Document Type : Original Article

Authors

1 Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

2 School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.

3 Department of Islamic Thought, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

4 Department of Biostatistics, Faculty of health, Mazandaran University of Medical Sciences, Sari, Iran

5 Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

6 Guilan University of Medical Sciences, Rasht, Iran

7 Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.

10.30476/beat.2024.100815.1479

Abstract

Objective: The present study aimed to determine the prevalence and severity of moral distress (MD) and its
associated factors among emergency department nurses.
Methods: This cross-sectional study was conducted in 2023 on 172 nurses from the emergency departments of
medical training centers affiliated with Mazandaran University of Medical Sciences. The census method was
used to collect the data, which included demographic variables and Corley’s MD questionnaire. The Data were
analyzed using SPSS software (version 22), using an independent T-test, analysis of variance (ANOVA), and
multiple regressions.
Results: Out of 172 nurses, 60.5% were women, with an average age of 32.52±6.88 years. The results
demonstrated an average MD score of 69.73±25.68. In terms of frequency and intensity, around 53.5% of
the participants experienced MD at a low level (0-72), while the remaining 46.5% reported experiencing it
at a medium level (14-73). A significant association was found between MD and age (p=0.037), workplace
hospital (p=0.005), and history of mental disorders (p=0.005). Furthermore, linear regression analysis revealed
a statistically significant association between MD, marital status, and occupational type (p<0.05).
Conclusion: The results showed that nurses had low to moderate levels of MD. Several factors, including
age, history of mental disorders, marital status, employment type, workplace hospital, and education, were
associated with the overall MD score. To reduce MD and its negative effects on nurses, it is necessary to
address these factors and develop an effective strategy for identifying and managing MD to improve nursing
care quality

Keywords