Relationship between Moral Distress and Professional Quality of life among Intensive Care Nurses at Alexandria Main University Hospital | ||||
Alexandria Scientific Nursing Journal | ||||
Volume 27, Issue 2, June 2025, Page 184-195 PDF (300.05 K) | ||||
Document Type: Research articles | ||||
DOI: 10.21608/asalexu.2025.429966 | ||||
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Authors | ||||
Gamila Galal Ramadan* 1; Rabab Saleh Mohamed Shaheen2; Sabrein Mahmoud Khattab3 | ||||
1Specialty Nurse Nursing Administration, Faculty of Nursing,, Alexandria University | ||||
2Lecturer Nursing Administration, Faculty of Nursing, Alexandria University | ||||
3Assistant Professor Nursing Administration, Faculty of Nursing, Alexandria University | ||||
Abstract | ||||
Background: Moral Distress (MD) is a painful feeling and psychological imbalance that occurs when a nurse especially in ICU knows what the situation calls ethically but is unable to carry it out because of institutional barriers like time constraints, a lack of managerial support, the use of medical power, institutional policy limitations, and legal restrictions. MD can make nurses avoid dealing with patients who require high-quality treatment, feel bad about their work, and burn out, all of which have a negative impact on their professional quality of life (ProQOL). Aime: detect the relationship between moral distress and professional quality of life among intensive care nurses at Alexandria Main University Hospital. Setting: In all ICUs (n=13) that provide critical care for one specialty, as well as critical care units (n=10) that provide critical care for different specialties for patients at Alexandria Main University Hospital. Subject: Convenient sample of nurses (n= 207) out of (n= 372) who provide patient care and working in the previously mentioned units, with at least one year of experience, and willing to participate in the study. They are classified as follows; critical care nurses (n=73), intensive care nurses (n=134).Tools: 2 tools were used in this study (I) Moral Distress Scale Revised (MDS-R) (II) Professional Quality of Life Scale (ProQOL-5) Results: The results of this study showed that 78.3% of nurses have low MD, 21.3% have moderate MD, and only 0.5% have high MD. Additionally, 70.5% of nurses have moderate CS, 27.5% have low CS, and only 1.9% have high CS. Conclusion: The study results indicate several significant negative correlations: Compassion Satisfaction (CS) and Moral Distress (MD), Secondary Traumatic Stress (STS) and MD, and overall Professional Quality of Life (ProQOL) and MD. Recommendation: Authorities should give nursing personnel more respect and create plans to enhance the ethical atmosphere in practice settings. | ||||
Keywords | ||||
Professional Quality of Life; Moral Distress; Compassion Satisfaction; Compassion Fatigue; Burn Out; Intensive Care Units and Nurses | ||||
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