Sociodemographic and work-related aspects of moral distress in Brazilian nurses

Sociodemographic and work-related aspects of moral distress in Brazilian nurses

Objective: Analyze associations between moral distress and sociodemographic and work-related characteristics of Brazilian nurses. Methods: Cross-sectional study developed across the Brazilian territory between November 2015 and May 2016, in a sample of 1227 nurses, based on the application of the Br...

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Bibliographic Details
Published in:Acta paulista de enfermagem Vol. 32; no. 4; pp. 406 - 415
Main Authors: Ramos, Flavia Regina Souza, Barth, Priscila Orlandi, Brito, Maria José Menezes, Caram, Carolina, Silveira, Luciana Ramos, Brehmer, Laura Cavalcanti de Farias, Dalmolin, Graziele de Lima, Caçador, Beatriz
Format: Journal Article
Language:English
Published: Sao Paulo Universidade Federal de São Paulo, Escola Paulista de Enfermagem 01-07-2019
Subjects:
Critical care
Ethics
Medical personnel
Nurses
Nursing
Perceptions
Questionnaires
Sociodemographics
Statistical analysis
Storms (meteorology)
Studies
Territory
Work environment
Working conditions
Workloads
Brazil
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Summary:Objective: Analyze associations between moral distress and sociodemographic and work-related characteristics of Brazilian nurses. Methods: Cross-sectional study developed across the Brazilian territory between November 2015 and May 2016, in a sample of 1227 nurses, based on the application of the Brazilian Moral Distress Scale in Nurses (EDME-Br), by means of an electronic questionnaire. Descriptive and analytical statistics were used for the analysis. Results: Statistically significant associations were established in all six factors, namely: 1. Recognition, power and personal identity; 2. Safe and qualifi ed care; 3. Defense of values and rights; 4. Working conditions; 5. Ethical infringements; 6. Work teams. The variables with the largest number of associations were: hour load; graduate degree, nature of service care/complexity, nature, type and duration of employment bond. The role of experience and enhanced education in higher perceived and/or experienced moral distress stood out. Conclusion: The range of the study and the diversity of the context reveal specificities in the occurrence of moral distress in the Brazilian context, highlighting the need to discover elements that play a role in the nurses' moral experience.
ISSN:0103-2100
1982-0194
DOI:10.1590/19820194201900056