Consequences of Moral Distress in faculty member in the field of nursing: a qualitative Study

Journal of Research Development in Nursing and Midwifery

article

Shiva Pejmankhah¹  Sheyda Pezhmankhah² 

[1] Nursing Department, School Of nursing and midwifery, Iranshahr University Of Medical Sciences;University East of London & MSc Nursing Islamic Azad Tehran Medical Branch

关键词: Ethics;    Morals;    Faculty Member;    Nursing;    Qualitative Research;   

DOI  :  10.29252/jgbfnm.19.1.46

学科分类：社会科学、人文和艺术（综合）

来源: Akademika As, Akademika Forlag

【 摘 要 】

Background: While institutional constraints make the teacher has not able to implement his moral decision, leading to a conflictbetween the right moral decision and his professional conduct, alternatively he will suffer from a negative feeling andpsychological imbalance that emphasized moral distress. Moral distress occurs not only in clinical settings but also in academicarea. The purpose of this study was to explain the experience of faculty member in the field of nursing in regards to theconsequences of moral distress impact on their activities in the work environment.Methods: This qualitative study was applied during a period of 11 months in in Nursing and Midwifery schools in Tehran, Iranin 2017. 13 faculty member in the field of nursing were selected through purposive sampling method. Data was gathered usingin-depth semi-structured interviews with main question in term of the consequences of moral distress in working environment.Conventional qualitative content analysis was used for analyzing the data.Results: The analysis of the data in this study led to emerge four main categories and eight subcategories based on the experienceof faculty member in the field of nursing about the consequences of moral distress. The main categories included; the ineffectivetraining, organizational silence, decreased sense of professional development and job burnout and the subcategories includeddecreased teaching quality, ineffective communication in the educational space, silent protest, damage to team performance,threat to professional identity, stagnation of professional growth, psychological reactions, and physical reactions.Conclusion: The consequences of moral distress in faculty member in the field of nursing lead to make some barriers to desirableeducational activities, such as a lack of a sense of accomplishment, a tendency toward negative moods in the workplace whichcauses damage of their performance or others professonal problems for provide learning. Therefore use of specific managementand organizational strategies to control the consequences of moral distress in faculty member have been recommended.

【 授权许可】

CC BY-NC-ND