The Relationship between Moral Distress and Professional Values in Nursing Students
akhlāq-i pizishkī i.e., Medical Ethics,
Vol. 16 No. 47 (1401),
28 June 2022
,
Page 1-12
https://doi.org/10.22037/mej.v16i47.39027
Abstract
Background and Aim: Nursing students experience moral distress while facing complex moral problems, which has a harmful effect on nursing care. One of the factors which improve nursing performance is adherence to professional values. Therefore, this study was conducted with the aim of determining the relationship between moral distress and professional values in the nursing students of Mazandaran University of Medical Sciences.
Methods: This descriptive correlational study included 210 nursing students from three nursing faculties of Mazandaran University of Medical Sciences, Mazandaran, Iran. The samples were selected through convenience sampling method. Data collection was done using 3 questionnaires: the demographic questionnaire, Hamric Moral Distress Scale-Revised (MDS-R) and Weis and Shank’s Nurses Professional Values Scale (NPVS). The data were analyzed through the descriptive and inferential statistical tests. SPSS software 25 was used.
Ethical Considerations: In this study, the standards regarding moral principles, such as confidentiality, Personal consent and the participants’ freedom to continue or quit cooperation during the study process have been observed.
Results: Based on the main purpose of the study, Spearman's test did not show a significant relationship between moral distress and professional values (P=0.251, r=0.08).The mean of moral distress in nursing students was (92.61±57.30) and their moral distress was low level. The mean of professional values in nursing students was (79.69±12.09), which was moderate. The students assigned the highest value to the dimension of care and the lowest value to the dimension of pragmatism. There was no significant relationship between moral distress and demographic characteristics and only gender (p=0.005) and place of residence (p=0.028) showed a significant relationship with professional values.
Conclusion: Although no significant relationship was found between moral distress and professional values in the intern nursing students, the nursing students' attention to the care dimension of professional values reflects the students' attention to the importance of care as the main professional duty of nursing, which can affect their performance.
Please cite this article as:
Shafipour V, Mousavinasab N, Jouybari L. The Relationship between Moral Distress and Professional Values in Nursing Students. Faṣlnāmah-i akhlāq-i pizishkī, i.e., Quarterly Journal of Medical Ethics. 2022; 16(47): e10.
- Moral Distress; Professional Values; Nursing Students
How to Cite
References
Rennó HMS, Ramos FRS, Brito MJM. Moral distress of nursing undergraduates: Myth or reality? Nurs Ethics. 2018; 25(3): 304-312.
Sasso L, Bagnasco A, Bianchi M, Bressan V, Carnevale F. Moral distress in undergraduate nursing students: A systematic review. Nurs Ethics. 2015; 23(5): 523-534.
Wiggleton C, Petrusa E, Loomis K, Tarpley J, Tarpley M, O'Gorman ML, et al. Medical students' experiences of moral distress: Development of a web-based survey. Acad Med. 2010; 85(1): 111-117.
Escolar Chua RL, Magpantay JCJ. Moral distress of undergraduate nursing students in community health nursing. Nurs Ethics. 2019; 26(7-8): 2340-2350.
Escolar-Chua RL. Moral sensitivity, moral distress and moral courage among baccalaureate Filipino nursing students. Nurs Ethics. 2018; 25(4): 458-469.
Jameton A. What moral distress in nursing history could suggest about the future of health care. AMA J Ethics. 2017; 19(6): 617-628.
Hamric AB, Brochers CT, Epstein EG. Development and Testing of an Instrument to Measure Moral Distress in Healthcare Professionals. AJOB Primary Research. 2012; 3(2): 1-9.
American Association of Critical Care Nurses-AACN. Moral distress. Online. Available at: https://www.aacn.org/clinical-resources/moral-distress. Accessed October 9, 2022.
Johnson KM. An Analysis of Moral Distress Experienced Among Nursing Students. Dissertation. Hattiesburg: The University of Southern Mississippi; 2016. p.1-36.
McCarthy J, Gastmans C. Moral distress: A review of the argument-based nursing ethics literature. Nurs Ethics. 2015; 22(1): 131-152.
Azadian M, Rahimi A, Mohebbi M, Iloonkashkooli R, Maleki M, Mardani A. The barriers to observing professional ethics in the practice of nursing care from nurses’ viewpoints. Clinical Ethics. 2021; 16(2): 114-121.
YektaKooshali MH, Esmaeilpour-Bandboni M, Andacheh M. Intensity and frequency of moral distress among Iranian nurses: a systematic review and meta-analysis. Iran J Psychiatry Behav Sci. 2018; 12(2): 1-7.
Thurn T, Anneser J. Medical Students' experiences of moral distress in end-of-life care. J Palliat Med. 2020; 23(1): 116-120.
