Volume 19, Issue 1 (1-2022)                   J Res Dev Nurs Midw 2022, 19(1): 46-49 | Back to browse issues page

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Pejmankhah S, Pezhmankhah S. Consequences of Moral Distress in faculty member in the field of nursing: a qualitative Study. J Res Dev Nurs Midw. 2022; 19 (1) :46-49
URL: http://nmj.goums.ac.ir/article-1-1271-en.html
1- Assistant Professor of Nursing Department, School Of nursing and midwifery, Iranshahr University Of Medical Sciences, Iranshahr, Iran , khodaa90@gmail.com
2- MSc Public Health, University East of London & MSc Nursing Islamic Azad Tehran Medical Branch, Tehran, Iran
Abstract:   (37 Views)

Background: While institutional constraints make the teacher has not able to implement his moral decision, leading to a conflict between the right moral decision and his professional conduct, alternatively he will suffer from a negative feeling and psychological imbalance that emphasized moral distress. Moral distress occurs not only in clinical settings but also in academic area. The purpose of this study was to explain the experience of faculty member in the field of nursing in regards to the consequences of moral distress impact on their activities in the work environment.
Methods: This qualitative study was applied during a period of 11 months in in Nursing and Midwifery schools in Tehran, Iran in 2017. 13 faculty member in the field of nursing were selected through purposive sampling method. Data was gathered using in-depth semi-structured interviews with main question in term of the consequences of moral distress in working environment. Conventional qualitative content analysis was used for analyzing the data.
Results: The analysis of the data in this study led to emerge four main categories and eight subcategories based on the experience of faculty member in the field of nursing about the consequences of moral distress. The main categories included; the ineffective training, organizational silence, decreased sense of professional development and job burnout and the subcategories included decreased teaching quality, ineffective communication in the educational space, silent protest, damage to team performance, threat to professional identity, stagnation of professional growth, psychological reactions, and physical reactions.
Conclusion: The consequences of moral distress in faculty member in the field of nursing lead to make some barriers to desirable educational activities, such as a lack of a sense of accomplishment, a tendency toward negative moods in the workplace which causes damage of their performance or others professonal problems for provide learning. Therefore use of specific management and organizational strategies to control the consequences of moral distress in faculty member have been recommended.
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Type of Study: Original Article | Subject: Nursing

