Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1403
3
1
gregorian
2024
6
1
30
2
online
1
fulltext
fa
ارتباط تنش اخلاقی با تاب آوری و فرسودگی شغلی پرستاران
The relationship between moral distress, resilience, and job burnout among nurses
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">پرستاران بنا به اقتضای حرفه­ای خود همواره در معرض </span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">موقعیت­های بالینی تنش­زا مانند بحران همهگیری کووید-19 هستند که این می­تواند موجب تنش اخلاقی شده و بر تاب­آوری پرستاران تأثیر گذارد و باعث فرسودگی شغلی آن­ها شود. لذا این پژوهش با هدف تعیین ارتباط تنش اخلاقی با تاب­آوری و فرسودگی شغلی پرستاران انجام گرفته است</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">در</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">این</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">مطالعه</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">توصیفی- مقطعی، تعداد 188 نفر</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">از</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">پرستاران شاغل در بیمارستان­های وابسته به دانشگاه علوم پزشکی شهر بیرجند در سال 1401-1400 با روش نمونه­گیری تصادفی ساده انتخاب و مورد مطالعه قرار گرفتند. ابزار جمع­آوری اطلاعات در این پژوهش پرسشنامههای اطلاعات جمعیت</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شناختی، تنش اخلاقی، تاب­آوری </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Davidson</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> و فرسودگی شغلی </span></span></span></i><a href="https://en.wikipedia.org/wiki/Maslach_Burnout_Inventory"><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="text-decoration:none"><span style="text-underline:none">Maslach</span></span></span></span></span></i><i> </i></a><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">بود. تجزیه و تحلیل دادهها در نرم­افزار </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">SPSS</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> نسخه 21 و با استفاده از آمارهای توصیفی و استنباطی صورت گرفت</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتایج نشان داد، در پرستاران مورد مطالعه تنش اخلاقی پایین (59/12</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">28/30)، تاب</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt"></span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">آوری بالا (44/13</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">70/63) و فرسودگی شغلی نیز بالا (30/12</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">98/54) بوده است. </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">بین تنش اخلاقی با فرسودگی شغلی ارتباط مستقیم و معنادار و با تاب­آوری ارتباط معکوس ضعیف و معناداری مشاهده شد (</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">001/0></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">p</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">)</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">با توجه به ارتباط معنادار بین تنش اخلاقی با تاب</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">آوری و فرسودگی شغلی، پیشنهاد میشود سیاست</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">گذاران تمهیداتی برای افزایش تاب</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">آوری که منجر به کاهش تنش اخلاقی و فرسودگی شغلی میشود، تدارک ببینند.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Background & Aim:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Nurses, due to the demands of their profession, are frequently exposed to high-stress clinical situations, such as the COVID-19 pandemic, which can lead to moral distress and affect their resilience, ultimately contributing to job burnout. This study aims to <span style="color:black">investigate </span>the relationship between moral distress, resilience, and burnout among nurses<span style="color:black">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Methods & Materials:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">In this descriptive, cross-sectional study, 188 nurses working in hospitals affiliated with the Birjand University of Medical Sciences during the years 2021-2022 were selected through simple random sampling. The data collection tools included demographic information, the Moral Distress Scale, the Davidson Resilience Scale, and the Maslach Burnout Inventory. Data were analyzed using descriptive and inferential statistics in SPSS software version 21</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="layout-grid-mode:line">Results:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">The results indicated that the nurses experienced low moral distress (30.28±12.59), high resilience (63.70±13.44), and high levels of burnout (54.98±12.30). A direct and significant relationship was found between moral distress and burnout, while a weak and significant inverse relationship was observed between moral distress and resilience (<i>P</i><0.001).</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Given the significant relationship between moral distress, resilience, and burnout, it is recommended that policymakers develop strategies to enhance resilience, which could lead to a reduction in moral distress and burnout among nurses.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span><br>
تنش اخلاقی, تاب آوری, فرسودگی شغلی, پرستار
moral distress, resilience, burnout, nurse
202
212
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4019-4&slc_lang=fa&sid=1
Rasool
Solaimani Moghaddam
رسول
سلیمانی مقدم