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Frequency, severity, incidence and causes of moral distress among nursing students: a cross-sectional study

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Document pages: 7 pages

Abstract: One of the most important psychosocial problems related to nursing background is moral distress (MD), which has a devastating impact on student performance and patient care. The purpose of this study was to determine the frequency, severity, incidence and causes of MD in nursing students. method. In the cross-sectional study, 86 undergraduate nursing students of Kerman Shah Medical University were studied by census. The data collection tools were personal information scale, revised moral distress scale (mds-r) and moral distress thermometer (MDT). Results according to the mds-r questionnaire, the average frequency, severity and incidence of MD were 1.3 ±   0.7 of 4, 1.8 ±   0.8 of 4 and 3.3 ±   2.3f 16, respectively. The average MDT score was 2.6 ± 2.5 out of 10. The most common causes of MD were working in unsafe conditions (6.8 ± 6.0), observing impaired patients health servicing (5.4 ± 5.6), and the low quality of patient care (5.1 ± 4.6). There was a statistically significant relationship between the gender, work experience, and participation in the professional ethics workshop variables and mean MDS-total and MDT. Conclusion. The rate and mean severity of MD were reported at a moderate level. Also, the MDT average was reported at a mild to an uncomfortable level, and the overall MD was equal to moderate. Therefore, student administrators should take steps to eliminate or reduce the causes of MD. In this regard, the need for teaching preventive methods against MD to nursing students before their clinical courses seems crucial. Also, students with MD must be referred to the psychiatric psychologist.

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