The association between moral distress and mental health among nurses working at selected hospitals in Iran during the COVID-19 pandemic.

BACKGROUND: In the event of an epidemic outbreak, the mental health of medical staff, including nurses who serve on the frontlines of hospitals, can be affected; thus, the identification of factors affecting nurses' mental health is of importance. OBJECTIVE: This study aimed to examine the associati...

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Publicado en:Work Vol. 70; no. 4; pp. 1039 - 1047
Autores principales: Nemati, Reza, Moradi, Ainaz, Marzban, Maryam, Farhadi, Akram
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The association between moral distress and mental health among nurses working at selected hospitals in Iran during the COVID-19 pandemic.
      aug:
        au:
          Nemati, Reza
          Moradi, Ainaz
          Marzban, Maryam
          Farhadi, Akram
        affil: Department of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran
      sug:
        subj:
          COVID-19 Pandemic Psychosocial Factors
          Nursing Staff, Hospital Psychosocial Factors
          Morals
          Psychological Distress
          Mental Health
          Human
          Iran
          Cross Sectional Studies
          Questionnaires
          Surveys
          Logistic Regression
          Work Environment Psychosocial Factors
          Stress, Occupational
          Scales
          Data Analysis Software
          Inferential Statistics
          Descriptive Statistics
          Male
          Female
          Young Adult
          Adult
          Depression
          Anxiety
          Confidence Intervals
          Odds Ratio
          Workload
          Adult: 19-44 years
          Male
          Female
      ab: BACKGROUND: In the event of an epidemic outbreak, the mental health of medical staff, including nurses who serve on the frontlines of hospitals, can be affected; thus, the identification of factors affecting nurses' mental health is of importance. OBJECTIVE: This study aimed to examine the association between moral distress and the mental health of nurses working at four selected hospitals in Iran during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: A cross-sectional questionnaire survey was conducted on 296 nurses working at the selected hospitals in Bushehr and Shiraz (south of Iran) at the time of the COVID-19 outbreak. The collected data were analyzed via logistic regression analysis. RESULTS: The mean scores for nurses' moral distress were low (54.31±24.84). The results of this study indicated more symptoms of mental issues among nurses (73.60%). Moreover, a significant association was observed between mental health and moral distress. Among the examined demographic variables, only gender had a significant association with mental health (p-value = 0.014). CONCLUSION: The results of this study indicated that an increase in moral distress would lead to a significant increase in mental health issues of the examined nurses. Nurse managers and hospital policymakers should develop strategies to enhance nurses' level of mental health, as well as providing adequate emotional and family support for nurses. Considering the intensifying role of gender in this association, timely interventions are necessary to reduce the negative effects of workplace pressure/stress on female nurses.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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