The relationship between nurse’s moral distress and end of life decision making in ICU

Abbas Abbaszadeh, Fariba Borhani, Farkhondeh Sharif, Fakhr Al-sadat Toghrai



Aims: assessment of the relationship between moral distress and attitude towards end of life decision making through critical care nurses.

Methods: participants were 117 nurses from Shiraz hospital ICU and a questionnaire was used to measure their moral distress and attitude towards end of life decision making.

Results: The correlation between intensity and frequency of moral distress is direct and significant (r = 0.703, p = 00) Frequency of moral distress was directly correlated with nurses attitude towards withholding and withdrawing (p=0.03) And toward euthanasia (p= 0.00) and intensity of moral distress was directly correlated with DNR ( p=0.03)

Conclusion: moral distress of critical care nurses was higher than average and was correlated with end of life decision making.


moral distress; end of life decision making; ICU nurses

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