: Март 19, 2025
Moral sensitivity is essential for nurses to recognize and appropriately respond ethical issues, understanding the impact of their actions on patient well-being. It improves care quality, decision-making, equips with skills handle moral dilemmas in clinical settings. Various studies Iran have reported different results. Accordingly, this study was conducted estimate pooled standardized score among Iranian nurses. A systematic search national international databases up until June 2023, yielding 563 articles. After screening by two independent researchers, 52 articles a total sample size 11,621 participants were included analysis. Any discrepancies resolved through discussion. Heterogeneity assessed using I² index. Subgroup analyses performed based language articles, size, country region. Meta-regression analysis explore relationship between variables such as age, year publication, size. All Stata software, version 17. The 69% (95% CI: 66-72, I2 = 94.03%). highest overall observed region 5 (73.6%, 95% 67-80.1), published Farsi (70.2%, 65.8-74.7), less than 200 (70%, 66.3-73.6). No significant found or Publication bias (p 0.001). This meta-analysis indicates moderate level While regional study-related differences observed, no like suggests need more representative fully understand factors influencing nursing. review meta-analysis, not trial.
Язык: Английский
Процитировано
0
BMC Nursing, Год журнала: 2025, Номер 24(1)
Опубликована: Март 25, 2025
Abstract Background Nurses, the largest frontline healthcare group in world, experience a high incidence of moral distress. Enhancing sensitivity (MS) can effectively alleviate this However, MS levels among nurses have not been clearly defined. Therefore, study aimed to assess level and provide evidence-based insights improve their practices. Methods This review searched multiple databases, including PubMed, Cochrane Library, Embase, Web Science, CINAHL, Scopus, Medline, China Knowledge Resource Integrated Database, Wanfang VIP Chinese Biomedical Medical Journal Full Text Google Scholar, OpenGrey, from inception December 31, 2024. Two reviewers (Ting Zhao Shi Chen) independently screened literature extracted data. Their quality was assessed using Joanna Briggs Institute’s Critical Appraisal Tool. Data were analyzed Stata software (version 17.0) synthesize mean scores questionnaire (MSQ). Subgroup meta-regression analysis performed identify sources heterogeneity, conducted robustness results. Results A total 99 studies involving 29,387 included. The pooled score for 4.49 [95% CI (4.29, 4.70)], indicating moderate level. Meta-regression revealed assessment instrument, country, department as potential heterogeneity. by country follows: (5.22), Korea (4.82), Iran (4.44), Turkey (3.28). different instruments varied, with MSQ-revised version (5.46) having highest scores. Conclusion Nurses demonstrated levels, opportunities further improvement. offers useful nurse managers educators shaping strategies training.
Язык: Английский
Процитировано
0
Nursing Ethics, Год журнала: 2025, Номер unknown
Опубликована: Апрель 16, 2025
Background Moral distress is a significant challenge faced by clinical internship nursing students. Most current studies investigate the impact of external factors on students’ moral distress. However, there lack in-depth exploration interactions between various items. Research objective This study aims to construct network structure among students, while exploring touchpoints sensitivity and resilience distress, identify potential targets for intervention. design A cross-sectional utilized acceptable validity scales. Network analysis was conducted using R (Version 4.4.0). Regularized partial correlation describe associations different nodes in network. Central were identified through centrality indices. Participants research context The participants this are 372 students undergoing internships at comprehensive teaching hospital Changsha, China. Ethical considerations approved ethics committee (Review Number: Express 241098). Written informed consent obtained from all participants. Results In network, connections MD3 “I provide life-sustaining treatment per family’s wishes” MD4 “Despite only extending survival, I implement life-saving measures” strongest. MD18 “Decline service quality due poor team communication,” MD19 ignore situations lacking adequate information consent,” MD17 collaborate with colleagues unable meet patient’s needs” central relational critical connection point linking resilience. Conclusion Future interventions could focus strongly related (MD3, MD4, MD18, MD19, MD20, MD17) mentioned study, develop scientific targeted reduce
Язык: Английский
Процитировано
0
Nursing Ethics, Год журнала: 2024, Номер unknown
Опубликована: Авг. 12, 2024
This study aims to examine the mediating effect of moral distress on relationship between resilience and intention leave.
Язык: Английский
Процитировано
3
Seminars in Oncology Nursing, Год журнала: 2024, Номер unknown, С. 151742 - 151742
Опубликована: Окт. 1, 2024
Язык: Английский
Процитировано
1
Nursing and Health Sciences, Год журнала: 2024, Номер 26(4)
Опубликована: Окт. 20, 2024
ABSTRACT Nurses require optimal competency to deliver safe and high‐quality care patients with delirium. However, the factors influencing delirium core remain unclear. This study aims investigate in among nurses. was conducted as a descriptive correlational following Strengthening Reporting of Observational Studies Epidemiology (STROBE) guidelines. A convenience sample 202 Korean nurses from 15 hospitals completed structured, web‐based, self‐administered questionnaire. The survey covered general characteristics, knowledge, moral sensitivity, barriers care, care. Multiple regression analysis identified affecting Results showed that academic qualifications, clinical ladder level were significant factors, accounting for 18.1% variance competency. To improve nurses, using individual, team, organizational approaches address perceived sensitivity is crucial. Competency‐based training programs administrative support are crucial enhancing who novices those associate degrees.
Язык: Английский
Процитировано
1
Heart & Lung, Год журнала: 2024, Номер 68, С. 254 - 259
Опубликована: Авг. 3, 2024
Язык: Английский
Процитировано
0