MORAL DISTRESS IN NURSING UNDERGRADUATES: A QUALITATIVE STUDY

Yıl 2022, Cilt: 3 Sayı: 2, 62 - 68, 31.08.2022

Şerife Yılmaz , Selin Keskin Kızıltepe

https://doi.org/10.52831/kjhs.1065534

Cited By: 1

Öz

Objective: This study aimed to explore the moral distress experiences encountered by undergraduate nursing students.
Method: The study was conducted in phenomenological design which is one of the qualitative research methods to explore the experiences that lead to moral distress in nursing students. Data were analysed using thematic analysis.
Results: Three themes were identified: (I) Situations that cause moral distress in students, (II) Student feelings and emotions, (III) Student attitudes and behaviors. The students experienced moral distress when they witnessed the negative attitudes and conduct of healthcare professionals to patients and their relatives.
Conclusion: The results revealed that the nursing students frequently experienced moral distress in their theoretical and practical training.

Anahtar Kelimeler

Ethics, Nursing Education, Nursing Students

HEMŞİRELİK ÖĞRENCİLERİNDE AHLAKİ SIKINTI: NİTEL BİR ÇALIŞMA

Öz

Amaç: Bu çalışmada hemşirelik öğrencilerinin ahlaki sıkıntı deneyimlerini ortaya çıkarmak amaçlandı.
Yöntem: Çalışma, hemşirelik öğrencilerinde ahlaki sıkıntıya yol açan durumları ortaya çıkarmak amacıyla nitel araştırma yöntemlerinden biri olan fenomenolojik tasarımda yapıldı. Veriler tematik analiz kullanılarak analiz edildi.
Bulgular: Çalışmada öğrencilerde ahlaki sıkıntıya neden olan durumlar, öğrencilerin duyguları, öğrenci tutumları ve davranışları olmak üzere üç tema belirlendi. Öğrencilerin sağlık profesyonellerinin hastalara ve akrabalarına karşı olumsuz tutum ve davranışlarına şahit olduklarında ahlaki sıkıntı yaşadıkları belirlendi.
Sonuç: Çalışmanın bulguları hemşirelik öğrencilerinin teorik ve pratik eğitimlerinde sıklıkla ahlaki sıkıntı yaşadığını ortaya koymaktadır.

