Designing a Crisis Management Model with an Ethical Distress Management Approach for Nurses in Hospitals of Iranian Universities of Medical Sciences
Social Determinants of Health,
Vol. 11 (2025),
1 Dey 2025
,
Page 1-8
https://doi.org/10.22037/sdh.v11i1.50601
Abstract
Background: In today's world, various unforeseen events can threaten material and human resources, and in the meantime, hospitals and health care center employees are directly affected by events and crises. Nevertheless, there is no comprehensive and integrated study on the various mechanisms of crisis management for nurses' moral distress; therefore, the current study was conducted to design a model of crisis management with the moral distress management approach for nurses in the hospitals of the Iranian Universities of Medical Sciences, with a mixed approach.
Methods: The present study is an applied research project in terms of its purpose and is exploratory in nature, having been analyzed using a mixed (qualitative-quantitative) approach. In the first stage, the qualitative method and in-depth interviews were used to identify the model components. In the qualitative part, 16 university experts were selected by a purposive sampling method. The theme analysis method was employed to analyze the qualitative data using MAXQDA software. Next, in order to fit the model designed in the qualitative part, the structural equation modeling approach was used in the quantitative part.
Results: According to the results of the qualitative section, 7 main themes, including job burnout, the coronavirus disease situation, strategy, professional ethics, job stress, moral distress, crisis management, and 15 sub-themes were identified. In the quantitative section, it was found that there is a significant relationship between the leadership of digital transformation and the factors, and the designed model has an acceptable fit.
Conclusion: moral distress has always been associated with a negative effect on mental health in the form of anxiety and failure in the professional life of nurses, and in the absence of compatibility, the negative effects of moral distress are revealed in their professional life in the form of feelings of worthlessness, anger, depression, shame, and discomfort in life.
- Crew Resource Management, Healthcare
- Ethical Dilemmas
- Ethics
- Hospitals
- Iran University of Medical Sciences
- Nurses
How to Cite
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