TY - JOUR
T1 - Moral distress and intention to leave work among nurses
T2 - a prospective survey study in Oman
AU - Al Qadire, Mohammad
AU - Ballad, Cherry Ann C.
AU - Al Omari, Omar
AU - Alkhalaileh, Murad
AU - Al Sabei, Sulaiman
AU - Al Awaisi, Huda
AU - Khalaf, Atika
N1 - Publisher Copyright:
© 2024 MA Healthcare Ltd. All rights reserved.
PY - 2024/1/2
Y1 - 2024/1/2
N2 - Background/aims Moral distress can have a substantial impact on nurses, contributing to burnout and staff turnover. This study aimed to assess the level of moral distress, identify the situations considered to cause the most moral distress and measure the relationship between moral distress, demographic factors and intention to leave one’s role or the nursing profession in a hospital in Oman. Methods A descriptive correlational design was used. The study sample comprised 167 nurses working in intensive care, oncology, medical or surgical units in a referral hospital in Muscat, Oman. A survey was distributed to participants in their place of work. Data were collected using the Measure of Moral Distress – Healthcare Professionals tool, measuring frequency of morally distressing events and the level of distress caused. The survey also collected demographic details and information on whether participants were currently considering (or had ever considered) leaving their role because of moral distress. Results were summarised using descriptive statistics, with relationships between variables analysed using Mann–Whitney and Kruskal–Wallace tests, Spearman’s rho and logistic regression. Results The mean total moral distress score was 81.0 (±59.4) out of a possible score range of 0–432. The situations that participants found the most morally distressing were excessive documentation requirements that compromise patient care and feeling pressured to provide what they considered to be unnecessary or inappropriate tests and treatments. Area of work was not significantly associated with level of moral distress, but moral distress was significantly higher in participants with less nursing experience and those considering leaving their role. conclusions Practical solutions are required to support nurses who may be at high risk of experiencing moral distress. This could include mentoring schemes and strategies to reduce or streamline clinical documentation requirements.
AB - Background/aims Moral distress can have a substantial impact on nurses, contributing to burnout and staff turnover. This study aimed to assess the level of moral distress, identify the situations considered to cause the most moral distress and measure the relationship between moral distress, demographic factors and intention to leave one’s role or the nursing profession in a hospital in Oman. Methods A descriptive correlational design was used. The study sample comprised 167 nurses working in intensive care, oncology, medical or surgical units in a referral hospital in Muscat, Oman. A survey was distributed to participants in their place of work. Data were collected using the Measure of Moral Distress – Healthcare Professionals tool, measuring frequency of morally distressing events and the level of distress caused. The survey also collected demographic details and information on whether participants were currently considering (or had ever considered) leaving their role because of moral distress. Results were summarised using descriptive statistics, with relationships between variables analysed using Mann–Whitney and Kruskal–Wallace tests, Spearman’s rho and logistic regression. Results The mean total moral distress score was 81.0 (±59.4) out of a possible score range of 0–432. The situations that participants found the most morally distressing were excessive documentation requirements that compromise patient care and feeling pressured to provide what they considered to be unnecessary or inappropriate tests and treatments. Area of work was not significantly associated with level of moral distress, but moral distress was significantly higher in participants with less nursing experience and those considering leaving their role. conclusions Practical solutions are required to support nurses who may be at high risk of experiencing moral distress. This could include mentoring schemes and strategies to reduce or streamline clinical documentation requirements.
KW - Critical care
KW - Moral distress
KW - Nurses
KW - Oman
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UR - https://www.mendeley.com/catalogue/741312eb-0f76-3972-a5b9-468495f31f50/
U2 - 10.12968/bjhc.2023.0005
DO - 10.12968/bjhc.2023.0005
M3 - Article
AN - SCOPUS:85183159887
SN - 1358-0574
VL - 30
SP - 40
EP - 51
JO - British Journal of Health Care Management
JF - British Journal of Health Care Management
IS - 1
ER -