Anahtar Kelimeler

Etik, Hemşirelik Eğitimi, Hemşirelik Öğrencileri

Kaynakça

• Janatolmakan M, Dabiry A, Rezaeian S, Khatony A. Frequency, severity, rate, and causes of moral distress among nursing students: A Cross-sectional study. Educ Res Int. 2021;1-7.
• Morley G, Ives J, Bradbury-Jones C, Irvine F. What is ‘moral distress’? A narrative synthesis of the literature. Nurs Ethics. 2019;26(3):646-662.
• Renno HMS, Ramos FRS, Brito MJM. Moral distress of nursing undergraduates: Myth or reality? Nurs Ethics. 2018;25(3):304-312.
• Hamric AB. Empirical research on moral distress: Issues, challenges, and opportunities. HEC Forum. 2012;24(1):39-49.
• Mallette C. Clinical Judgement. Arnold and Boggs's interpersonal relationships-professional communication skills for Canadian Nurses. 1st ed. Elsevier: 2021.
• Arkan B, Ordin Y, Yilmaz, D. Undergraduate nursing students' experience related to their clinical learning environment and factors affecting to their clinical learning process. Nurse Educ Pract. 2018;29:127-132.
• Baghdadi N, Alsomali Z, Alanazi ME, et al. Moral distress among nursing students during clinical training. Novelty Journal. 2020;7(3):269-276.
• Gibson E, Duke G, Alfred D. Exploring the relationships among moral distress, moral courage, and moral resilience in undergraduate nursing students. J Nurs Educ. 2020;59(7):392-395.
• Krautscheid L, Mood L, McLennon SM, Mossman TC, Wagner M, Wode J. Examining relationships between resilience protective factors and moral distress among nursing students. Nurs Educ Perspect. 2020;41(1):43-45.
• Mæland MK, Tingvatn BS, Rykkje L, Drageset S. Nursing education: students’ narratives of moral distress in clinical practice. Nurs Rep. 2021;11(2):291-300.
• Mehdipour Rabori R, Dehghan M, Nematollahi M. Nursing students’ ethical challenges in the clinical settings: A mixed-methods study. Nurs Ethics. 2019;26(7-8):1983-1991.
• Camp M, Sadler J. Moral distress in medical student reflective writing. AJOB Empir Bioeth. 2019;10(1):70-78.
• Uzelli Yılmaz D, Akın Korhan E. Effectiveness of simulation method in nursing education: A systematic review. Turkiye Klinikleri J Nurs Sci. 2017;9(3):218-226.
• Valiee S, Moridi G, Khaledi S, Garibi F. Nursing students’ perspectives on clinical instructors’ effective teaching strategies: A descriptive study. Nurse Educ Pract. 2016;16:258-262.
• Ghasemi E, Negarandeh R, Janani L. Moral distress in Iranian pediatric nurses. Nurs Ethics. 2019;26(3):663-673.
• Moshtagh M, Mohsenpour M. Moral distress situations in nursing care. Clin Ethics. 2019;14(3):141-145.
• O’Mara L, McDonald J, Gillespie M, Brown H, Miles L. Challenging clinical learning environments: Experiences of undergraduate nursing students. Nurse Educ Pract. 2014;14(2):208-213.
• The Council of Higher Education. Doktorluk, hemşirelik, ebelik, diş hekimliği, veterinerlik, eczacılık ve mimarlık eğitim programlarının asgari eğitim koşullarının belirlenmesine dair yönetmelik. 2008. Retrieved March 18, 2021.
• Gül S, Duru Aşiret G, Bayrak Kahraman B, Devrez N, Örnek Büken N. Investigating ethical decision-making levels of nursing students who did and did not take ethics courses. Hemşirelikte Araştırma Geliştirme Dergisi. 2013;1:23-31.
• Yıldırım A, Şimsek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 10.Baskı. Ankara. Seçkin Yayıncılık: 2016.
• Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.
• Bordignon SS, Lunardi VL, Barlem EL, et al. Nursing students facing moral distress: strategies of resistance. Rev Bras Enferm. 2018;71(4):1663-1670.
• Sasso L, Bagnasco A, Bianchi M, Bressan V. Moral distress in undergraduate nursing students: A systematic review. Nurs Ethics. 2016;23(5):523-534.
• Escolar Chua RL. Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students. Nurs Ethics. 2018;25(4):458-469.
• Escolar Chua RL, Magpantay JCJ. Moral distress of undergraduate nursing students in community health nursing. Nurs Ethics. 2019;26:2340-2350.
• Bordignon SS, Lunardi VL, Barlem EL, al. Moral distress in undergraduate nursing students. Nurs Ethics. 2019;26(7-8):2325-2339.
• Lomis KD, Carpenter RO, Miller BM. Moral distress in the third year of medical school; a descriptive review of student case reflections. Am J Surg. 2009;197(1):107-112.
• Reader RL. Students’ experiences in associate degree nursing programs: A qualitative study looking at moral distress. Teach Learn Nurs. 2015;10(3):118-123.
• Bickhoff L, Sinclair PM, Levett-Jones T. Moral courage in undergraduate nursing students: A literature review. Collegian. 2017;24(1):71-83.
• Rees CE, Monrouxe L, McDonald LA. ‘My mentor kicked a dying woman's bed…’Analysing UK nursing students’‘most memorable’ professionalism dilemmas. J Adv Nurs. 2015;71(1):169-180.
• Bellefontaine N. Exploring whether student nurses report poor practice they have witnessed on placements. Nurs Times. 2009;105(35):28-31.
• Dehghani A. Factors affecting professional ethics development in students: A qualitative study. Nurs Ethics. 2020;27(2):461-469.