The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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The Relation Among Moral Distress, Physical Symptoms and Burnout of Hospital Nurses

병원간호사의 도덕적 고뇌, 신체증상 및 소진의 관계

  • Received : 2017.10.18
  • Accepted : 2017.11.16
  • Published : 2017.11.30
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Abstract

Purpose: The purpose of this study was to explore the relationship between moral distress, physical symptoms, and burnout among clinical nurses. Methods: Data were collected by self-report questionnaires targeting 140 nurses from a university hospital in Chungju. The data were analyzed by, Kruskal-Wallis, Pearson correlation coefficient, and stepwise multiple regression. Results: Moral distress due to the general characteristics of the participants showed a statistically significant difference at the current working department (${\chi}^2=36.01$, p<.001). Hospital nurses' moral distress had a statistically significant correlation with burnout (r=.358, p<.001) and physical symptoms (r=.440, p<.001). Factors influencing hospital nurses' burnout, pro were physical symptoms, moral distress, and marital status, accounting for 36% of the variance. Conclusion: The findings indicate that moral distress and physical symptoms influence burnout among hospital nurses. Therefore, interventions for burnout among hospital nurses should include an empowerment program to reduce physical symptoms and moral distress.

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References

  1. Byun, D. S., & Yom, Y. H. (2009). Factors affecting the burnout of clinical nurses: Focused on emotional Labor. Journal of Korean Academy of Nursing Administration, 15(3), 444-454.
  2. Chae, Y. R., Yu, S. J., Lee, E. J., Kang, K. J., Park, M. S., & Yu, M. (2016). Validity and reliability of the korean version of the moral distress scale-revised for korean hospital nurses. The Journal of Korean Academic Society of Nursing Education, 22(2), 228-239. https://doi.org/10.5977/jkasne.2016.22.2.228
  3. Cho, H. N., An, M. J., & So, H. S. (2015). Differences of turnover intention by moral distress of nurses. Journal of The Korea Contents Association, 15(5), 403-413. https://doi.org/10.5392/JKCA.2015.15.05.403
  4. Faul, F., Erdfelder, E., Lang, A., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavioral Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  5. Fry, S. T., Harvey, R. M., Hurley, A. C., & Foley, B. J. (2002). Development of a moral distress in military nursing. Nursing Ethics, 9(4), 373-387. https://doi.org/10.1191/0969733002ne522oa
  6. Hamric, A. B., Borchers, C. T., & Epstein, E. G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. Acta Biomaterialia Odontologica Scandinavica Primary Research, 3(2), 1-9.
  7. Han, S. J. (2012). Relationship between moral distress and turnover intention among hospital nurses. Journal of Korea Contents Association, 12(3), 276-284. https://doi.org/10.5392/JKCA.2012.12.03.276
  8. Han, Y. J. (2016). Structural equation model of burnout among clinical nurses-focused on application of emotional labor theory-. Chonnam National University of Korea, Chonnam.
  9. Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONN's Clinical Issues in Perinatal and Women's Health Nursing, 4(4), 542-551.
  10. Jeon, S. Y., & Ha, J. Y. (2012). Traumatic events, professional quality of life and physical symptoms among emergency nurses. Korean Journal of Adult Nursing, 24(1), 64-73. https://doi.org/10.7475/kjan.2012.24.1.64
  11. Karanikola, M. N. K., Albarran, J. W., Drigo, E., Giannakopoulou, M., Kalafati M., Mpouzika M., et al. (2014). Moral distress, autonomy and nurse-physician collaboration among intensive care unit nurses in Italy. Journal of Nursing Management, 22(4), 472-484. https://doi.org/10.1111/jonm.12046
  12. Kim, H. R., & Ahn, S. H. (2010). Moral sensitivity and moral distress among korean hospital nurses. Korean journal of Medical Ethics, 13(4), 321-336.
  13. Kim, K. J. (2016). Moral distress, somatic symptoms, and intent to leave of hospital nurses. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  14. Lee, J. M. (2016). Comparative study about the clinical nurse's job stress and turnover intention in nursing care system wards and a general wards. Journal of Social Science, 33(1), 1-48.
  15. Lee, S. J. (2013). Factors turnover intension of hospital nurses. Unpublished master's thesis, Kongju National University of Korea, Gongju.
  16. Ma, M. Y. (2008). Moral distress and depression of clinical nurses. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  17. Maslach, C. (1976). Burnout. Human Behavior, 5(9), 16-22.
  18. Maslach, C., & Jackson, S. E. (1981). The Maslach burnout inventory (Research edition). Palo Alto, CA: Consulting Psychologists Press.
  19. Min, S. K. (2009). Modern psychiatry (5th ed.). Seoul: Iljogak.
  20. Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A critical care societies collaborative statement: Burnout syndrome in critical care health-care professionals. American Journal of Respiratory and Critical Care Medicine, 194(1), 106-113. https://doi.org/10.1164/rccm.201604-0708ST
  21. Oh, H. J. (2008). The impact of job stress and alexithymia on somatization. Unpublished master's thesis, The Daegu University of Korea, Daegu.
  22. Oh, J. H. (2006). Analysis of factors influencing secondary traumatic stress, burnout, and physical symptoms in firefighters. The Korean journal of fundamentals of nursing, 13(1), 96-106.
  23. Park, S. M., Jang, I. S., & Choi, J. S. (2011). Affecting factors of nurses' burnout in secondary general hospitals. Journal of Korean Academy of Nursing Administration, 17(4), 474-483. https://doi.org/10.11111/jkana.2011.17.4.474
  24. Park J. S., Kwon I. S., & Cho, Y. C. (2011). Musculoskeletal symptoms and relates factors among nurses in a university hospital. Journal of Korean Academia-Industrial cooperation, 12(5), 2163-2171. https://doi.org/10.5762/KAIS.2011.12.5.2163
  25. Ryu, K., & Kim, J. K. (2016). A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses. Journal of Korea Contents Association, 16(7), 439-450. https://doi.org/10.5392/JKCA.2016.16.07.439
  26. Shin H. K. (2000). The effect of negative affectivity, alexithymia, somato-sensory amplification, and somatic attribution on somatization: Test of a linear mediation model. Korean Journal of Clinical Psychology, 19(1), 17-32.
  27. Whitehead, P. B., Herbertson, R. K., Hamric, A. B., Epstein, E. G., & Fisher, J. M. (2015). Moral distress among healthcare professionals: Report of an institution-wide survey. Journal of Nursing Scholarship, 47(2), 117-125. https://doi.org/10.1111/jnu.12115
  28. Yoo, M. S. (2003). Concept analysis of moral distress in nurses. Journal of Korean Academy of Nursing Administration, 10(1), 49-62.
  29. Yoo, M. S. (2006). A study on the degree of moral distress of nurses in a city. The Journal of Korean Nursing Administration Academic Society, 12(1), 131-139.
  30. Yoon, G. S., & Kim, S. Y. (2010). Influences of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration, 16(4), 4507-4516.

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