Moral Distress, Health and Intention to Leave: Critical Care Nurses' Perceptions During COVID-19 Pandemic.
SAGE Open Nurs
; 9: 23779608231169218, 2023.
Article
in En
| MEDLINE
| ID: mdl-37089200
ABSTRACT
Introduction:
Moral distress increases the risk that critical care nurses will lose the ability to provide quality nursing care.Aims:
To describe person-related conditions and perceptions of moral distress, health and intention to leave among critical care nurses in intensive care units, and to examine the relationship between person-related conditions, moral distress, health and intention to leave.Method:
Cross-sectional, with 220 critical care nurses in 15 Swedish ICUs, and data gathered via a self-reported questionnaire.Results:
Highest moral distress scores were reported in futile care and poor teamwork and 21% reported entertaining an intention to leave. Self-reported health was lower than before the COVID-19 pandemic and 4.1% reported pronounced exhaustion disorder. Self-reported health, reduced capacity to tolerate demands under time pressure, emotional instability or irritability, physical weakness, or being more easily fatigued and with decreased well-being were factors that had a relationship with futile care. Sleeping problems and intention to leave had a relationship with poor teamwork.Conclusions:
Different strategies are needed to reduce moral distress and the leadership is crucial for managing crises such as the COVID-19 pandemic.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
SAGE Open Nurs
Year:
2023
Document type:
Article
Affiliation country: