A Comparative Study on the Level of Moral Distress of Medical-Surgical Nurses in Hail Saudi Arabia during the Covid-19 Pandemic
Abstract:
This
study is a part of a wider study. The purpose of this study is to look at the differences
between the level of moral distress of medical-surgical nurses in Hail Saudi Arabia
and their demographics. This study used a descriptive-comparative research design
using the Moral Distress Questionnaire through an online survey. There are 274 respondents
in this study. The statistical test used is frequency, percentage, mean, standard
deviation, t-test, and one-way ANOVA. Results include regarding sex, t-test scored
t (272) =-4.48; p=<0.001. Concerning civil status, t-test scored t (272) =0.35;
p=0.72. Regarding age, one-way ANOVA score F (3,270) =1.78; p= 0.15. About the place
of work, t-test scored t (272) =3.73; p=<0.001. Regarding years of experience
one-way ANOVA scored F (2,269) =2.61; p= 0.04. Finally, on religious affiliation
one-way ANOVA scored F (2,271) =2.32; p=0.10. The researchers conclude that the
level of their moral distress varies with their sex, place of work, and years of
experience. However, moral distress does not change with their civil status, age,
and religious affiliation.
Keywords: Covid-19, Hospital, Moral distress, Nursing Practice.
References:
[1] Stokes, L., 2017, Moral Distress: What It Is and What
to Do About. Healthy Nurse Health Nation, date of access: February 2021. https://engage.healthynursehealthynation.org/blogs/8/531#:~:text=Moral%20distress%20is%20the%20emotional,that%20presents%20a%20moral%20dilemma.
[2] Godshall, M., 2021, Coping with moral distress during
COVID-19. Nursing, 51 (2), 55-58.
[3] Almutairi, A., Salam, M., Adlan, A. & Alturki, A.,
2019, Prevalence of severe moral distress among healthcare providers in Saudi Arabia.
Psychology Research and Behavior Management, 12, 107–115.
[4] Schaefer, R., Zoboli, EL., & Vieira, V., 2018, Moral
Distress in Nurses: A Description of the Risks for Professionals. Texto & Contexto
- Enfermagem, 27(4), e4020017, https://doi.org/10.1590/0104-07072018004020017.
[5] Christodoulou-Fella, M., Middleton, N., Papathanassoglou,
E., & Karanikola, M., 2017, Exploration of the Association between Nurses’ Moral
Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety
in Mental Health Services. BioMed research international, 1908712, https://doi.org/10.1155/2017/1908712.
[6] Elpren, E., Covert, B., & Keinpell, R., 2005, Moral
distress of staff nurses in a medical intensive care unit. American Journal of Critical
Care, 14 (6), 523-530.
[7] Polit, D., & Beck, C., 2017, Essentials of Nursing
Research: Appraising Evidence for Nursing Practice 9th Edition. (USA: Lippincott
Williams & Wilkins).
[8] Alsaqri, S., LLego, J., Pangket, P., Pasay-an, E., Panlican,
A., & Alboliteeh, M., 2020, The Prevalence of Symptoms of Shift Work Disorder
(SWD) Among Nurses in The Northwestern Region, Saudi Arabia. International Journal
of Medical Research & Health Sciences, 9 (1), 20-26.
[9] Creative Research Systems, 2012, Sample Size Calculator,
date of access April 2021. https://www.surveysystem.com/sscalc.htm.
[10] Plitcha, S., & Garzon, L., 2008, Statistics for Nursing
and Allied Health. (USA: Lippincott Williams & Wilkins).
[11] Sedaghati, A., Assarroudi, A., Akrami, R., Rad, M., 2020,
Moral Distress and its Influential Factors in the Nurses of the Nursing Homes in
Khorasan Provinces in 2019: A Descriptive Correlational Study. Iranian Journal of
Nursing and Midwifery, 25 (4), 319-324.
[12] Alboliteeh, M., 2019, Factors influencing job satisfaction
amongst nurses in Hail Region, Kingdom of Saudi Arabia: A cross-sectional study.
International Journal of Advanced and Applied Sciences, 7 (2), 63-68.
[13] Pew Research Center, 2020, Saudi Arabia Religious Demography:
Affiliation, Date of access: July 2021.
http://www.globalreligiousfutures.org/countries/saudi-arabia#/?affiliations_religion_id=0&affiliations_year=2020®ion_name=All%20Countries&restrictions_year=2016.
[14] Al-Hanawi, M., Khan, S., & Al-Borie H., 2019, Healthcare
human resource development in Saudi Arabia: emerging challenges and opportunities—a
critical review. Public Health Reviews, 40 (1). https://doi.org/10.1186/s40985-019-0112-4.
[15] Donkers, M., Glissen, V., Candel, M, van Dijk, N, et
al., 2021, Moral distress and ethical climate in intensive care medicine during
COVID-19: a nationwide study. BMC Medical Ethics, 22(73). https://doi.org/10.1186/s12910-021-00641-3.
[16] Emamally, W., & Chiyangwa, O., 2020, Exploring moral
distress among critical care nurses at a private hospital in Kwa-Zulu Natal, South
Africa. Southern African Journal of Critical Care, 36 (2). http://dx.doi.org/10.7196/SAJCC.2020.v36i2.435.
[17] Ghorbani, A., Hesamzadeh, A., Khademloo, M., et al.,
2014, Public and Private Hospital Nurses’ Perceptions of the Ethical Climate in
Their Work Settings, Sari City, 2011. Nursing and Midwifery Studies, 3(1), e12867.
https://doi.org/10.17795/nmsjournal12867.
[18] Bayat, M., Shahriari, M., Keshvari, M., 2019, The relationship
between moral distress in nurses and ethical climate in selected hospitals of the
Iranian social security organization. Journal of Medical Ethics and History of Medicine,
12 (8), https://doi.org/10.18502/jmehm.v12i8.1339.
[19] Borhani, F., Abbaszadeh, A., Nakhaee, N, & Roshanzadeh,
M, 2014, The relationship between moral distress, professional stress, and intent
to stay in the nursing profession. Journal of Medical Ethics and History of Medicine,
7 (3).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263391/.
[20] Robaee, N., Atashzadeh-Shoorideh, F., Ashktorab, T. et
al., 2018, Perceived organizational support and moral distress among nurses. BMC
Nursing, 17 (2). https://doi.org/10.1186/s12912-017-0270-y.