Moral Distress and Job Satisfaction among Nurses Working in Tertiary Care Hospitals, Karachi, Pakistan

Moral Distress and Job Satisfaction among Nurses

Authors

  • Mahboob Ali Male College of Nursing, Sindh Government Hospital, Liaquatabad, Karachi, Pakistan
  • Sarfraz Masih Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Waqas Ahmed Farooqui School of Public Health, Dow University of Health Sciences, Karachi, Pakistan
  • Rukhsana Zulfiqar Oxford College of Nursing and Health Sciences, Karachi, Pakistan
  • Rasheed Ahmed Khan Male College of Nursing, Sindh Government Hospital, Liaquatabad, Karachi, Pakistan
  • Aziz Ur Rehman Yousufzai Qatar College of Nursing, Karachi, Pakistan
  • Amir Rahman Department of Nursing, CECOS University of Information Technology and Emerging Sciences, Peshawar, Pakistan
  • Afsha Bibi Faculty of Nursing and Midwifery, Ziauddin University, Karachi, Pakistan
  • Javed Ali Male College of Nursing, Sindh Government Hospital, Liaquatabad, Karachi, Pakistan

DOI:

https://doi.org/10.54393/nrs.v4i01.69

Keywords:

Moral Distress, Job Satisfaction, Nurses

Abstract

Moral distress is a painful feeling and a mental disturbance that occurs when a morally correct course of action is known but cannot be performed. Objective: To determine the moral distress and job satisfaction level, their correlation and their association with demographics among nurses working in public sector tertiary care hospitals in Karachi, Pakistan. Methods: This study was conducted in public sector tertiary care hospitals in Karachi through an analytical cross-sectional study design among 300 nurses. Results: This study shows that 52.7% of the participants had low, 38% have moderate, while 9.3% have high/very high levels of moral distress. Most of the nurses, 94%, were satisfied with their job. Moral distress was negatively correlated with job satisfaction (r=-0.180, p=0.002). Moreover, moral distress was associated with age (p=0.03) and ward (p= <0.001). In contrast, job satisfaction was associated only with gender (p=0.008). Conclusions: The study findings illustrated that most nurses had low moral distress and were satisfied. Moral distress was negatively correlated with job satisfaction. 

References

Ulrich C, O’donnell P, Taylor C, Farrar A, Danis M, Grady C. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine. 2007 Oct; 65(8): 1708-19. doi: 10.1016/j.socscimed.2007.05.050. DOI: https://doi.org/10.1016/j.socscimed.2007.05.050

Carpenter C. Moral distress in physical therapy practice. Physiotherapy Theory and Practice. 2010 Jan; 26(2): 69-78. doi: 10.3109/09593980903387878. DOI: https://doi.org/10.3109/09593980903387878

Austin CL, Saylor R, Finley PJ. Moral distress in physicians and nurses: Impact on professional quality of life and turnover. Psychological Trauma: Theory, Research, Practice, and Policy. 2017 Jul; 9(4): 399. doi: 10.1037/tra0000201. DOI: https://doi.org/10.1037/tra0000201

Penny NH, Ewing TL, Hamid RC, Shutt KA, Walter AS. An investigation of moral distress experienced by occupational therapists. Occupational Therapy in Health Care. 2014 Oct; 28(4): 382-93. doi: 10.3109/07380577.2014.933380. DOI: https://doi.org/10.3109/07380577.2014.933380

Pauly BM, Varcoe C, Storch J. Framing the issues: moral distress in health care. HEC Forum. 2012 Mar; 24: 1-11. Springer Netherlands. doi: 10.1007/s10730-012-9176-y. DOI: https://doi.org/10.1007/s10730-012-9176-y

McAndrew NS, Leske J, Schroeter K. Moral distress in critical care nursing: the state of the science. Nursing Ethics. 2018 Aug; 25(5): 552-70. doi:10.1177/0969733016664975. DOI: https://doi.org/10.1177/0969733016664975

Johnstone MJ and Hutchinson A. ‘Moral distress’–time to abandon a flawed nursing construct? Nursing Ethics. 2015 Feb; 22(1) :5-14. doi: 10.1177/0969733013505312. DOI: https://doi.org/10.1177/0969733013505312

Shoorideh FA, Ashktorab T, Yaghmaei F. Responses of ICU nurses to moral distress: a qualitative study. Iranian Journal of Critical Care Nursing. 2012; 4(4): 159-68.

Johnstone MJ. Moral distress. Australian Nursing Journal. 2013 Jul; 21(1): 25.

Lerkiatbundit S and Borry P. Moral distress part I: critical literature review on definition, magnitude, antecedents and consequences. Thai Journal of Pharmaceutical Sciences. 2009 Jan; 1(1): 1-10.

