임상간호사의 도덕적 고뇌 구조모형 구축

초록

Purpose: This study was to build a path model geared toward explaining the relationships of influential variables for themoral distress of clinical nurses by analyzing literatures of earlier studies. Methods: Data were collected from four hospitalswith 300 beds or more. The participants were 257 nurses with more than 1 year of clinical experience. The data collectionperiod was from June 14 to October 24, 2017. The questionnaire included general and ethical education-relatedcharacteristics, personality type, moral dilemma experience, moral sensitivity, moral climate and moral distress. Results:The direct influencing factors of moral distress were the individual's experience of moral dilemma, moral sensitivity, andthe moral climate of the organization. Factors that indirectly affected via moral sensitivity were personality type, experiencein ethical education, and moral climate. The explanatory power was 40.3%. Conclusion: It is necessary to develop anintervention program that can reduce moral distress by considering the factors influencing the moral distress of clinicalnurses. In addition, it is necessary to identify additional influencing factors of moral distress.

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