Current Treatment Options in Psychiatry, Год журнала: 2023, Номер 10(4), С. 463 - 491
Опубликована: Дек. 14, 2023
Язык: Английский
Journal of Advanced Nursing, Год журнала: 2023, Номер 80(3), С. 1177 - 1187
Опубликована: Сен. 29, 2023
Abstract Aim To refine the Rushton Moral Resilience Scale (RMRS) by creating a more concise scale, improving reliability, particularly of personal integrity subscale and providing further evidence validity. Background Healthcare workers are exposed to moral adversity in practice. When unable preserve/restore their integrity, suffering ensues. resilience is resource that may mitigate negative consequences. better understand mechanisms for doing so, valid reliable measurement tool necessary. Design Cross‐sectional survey. Methods Participants ( N = 1297) had completed ≥1 items on RMRS as part baseline survey larger longitudinal study. Item analysis, confirmatory factor analyses, reliability analyses (Cronbach's alpha), correlations were used establish validity revised RMRS. Results analysis from 21 16 items. The four‐factor structure (responses adversity, relational efficacy) demonstrated adequate fit follow‐up initial hold‐out sub‐samples. All subscales total scale reliabilities α ≥ 0.70). A higher‐order supports computation either scores or score. Correlations with stress, anxiety, depression distress provide scale's Reliability improved. Conclusion Implications RMRS‐16 demonstrates validity, subscale. an important lever reducing consequences when confronted ethical challenges Improved four having shorter overall allow targeted application will facilitate research intervention development. Patient/Public Contribution Data came study Canadian healthcare multiple organizations who about experiences during COVID‐19.
Язык: Английский
Процитировано
15
BMC Nursing, Год журнала: 2024, Номер 23(1)
Опубликована: Сен. 11, 2024
Язык: Английский
Процитировано
5
Nursing Ethics, Год журнала: 2024, Номер unknown
Опубликована: Окт. 8, 2024
Background: Compassion fatigue, moral distress, and injury are interconnected phenomena that have a detrimental impact on the delivery of nursing care. Nurses possess inherent resilience necessary to effectively handle these three adverse occurrences. Aim: To determine mediating compassion among nurses in Saudi Arabia. Design: The final product was structural equation model (SEM) generated using quantitative correlation cross-sectional design, we followed STROBE guidelines for this study. Methods: study involved sample 511 staff nurses, who were selected consecutive sampling. conducted government hospitals Ethical considerations: This received approval from Ethics Committee under number H-2021-151 March 5, 2021. survey’s description consent statements clearly presented Google survey forms both English Arabic. Results: Results showed negatively influenced while fatigue had positive influence. Likewise, direct, effect distress injury, injury. Analyses also positive, indirect effects through mediation distress. Similarly, Conclusion: Because enables adapt, it helps them overcome obstacles their career professional lives. Resilience is frequently cited by as protective quality. Moral can health nurses. Implications profession and/or patient care: Nurse leaders should develop programs initiate efforts improve nurses’ an important trait against Patient or Public Contribution: There no public participation
Язык: Английский
Процитировано
4
Nursing Ethics, Год журнала: 2025, Номер unknown
Опубликована: Фев. 28, 2025
Background: The relationship between moral resilience, distress, and injury among nurses during the COVID-19 pandemic has been widely investigated; however, literature in post-COVID-19 era is scarce. Research aim: To examine impact of resilience on distress after pandemic.Research design: Cross-sectional study.Participants research context: We obtained a convenience sample 1118 Greece. collected demographic data (gender, age) work-related (understaffed wards, shift work, clinical experience). measured with revised "Rushton Moral Resilience Scale", "Moral Distress Thermometer", Injury Symptom Scale-Healthcare Professionals" version. adjusted all multivariable models for variables.Ethical considerations: Ethics Committee Faculty Nursing, National Kapodistrian University Athens approved our study protocol (approval number; 474, approved: November 2023). Our followed Declaration Helsinki.Findings/results: Multivariable linear regression analysis showed that reduced injury. In particular, we found increased response to adversity was associated decreased (adjusted coefficient beta = -1.81, 95% confidence interval [CI] -2.07 -1.54). Moreover, -8.24, CI -9.37 -7.10) efficacy -3.24, -5.03 -1.45) were injury.Conclusions: can reduce level nurses. However, persistence moderate Greek does not guarantee its sustainability. ensure this maintained potentially enhanced, it imperative nurse leaders policymakers strategically design interventions address issues at organizational, team, individual levels.
