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Influencing factors on Moral Distress in Long-term Care Hospital and Facility Nurses

  • Journal of The Korea Society of Computer and Information
  • Abbr : JKSCI
  • 2019, 24(5), pp.121-130
  • DOI : 10.9708/jksci.2019.24.05.121
  • Publisher : The Korean Society Of Computer And Information
  • Research Area : Engineering > Computer Science
  • Received : April 30, 2019
  • Accepted : May 22, 2019
  • Published : May 31, 2019

Kim, Hyun-sook 1 Ryu Soo Jung 2 Kyung-Choon Lim ORD ID 3

1한국교통대학교
2상지대학교
3성신여자대학교

Accredited

ABSTRACT

The purpose of this study was to explore the level of the moral distress for nurses working in long-term care hospitals or nursing homes, and identify factors that influence the moral distress. Data were collected through self-reported questionnaires including the Korean version of Moral Distress Scale-Revised (KMDS-R), Jefferson Empathy Scale for Health professionals (K—JSE-HP), Moral Sensitivity Questionnaire (K-MSQ), and the Hospital Ethical Climate Survey (HECS). A total of 194 nurses from 11 long-term care hospitals or 27 nursing homes completed the structured questionnaires. Data were analyzed using IBM SPSS Statistics version 25. As results, the mean score for moral distress was 73.81±51.29 in this study. The moral distress of nurses working at nursing homes was higher than that of nurses working in long-term care hospitals. Among the sub-factors of moral distress, the ‘futile care’ was the highest score and the ‘limit to claim the ethical issue’ was the lowest. The main factor affecting moral distress among nurses in this study was the ethical climate of organization. In this paper, we propose that in order to effectively reduce the moral distress of nurses working in a long-term care hospital or a nursing home, it is more impactful to address structural issues related to the caregiver workplace than to adjust individual factors.

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