Rice EM, Rady MY, Hamrick A, Verheijde JL, Pendergast DK. Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital. Journal of Nursing Management. 2008 Apr; 16(3): 360-73. doi: 10.1111/j.1365-2834.2007.00798.x. DOI: https://doi.org/10.1111/j.1365-2834.2007.00798.x

Karanikola MN, Papathanassoglou ED, Kalafati M, Stathopoulou H, Mpouzika M, Goutsikas CG. Exploration of the association between professional interactions and emotional distress of intensive care unit nursing personnel. Dimensions of Critical Care Nursing. 2012 Jan; 31(1): 37-45. doi: 10.1097/DCC.0b013e31823a55b8. DOI: https://doi.org/10.1097/DCC.0b013e31823a55b8

Hamric AB, Borchers CT, Epstein EG. Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research. 2012 Apr; 3(2): 1-9. doi: 10.1080/21507716.2011.652337. DOI: https://doi.org/10.1080/21507716.2011.652337

Vermeir P, Downs C, Degroote S, Vandijck D, Tobback E, Delesie L, et al., Intra-organizational communication satisfaction and job satisfaction among Flemish hospital nurses: an explorative multicentric study. Studies on Healthcare. 2017:107. doi: 10.1177/2165079917703411. DOI: https://doi.org/10.1177/2165079917703411

de Veer AJ, Francke AL, Struijs A, Willems DL. Determinants of moral distress in daily nursing practice: a cross sectional correlational questionnaire survey. International Journal of Nursing Studies. 2013 Jan; 50(1): 100-8. doi: 10.1016/j.ijnurstu.2012.08.017. DOI: https://doi.org/10.1016/j.ijnurstu.2012.08.017

Ando M and Kawano M. Association between moral distress and job satisfaction of Japanese psychiatric nurses. Asian/Pacific Island Nursing Journal. 2016; 1(2): 55-60. doi: 10.9741/23736658.1020. DOI: https://doi.org/10.9741/23736658.1020

Ameri M, Mirhashemi B, Hosseini SS. Moral distress and the contributing factors among nurses in different work environments. Nursing and Midwifery Journal. 2015 Oct; 2(3): 44-9.

Wenwen Z, Xiaoyan W, Yufang Z, Lifeng C, Congcong S. Moral distress and its influencing factors: A cross sectional study. Nursing Ethics. 2018; 25 (4): 470-480. doi: 10.1177/0969733016658792. DOI: https://doi.org/10.1177/0969733016658792

O’Connell CB. Gender and the experience of moral distress in critical care nurses. Nursing Ethics. 2015 Feb; 22(1): 32-42. doi: 10.1177/0969733013513216. DOI: https://doi.org/10.1177/0969733013513216

Vaziri MH, Merghati-Khoei E, Tabatabaei S. Moral distress among Iranian nurses. Iranian Journal of Psychiatry. 2015; 10(1): 32.

Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. Journal of Advanced Nursing. 2001 Jan; 33(2): 250-6. doi: 10.1111/j.1365-2648.2001.01658.x. DOI: https://doi.org/10.1111/j.1365-2648.2001.01658.x

Ruggiero JS. Health, work variables, and job satisfaction among nurses. JONA: The Journal of Nursing Administration. 2005 May; 35(5): 254-63. doi: 10.1097/00005110-200505000-00009. DOI: https://doi.org/10.1097/00005110-200505000-00009

Bahalkani HA, Kumar R, Lakho AR, Mahar B, Mazhar SB, Majeed A. Job satisfaction in nurses working in tertiary level health care settings of Islamabad, Pakistan. Journal of Ayub Medical College Abbottabad. 2011 Sep; 23(3): 130-3.

Demir C, Özaltin H, Çelik Y. Determining the level of job satisfaction of nurses working at Turkish military forces hospitals. Military Medicine. 2002 May; 167(5): 402-5. doi: 10.1093/miled.167.5.402. DOI: https://doi.org/10.1093/miled.167.5.402

Nasrabadi AN, Khoobi M, Cheraghi MA, Joolaei S, Hedayat MA. The lived experiences of clinical nurse managers regarding moral distress. Journal of Medical Ethics and History of Medicine. 2018; 11.

Lazzarin M, Biondi A, Di Mauro S. Moral distress in nurses in oncology and hematology units. Nursing Ethics. 2012 Mar; 19(2): 183-95. doi: 10.1093/miled.167.5.402. DOI: https://doi.org/10.1177/0969733011416840

Dodek PM, Wong H, Norena M, Ayas N, Reynolds SC, Keenan SP, et al., Moral distress in intensive care unit professionals is associated with profession, age, and years of experience. Journal of Critical Care. 2016 Feb; 31(1): 178-82. doi: 10.1016/j.jcrc.2015.10.011. DOI: https://doi.org/10.1016/j.jcrc.2015.10.011

Kalliath T and Morris R. Job satisfaction among nurses: a predictor of burnout levels. JONA: The Journal of Nursing Administration. 2002 Dec; 32(12): 648-54. doi: 10.1097/00005110-200212000-00010. DOI: https://doi.org/10.1097/00005110-200212000-00010

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Published

2024-03-31
CITATION
DOI: 10.54393/nrs.v4i01.69
Published: 2024-03-31

How to Cite

Ali, M., Masih, S., Farooqui, W. A., Zulfiqar, R., Khan, R. A., Yousufzai, A. U. R., Rahman, A., Bibi, A., & Ali, J. (2024). Moral Distress and Job Satisfaction among Nurses Working in Tertiary Care Hospitals, Karachi, Pakistan : Moral Distress and Job Satisfaction among Nurses . NURSEARCHER (Journal of Nursing & Midwifery Sciences), 4(01), 18–24. https://doi.org/10.54393/nrs.v4i01.69

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