1. Borhani F, Abbaszadeh A, Ebadi A, Pezhmankhah SH. Experience of nursing lectures of moral distress factors (sources): A qualitative study. Pharmacophore. 2018; 9(3):56-65. [View at paplisher] [Google Scholar]
2. Borhani F, Abbaszadeh A, Ebadi A, Pezhmankhah SH. Experience of nursing teachers of moral distress characteristic: A qualitative study. Pharmacophore. 2018; 8(4):21-28. [View at paplisher] [Google Scholar]
3. Richter D, Kunter M, Klusmann U, Lüdtke O, Baumert J. Professional development across the teaching profession: Teachers' uptake of formal and informal learning opportunities. Teaching and teacher education. 2011; 27(1):116-26. [View at paplisher] [DOI] [Google Scholar]
4. Fallahi A, Nemat Shahrbabaki B, Shahoei R, Aala F, Ahmadi S. Exploring the Components of Professional Ethics in Teaching, from the Perspective of Faculty Members in Iran. Health Educ Health Promot. 2019; 7 (2):95-102. [View at paplisher] [DOI] [Google Scholar]
5. Yap, S.F. Beliefs, values, ethics and moral reasoning in socio-scientific education. Educational Research. 2014; 24(3): 299-319. [View at paplisher] [Google Scholar]
6. Morley G, Ives J, Bradbury-Jones C, Irvine F. What is moral distress? A narrative synthesis of literature. Nur sing Ethics.2017; 26(3):646-662. [View at paplisher] [DOI] [PMID] [Google Scholar]
7. Resnik DB. Moral distress in scientific research. The American Journal of Bioethics. 2016; 16(12):13-5. [View at paplisher] [DOI] [PMID] [Google Scholar]
8. Kathryn M. Ganske. Moral distress in academia. OJIN. The Online Journal of Issues in Nursing. 2010; 15(3):6. [View at paplisher] [DOI] [Google Scholar]
9. Jameton A. Dilemmas of moral distress: moral responsibility and nursing practice. Awhonns clinical issues in perinatal and women's health nursing. 1993; 4(4):542-51. [View at paplisher] [Google Scholar]
10. McCarthy Joan, Gastmans Chris. Moral distress: A review of the argument-based nursing ethics literature. Nursing Ethics. 2015; 22(1): 131-152. [View at paplisher] [DOI] [PMID] [Google Scholar]
11. Davis Sh, Schrader V, Belcheir M. Influencers of ethical beliefs and the impact on moral distress and conscientious objection. Nurs Ethics. 2012; 19(6):738-49. [View at paplisher] [DOI] [PMID] [Google Scholar]
12. Shafipour V, Esmaeili R, Heidari MR, Aghaei N, Saadatmehr SR, Sanagoo A. Investigating the level of moral distress and its related factors among nurses in mazandaran burn center. Journal of Mazandaran University of Medical Sciences. 2015; 25(126):58-67. [View at paplisher] [Google Scholar]
13. Berger JT. Moral distress in medical education and training. Gen J Intern Med. 2014; 29(2):395-8 [View at paplisher] [DOI] [PMID] [Google Scholar]
14. Norshahi N, Samiei H. Examining the Quality of Work Life among Public Universities Faculty Members in Iran and Presenting Strategies for its Improvement. Journal of Research and planning in Higher Education. 2011, 16(1): 59-64. [View at paplisher] [Google Scholar]
15. Ribeiro KR, Barros WC, Oliveira LP, Melo CR, Ramos FR, Pires DE. Reflection About The Moral Suffering Of The Teacher Nurse At Work. Journal of Nursing UFPE/Revista de Enfermagem UFPE. 2014; 8(3). [View at paplisher] [Google Scholar]
16. Corbin J, Strauss A. Basics of Qualitative Research, Techniques and Procedures for Developing Grounded Theory. 4th Ed. Los Angeles: Sage Publications; 2014. [View at paplisher] [Google Scholar]
17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-12. [View at paplisher] [DOI] [PMID] [Google Scholar]
18. Mirmoghtadaie Z , Ahmady S , Kohan N , Rakhshani T. Explaining the Concept and Dimensions of Professional Functions in Online Learning System of Medical Sciences: A Qualitative Content Analysis. TOJDE. 2019; 20 (4):61 - 72. [View at paplisher] [DOI] [Google Scholar]
19. McCormick J, Kerry J. Teachers' attributions for stress and their relationships with burnout'. IJEM. 2011; 25(3):278-293. [View at paplisher] [DOI] [Google Scholar]
20. Celep C, Yilmazturk OE. The Relationship among Organizational Trust, Multidimensional Organizational Commitment and Perceived Organizational Support in Educational Organizations. Procedia - Social and Behavioral Sciences. 2012; 46(0):5763-76. [View at paplisher] [DOI] [Google Scholar]
21. Cummings CL. The effect of moral distress on nursing retention in the acute care setting. [Dissertation].Florida American: University of North Florida; 2009. [View at paplisher] [Google Scholar]
22. Borhani F, Abbaszadeh A, Nakhaee N, Roshanzadeh M. The relationship between moral distress, professional stress, and intent to stay in the nursing profession. J Med Ethics Hist Med. 2014; 7(3): 3-7. [View at paplisher] [Google Scholar]
23. Borhani F, Mohammadi S, Roshanzadeh M. Moral distress and its relationship with professional stress in nurses. IJME. 2014; 6(6): 10-19. [View at paplisher] [DOI] [Google Scholar]

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