Volume 6, Issue 3 (Spring 2020)                   IJRN 2020, 6(3): 109-115 | Back to browse issues page

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Sadeghi-Gandomani H, rezaei A, Azadchehr M, afshar M. The effect of empowerment program on nurses' moral distress in intensive care units. IJRN 2020; 6 (3) :109-115
URL: http://ijrn.ir/article-1-512-en.html
Department of Operating Room, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
Abstract:   (2922 Views)
Introduction: One of the most common psychological and social problems among nurses working in the intensive care unit is moral distress. Moral distress can be characterized as a state of mental imbalance experienced when a person is aware of the practical implication that it is right to be deterred or forced to do something that he knows is wrong. Therefore, the present study aimed to determine the effect of empowerment program on nurses' moral distress in the intensive care unit.
Methods: This quasi-experimental study was performed on 60 nurses working in intensive care units of Kashan Shahid Beheshti Hospital. The sampling method was randomized blocking. The intervention program was conducted during two consecutive weeks during a 2-day workshop. At baseline, immediately and one month after the intervention, demographic and moral distress questionnaires were completed for both groups. Data were analyzed using descriptive and inferential statistics Such as independent t-test, chi-square, and Fisher's exact test in SPSSV.16 software.
Results: Before the intervention, the mean frequency and severity of moral distress in intervention and control group were 40.20 ± 5.05 and 40.53 ± 9.33 (P ≥ 0.05) and 40.63 ± 5.48 and 41.27 ±9.55 (P ≥ 0.05), respectively. After the intervention, the mean frequency of moral distress in the intervention and control groups were 37 ±4.99 and 39.10 ± 8.88, respectively (P = 0.226) and the mean severity of moral distress was 37.17 ± 5.33 and 39.23 ± 0.90(P = 0.318), respectively. There was a significant difference between the mean frequency of moral distress (P = 0.012) and the mean severity of moral distress (P = 0.009) one month later the intervention.
Conclusions: Given the high prevalence of nurses' moral helplessness, it seems planning and implementing empowerment programs maybe minimize the severity and frequency of moral distress among nurses.
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Type of Study: Research |
Received: 2019/11/9 | Accepted: 2020/02/29 | Published: 2020/08/30

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