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首页> 外文期刊>Clinical Practice >Implications of Nurse's Moral Distress Experience in Clinical Practice and Their Health Status in Obstetrics and Critical Care Settings
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Implications of Nurse's Moral Distress Experience in Clinical Practice and Their Health Status in Obstetrics and Critical Care Settings

机译：产科和重症监护环境中护士道德困扰经历的临床实践及其健康状况的启示

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Background: Professional stress or moral distress is a common issue that may has an adverse effect on patients and nurses, moreover, the healthcare system as a whole. There are high levels of human contact with the nursing profession. Aim: assess the implications of nurses' moral distress experience in clinical practice and their health status in maternal and medical-surgical critical care settings. Methods: This is a cross-section descriptive study, including nurses selected from obstetrics and medical-surgical critical care units at all governmental hospital in Beni-Suef City, Egypt. Four tools were used for data collection: a self-administered questionnaire, Moral Distress Experience Scale, health status assessment sheet, and work stress assessment sheet. Results: 24.3% of nurses perceived that they are useless in the work, no feedback for their work competency and difficulty of unit rules and policies are always the sources of work stress while 32.4% of them often seen that no chance to take action/decision making are often work stress for them. 77.2% of nurses usually complaint of insomnia, while 66.6% & 66.5% often complain of a headache and indigestion, respectively, 61.2% often complaint of arthralgia and tachycardia as nurse perceived. Conclusion: A negative correlation was found between the nurse's attitude of moral distress, the source of work stress and their health status, there are significant relations were found between nurses' work stress and their age, and between nurses' health status and their years of experience. Recommendations: Further studies should be undertaken on the effect of preventive measures for moral distress on clinical nursing practice and nurses' health status in non-critical areas and large sample size to generalize the result of study to improve their preventive attitude regarding moral distress, work stressors in numerous geographical zones to explore the confounding that hinder nurse's optimal general health.
机译：背景：专业压力或精神困扰是一个常见问题，可能对患者和护士以及整个医疗系统产生不利影响。与护理行业的人接触水平很高。目的：评估护士的精神困扰经验在临床实践中的含义及其在孕产妇和医疗手术重症监护环境中的健康状况。方法：这是一项横断面描述性研究，包括从埃及贝尼-苏伊夫市所有政府医院的产科和外科外科重症监护室中选出的护士。数据收集使用了四种工具：自我管理的问卷，道德苦难经验量表，健康状况评估表和工作压力评估表。结果：24.3％的护士认为自己无用，对自己的工作能力没有任何反馈，单位规则和政策的困难始终是工作压力的来源，而32.4％的护士经常认为没有机会采取行动/做出决定制作通常是他们的工作压力。 77.2％的护士通常抱怨失眠，而66.6％和66.5％的护士经常抱怨头痛和消化不良，而61.2％的护士通常抱怨关节痛和心动过速。结论：护士的道德压力态度，工作压力的来源与他们的健康状况之间呈负相关，护士的工作压力与他们的年龄之间，护士的健康状况与他们的年龄之间存在显着的关系。经验。建议：应进一步研究预防精神困扰的措施对非关键地区临床护理实践和护士健康状况的影响，并且样本量较大，以概括研究结果，以提高其对精神困扰，工作的预防态度在许多地理区域的压力源中探索阻碍护士最佳总体健康的困惑。

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