Volume 22, Issue 5 (August 2024)                   Nursing and Midwifery Journal 2024, 22(5): 352-364 | Back to browse issues page

Research code: 162833806
Ethics code: IR.IAU.BABOL.REC.1402.115

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Rahmani N, Seyed Nematollah Roshan F, Nabavian M, Firouzbakht M. EXPLORING THE EXPERIENCES OF NURSES WORKING IN PEDIATRIC UNITS REGARDING MORAL DISTRESS: A PHENOMENOLOGICAL STUDY. Nursing and Midwifery Journal 2024; 22 (5) :352-364
URL: http://unmf.umsu.ac.ir/article-1-5178-en.html
EXPLORING THE EXPERIENCES OF NURSES WORKING IN PEDIATRIC UNITS REGARDING MORAL DISTRESS: A PHENOMENOLOGICAL STUDY
Narges Rahmani * 1, Fatemehsadat Seyed Nematollah Roshan2 , Majedeh Nabavian3 , Mojgan Firouzbakht3
1- Department of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad University of Iran (Corresponding Author) , na57ra@yahoo.com
2- Assistant Professor, Department of Nursing, Tehran Azad Islamic University of Medical Sciences, Tehran, Iran
3- Department of Nursing and Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad University, Iran
Abstract:   (431 Views)
Background & Aim: Nurses, as direct providers of patient care, face higher levels of psychological stress in the workplace compared to other healthcare professionals. Nurses working in pediatric wards, where they interact with children and their families, experience increased levels of moral distress. This study was designed to explore the experiences of nurses working in pediatric units regarding moral distress.
Materials & Methods: This qualitative study was conducted using interpretive phenomenological analysis between 2023 and 2024. Twelve nurses with moral distress experiences were selected through purposive sampling from hospitals of Babol and Tehran Universities of Medical Sciences. Data were collected through semi-structured and individual interviews and analyzed simultaneously using Van Manen's approach.
Results: The findings include three main themes and seven subthemes including moral distress related to colleagues (lack of competence, physician-centered), hospital policies (lack of personnel, high workload, and lack of proper equipment), psychological stress following moral distress (negative effects following the sudden death of a child, feeling of insufficiency, and helplessness).
Conclusion: According to the study's findings, reducing moral distress by enhancing clinical knowledge and experience, fostering self-confidence, providing organizational support, managing nurses' workloads, and paying attention to nurses' emotions can be beneficial. Also, designing and organizing educational programs and workshops to help reduce nurses' distress by identifying stressful conditions and minimizing exposure to moral dilemmas.
 
Keywords: Children, Distress, Ethics, Nurse
Full-Text [PDF 529 kb]   (404 Downloads)    
Type of Study: Research | Subject: پرستاری
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