TY - JOUR
T1 - Is nurses’ clinical competence associated with their moral identity and injury?
AU - Teng, Yue
AU - Dehghan, Mahlagha
AU - Hossini Rafsanjanipoor, Sayed Mortaza
AU - Altwalbeh, Diala
AU - Riyahi, Zahra
AU - Farahmandnia, Hojjat
AU - Zeidabadi, Ali
AU - Zakeri, Mohammad Ali
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/11/8
Y1 - 2023/11/8
N2 - Background: The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems. Objective: The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak. Research design: This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools. Participants: and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak. Ethical considerations: The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021. Results: According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence. Conclusion: According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide.
AB - Background: The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems. Objective: The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak. Research design: This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools. Participants: and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak. Ethical considerations: The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021. Results: According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence. Conclusion: According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide.
KW - COVID-19
KW - Nurse
KW - clinical competence
KW - moral identity
KW - moral injury
UR - http://www.scopus.com/inward/record.url?scp=85176760153&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85176760153&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/572e9ff8-0945-315f-ba6c-0e0e19d6411c/
U2 - 10.1177/09697330231209284
DO - 10.1177/09697330231209284
M3 - Article
C2 - 37937424
AN - SCOPUS:85176760153
SN - 0969-7330
JO - Nursing Ethics
JF - Nursing Ethics
ER -