Journal of the Korea Society of Computer and Information (한국컴퓨터정보학회논문지)

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Influencing factors on Moral Distress in Long-term Care Hospital and Facility Nurses

  • Received : 2019.04.30
  • Accepted : 2019.05.22
  • Published : 2019.05.31
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Abstract

The purpose of this study was to explore the level of the moral distress for nurses working in long-term care hospitals or nursing homes, and identify factors that influence the moral distress. Data were collected through self-reported questionnaires including the Korean version of Moral Distress Scale-Revised (KMDS-R), Jefferson Empathy Scale for Health professionals (K-JSE-HP), Moral Sensitivity Questionnaire (K-MSQ), and the Hospital Ethical Climate Survey (HECS). A total of 194 nurses from 11 long-term care hospitals or 27 nursing homes completed the structured questionnaires. Data were analyzed using IBM SPSS Statistics version 25. As results, the mean score for moral distress was $73.81{\pm}51.29$ in this study. The moral distress of nurses working at nursing homes was higher than that of nurses working in long-term care hospitals. Among the sub-factors of moral distress, the 'futile care' was the highest score and the 'limit to claim the ethical issue' was the lowest. The main factor affecting moral distress among nurses in this study was the ethical climate of organization. In this paper, we propose that in order to effectively reduce the moral distress of nurses working in a long-term care hospital or a nursing home, it is more impactful to address structural issues related to the caregiver workplace than to adjust individual factors.

Keywords

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Fig. 1. Conceptual Framework of this study

Table 1. General and Work related Characteristics of Participants, and Difference or Correlation between Moral distress and Characteristics

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Table 2. Level of Moral distress and Independent variables

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Table 3. Correlation between Moral distress and Empathy, Moral sensitivity, Knowledge about life sustaining treatment or Ethical climate

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Table 4. Influencing Factors on Moral distress

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