The Relation among Moral Distress, Ethical Environment and Self Efficacy as Perceived by Nursing Staff | ||||
| Journal of Nursing Science Benha University | ||||
| Volume 4, Issue 2, July 2023, Page 214-231 PDF (660.77 K) | ||||
| Document Type: Scientific peer reviewed journal | ||||
| DOI: 10.21608/jnsbu.2023.307218 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Rehab Mohamed El-sayed* 1; Howida Hassan El-sayed Mahfouz2; Amira Mohamed Abdelmonem3 | ||||
| 1Nursing specialist, Technical Institute of Nursing-Benha University, Egypt | ||||
| 2Assistant Professor of Nursing Administration, Faculty of Nursing-Benha University, Egypt | ||||
| 3Lecturer of Nursing Administration, Faculty of Nursing-Benha University, Egypt | ||||
| Abstract | ||||
| Background: Moral distress is a complex and challenging issue in the nursing profession that can negatively affect the nurses’ self-efficacy and the quality of patient care especially when working in non-ethical environment. Aim of this study: To assess the relation among moral distress, ethical environment and self-efficacy as perceived by nursing staff. Study design: A descriptive correlational design was utilized. Setting: The study was conducted in medical and surgical units at Benha University hospital. Subject: All the available the head nurses group and their assistance (54) and simple random sample of the staff nurses group (178). Tools of data collection: Three tools were used in data collection; First tool: Moral distress questionnaire, Second tool: Ethical environment questionnaire and third tool: General self-efficacy questionnaire. Results: The most head nurse had moderate perception level toward moral distress & staff nurses had high perception level. Also, most of nursing staff had high perception level toward ethical environment. In addition, the highest percentage of the head nurses had moderate perception level regarding self-efficacy & the staff nurses had low perception level. Conclusion: There was a highly statistically significant positive correlation between moral distress and ethical environment among head nurses and staff nurses. Otherwise, there was a highly statistically significant positive correlation between self-efficacy and ethical environment. While there was a highly statistically significant negative correlation between moral distress and self-efficacy among staff nurses. Recommendations: Maintain nursing staff awareness about moral distress and self-efficacy by conducting educational programs, workshops and conferences to improve outcomes related to patient and the organization. Encourage open communication between nursing staff, supervisors and physicians through conferences and meetings to share best practices. | ||||
| Keywords | ||||
| Ethical environment; Moral distress; Nursing staff perception; Self- efficacy | ||||
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