Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study

Due to the unique nature of the neonatal intensive care unit (NICU) and its moral distress, this study aimed to investigate moral distress in the NICU. This cross-sectional study was conducted on 234 physicians and nurses working in the neonatal wards of eight hospitals. The Corley’s Moral Distress...

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Autores principales:	Saleheh Tajalli, Somayeh Rostamli, Nazi Dezvaree, Mamak Shariat, Maliheh Kadivar
Formato:	article
Lenguaje:	EN
Publicado:	Tehran University of Medical Sciences 2021
Materias:	Ethical conflict; Moral distress; Moral dilemmas; Neonatal intensive care unit; Mental health; Iran. History of medicine. Medical expeditions R131-687 Medical philosophy. Medical ethics R723-726
Acceso en línea:	https://doaj.org/article/fd61aeacce9743c58889707e49480453
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spelling	oai:doaj.org-article:fd61aeacce9743c58889707e494804532021-11-20T05:24:32ZMoral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study10.18502/jmehm.v14i12.76672008-0387https://doaj.org/article/fd61aeacce9743c58889707e494804532021-11-01T00:00:00Zhttps://jmehm.tums.ac.ir/index.php/jmehm/article/view/953https://doaj.org/toc/2008-0387 Due to the unique nature of the neonatal intensive care unit (NICU) and its moral distress, this study aimed to investigate moral distress in the NICU. This cross-sectional study was conducted on 234 physicians and nurses working in the neonatal wards of eight hospitals. The Corley’s Moral Distress Scale was used to collect data. Findings showed that 25 of the participants were physicians and 209 were nurses. The intensity and frequency of distress among physicians and nurses were assessed as moderate. The mean intensity and frequency of moral distress among nurses and physicians were 48.3%, 41.5% and 46.46%, 15.62% respectively. The results showed that the mean intensity and frequency of distress were higher, however not significantly, among nurses. The intensity and frequency of moral distress had a statistically significant and direct correlation with the intention to leave and the number of staff in each working shift among the nurses. Moral distress in the NICU practitioners was moderate, so addressing this issue and trying to alleviate it was important. Identifying the causes behind moral distress can help adopt appropriate measures to prevent and reduce them. Saleheh TajalliSomayeh RostamliNazi DezvareeMamak ShariatMaliheh KadivarTehran University of Medical SciencesarticleEthical conflict; Moral distress; Moral dilemmas; Neonatal intensive care unit; Mental health; Iran.History of medicine. Medical expeditionsR131-687Medical philosophy. Medical ethicsR723-726ENJournal of Medical Ethics and History of Medicine, Vol 14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ethical conflict; Moral distress; Moral dilemmas; Neonatal intensive care unit; Mental health; Iran. History of medicine. Medical expeditions R131-687 Medical philosophy. Medical ethics R723-726
spellingShingle	Ethical conflict; Moral distress; Moral dilemmas; Neonatal intensive care unit; Mental health; Iran. History of medicine. Medical expeditions R131-687 Medical philosophy. Medical ethics R723-726 Saleheh Tajalli Somayeh Rostamli Nazi Dezvaree Mamak Shariat Maliheh Kadivar Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
description	Due to the unique nature of the neonatal intensive care unit (NICU) and its moral distress, this study aimed to investigate moral distress in the NICU. This cross-sectional study was conducted on 234 physicians and nurses working in the neonatal wards of eight hospitals. The Corley’s Moral Distress Scale was used to collect data. Findings showed that 25 of the participants were physicians and 209 were nurses. The intensity and frequency of distress among physicians and nurses were assessed as moderate. The mean intensity and frequency of moral distress among nurses and physicians were 48.3%, 41.5% and 46.46%, 15.62% respectively. The results showed that the mean intensity and frequency of distress were higher, however not significantly, among nurses. The intensity and frequency of moral distress had a statistically significant and direct correlation with the intention to leave and the number of staff in each working shift among the nurses. Moral distress in the NICU practitioners was moderate, so addressing this issue and trying to alleviate it was important. Identifying the causes behind moral distress can help adopt appropriate measures to prevent and reduce them.
format	article
author	Saleheh Tajalli Somayeh Rostamli Nazi Dezvaree Mamak Shariat Maliheh Kadivar
author_facet	Saleheh Tajalli Somayeh Rostamli Nazi Dezvaree Mamak Shariat Maliheh Kadivar
author_sort	Saleheh Tajalli
title	Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
title_short	Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
title_full	Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
title_fullStr	Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
title_full_unstemmed	Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
title_sort	moral distress among iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study
publisher	Tehran University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/fd61aeacce9743c58889707e49480453
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Moral distress among Iranian neonatal intensive care units’ health care providers: a multi-center cross sectional study

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