Erdil F, Korkmaz F. Ethical problems observed by student nurses. Nurs Ethics. 2009; 16(5): 589-598.
Poorchangizi B, Farokhzadian J, Abbaszadeh A, Mirzaee M, Borhani F. The importance of professional values from clinical nurses’ perspective in hospitals of a medical university in Iran. BMC Medical Ethics. 2017; 18: 1-7.
Weis D, Schank MJ. Development and psychometric evaluation of the nurses professional values scale-3. Journal of Nursing Measurement. 2017; 25(3): 400-410.
Hoseini SF, Parvan K, Zamanzadeh V. Professional values of the nursing students’ perspective in type 1 universities of medical sciences. Quarterly Journal of Nursing Vision. 2012; 1(1): 69-82.
Weis D, Schank MJ. Development and psychometric evaluation of the nurses professional values scale-revised. Journal of Nursing Measurement. 2009; 17(3): 221-231.
Bang KS, Kang JH, Jun MH, Kim HS, Son HM, Yu SJ, et al. Professional values in Korean undergraduate nursing students. Nurse Education Today. 2010; 31(1): 72-75.
De Veer AJ, Francke AL, Struijs A, Willems DL. Determinants of moral distress in daily nursing practice: A cross sectional correlational questionnaire survey. International Journal of Nursing Studies. 2013; 50(1): 100-108.
Asgari SH, Shafipour V, Taraghi Z, Yazdani Charati J. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nurs Ethices. 2017; 26(2): 1-11.
Rice EM, Rady MY, Hamrick A, Verheijde JL, Pendergast DK. Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital. Journal of Nursing Management. 2008; 16(3): 360-373.
Rawas H. Moral distress in critical care nurses: A qualitative study. International Journal of Studies in Nursing. 2019; 4(4): 35-41.
Moaddaby S, Adib M, Ashrafi S, Kazemnezhad Leili E. Perception of the Futile Care and its Relationship with Moral Distress in Nurses of Intensive Care Units. Journal of Holistic Nursing and Midwifery. 2021; 31(2): 85-92.
Shafipour V, Esmaeili R, Heidari MR, Aghaei N, Saadatmehr SR, Sanagoo A. Investigating the level of moral distress and its related factors among nurses in mazandaran burn center. Journal of Mazandaran University of Medical Sciences. 2015; 25(126): 58-67.
Shafipour V, Ghasemi Charati F. Moral Distress and Related Factors in Undergraduate Nursing Students. J Mazandaran Univ Med Sci. 2022; 32(209): 104-113.
VanVoorhis CW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutorials in Quantitative Methods for Psychology. 2007; 3(2): 43-50.
Sharif Nia H, Shafipour V, Allen KA, Heidari MR, Yazdani-Charati J, Zareiyan A. A second-order confirmatory factor analysis of the moral distress scale-revised for nurses. Nurs Ethics. 2019; 26(4): 1199-1210.
Özsoy S, Donmez RÖ. Nurses professional values scale-revised: Psychometric properties of the Turkish version. Nursing Practice Today. 2015; 2(1): 16-24.
Shareinia H, Khodadadi E, Nedaei H, Hosseini M. Professional and ethical values in providing nursing care from nurses’ perspective. IJN. 2018; 31(112): 44-55.
Parvan K, Zamanzadeh V, Hosseini FA. Assessment of professional values among Iranian nursing students graduating in universities with different norms of educational services. Thirta J Med Sci. 2012; 1(2): 37-43.
Sajjadi M, Baradaran R, Sadeghian A, Basiri moghaddam K. Standardization of Nursing Professional Values Scale in Mashhad School of Nursing Students. J Educ Ethics Nurs. 2019; 8(3-4): 21-29.
Dyo M, Kalowes P, Devries J. Moral distress and intention to leave: A comparison of adult and paediatric nurses by hospital setting. Intensive and Critical Care Nursing. 2016; 36: 42-48.
Abdullah KL, Chong MC. Factors influencing professional values among Indonesian undergraduate nursing students. Nurse Education in Practice. 2019; 41: 102648.
Donmez RO, Ozsoy S. Factors influencing development of professional values among nursing students. Pak J Med Sci. 2016; 32(4): 988-993.
Lin YH, Li J, Shieh SI, Kao CC, Lee I, Hung SL. Comparison of professional values between nursing students in Taiwan and China. Nurs Ethics. 2016; 23(2): 223-230.
Chisholm-Ford S, Anderson-Johnson P, Waite M, Garriques-Lloyd SN. Professional values of baccalaureate nursing students in Jamaica. J Nurs Educ Pract. 2016; 7: 47-56.
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