[Evaluation of the moral distress and related factors in clinical nurses of Shahroud City]

Introduction: The moral stressor situations is considered one of the issues and problems to professional nurses that can be affected negatively Their function and quality of care, the goal of present study is determining the amount and abundance of moral distress in clinical nurses and related factors in city of Shahroud

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Methods: In this Cross-sectional study; 261 nurses that worked in Imam Hussein and Fatemiyeh hospitals of shahroud were studied in 2013-2014. The instrument of collecting data was consisted of demographic and occupational form and Corley moral distress questionnaire. Data were analyzed with using descriptive statics and Pearson correlation coefficient, independent T test and one-way ANOVA statistical tests

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Results: The frequency and severity of moral distress in most of nurses was in the medium level and there was observed significant statistically difference between frequency and severity of moral distress in nurses [p<0.001].In the aspect the frequency, emergency and psychiatric nurses and about intensity, nurses working in departments of emergency, orthopedic and ICU reported the highest score of moral distress. There was a significant negative correlation between the age [p<0.001], job experience [p=0.01] and total score of moral distress and There was a significant difference between the type of employment and the moral distress [p<0.05] but there was no significant association between sexuality, marital status and monthly working hours with moral distress [p>0.05]

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Conclusion: Considering the prevalence of moral distress among nurses, presenting strategies to reduce according to the terms with any parts is necessary. Provide the necessary training and use of nurses with age more work experience in order to how to cope with moral tension is recommended