Is there any relationship between nurses’ perceived organizational justice, moral sensitivity, moral courage, moral distress and burnout?

BMC Nursing

Research

Malihe Nasiri¹  Foroozan Atashzadeh-Shoorideh²  Kayoko Ohnishi³  Sara Lotfi-Bejestani⁴  Raziyeh Ghafouri⁵  Fataneh Ghadirian⁶ 

[1] Department of Basic Sciences, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Psychiatric Nursing & Management, School of Nursing and midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Graduate School of Nursing, Nagoya City University, Nagoya, Japan;Master of Science in psychiatric nursing student, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Medical-Surgical Nursing Department, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

关键词: Burnout;    Mental Health;    Moral courage;    Moral distress;    Moral sensitivity;    Nurse;    Perceived organizational justice;   

DOI  :  10.1186/s12912-023-01536-x

 received in 2022-12-13, accepted in 2023-09-26,  发布年份 2023

来源: Springer

【 摘 要 】

AimThe present study is an attempt to investigate the relationship between Corley’s model variables in mental health nurses.BackgroundBased on Corley’s model, burnout and moral distress in nurses are, in retrospect, the consequences of the interplay of organizational and individual factors such as perceived organizational justice, moral sensitivity, and moral courage. The relationship between two variables or three variables of Corley’s moral distress model has been investigated, but the test of Corley’s moral distress model with more variables has not been done. Therefore, this research was proposed with the aim of investigating the relationship between the variables of moral courage and moral sensitivity (as characteristics of nurses), perceived organizational justice (as an antecedent), moral distress, and job burnout (as consequences of moral distress).MethodsThe study was conducted as a descriptive correlational study involving 500 nurses working in the mental health wards of hospitals. Data collection was conducted using perceived organizational justice scale, moral sensitivity scale, moral courage scale, moral distress scale, and burnout inventory.ResultsThe results showed a significant relationship between perceived organizational justice, moral sensitivity, moral courage, and moral distress (< 0.05). Moreover, perceived organizational justice and moral distress had an inverse relationship. Moral sensitivity and moral courage had a direct relationship with moral distress (< 0.05). Furthermore, the results showed inadequate model fitness.ConclusionsThis study adds to the existing knowledge about the experiences of mental health nurses and their interactions with both organizational and individual factors. It highlights that the connections between perceived organizational justice, moral sensitivity, moral courage, moral distress, and burnout are intricate and multifaceted. As we deepen our understanding of these relationships, it opens the door for the development of interventions and strategies to enhance nurses’ well-being and the quality of care they deliver in mental health settings. Moreover, future research and ongoing refinement and expansion of Corley’s model will be crucial in addressing the complex challenges within the healthcare sector.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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