Язык: Английский
Процитировано
0
BMC Nursing, Год журнала: 2025, Номер 24(1)
Опубликована: Март 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.
Язык: Английский
Процитировано
0
Research in Nursing & Health, Год журнала: 2023, Номер 47(3), С. 312 - 323
Опубликована: Дек. 24, 2023
Abstract Health care providers are expected to have a certain moral sensitivity (MS) make an ethical assessment. Moral distress (MD) is common phenomenon in nursing. It can negatively affect nurses physically, psychologically, socially, and spiritually. This study aimed investigate the relationship between MD MS among using cross‐sectional descriptive design. The was conducted two stages. first stage methodological that analyzed validity reliability of Measure MD—Healthcare Professionals. second descriptive‐ predictive analysis investigated MS. intensity frequency scores participants were high moderately high, respectively. There no direct effect on total score MD. However, significant negative seen Based results this study, should be considered as measure studies at understanding clinical nurses. Empowerment programs established increase awareness health workers about situations support them cope with problems they experience these areas.
Язык: Английский
Процитировано
10
Nursing Ethics, Год журнала: 2023, Номер 31(4), С. 635 - 651
Опубликована: Дек. 26, 2023
Compassion fatigue is often associated with moral distress in the nursing practice among registered nurses. Moral resilience an important ability to maintain, restore, or promote their physical and mental health response ethical dilemmas nursing. can be utilized as a potential solution aid nurses effectively managing compassion fatigue.
Язык: Английский
Процитировано
10
Nursing Ethics, Год журнала: 2023, Номер 31(2-3), С. 355 - 370
Опубликована: Сен. 19, 2023
Background Healthcare professionals, especially professional nurses, experience various types of moral suffering due to inevitable ethical conflicts. Moral resilience is recently proposed as a resource address suffering. However, there no tool measure in Chinese nurses. Aim This study aimed translate the Rushton Resilience Scale (RMRS) into and evaluate psychometric properties version RMRS (Chi-RMRS). Research design A methodological descriptive research design. Participants context convenience sample 411 nurses was recruited through an online survey platform between February March 2023. Ethical considerations approved by Ethics Committees University hospitals involved. Results The translated culturally adapted version. Neither floor nor ceiling effects were observed. scale-level content validity index (CVI) 0.922 with item-level CVIs ranging from 0.833 1.000. explanatory factor analysis (EFA) generated three-factor structure for Chi-RMRS, confirmatory (CFA) demonstrated loadings each item 0.42 0.80. Cronbach’s α coefficient 0.811 dimension 0.717 0.821, composite reliability (CR) overall scale 0.920, varying 0.739 0.824. standard error measurement (SEM) smallest detectable change (SDC) 3.522 9.763, respectively. Discussion Chi-RMRS able has good reliability. It can be used practice determine level resilience, thus helping nursing managers monitor status then develop interventions maintain well-being ensure quality care.
Язык: Английский
Процитировано
9
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
Nursing in Critical Care, Год журнала: 2024, Номер 29(6), С. 1363 - 1372
Опубликована: Июль 28, 2024
Since the outbreak of COVID-19, researchers worldwide have focused more on issue secondary traumatic stress (STS) experienced by nurses. This has an adverse effect health nurses and quality nursing care, potentially undermining stability team hindering ability to meet growing demand for services. The impact COVID-19 pandemic, rise in global ICU nursing, placed a significant strain nurses, severely damaging their mental physical health. Notably, also face high levels moral distress, resilience can effectively alleviate this distress improve care.
Язык: Английский
Процитировано
2