Moral distress and intention to leave: A comparison of adult and paediatric nurses by hospital setting

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• 作者：Melissa Dyo^a ; ^{melissa.dyo@csulb.edu" class="auth_mail" title="E-mail the corresponding author} ; Peggy Kalowes^b ; Jessica Devries^b
• 关键词：Critical care ; Cultural differences ; Moral distress ; Nursing
• 刊名：Intensive and Critical Care Nursing
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：36
• 期：Complete
• 页码：42-48
• 全文大小：435 K

文摘

To assess moral distress intensity and frequency in adult/paediatric nurses in critical care and non-critical care units; and explore relationships of nurse characteristics and moral distress with intention to leave.

Methods/setting

A descriptive, correlational design was used to administer an online survey using the Moral Distress Scale to nurses across multiple settings.

Main outcome measures

Intensity and frequency of moral distress and intention to leave current position.

Results

The survey response rate was 43% (n = 426/1000). Critical care nurses had the highest levels of moral distress intensity and frequency, compared to non-critical care specialties (M = 2.5 ± 0.19, p = 0.005 for intensity and M = 1.6 ± 0.11, p < 0.001 for frequency). Moral distress frequency showed a positive relationship with intention to leave a position of employment. Each unit increase in moral distress frequency doubled the odds of intention to leave when adjusting for age, gender, ethnicity and specialty area (p = 0.003). Hispanic nurses had significantly higher levels of moral distress intensity (p = 0.01).

Conclusion

Moral distress is a complex phenomenon requiring further study, particularly with regard to the role of ethnic and cultural differences on perceptions of moral distress.