Iranian intensive care unit nurses’ moral distress
- 12 June 2012
- journal article
- Published by SAGE Publications in Nursing Ethics
- Vol. 19 (4), 464-478
- https://doi.org/10.1177/0969733012437988
Abstract
Researchers have identified the phenomena of moral distress through many studies in Western countries. This research reports the first study of moral distress in Iran. Because of the differences in cultural values and nursing education, nurses working in intensive care units may experience moral distress differently than reported in previous studies. This research used a qualitative method involving semistructured and in-depth interviews of a purposive sample of 31 (28 clinical nurses and 3 nurse educators) individuals to identify the types of moral distress among clinical nurses and nurse educators working in 12 cities in Iran. A content analysis of the data produced four themes to describe the nurses’ moral distress. The four themes were as follows: (a) institutional barriers and constraints; (b) communication problems; (c) futile actions, malpractice, and medical/care errors; (d) inappropriate responsibilities, resources, and competencies. The results demonstrate that moral distress for intensive care unit nurses is different and that the nursing leaders must reduce moral distress among nursing in intensive care.Keywords
This publication has 32 references indexed in Scilit:
- Moral distress experienced by psychiatric nurses in JapanNursing Ethics, 2010
- Registered Nurses’ Perceptions of Moral Distress and Ethical ClimateNursing Ethics, 2009
- Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospitalJournal of Nursing Management, 2008
- Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate*Critical Care Medicine, 2007
- Palliative care for patients with cancer: district nurses’ experiencesJournal of Advanced Nursing, 2005
- Ethical issues in palliative careSeminars in Oncology Nursing, 2005
- Moral Distress: The State of the ScienceResearch and Theory for Nursing Practice, 2004
- Nurse Moral Distress: a proposed theory and research agendaNursing Ethics, 2002
- Moral Problems Experienced by Nurses when Caring for Terminally Ill People: a literature reviewNursing Ethics, 2002
- Doctors’ and nurses’ perceptions of ethical problems in end‐of‐life decisionsJournal of Advanced Nursing, 2001