Relationship between nurses’ moral sensitivity and the quality of care

• Published in: Nursing ethics Vol. 26; no. 4; pp. 1265 - 1273
• Main Authors: Amiri, Elham, Ebrahimi, Hossein, Vahidi, Maryam, Asghari Jafarabadi, Mohamad, Namdar Areshtanab, Hossein
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-06-2019; SAGE PUBLICATIONS, INC
• Subjects: Adult; Aged; Correlation of Data; Ethics; Female; Hospitals; Humans; Iran; Job Satisfaction; Male; Medical ethics; Middle Aged; Morality; Morals; Nurses; Nurses - psychology; Nurses - standards; Nursing care; Patients; Professional ethics; Psychometrics - instrumentation; Psychometrics - methods; Psychosocial factors; Quality of care; Quality of Health Care - standards; Questionnaires; Stress, Psychological - complications; Stress, Psychological - psychology; Surveys and Questionnaires; Iran; professional ethics; nurses; quality of care; patients; Moral sensitivity
• ISSN: 0969-7330; 1477-0989
• DOI: 10.1177/0969733017745726

Background:
To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial.
Research objective:
This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards.
Research design:
A descriptive correlational study using validated tools, including Moral Sensitivity Questionnaire and the Quality Patient Quality Scale.
Participants and research context:
In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran.
Ethical considerations:
The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences.
Findings:
The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity (r = −.14, p = .5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care (r = −.50, p = .04), the dimensions of “psychosocial (r = −.50, p = .04)” and “physical (r = −.50, p = .03).”
Conclusion:
Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care.